WorldWideScience

Sample records for bilateral development co-operation

  1. Climate protection in Germany`s bilateral development co-operation with the People`s Republic of China

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, A.

    1996-12-31

    For globally sustainable development to be achieved, three concerns are central: productive economic growth, social justice and ecological sustainability. Development co-operation supports the realisation of these three goals in partner countries by helping to alleviate poverty, promote economic growth through private-sector development and protect vital natural resources. The aim of globally sustainable development can only be achieved if industrial countries too implement necessary reforms and structural adjustments at every level. Co-operation efforts with partners must therefore be complemented by coherent policies at home. This is a matter of credibility, but also of developmental far-sightedness. Internal reforms in the industrial countries secure financial leeway for their providing foreign assistance in the longer term. Environmental and resource protection as a focal point of Germany`s development co-operation with the PRC aims to preserve vital natural resources, shape economic development in their partner countries in an ecologically sound manner and put China in a position to participate in global endeavours to protect the environment. Climate protection measures figure prominently in this area. This is justified given China`s share of global CO{sub 2} emissions and the potential for energy-saving measures and measures to increase power intensity. This potential is derived primarily from the possibility of using energy-efficient technologies, increasing the relatively low energy prices and making use of renewable sources of energy.

  2. Romanian-Danish Environmental Co-operation. Co-operation development 1993-1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-08-01

    The Danish Ministry of Environment and Energy has, since 1991, through the Danish Environmental Support Fund, contributed towards protecting the environment and nature in Central and Eastern European countries and has helped to limit regional as well as global pollution. The Romanian Ministry of Waters, Forests and Environmental Protection and the Danish Ministry of Environment and Energy initiated the co-operation in 1993 and an official Agreement was signed in 1994. This publication describes the co-operation between the two countries in the field of the environment in the hope that this will give both the general public of Romania and the international community a better understanding of the work being accomplished. It also gives an overview of the 19 projects developed within this framework, which has a total Danish grant of DKK 77.9 million. (au)

  3. Evaluation of bilateral and multilateral defence co-operation and assistance / Najaf Gambarov

    Index Scriptorium Estoniae

    Gambarov, Najaf

    2003-01-01

    Ettekanne Aserbaidžaani sõjalis-poliitilisest koostööst välisriikide relvajõududega ja rahvusvaheliste organisatsioonidega 22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO"

  4. Evaluation of bilateral and multilateral defence co-operation and assistance / Arthur Aghabekyan

    Index Scriptorium Estoniae

    Aghabekyan, Arthur

    2003-01-01

    Ettekanne Armeenia sõjalis-poliitilisest koostööst välisriikidega ja osalemisest rahvusvahelistes sõjalistes koostööprogrammides 22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO"

  5. 'Part of the solution': Developing sustainable energy through co-operatives and learning

    Science.gov (United States)

    Duguid, Fiona C. B.

    After five years of development, WindShare Co-operative in Toronto, Ontario became the first urban wind turbine in North America and the first co-operatively owned and operated wind turbine in Canada. The development of WindShare Co-operative has spurred the growth of a green energy co-operative sector in Ontario. This study, which included 27 interviews and a focus group with members of WindShare Co-operative, focuses on the roles of community-based green energy co-operatives in advancing sustainable energy development and energy literacy. Sustainable energy development is firmly rooted in the triple bottom line of environmental, social and economic success, and green energy co-operatives can be a way to help achieve those successes. Green energy co-operatives are structures for providing renewable energy generation or energy conservation practices, both of which have important environmental impacts regarding climate change and pollution levels. Co-operative structures are supported by processes that include local ownership, democracy, participation, community organizing, learning and social change. These processes have a significant social impact by creating a venue for people to be directly involved in the energy industry, by involving learning through participation in a community-based organization, and by advancing energy literacy within the membership and the general public. In regards to the economic impacts, green energy co-operatives foster a local economy and local investment opportunities, which have repercussions regarding building expertise within Ontario's green energy and co-operative development future, and more generally, captures members' interest because they have a direct stake in the co-operative. This thesis shows that green energy co-operatives, like WindShare, play an important role in advancing sustainable energy development, energy literacy and the triple bottom line. Members of WindShare expressed resounding feelings of pride, efficacy

  6. Developing Cultural Tourism Through Cross-Sector Co-operation: Evidence from the West of Ireland

    OpenAIRE

    Mottiar, Ziene; Quinn, Bernadette; Ryan, Theresa

    2016-01-01

    Studies of co-operative activity in the tourism literature focus largely on linkages between tourism firms and little has been done to examine co-operation between tourism firms and those in other sectors. Yet the inter-dependency that exits between tourism and other sectors in product development is clearly apparent. One such example is in the production of cultural tourism where co-operation between the cultural and tourism sectors is a necessity. This paper reports on the findings of a pro...

  7. Structural changes in the development of European co-operative societes

    OpenAIRE

    Josefina FERNÁNDEZ GUADAÑO

    2006-01-01

    In spite of the wealth of experience which co-operative societies now have behind them, they have not gained uniform recognition across Europe. Supranational authorities such as the European Commission, the UN and the ILO have highlighted the important contribution made by co-operative societies in the creation of employment and in the mobilization of resources particularly at the local level. For several years now, however, two different tendencies in the development of the European...

  8. Missing--The People's Voice: Organisation for Economic Co-Operation and Development

    Science.gov (United States)

    Pike, Patricia

    2014-01-01

    Sustainable development in education for future economic growth has always been a global focal point for non-governmental agencies across the world. This article highlights the extensive work the Organisation for Economic Co-operation Development (OECD) has achieved over time, constructing contemporary society as we know it today, continually…

  9. SSI`s International Development Co-operation (SIUS). Annual report 1998

    Energy Technology Data Exchange (ETDEWEB)

    Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

    1999-04-01

    SSI`s International Development Co-operation (SIUS), the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109 million by the Swedish government. The projects are accessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents the financial status and a summary of the projects, their status and distribution over the countries and project areas. The presentation is updated as of December 1998

  10. Microcredit management in Ghana : development of co-operative credit unions among the Dagaaba

    NARCIS (Netherlands)

    Gheneti, Yeshanew

    2007-01-01

    "This thesis focuses on the historical development, the organizational management and the role of credit unions among the Dagaaba in the Upper West Region of Ghana. Co-operative credit unions are well-established financial institutions, with a capacity to mobilize local savings and provide microcred

  11. Co-operation in Collection Development : Summary of the Meeting of the Division of Collection Development, Prague, July 1999

    Directory of Open Access Journals (Sweden)

    Ann Wade

    1999-05-01

    Full Text Available Bernard Naylor gave a summary of some important milestones leading up to the present situation in library co-operation in the UK. From 1979 to 1986 three reports from the UK Library and Information Services Council on the future development of libraries had been published. The reports had argued for a cross sectoral approach to any attempts at co-operation, for a regional focus, and for local information plans. The reports also emphasized that all planning involved participation both from the top/down and from the bottom/up. All reports had made clear that only limited funds would be available for future planning.

  12. SECURITY CO-OPERATION IN THE SOUTHERN AFRICAN DEVELOPMENT COMMUNITY: INSIGHTS FROM THE NEW INSTITUTIONALISM

    Directory of Open Access Journals (Sweden)

    Anthoni Van Nieuwkerk

    2011-08-01

    Full Text Available This article focuses on the institutional dimensions of security cooperationas it manifests in the Southern African Development Community(SADC. As the quotations above suggest, security co-operation, as part of a biggerproject of regional integration, is not obvious. Indeed, should southern Africansbelieve their politicians when the latter claim that SADC is ‘forging ahead’ on theroad to formal integration? Slabbert is not convinced. Not only academics, but civilsociety increasingly question its raison d’ etre. For many, it is unclear whether orhow SADC provides human security to the people of the region. Instead, SADCmembers’ positions on the key regional challenges (trade, growth and development,security and stability are driven by national interest rather than regional interest – asrealists argue, national interests (a must-have are hard and measurable; regional cooperation(often a nice-to-have is hard to measure. Or should we accept a regionalconsciousness shaped by a shared historical experience – a problematic assumption?

  13. Cartalk 2000: development of a co-operative ADAS based on vehicle-to-vehicle communication

    NARCIS (Netherlands)

    Morsink, P.L.J.; Hallouzi, R.; Dagli, I.; Cseh, C.; Schäfers, L.; Nelisse, M.W.; Bruin, D. de

    2003-01-01

    Advanced Driver Assistance Systems (ADAS) benefit from using vehicle-to-vehicle communication. In the 5th framework EC project CarTALK2000 co-operative ADAS are designed, tested and evaluated with respect to increasing traffic safety, efficiency and driving comfort. Communication based longitudinal

  14. Engineering Competencies in International Development Co-operation - the Case of Capacity Development in Environment (CDE)

    DEFF Research Database (Denmark)

    Wangel, Arne

    2001-01-01

    The focus of the paper is the need for engineers to develop new competencies, when they are involved in international development cooperation. Drawing on the case of the Post-RIO strategy of capacity development in environment in developing countries, the paper reviews a recent response to this n......The focus of the paper is the need for engineers to develop new competencies, when they are involved in international development cooperation. Drawing on the case of the Post-RIO strategy of capacity development in environment in developing countries, the paper reviews a recent response...... of such courses, which give emphasis to local views on institutional development and policy change. engineers from industrialised countries have a long tradition of working in the third world: building infrastructure to facilitate exports of raw materials during colonial times; implementing development aid...... on the transfer of managerial models across cultures, on how to develop inter-cultural competence in management, and on the significance of differences in engineering and industrial culture. Second, the concepts of dynamic assimilation and local learning processes and their implications for the practicing...

  15. Recent Trends and Developments: Regional Co-operation in Population Education.

    Science.gov (United States)

    Population Education in Asia and the Pacific Newsletter and Forum, 1990

    1990-01-01

    Presented is an outline of objectives and outcomes specific to curriculum development, materials development, professional training, research and assessment, management and monitoring, and an agenda for future consultative seminars, all formulated at the UNESCO-sponsored regional consultative seminar on population education during May 1990, in…

  16. Multimedia and co-operative work in new product development : A participatory approach to virtual prototyping

    NARCIS (Netherlands)

    Muller, P; vanEngelen, J; Terlouw, P; deVreede, GJ

    1996-01-01

    In order to be successful, nov product development requires a balance between market pull and technology push. On a project level this involves forging a link between the (technical) capabilities of the company and the needs of the market place. This paper describes an approach to forge this link ea

  17. Institutions and Social Change: implementing co-operative housing and environmentally sustainable development at Christie Walk

    Directory of Open Access Journals (Sweden)

    Susan McClean

    2009-09-01

    Full Text Available How can institutions contribute to the building of civil society in the twenty- first century? It is clear that the old laissez-faire approach and the more recent neo-conservative reliance on the market have failed to deliver housing for many people. On the other hand the state-based welfare housing model espoused by the Australian Labor Party over the twentieth century has also been beset by problems. Social alienation, and the crisis in affordable housing make the case that individualist approaches to urban living are not working. More communal solutions are needed - solutions attuned to a complex view of civil society outlined by Michael Edwards' tripartite definition. At the same time the onset of global warming now prompts Australians to create more environmentally sustainable ways of living. Addressing the theme of responsibility, this paper focuses on citizenship in its broader environmental, social and active forms. It analyses interviews and documentary evidence concerning the planning and development of Christie Walk, an innovative, medium density eco-city development in Adelaide. The investigation reveals the effects of some Australian institutions on residents' efforts to live socially and environmentally sustainable lives in an urban environment. The paper offers transdisciplinary research and analysis, linking the fields of history, urban housing, community development and environmental theory.

  18. Danish environmental support fund for Eastern Europe. Co-operation development 1991-1996 and programme priority areas

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-08-01

    The publication gives an account of environmental co-operation between Denmark and 12 countries in Eastern Europe. The basis of co-operation is a country programme, describing present and future priority areas in the recipient countries, as an expression of common understanding between the Danish Environmental Protection Agency and the Ministry of Environment in the recipient countries. The publication also describe the environmental efforts made in 1991-1996 under the Danish Environmental Support Fund for Eastern Europe (DESF) administered by the DEPA. (au)

  19. International co-operation in astronomy

    NARCIS (Netherlands)

    Minnaert, Marcel Gilles Jozef

    1955-01-01

    Scientific co-operation between the nations is found already in Antiquity and the Middle Ages and has proved a strong stimulus to the development of astronomy. Different forms of modern international co-operation in astronomy may be distinguished: (1) co-ordinated observations at widely separated st

  20. Japan-Australia Co-operative Program on research and development of technology for the management of high level radioactive wastes: phase II (1990-1995)

    Energy Technology Data Exchange (ETDEWEB)

    Banba, Tsunetaka [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Hart, K.P. [eds.

    1996-05-01

    The major activities associated with Japan-Australia Co-operative Program were the preparation, characterization and subsequent testing of both Cm-doped Synroc containing PW-4b simulated waste and Cm-doped single-phase zirconolite and perovskite, and the initiation of studies on naturally-occurring zirconolites to study the long-term durability of this mineral phase over geological time. The preparation of the Cm-doped samples was carried out in JAERI`s WASTEF facility at Tokai, with technical information and assistance provided by ANSTO where necessary. The experiments were designed to induce accelerated radiation damage in Synroc samples that would correspond to periods of Synroc storage of up to 100,000 years. The results are of considerable importance in evaluating the potential of the Synroc process as a means of dealing with HLW waste streams and represent a significant contribution to the understanding of the ability of Synroc to immobilize HLW elements. Overall the Phase II Co-operative Program has continued the excellent co-operative working relationship between the staff at the two institutions, and provided a better understanding of the potential advantages and limitations of Synroc as a second generation waste form. The work has shown the need for additional studies to be carried out on the effect of the levels of Cm-doping on the Cm leach rate, extension of natural analogue studies to define the geological conditions under which zirconolite is stable and development of models to provide long-term predictions of releases of HLW elements from Synroc under a range of repository conditions. It is strongly recommended that the program carried out in Phase II of the Co-operative Agreement be extended for a further three years to allow additional information on the above areas to be collected and reported in a document providing an overview of the Co-operative Program and recommendations on HLW management strategies. (J.P.N.).

  1. H.S.H. Prince Radu of Hohenzollern-Veringen, Special Representative of the Romanian Government for Integration, Co-operation and Sustainable Development

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    H.S.H. Prince Radu of Hohenzollern-Veringen, Special Representative of the Romanian Government for Integration, Co-operation and Sustainable Development (third from left) with (left to right) Florian Ciolacu (Romanian Mission in Geneva), Cornel Comsa (personal adviser to the Prince), Sorin Ilie (CERN), Calin Alexa (ATLAS), Iosif Legrand (Caltech/CMS), Mihaela Gheata (ALICE), Andrei Gheata (ALICE), and Sorin Zgura (ALICE).

  2. Task 9: deployment of photovoltaic technologies: co-operation with developing countries. Sources of financing for PV-based rural electrification in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Parker, W. [Institute for Sustainable Power, Highlands Ranch, CO (United States); Syngellakis, K. [IT Power Ltd, The Manor house, Chineham (United Kingdom); Shanker, A. [Innovation Energie Developpement, IED, Francheville (France)

    2004-05-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at how PV-based rural electrification in developing countries can be financed. The objective of Task 9 is to increase the overall rate of successful deployment of PV systems in developing countries through increased co-operation and information exchange. This document provides an introduction to PV project financing, including funding sources available, strategies and planning needed to secure the necessary financial resources for the deployment of PV technologies in developing and transitional economies. Topics discussed include risk analysis and the barriers to financing, sources of financing, considerations and variables that influence financing decisions and the process for securing financing. Various forms of international and national financing are looked at, as are the factors influencing financing decisions.

  3. H.S.H. Prince Radu of Hohenzollern-Veringen, Special Representative of the Romanian Government for Integration, Co-operation and Sustainable Development

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    H.S.H. Prince Radu of Hohenzollern-Veringen, Special Representative of the Romanian Government for Integration, Co-operation and Sustainable Development, is seen here visiting Microcosm, CERN's on-site exhibition centre. Photo 01: H.S.H. Prince Radu of Hohenzollern-Veringen (right) with his personal adviser Cornel Comsa inside Microcosm's full-scale model of a six-metre section of the LHC. Photos 04-06: H.S.H. Prince Radu of Hohenzollern-Veringen with Emma Sanders from ETT Division.

  4. Co-operation Agreement between the Ministry of Science, Technology and Environment of the Republic of Cuba (CITMA) and CERN concerning The Further Development of Scientific and Technical Co-operation

    CERN Document Server

    2003-01-01

    In the framework of the CERN collaboration with Latin America, co-operation agreements have been established with Argentina, Brazil, Colombia, Chile, Mexico and Peru. They have made possible a growing participation by Latin American particle physicists in the CERN programme, which has important potential for the future. The Cuban particle physics community is highly motivated and relatively advanced, both scientifically and technologically, since many of its members have been trained in installations of the former Soviet Union, many of which now participate in CERN's cooperation with Russia. In addition, Cuba has a good number of experienced computer scientists. A group from the Cuban Institute CEADEN (Centro de Aplicaciones Tecnológicas y Desarollo Nuclear) has recently been accepted unanimously into the ALICE collaboration, with agreed contributions to off-line software and Grid middlewave. Additional Cuban contributions to show controls, data acquisition and testing electronics for the Silicon drift decte...

  5. Japan-Australia co-operative program on research and development of technology for the management of high level radioactive wastes. Final report 1985 to 1998

    Energy Technology Data Exchange (ETDEWEB)

    Hart, K.; Vance, E.; Lumpkin, G. [Australian Nuclear Science and Technology Organisation, Lucas Heights, NSW (Australia); Mitamura, H.; Banba, T. [Japan Atomic Energy Research Inst. Tokai, Ibaraki (Japan)

    1998-12-01

    The overall aim of the Co-operative Program has been to promote the exchange of information on technology for the management of High-Level Wastes (HLW) and to encourage research and development relevant to such technology. During the 13 years that the Program has been carried out, HLW management strategies have matured and developed internationally, and Japan has commenced construction of a domestic reprocessing and vitrification facility for HLW. The HLW management strategy preferred is a national decision. Many countries are using vitrification, direct disposal of spent fuel or a combination of both to handle their existing wastes whereas others have deferred the decision. The work carried out in the Co-operative Program provides strong scientific evidence that the durability of ceramic waste forms is not significantly affected by radiation damage and that high loadings of actinide elements can be incorporated into specially designed ceramic waste forms. Moreover, natural minerals have been shown to remain as closed systems for U and Th for up to 2.5 b y. All of these results give confidence in the ability of second generation waste forms, such as Synroc, to handle future waste arisings that may not be suitable for vitrification 87 refs., 15 tabs., 22 figs.

  6. Cooperation Agreement between the European Organization for Nuclear Research (CERN) and The Qatar Foundation for Education, Science and Community Development concerning Scientific and Technical Co-operation in High Energy Physics

    CERN Document Server

    2016-01-01

    Cooperation Agreement between the European Organization for Nuclear Research (CERN) and The Qatar Foundation for Education, Science and Community Development concerning Scientific and Technical Co-operation in High Energy Physics

  7. Partner countries for Dutch bilateral development assistance 1962-2015

    NARCIS (Netherlands)

    Kazimierczuk, A.; Dietz, A.J.; Vink, de N.

    2016-01-01

    The Netherlands has been an active supporter of international development aid. Dutch development cooperation started in response to Truman's 'Four point programme' announced in 1949. It began as technical assistance, channelled through multilateral channels. Bilateral aid started in 1962 and was int

  8. Protocol to the 2001 Co-Operation Agreement between the European Organization For Nuclear Research (CERN) and the Ministry of Science, Technology and Development of the Republic of Serbia

    CERN Document Server

    2001-01-01

    On 8 June 2001, on the basis of the mandate given by Council in 1989 to the Director-General to enter into Co-operation Agreements following a defined text model, CERN and the Government of the Republic of Serbia have entered into a Co-operation Agreement on the further development of scientific and technical co-operation in high-energy physics. As usual, the concrete implementation of the Co-operation Agreement is foreseen to take place through the conclusion of Protocols. Agreement has now been reached on the text of a Protocol concerning the Serbian participation in the CMS Collaboration. Annex I to the Protocol, which defines the technical specification of the Serbian contribution, is still under preparation. Although the Protocol contains no concrete financial commitment by CERN, pending a decision by the Committee of Council on procedures for agreements and protocols, the Management proposes that the Finance Committee takes note of the text of the Protocol.

  9. Transnational Research Co-operation: Opportunities and Challenges for transnational research co-operation

    DEFF Research Database (Denmark)

    participated this workpackage. The objectives of this workpackage relates to the facilitation of transnational research co-operation among Science Shops and development of concepts and procedures for co-operation between the International Science Shop Network Living Knowledge’s members, on community based...... for transnational co-operation like: an investigation/project concerning the driving forces behind urban development,or a co-operation in the field of wastewater reuse and minimization of wastewater loads and discharge, or a service page (internet) to search for potential partners. The governmental institutions...... of pollution • Dioxin leakage from incinerators • Nuclear power • Transport • Energy and climate • GMO • Environmental conditions in communities • Cleaner production • Environmental impact of human activities • Common international Science Shop database • Comparative studies of Science Shop projects...

  10. Inter-sectoral conflict and recreational fisheries of the developing world : opportunities and challenges for co-operation

    Science.gov (United States)

    Bower, Shannon D.; Nguyen, Vivian M.; Danylchuk, Andy J.; Beard, T. Douglas; Cooke, Steven J.

    2014-01-01

    The recreational fishing sector is growing rapidly in the developing world with the potential to realize economic benefits estimated at tens of billions of dollars annually. These opportunities are accompanied by numerous ecological risks such as overfishing and habitat disturbance. To date, there has been little focus on sociological issues surrounding the growth of recreational fisheries in these areas. This chapter examines sources of potential conflict among small-scale fishing sectors in the developing world with particular attention paid to identification of key issues constraining stewardship of recreational fisheries. We identified conflicts related to fisher competition for access to resources, socio-demographic change, cultural differences, and governance as areas of concern among small-scale fisheries, and offer examples of successful and failed attempts to reduce, mitigate or solve these conflicts. The reality of limited resource availability will require that communication, proactive management strategies and cooperation be encouraged among sectors to maximize resiliency of the social-ecological system and to promote sustainability of fishing practices. We recommend stewardship initiatives that include avenues for stakeholder participation and establishing adaptive management strategies, particularly for emerging recreational fisheries in the developing world.

  11. Development of co-operation between a research institute and enterprises in the context of marketing communication

    Directory of Open Access Journals (Sweden)

    Aleksander Niemczyk

    2013-06-01

    Full Text Available Aim of the article is presentation of results of recent research on the effectiveness of practical solutions used in marketing communication of the Institute of Logistics and Warehousing, leading to development of cooperation with enterprises. Thanks to the management, the appropriate information reaches definite groups of clients through multiple channels. E-marketing of scientific and research organizations is carried out mainly through web sites, web portals, social media. The analytical and research instruments in the marketing of scientific and research organisations used for measuring the effectiveness and efficacy of marketing communication include: Google Analytics, Seo Stat, Salesmanago, Advertising Value Equivalency and a range of reports. Product line and product managers are employees who are highly qualified and often possess unique competences. Ongoing research coupled with direct contact with companies results in a constant improvement in the services rendered and generation of innovative products.

  12. Library and information services to support the education and development of nurses: the management of co-operation and change--a clash of two cultures?

    Science.gov (United States)

    Capel, S; Banwell, L; Walton, G

    1997-12-01

    This paper reports on the findings of research conducted by the Department of Information and Library Management and the Information Services Department at the University of Northumbria at Newcastle on behalf of the LINC Health Panel. It aims to investigate the organization and funding of library and information services to the nursing profession since the move of nurse education into higher education. The paper focuses on the lack of co-operation and communication between the National Health Service and higher education cultures in the provision of services to nurses. A brief review of the literature includes the views of experts in the field on library and information services and education for nurses as they are now, and ideas for possible developments for the future. This is followed by a description of the main research findings and the five key issues identified by information professionals in a questionnaire survey as vital for future consideration and action. Finally, the conclusions drawn from the findings have been developed into recommendations for the direction of the future discussion, research and action which is needed to further improve library and information services for all nurses.

  13. 9 May 2008 - Signature of the Protocol to the co-operation agreement dated 21 January 2006 between King Abdulaziz City for Science and Technology (KACST) on behalf of the Government of the Kingdom of Saudi Arabia, represented by M. I. Al-Suwaiyel and the European Organization for Nuclear Research (CERN), represented by R. Aymar, concerning the further development of scientific and technical co-operation in high-energy physics

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    9 May 2008 - Signature of the Protocol to the co-operation agreement dated 21 January 2006 between King Abdulaziz City for Science and Technology (KACST) on behalf of the Government of the Kingdom of Saudi Arabia, represented by M. I. Al-Suwaiyel and the European Organization for Nuclear Research (CERN), represented by R. Aymar, concerning the further development of scientific and technical co-operation in high-energy physics

  14. Co-operative groups in their environments : a population-ecological model for co-operative membership and performance

    OpenAIRE

    Lasowski, Ophir

    2010-01-01

    The aim of this work is to develop an alternative evolutionary approach to assessing the performance of co-operative organizations. The focus of investigation is turned to the co-operative organization as a group of members in a market environment containing non-members. Significant unique features of the co-operative organization is illustrated at first. After reviewing historical aspects of evolution theories and their positioning in biology, economic and social sciences, alternative notion...

  15. Scientific and Regulatory Policy Committee Review: Review of the Organisation for Economic Co-operation and Development (OECD) Guidance on the GLP Requirements for Peer Review of Histopathology.

    Science.gov (United States)

    Fikes, James D; Patrick, Daniel J; Francke, Sabine; Frazier, Kendall S; Reindel, James F; Romeike, Annette; Spaet, Robert H; Tomlinson, Lindsay; Schafer, Kenneth A

    2015-10-01

    In 2014, the Organisation for Economic Co-operation and Development (OECD) issued guidance no. 16, Guidance on the GLP Requirements for Peer Review of Histopathology. The stated purpose of the guidance document is "to provide guidance to pathologists, test facility management, study directors and quality assurance personnel on how the peer review of histopathology should be planned, managed, documented, and reported in order to meet Good Laboratory Practice (GLP) expectations and requirements." On behalf of and in collaboration with the global societies of toxicologic pathology, the Society of Toxicologic Pathology initiated a review of OECD guidance no. 16. The objectives of this review are to provide a unified interpretation of the guidance, to recommend compliant processes for organizations to implement, and to avoid inconsistent process adaptations across the industry. This review of the guidance document is the product of a global collaboration with other societies of toxicologic pathology and provides a section-by-section international consensus view and interpretation of the OECD guidance on peer review.

  16. Plants growing on contaminated and brownfield sites appropriate for use in Organisation for Economic Co-operation and Development terrestrial plant growth test.

    Science.gov (United States)

    Sinnett, Danielle E; Lawrence, Victoria K; Hutchings, Tony R; Hodson, Mark E

    2011-01-01

    The Organisation for Economic Co-operation and Development (OECD) terrestrial plant test is often used for the ecological risk assessment of contaminated land. However, its origins in plant protection product testing mean that the species recommended in the OECD guidelines are unlikely to occur on contaminated land. Six alternative species were tested on contaminated soils from a former Zn smelter and a metal fragmentizer with elevated concentrations of Cd, Cu, Pb, and Zn. The response of the alternative species was compared with that of two species recommended by the OECD: Lolium perenne (perennial ryegrass) and Trifolium pratense (red clover). Urtica dioica (stinging nettle) and Poa annua (annual meadowgrass) had low emergence rates in the control soil and so may be considered unsuitable. Festuca rubra (Chewings fescue), Holcus lanatus (Yorkshire fog), Senecio vulgaris (common groundsel), and Verbascum thapsus (great mullein) offer good alternatives to the OECD species. In particular, H. lanatus and S. vulgaris were more sensitive to the soils with moderate concentrations of Cd, Cu, Pb, and Zn than the OECD species.

  17. TRAC-PF1/MOD1 post-test calculations of the OECD (Organisation for Economic Co-operation and Development) LOFT experiment LP-SB-2

    Energy Technology Data Exchange (ETDEWEB)

    Pelayo, F. (UKAEA Atomic Energy Establishment, Winfrith (UK))

    1990-12-01

    An analysis of the OECD-LOFT-LP-SB-2 experiment making use of TRAC-PF1/MOD1 is described in the report. LP-SB2 experiment studies the effect of a delayed pump trip in a small break LOCA scenario with a 3 inches equivalent diameter break in the hot leg of a commercial PWR operating at full power. The experiment was performed on 14 July 1983 in the LOFT facility at the Idaho National Engineering Laboratory under the auspices of the Organization for Economic Co-operation and Development (OECD). This analysis presents an evaluation of the code capability in reproducing the complex phenomena which determined the LP-SB-2 transient evolution. the analysis comprises the results obtained from two different runs. The first run is described in detail analysing the main variables over two time spans: short and longer term. Several conclusions are drawn and then a second run testing some of these conclusions is shown. All of the calculations were preformed at the United Kingdom Atomic Energy Establishment at Winfrith under the auspices of an agreement between the UKAEA (United Kingdom Atomic Energy Authority) and the Consejo de Seguridad Nuclear Espanol (CSN). 16 refs., 64 figs., 6 tabs.

  18. Yearbook of International Co-operation on Environment and Development 2002/2003; an independent publication from the Fridtjof Nansen Institute, Norway

    Energy Technology Data Exchange (ETDEWEB)

    Stokke, Olav Schram; Thommessen, Oeystein B.

    2002-07-01

    The Yearbook of International Cooperation on Environment and Development aims to demonstrate the status of collaboration, the main obstacles to effective international solutions, and how to overcome them. The Yearbook assesses the achievements and the shortcomings of international co-operation, and helps the reader to distinguish between rhetoric and reality. The combination of independent, high-quality analysis and updated reference material makes this Yearbook an indispensable guide for decision-makers in government, international organizations, NGOs, and industry, as well as an essential source book for academic institutions, students, and libraries serving the concerned public. Current Issues and Key Themes in this edition focus on: (1) how effective environmental mega-conferences are in global environmental governance; (2) how the climate change regime can achieve its objective by addressing the very real concerns about climate-change impacts on human beings as much as on healthy ecosystems; (3) how the South Pacific Regional Environment Programme has been an effective regional agent for environmental protection and how it should cope with the challenges ahead; (4) how the Environmental Protocol to the Antarctic Treaty has contributed to strengthening international cooperation within the Treaty, but nevertheless is hampered by the vagueness of some core requirements and by the unresolved issues of jurisdiction, control, and enforcement in the Antarctic; (5) how the Ramsar Convention on Wetlands-neither rigorous nor extensive in its obligations-has acted as a vehicle for the development of a reasonably detailed policy framework for wetland conservation; (6) how Friends of the Earth International-among the world's largest, most diverse, and most influential environmental NGOs-has such internal diversity, in addition to its geographic spread and lack of agreed political ideology, that it risks its external profile becoming blurred and its internal

  19. Promotion of Bilateral Cooperative Programs in Nuclear Human Resources Development

    Energy Technology Data Exchange (ETDEWEB)

    Lee, E. J.; Han, K. W.; Nam, Y. M. (and others)

    2009-08-15

    The purpose of this project is strengthening of bilateral cooperation with those countries for sharing Korea's technology, and providing of education and training on Korean experience regarding national nuclear policy, technology self reliance, and technology itself, in the field of nuclear power generation and the application of radioisotopes and radiation. This project covers an analysis on the need of nuclear human resource development in countries having interest in the introduction of nuclear power and/or promotion of the use of nuclear energy, and provision of courses on 'nuclear power policy, planning and management' and 'design and operation of nuclear research reactor, and application of radiation technology' along with the country specific needs. Education and training of key members in nuclear energy development from Egypt: It was implemented through bilateral cooperation and support by KOICA program. The first part, which targeted staff members from Egypt Nuclear Commission, was held for 2 months providing a KOICA course on policy, planning and management for nuclear power project, and second part was on the job training in Korea Hydro and Nuclear Power and Korea Institute of Nuclear Safety, KAERI respectively. On the job training of 1 scientist from Vietnam was implemented on the basis of bilateral cooperation in a research laboratory on radioactive waste treatment technology, at KAERI. Education and training for scientists from South East RCA countries were carried out for 11 participants from Vietnam, Thailand, Indonesia, China, Pakistan, Malaysia, Philippines, and Bangladesh. The course dealt with nuclear research reactor and radiation application technology. Development of nuclear education and training programs for key persons involved in nuclear power projects from countries of Middle East: The developed program consists of 15 courses addressing 3 technical levels, i.e. high level policy makers, middle level project

  20. A European union (EU) co-operation program: Integral, innovative, industrial product design and development, I3PD(2) and project led education (PLE)

    DEFF Research Database (Denmark)

    Nielsen, Sven Hvid

    2007-01-01

    Aalborg University's project-organised and problem-oriented studies were introduced Thirty-three years ago. The experience since then has proved this to be an important innovation in higher education. The primary aim is to teach young people, students to become useful members for industry...... and society. Other primary objectives are to ensure high-quality research and education and to enhance technology transfer and to stimulate industry-university partnerships within the EU and stimulate Inter-University co-operation programmes. In this project we are focusing on the importance of curriculum...

  1. Effect of pediatric bilateral cochlear implantation on language development

    NARCIS (Netherlands)

    Boons, Tinne; Brokx, Jan; Frijns, Johan; Peeraer, Louis; Philips, Birgit; Vermeulen,; Wouters,; Wieringen, van

    2012-01-01

    Objective: To examine spoken language outcomes in children undergoing bilateral cochlear implantation compared with matched peers undergoing unilateral implantation. Design: Case-control, frequency-matched, retrospective cross-sectional multicenter study. Setting: Two Belgian and 3 Dutch cochlear im

  2. Co-operatives and Normative Control

    DEFF Research Database (Denmark)

    Bregn, Kirsten; Jagd, Søren

    1992-01-01

    and individual action. If these conditions are not fulfilled, as may be the case in many co-operatives, normative control cannot be expected to work. The problems of normative control in co-operatives may then not be caused by the use of normative control as such, but may instead be a problem of securing......This paper explores the conditions for applying normative control in co-operatives. For normative control to be effective two conditions are found particularly important: Individuals must be morally involved and the organization must have a system of making it possible to link common norms...... the conditions necessary for normative control. This is illustrated by a case study of control in a Danish producers co-operative. The analysis of the case study leads to the hypothesis of a paradox of normative control in co-operatives: The need of information tends to be greater in co-operatives comparet...

  3. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. Summary of models for the implementation of solar home systems in developing countries - Part 1: Summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-03-15

    This first part of a two-part report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the implementation of Solar Home systems in developing countries. The objective of Task 9 is to increase the successful deployment of PV systems in developing countries. This summary outlines various models for the implementation of small domestic photovoltaic (PV) systems (Solar Home Systems, SHS) in developing countries. Part 1 of this two-part document discusses three generic models. The second, separate part of the document provides a number of examples demonstrating the models described. This report focuses on the implementation of SHS. However, a considerable amount of the PV market in developing countries is stated as consisting of large systems providing electricity for social services, such as light for schools, mosques, churches, communal centres, refrigeration for health centres and drinking water for communities. It is noted that there are considerable differences between the 'social market' and the 'private market' for SHS. The 'social market' generally consists of large systems but fewer in number. The guide does not cover the detailed technical aspects of a Solar Home System or the issue of recycling old batteries.

  4. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. The role of quality management, hardware certification and accredited training in PV programmes in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Fitzgerald, M. C. [Institute for Sustainable Power, Highlands Ranch, CO (United States); Oldach, R.; Bates, J. [IT Power Ltd, The Manor house, Chineham (United Kingdom)

    2003-09-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the role of quality management, hardware certification and accredited training in PV programmes in developing countries. The objective of this document is to provide assistance to those project developers that are interested in implementing or improving support programmes for the deployment of PV systems for rural electrification. It is to enable them to address and implement quality assurance measures, with an emphasis on management, technical and training issues and other factors that should be considered for the sustainable implementation of rural electrification programmes. It is considered important that quality also addresses the socio-economic and the socio-technical aspects of a programme concept. The authors summarise that, for a PV programme, there are three important areas of quality control to be implemented: quality management, technical standards and quality of training.

  5. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. PV for rural electrification in developing countries - Programme design, planning and implementation

    Energy Technology Data Exchange (ETDEWEB)

    Parker, W. [Institute for Sustainable Power, Highlands Ranch, CO (United States); Oldach, R.; Wilshaw, A. [IT Power Ltd, The Manor house, Chineham (United Kingdom)

    2003-09-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the design, planning and implementation of PV programmes. The guide contains details on the preparation for PV programmes, including the assessment of needs, stakeholder consultation, social context analysis, supply options and national policy considerations. The establishment of goals, delivery modes, timelines, logistics and quality assurance are discussed. Further, the implementation, monitoring and evaluation of PV programmes is discussed, as are a number of methodologies that have been developed with the aim of improving programme design and implementation. The guide highlights issues pertinent to rural energy programmes in developing countries and leads programme administrators through the process of planning, implementing and evaluating a PV programme.

  6. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. PV for rural electrification in developing countries - A guide to capacity building requirements

    Energy Technology Data Exchange (ETDEWEB)

    Bates, J.; Gunning, R. [IT Power Ltd, The Manor house, Chineham (United Kingdom); Stapleton, G. [Global Sustainable Energy Solutions Pty Ltd, GSES, Ulladulla 2539 (Australia)

    2003-03-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the topic of 'capacity building' in rural electrification projects. Capacity building is defined here as the development of an organisation's or individual's core knowledge, skills and capabilities in order to build and enhance the organisation's effectiveness and sustainability. This document identifies capacity building measures that should be undertaken as an integral component of a PV-based rural electrification implementation programme. Capacity building is to be facilitated through the provision of technical support activities, training, specific technical assistance and resource networking. The assessment of existing knowledge and the identification of training needs are discussed and training needs and their implementation by governmental and commercial players is discussed. Eleven case studies complete the report.

  7. Role of sustainable development in Bilateral Investment Treaties : Recent trends and developments

    NARCIS (Netherlands)

    Levashova, Y.

    2011-01-01

    In the last decade, international investment law has undergone an explosive growth, which is characterized by the proliferation of Bilateral Investment Treaties (BITs) and a growing number of investment-treaty arbitrations. The effect of BITs on developing countries (host states) can be far-reaching

  8. The Shanghai Co-operation Organisation

    DEFF Research Database (Denmark)

    Hansen, Flemming Splidsboel

    New regional organisations are always interesting to follow as they will tell us more about the things that make or break this type of co-operation. Originally established as “The Shanghai Five” in 1996, The Shanghai Co-operation Organisation (SCO) has been successful at reducing tension between ...

  9. Making Co-Operative Ideas Work

    Science.gov (United States)

    Arnold, Phil

    2013-01-01

    Reddish Vale Technology College was the first co-operative trust in England. The democratic and co-operative nature of the experiment mean that students have gained a greater voice in the organisation of the school. As a result, new social enterprises, environmental interventions, connections with the community and with the wider co-operative…

  10. List of co-operating Herbaria

    NARCIS (Netherlands)

    NN,

    1949-01-01

    As was pointed out in the first instalment, the management of Flora Malesiana acknowledge collaborating and co-operating institutions; for this purpose a distinction was made between collaborators and co-operators. The former take an active part in the composition of the work (by revising certain fa

  11. New co-operation agreement between CERN and JINR

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    CERN Director-General Rolf Heuer (left) and JINR Director Alexei Sissakian (right). On Thursday 28 January, CERN Director-General Rolf Heuer and JINR Director Alexei Sissakian signed a new enlarged co-operation agreement to continue and enhance the scientific and technical co-operation of the two institutes in the field of high-energy physics. CERN and JINR have a long and successful history of collaboration extending back to the earliest days of their existence. The first informal meeting on international co-operation in the field of high-energy accelerators took place at CERN in 1959. It was attended by senior scientists from the United States, the USSR (including JINR) and CERN. Both JINR and CERN have played the role of a bridge between East and West for decades, contributing to the development of international scientific co-operation. In 1992 JINR signed a co-operation agreement with CERN that included an important number of protocols covering JINR’s participation in the construction of th...

  12. China and CERN renew their Co-operation Agreement

    CERN Multimedia

    2004-01-01

    Dr. Liu Yanhua, Chinese Vice Minister of Science and Technology, and Dr. Robert Aymar, Director-General of CERN, sign a new Co-operation Agreement between the Government of the People's Republic of China and CERN. During his visit to CERN on 17 February, Liu Yanhua, Vice Minister of Science and Technology of the People's Republic of China, signed a new Co-operation Agreement with the Laboratory. The Agreement, which is valid for a period of five years and renewable, lays down the framework for the development of scientific and technological co-operation between CERN and China. This includes China's participation, as a non-Member State, in CERN's research projects as well as its main programmes. Robert Aymar and Liu Yanhua underlined that this Agreement will provide an excellent framework for close co-operation on the LHC Programme and Grid and accelerator technologies. Scientific co-operation between China and CERN is nothing new, as Chinese physicists already took part in the LEP experiments. Today, CERN's C...

  13. Aid Distribution and Co-operation in Unequal Communities

    NARCIS (Netherlands)

    Exelle, D' B.; Berg, van den M.M.

    2012-01-01

    We study the influence of economic inequality on co-operation and aid distribution in community-based development schemes. For this, we organized a field experiment in which community members contributed to a collective effort to attract aid. We find that devolving aid distribution to community repr

  14. Impact of Co-Operative Learning Strategies in English

    Science.gov (United States)

    Singaravelu, G.

    2010-01-01

    The study illuminates the effectiveness of Co-operative Learning Strategies in learning English Grammar for the learners at secondary level. Cooperative Learning is particularly beneficial for any student learning as a second language. It promotes peer interaction, which helps the development of language and the learning of concepts with content.…

  15. International technical co-operation for a safer world

    Energy Technology Data Exchange (ETDEWEB)

    Velez Ocon, C. (International Atomic Energy Agency, Vienna, Austria)

    1982-01-01

    Among the various technologies available today, those related to energy and energy production are of paramount importance since, without energy, all programmes and models for development, regardless of their scope or soundness, represent only exercises in wishful thinking. Efforts to promote international technical co-operation in the field of energy seldom make headlines in the world. Typically, such co-operation - in which the provision of assistance plays a fundamental role - proceeds slowly, and its results only become manifest many years later. It is, however, an indispensable part of the global effort to narrow the technological gap. For the International Atomic Energy Agency, the furtherance of technical co-operation in the nuclear field is a primary objective, and this role is clearly defined in the organization's statute. The Agency contributes to the transfer of nuclear technology in many ways. It plays the important role of an intermediary between Member States in the transfer of experience, information, materials and equipment. The Agency's activity in the fields of technical co-operation and technical assistance is described in this article.

  16. Electrification co-operatives bring new light to rural Tanzania

    Energy Technology Data Exchange (ETDEWEB)

    Ilskog, Elisabeth E-mail: elisabeth.ilskog@af.se; Kjellstroem, B. E-mail: bjorn@kjellstrom.se; Gullberg, Monica E-mail: monica.gullberg@af.se; Katyega, Maneno E-mail: mkatyega@tanesco.co.tz; Chambala, William E-mail: uecco@bushlink.co.tz

    2005-07-01

    One possibility to accelerate the progress of rural electrification in developing countries could be to form independent electrification co-operatives that are allowed to generate and distribute electric power and set their own tariffs. This approach has been successfully tried in the village Urambo, located about 80 km west of Tabora in Tanzania. The co-operative was formed in 1993 and started regular operation in 1994 with 67 consumers. The co-operative received initial financial support for rehabilitation of a diesel power plant and some other investments. The national utility TANESCO has provided technical support and training for operators and an accountant. Despite a tariff more than 15 times higher than in the nearby town Tabora that is served by TANESCO, the number of consumers in Urambo has been growing and reached 241 in October 2002. About 70% of the supplied electricity in 2002 was used by households, 15% in businesses, 12% in institutions and public buildings and approximately 3% for street lighting. The reliability of the supply has improved from 80% in 1994, to 97% during 2002. The experiences must be considered as very promising. Several more electrification co-operatives have been formed in Tanzania and are looking for financing for the necessary initial investments.

  17. A Systematic Review of Cost-Sharing Strategies Used within Publicly-Funded Drug Plans in Member Countries of the Organisation for Economic Co-Operation and Development

    Science.gov (United States)

    Barnieh, Lianne; Clement, Fiona; Harris, Anthony; Blom, Marja; Donaldson, Cam; Klarenbach, Scott; Husereau, Don; Lorenzetti, Diane; Manns, Braden

    2014-01-01

    Background Publicly-funded drug plans vary in strategies used and policies employed to reduce continually increasing pharmaceutical expenditures. We systematically reviewed the utilization of cost-sharing strategies and physician-directed prescribing regulations in publicly-funded formularies within member nations of the Organization of Economic Cooperation and Development (OECD). Methods & Findings Using the OECD nations as the sampling frame, a search for cost-sharing strategies and physician-directed prescribing regulations was done using published and grey literature. Collected data was verified by a system expert within the prescription drug insurance plan in each country, to ensure the accuracy of key data elements across plans. Significant variation in the use of cost-sharing mechanisms was seen. Copayments were the most commonly used cost-containment measure, though their use and amount varied for those with certain conditions, most often chronic diseases (in 17 countries), and by socio-economic status (either income or employment status), or with age (in 15 countries). Caps and deductibles were only used by five systems. Drug cost-containment strategies targeting physicians were also identified in 24 countries, including guideline-based prescribing, prescription monitoring and incentive structures. Conclusions There was variable use of cost-containment strategies to limit pharmaceutical expenditures in publicly funded formularies within OECD countries. Further research is needed to determine the best approach to constrain costs while maintaining access to pharmaceutical drugs. PMID:24618721

  18. A systematic review of cost-sharing strategies used within publicly-funded drug plans in member countries of the organisation for economic co-operation and development.

    Directory of Open Access Journals (Sweden)

    Lianne Barnieh

    Full Text Available BACKGROUND: Publicly-funded drug plans vary in strategies used and policies employed to reduce continually increasing pharmaceutical expenditures. We systematically reviewed the utilization of cost-sharing strategies and physician-directed prescribing regulations in publicly-funded formularies within member nations of the Organization of Economic Cooperation and Development (OECD. METHODS & FINDINGS: Using the OECD nations as the sampling frame, a search for cost-sharing strategies and physician-directed prescribing regulations was done using published and grey literature. Collected data was verified by a system expert within the prescription drug insurance plan in each country, to ensure the accuracy of key data elements across plans. Significant variation in the use of cost-sharing mechanisms was seen. Copayments were the most commonly used cost-containment measure, though their use and amount varied for those with certain conditions, most often chronic diseases (in 17 countries, and by socio-economic status (either income or employment status, or with age (in 15 countries. Caps and deductibles were only used by five systems. Drug cost-containment strategies targeting physicians were also identified in 24 countries, including guideline-based prescribing, prescription monitoring and incentive structures. CONCLUSIONS: There was variable use of cost-containment strategies to limit pharmaceutical expenditures in publicly funded formularies within OECD countries. Further research is needed to determine the best approach to constrain costs while maintaining access to pharmaceutical drugs.

  19. International co-operation in the field of wind energy

    Energy Technology Data Exchange (ETDEWEB)

    Wolff, J. [VTT Energy, Espoo (Finland)

    1998-10-01

    The use of wind energy is expanding rapidly worldwide. At the end of 1996 over 6000 MW was installed and the annual increase has during the last years exceeded 1000 MW. The development is also reaching more and more countries. In order to maintain technical and commercial development international co-operation is needed to secure cost-effectiveness, reliability and safety of the technology. International recommendations, harmonisation and standardisation is promoted by several international organizations like IEA, IEC and the classification organisations

  20. 租税行政の国際的動向 : 協力的コンプライアンス(Co-operative Compliance)の意義と課題

    OpenAIRE

    宮崎, 綾望

    2015-01-01

    This article analyzes the Co-operative Compliance approach under Japanese tax law. OECD published "Co-operative Compliance : A FRAMEWORK - FROM ENHANCED RELATIONSHIP TO CO-OPERATIVE COMPLIANCE 2013." Within the Co-operative Compliance approach, large taxpayers and revenue bodies base their relationship on mutual understanding and trust. This report suggests that many countries have developed Co-operative Compliance. But, some commentators have questioned Co-operative Compliance and equality b...

  1. Healthcare technology co-operatives: Innovative about innovation.

    Science.gov (United States)

    Heron, Nicola M; Tindale, Wendy B

    2014-01-01

    The paper provides an introduction to the National Institute for Health Research Devices for Dignity Healthcare Technology Co-operative. Embedded within the NHS, Devices for Dignity identifies areas of unmet clinical need and translates these into research and development projects to develop new medical technologies. It addresses the needs of people living with long-term conditions, helping them to live more dignified and independent lives. Through partnerships with patients, universities, the NHS and industry, Devices for Dignity has developed an innovation methodology for successful medical technology innovation.

  2. Co-Operation: The Antidote to Isolated Misery

    Science.gov (United States)

    Jones, Sarah

    2013-01-01

    This is a case study demonstrating the impact the co-operative movement has had on one co-operative school in south-west England. Lipson Co-operative Academy in Plymouth was one of the first schools to convert to become a co-operative school in 2009. The article has been co-written by members of the Academy and focuses on three transformational…

  3. International solar energy research co-operation

    Energy Technology Data Exchange (ETDEWEB)

    Lund, P.; Peippo, K.; Konttinen, P. [Helsinki Univ. of Technology, Otaniemi (Finland). Advanced Energy Systems

    1998-10-01

    Finland has participated in several IEA activities during 1996-97. HUT coordinates the activities, but practical participation in collaborative actions take place both in industrial companies and research organisations. Neste Ltd has directly participated in several tasks and information of results has been disseminated more widely to Finnish industries and organisations. Co-operation projects covered here are: (1) IEA Photovoltaic Power Systems Task 1 `Information dissemination`, (2) IEA Photovoltaic Power Systems Task 3 `Use of Photovoltaic systems in Stand Alone and Island Applications`, (3) IEA Photovoltaic Power Systems Task 7 `Photovoltaics in built environment`, (4) IEA Solar Heating and Cooling Program Task 16 `Photovoltaics in buildings` and (5) IEA Working Group `Materials in Solar Thermal Collectors`

  4. Developing Bilateral and Spatial Concepts in Primary School-aged Children: An Empirical Evaluation of the Anker Bilateral Spatial System

    Directory of Open Access Journals (Sweden)

    Janet E. Richmond PhD

    2014-07-01

    Full Text Available Background: Visual-spatial and visual-motor perceptual difficulties contribute to school-aged learning problems. Hence, a need exists to address children’s visual-spatial and visual-motor perceptual difficulties as early as possible in the child’s school career. Thus, this study reports on the evaluation of the Anker Bilateral Spatial System’s (ABSS effectiveness in remediating primary school children’s perceptual difficulties. Method: Thirty-one children (17 boys and 14 girls aged 6 to 12 years who had been identified by their classroom teacher as having observable visual-spatial and visual-motor perceptual difficulties participated in a 10-week pre/posttest intervention study. The study’s pre/posttest assessments included the Developmental Test of Visual-Motor Integration (VMI, the Spatial Awareness Skills Program Test (SASP, and two subscales of the School Function Assessment (SFA. Results: Paired t-test statistics were calculated on the pre/post intervention scores. Paired t-test statistics calculated (p = .05 that significant change had occurred in the writing speed (t = -3.978, p < .001. Conclusion: Given that the study’s Year 1 students made progress in more areas of remediation than did any other year level, it is evident that the ABSS is particularly effective with this year group.

  5. Sixteen Years of International Co-operation. The OECD/NEA Co-operative Programme on Decommissioning

    Energy Technology Data Exchange (ETDEWEB)

    Menon, S.; Valencia, L.

    2002-02-25

    The Co-operative Programme on Decommissioning under the administration of the Radioactive Waste Management Committee of the OECD Nuclear Energy Agency (NEA) has recently completed sixteen years of operation. The Programme, which is essentially an information exchange programme between decommissioning projects, came into being in 1985. It has grown from an initial 10 decommissioning projects from 7 countries to 39 projects from 14 countries today. From purely information exchange to start with, the Programme has, in later years, been functioning as a voice for the collective expression of views of the implementers of nuclear decommissioning. During the first sixteen years of the operation of the Co-operative Programme, nuclear decommissioning has grown from local specialist activities within projects to a competitive commercial industry. By the dismantling and release from regulatory control of over a dozen diverse nuclear facilities, the Programme has been able to demonstrate in practice, that nuclear decommissioning can be performed safely both for the workers and the public, and that this can be done at reasonable costs in an environmentally friendly fashion. During the recent years, discussions and work within the Co-operative Programme, specially within some of the Task Groups, have had/are having effects and repercussions not just in the field of nuclear decommissioning, but can possibly affect activities and regulations in other industries. This paper describes how the Programme and its activities and procedures have evolved over the years and indicate the directions of developments in the organization and execution of decommissioning projects. Finally, it gives a brief overview of the achievements of the Cooperative Programme and visualizes future developments in the field of nuclear decommissioning.

  6. Development of bilateral coronary artery aneurysms in a child with Noonan syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Mauro, David M.; Flors, Lucia; Norton, Patrick T.; Hagspiel, Klaus D. [University of Virginia Health System, Department of Radiology and Medical Imaging, Charlottesville, VA (United States); Hoyer, Andrew W. [University of Virginia Health System, Department of Pediatrics, Division of Pediatric Cardiology, Charlottesville, VA (United States); Pediatric Cardiology Center of Oregon, Portland, OR (United States)

    2016-03-15

    Noonan syndrome is a constellation of congenital malformations including heart defects, facial anomalies and short stature. The cardiovascular defects are variable and extensive, with the most common being pulmonary stenosis and hypertrophic cardiomyopathy. Coronary artery anomalies have only been reported in a few cases. We report a child with Noonan syndrome status post pulmonary stenosis and atrial septal defect repair, who developed bilateral coronary artery aneurysms. The aneurysms were diagnosed with both cardiac magnetic resonance imaging and coronary computed tomography angiography. There had been no evidence of them on a cardiac MR exam 5 years previously. (orig.)

  7. New Developments in India–Myanmar Bilateral Relations?

    Directory of Open Access Journals (Sweden)

    Pierre Gottschlich

    2015-01-01

    Full Text Available The article deals with bilateral relations between India and Myanmar. It argues that the current transformation processes offer a unique opportunity for a major readjustment of India’s foreign policy towards Myanmar. In taking on India’s perspective, it assesses the history, current state of and prospects for the relationship between New Delhi and Naypyidaw in six policy areas: democratization and stability; security in India’s Northeast region and illegal migration; trade and infrastructure; energy security; development cooperation; and the role of China.

  8. Research framework of integrated simulation on bilateral interaction between water cycle and socio-economic development

    Science.gov (United States)

    Hao, C. F.; Yang, X. L.; Niu, C. W.; Jia, Y. W.

    2016-08-01

    The mechanism of bilateral interaction between natural water cycle evolution and socio-economic development has been obscured in current research due to the complexity of the hydrological process and the socio-economic system. The coupling of economic model CGE (Computable General Equilibrium) and distributed hydrological model WEP (Water and Energy transfer Processes) provides a model-based tool for research on response and feedback of water cycle and social development, as well as economic prospects under the constraint of water resources. On one hand, water policies, such as water use limitation and water price adjustment under different levels of socio-economic development, are to be evaluated by CGE model as assumed conditions and corresponding results of water demand could be put into WEP model to simulate corresponding response during the whole process of water cycle. On the other hand, variation of available water resources quantity under different scenarios simulated by WEP model may provide proper limitation for water demand in CGE model, and corresponding change of economic factors could indicate the influence of water resources constraints on socio-economic development. The research is believed to be helpful for better understanding of bilateral interaction between water and society.

  9. Bilateral ankle edema with bilateral iritis.

    Science.gov (United States)

    Kumar, Sunil

    2007-07-01

    I report two patient presented to me with bilateral symmetrical ankle edema and bilateral acute iritis. A 42-year-old female of Indian origin and 30-year-old female from Somalia both presented with bilateral acute iritis. In the first patient, bilateral ankle edema preceded the onset of bilateral acute iritis. Bilateral ankle edema developed during the course of disease after onset of ocular symptoms in the second patient. Both patients did not suffer any significant ocular problem in the past, and on systemic examination, all clinical parameters were within normal limit. Lacrimal gland and conjunctival nodule biopsy established the final diagnosis of sarcoidosis in both cases, although the chest x-rays were normal.

  10. Improving livestock production through co-operative societies

    Directory of Open Access Journals (Sweden)

    M.A. Umaru

    2013-03-01

    Full Text Available This paper reviews the positive role livestock Co-operatives can play in enhancing animal production. Livestock Co-operative Societies such as those for Artificial insemination, Dairy, Beef and Poultry production have been discussed. The paper also dwells on the benefits derivable from such organisations. The practice of Co-operative Societies in livestock production has been applied by different countries in different livestock sub-sectors. This paper concludes that establishing such Co-operatives will significantly improve livestock production in Nigeria.

  11. The Perils of Entanglement: Bilateral Donors, Faith-Based Organisations and International Development (abstract

    Directory of Open Access Journals (Sweden)

    Gerard Clarke

    2013-02-01

    Full Text Available The faith and development interface has become a significant feature of development discourse and policy over the last 15 years. While most of the recent literature treats it as a welcome and positive development, leading to productive engagement between donors and faith communities, the new interface has also proven challenging for donors and faith leaders alike. This chapter explores recent initiatives by European bilateral donors to engage with faith-based organisations (FBOs and efforts by faith communities to create conditions for productive engagement. It also examines some of the resulting controversies and suggests that both donors and FBOs have some distance to travel in creating the conditions and mechanisms that would enable them to work together effectively to combat poverty and social exclusion.

  12. Memorandum of Understanding between CERN and the Government of New-Zealand concerning the Further Development of Scientific and Technical Co-operation in High-Energy Particle Physics

    CERN Document Server

    2003-01-01

    New Zealand has a pioneering tradition in experimental fundamental physics that originated with Ernest Rutherford. The country currently has active research programmes in the related areas of astrophysics and theoretical physics. Experimental groups from the Universities of Auckland and Canterbury have recently been accepted into the CMS collaboration. They are planning a contribution to the CMS pixel detector, and have already started simulations of heavy-ion collisions in CMS. They have also expressed interest in the applications of pixel imaging technology to medicine, and in Grid computing. Collaboration with CERN is seen by the New Zealand Government as an important element in its strategy of seeking linkages with international research networks and overcoming the country's relative geographical isolation. The proposed Agreement (which, taking into account specific New Zealand legal constraints, is named « Memorandum of Understanding » instead of, as is usual at CERN,« Co-operation Agreement ») would...

  13. Modulation between bilateral legs and within unilateral muscle synergists of postural muscle activity changes with development and aging.

    Science.gov (United States)

    Obata, Hiroki; Abe, Masaki O; Masani, Kei; Nakazawa, Kimitaka

    2014-01-01

    The effect of development and aging on common modulation between bilateral plantarflexors (i.e., the right and left soleus, and the right and left medial gastrocnemius) (bilateral comodulation) and within plantarflexors in one leg (i.e., the right soleus and the right medial gastrocnemius) (unilateral comodulation) was investigated during bipedal quiet standing by comparing electromyography-electromyography (EMG) coherence among three age groups: adult (23-35 years), child (6-8 years), and elderly (60-80 years). The results demonstrate that there was significant coherence between bilateral plantarflexors and within plantarflexors in one leg in the 0- to 4-Hz frequency region in all three age groups. Coherence in this frequency region was stronger in the elderly group than in the adult group, while no difference was found between the adult and child groups. Of particular interest was the finding of significant coherence in bilateral and unilateral EMG recordings in the 8- to 12-Hz frequency region in some subjects in the elderly group, whereas it was not observed in the adult and child groups. These results suggest that aging affects the organization of bilateral and unilateral postural muscle activities (i.e., bilateral and unilateral comodulation) in the plantarflexors during quiet standing.

  14. Success parameters for housing co-operatives in South Africa

    Directory of Open Access Journals (Sweden)

    Jimoh Richard

    2012-12-01

    Full Text Available The roles of the various governments have been the driving force of the housing co-operatives in those countries due to the tremendous support received. The implication is that the housing co-operatives in any country cannot do it alone without the support of government in areas such as having legislation and policies, providing support services and embarking on regular education and training. The need to explore the housing co-operatives in South Africa with a view to determine the successes recorded over the years becomes imperative in order to advance strategies that will ensure virile and sustainable housing co-operatives. Results revealed that a lack of understanding exists as a result of inadequate information among government officials responsible for housing delivery and the public in the application of co-operative housing as a delivery approach. Also, inadequate training of co-operative members in leadership positions lead to a lack of administrative and management capabilities in the processes and operations of housing co-operatives. A pragmatic approach should be adopted so that legislation and policies that are beneficial to the housing co-operatives be enacted.

  15. Bilateral Relationship between Technological Changes and Income Inequality in Developing Countries

    Directory of Open Access Journals (Sweden)

    Sirine MNIF

    2016-07-01

    Full Text Available The work focuses on the analysis of the bilateral relationship between technological changes and inequality. First, it focus on the impact of technological innovations on inequality and the theory of Skills Biased Technological Changes (SBTC. Given technology can produce inequality; what is the impact of these inequalities on the distribution and the production technologies? Conversely, it´s interested in, the transmission channels through which inequality affect technological changes. And that being said, let's enrich the interactions between inequality and technological changes. The empirical validation is based on the technique of Panel data for a sample of developing countries. The paper concludes that a positive relationship of technological changes on inequality seems to be confirmed. Increased innovation increases inequality. And a negative effect of inequality on technological changes also seems to be confirmed. Rising inequality hampers technological innovations.

  16. New Zealand signs up to co-operate with CERN

    CERN Multimedia

    Patrice Loïez

    2003-01-01

    On 4 December 2003 a Memorandum of Understanding (MoU) between CERN and the government of New Zealand was signed in the presence of Peter Hamilton, New Zealand's ambassador to Switzerland. This MoU concerns the further development of scientific and technical co-operation in high-energy particle physics between Ernest Rutherford's birthplace and CERN, which now hosts one of the world's most ambitious scientific endeavours, the Large Hadron Collider (LHC).    In anticipation of the MoU, two New Zealand universities (the University of Auckland and the University of Canterbury in Christchurch) have already joined the CMS collaboration to work on pixel detectors, where they can benefit from the expertise of the pixel group at the Paul Scherrer Institute. These detectors are not only valuable in high-energy particle physics, but also serve medical applications.

  17. Development of Sound Localization Strategies in Children with Bilateral Cochlear Implants.

    Directory of Open Access Journals (Sweden)

    Yi Zheng

    Full Text Available Localizing sounds in our environment is one of the fundamental perceptual abilities that enable humans to communicate, and to remain safe. Because the acoustic cues necessary for computing source locations consist of differences between the two ears in signal intensity and arrival time, sound localization is fairly poor when a single ear is available. In adults who become deaf and are fitted with cochlear implants (CIs sound localization is known to improve when bilateral CIs (BiCIs are used compared to when a single CI is used. The aim of the present study was to investigate the emergence of spatial hearing sensitivity in children who use BiCIs, with a particular focus on the development of behavioral localization patterns when stimuli are presented in free-field horizontal acoustic space. A new analysis was implemented to quantify patterns observed in children for mapping acoustic space to a spatially relevant perceptual representation. Children with normal hearing were found to distribute their responses in a manner that demonstrated high spatial sensitivity. In contrast, children with BiCIs tended to classify sound source locations to the left and right; with increased bilateral hearing experience, they developed a perceptual map of space that was better aligned with the acoustic space. The results indicate experience-dependent refinement of spatial hearing skills in children with CIs. Localization strategies appear to undergo transitions from sound source categorization strategies to more fine-grained location identification strategies. This may provide evidence for neural plasticity, with implications for training of spatial hearing ability in CI users.

  18. Rethinking & Recasting Bilateral Investment Treaties as Integrative Tools for Sustainable Development: The Kenyan Experience

    Directory of Open Access Journals (Sweden)

    Faith Simiyu

    2014-10-01

    Full Text Available Sustainable development is a fundamental principle of International Law. It is closely related to and [should be] a core objective of any international treaty seeking to addressdevelopmental concerns. Curiously, however, a critical review of [legal] literature reveals seemingly little attention given to the actual assessment of ‘how and to what extent’ existing Bilateral Investment Treaties (BITs have integrated sustainable developmental concerns. This is particularly in relation to BITs involving developing countries in Africa such as Kenya. Accordingly, taking Kenya as an illustrative case, this study makes a critical assessment of the BITs concluded between Kenya, the Netherlands, Britain, and Germany; with a view to establishing how and to what extent the said BITs haveintegrated sustainable development.  The study argues that most (if not all BITs remain silent on sustainable development. Further, the methods of integrating sustainable development are premised on placing host state obligations to protect investors and their investments. In doing so, the implied assumption is that protection will attract foreign investment necessary for financing sustainable development. Nevertheless, as the paperhighlights, difficulties have arisen in measuring how revenue generated from foreign investment has contributed to the sustainable development due to the unpredictablepatterns of revenue inflow from foreign. This in turn creates difficulties in using the said revenue when planning for long-term sustainable yields in development. Accordingly, the paper urges a collectively rethinking of the usage of BITs as a tool for sustainable development involving, states taking deliberate steps to recast BITs to ensure that the process of negotiation of BITs, the structure that emanates from the negotiation and theimplementation of the BITs; explicitly seek to integrate sustainable development. This necessarily involves placing obligations on both state and

  19. Cloacal dysgenesis sequence with bilateral renal agenesis and normal pulmonary development in twin pregnancy.

    Science.gov (United States)

    Jegadeesh, Sundram; Mahajan, Jai Kumar

    2016-01-20

    Cloacal dysgenesis sequence (CDS) is a rare congenital anomaly. It is characterised by a smooth perineum with absence of anal and genitourinary orifices, with reported incidence of 1:50,000-250,000 births. Association with bilateral renal agenesis is still rarer and resultant severe oligohydramnios is associated with pulmonary hypoplasia. Only a few cases of CDS with bilateral renal agenesis have been reported in the English language literature, with associated pulmonary hypoplasia as a default phenomenon. We report a case of CDS and bilateral renal agenesis without associated pulmonary hypoplasia in a twin pregnancy, which, to the best of our knowledge, is the second reported case of this amalgamation.

  20. Early bilateral sensory deprivation blocks the development of coincident discharge in rat barrel cortex.

    Science.gov (United States)

    Ghoshal, Ayan; Pouget, Pierre; Popescu, Maria; Ebner, Ford

    2009-02-25

    Several theories have proposed a functional role for synchronous neuronal firing in generating the neural code of a sensory perception. Synchronous neural activity develops during a critical postnatal period of cortical maturation, and severely reducing neural activity in a sensory pathway during this period could interfere with the development of coincident discharge among cortical neurons. Loss of such synchrony could provide a fundamental mechanism for the degradation of acuity shown in behavioral studies. We tested the hypothesis that synchronous discharge of barrel cortex neurons would fail to develop after sensory deprivation produced by bilateral whisker trimming from birth to postnatal day 60. By studying the correlated discharge of cortical neuron pairs, we found evidence for strong correlated firing in control animals, and this synchrony was almost absent among pairs of cortical barrel neurons in deprived animals. The degree of synchrony impairment was different in subregions of rat barrel cortex. The model that best fits the data is that cortical neurons receiving direct inputs from the primary sensory (lemniscal) pathway show the greatest decrement in synchrony following sensory deprivation, while neurons with diverse inputs from other areas of thalamus and cortex are relatively less affected in this dimension of cortical function.

  1. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. Summary of models for the implementation of solar home systems in developing countries - Part 2: Practical experience

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-03-15

    This second part of a report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the implementation of Solar Home Systems in developing countries. The objective of Task 9 is to increase the successful deployment of PV systems in developing countries. This summary outlines various models for the implementation of small domestic photovoltaic (PV) systems (Solar Home Systems, SHS) in developing countries. The first part of this two-part document discussed three generic models. Part 2 of the document is based on work prepared for the Renewable Energy Supply Models (RESUM) project. Examples are quoted which describe the operations of a number of companies supplying solar home systems in developing countries. These examples of practical experience provide a description of businesses, highlighting the success and failure factors of the organisations. They are only a sample of the many PV companies operating internationally and are not to be considered as a critical evaluation of the implementation models; they attempt to give the reader an idea of the realities of using the models in practice.

  2. Combined Effect of Bilateral Ovariectomy and Anterior Cruciate Ligament Transection With Medial Meniscectomy on the Development of Osteoarthritis Model

    Science.gov (United States)

    2016-01-01

    Objective To investigate the combined effect of bilateral ovariectomy (OVX) and anterior cruciate ligament transection (ACLT) with medial meniscectomy (MM) on the development of osteoarthritis (OA). Methods Twenty female 15-week-old Sprague-Dawley rats were used. Five rats in each group underwent bilateral OVX (OVX group), bilateral ACLT with MM (ACLT with MM group), bilateral OVX plus ACLT with MM (OVX plus ACLT with MM group), and sham surgery (SHAM group). All the rats were subjected to treadmill running for 4 weeks. The behavioral evaluation for induction of OA used the number of rears method, and this was conducted at 1, 2, and 4 weeks post-surgery. Bone mineral density (BMD) was calculated with micro-computerized tomography images and the modified Mankin's scoring was used for the histological changes. Results The number of rears in the OVX plus ACLT with MM group decreased gradually and more rapidly in the ACLT with MM group. Histologically, the OVX plus ACLT with MM group had a significantly higher modified Mankin's score than the OVX group (p=0.008) and the SHAM group (p=0.008). BMDs of the OVX plus ACLT with MM group were significantly lower than the SHAM group (p=0.002), and the ACLT with MM group (p=0.003). Conclusion We found that bilateral OVX plus ACLT with MM induced definite OA change in terms of histology and BMD compared to bilateral OVX and ACLT with MM alone. Therefore, OVX and ACLT with MM was an appropriate degenerative OA rat model. PMID:27606264

  3. UN MARCO PARA LA PROMOCIÓN DE COOPERATIVAS EN EL CONTEXTO DE PLANES DE DESARROLLO TERRITORIAL DE REGIONES DESFAVORECIDAS/A FRAME FOR THE PROMOTION OF CO-OPERATIVES IN THE CONTEXT OF PLANS OF TERRITORIAL DEVELOPMENT OF DISADVANTAGED REGIONS

    Directory of Open Access Journals (Sweden)

    Jorge COQUE MARTÍNEZ

    2007-05-01

    Full Text Available Este artículo propone un marco para orientar programas de promoción de cooperativas en regiones desfavorecidas, con base en la concepción de estas empresas como esencialmente participativas. Para ello, se han combinado elementos de Dirección Estratégica y de Investigación-Acción Participativa que permiten estructurar procesos de intervención según cuatro ámbitos fundamentales de análisis, decisión y actuación: (1 elección de las barreras limitantes del desarrollo empresarial cooperativo sobre las que se quiere incidir, tras diagnosticar la situación de las cooperativas objetivo de un determinado programa y la del entorno de éstas; (2 determinación de los instrumentos más adecuados de intervención, vinculados a la disminución de las barreras determinadas en el punto anterior; (3 selección de los actores de promoción y reparto de papeles, en función de sus capacidades y otros rasgos que determinan quiénes son más adecuados para aplicar determinados instrumentos; (4 adecuación continua del programa a medida que las cooperativas promovidas van recorriendo las diferentes etapas de su ciclo de vida./This article proposes a framework in order to guide co-operative promotion programs in disadvantaged regions, based on understanding these enterprises as essentially participatory. Strategic Management and Participatory Research-Action elements have been combined so that they allow to structure intervention processes according to four basic spheres of analysis, decision and action: (1 selecting the barriers that limit the co-operative entrepreneurial development to have a bearing on, after diagnosing the situation of co-operatives which are the object of a certain program and its environment; (2 determining the most adequate tools of intervention in order to reduce the barriers that had been determined in the former point; (3 selecting the agents of promotion, and sharing roles among them according to their capabilities and other

  4. Quality, Coherence and Co-operation

    DEFF Research Database (Denmark)

    Noe, Egon; Alrøe, Hugo Fjelsted

    2011-01-01

    The aim of this article is to present an analytical framework to examine how qualities are mediated between producers and consumers, and how this is linked to the way the food chain is constructed, who is involved, and the way the market is developed. The framework is a reorientation to see food ...

  5. Co-operative learning and adaptive instruction in a mathematics curriculum

    NARCIS (Netherlands)

    Terwel, J.; Herfs, P.G.P.; Mertens, E.H.M.; Perrenet, J.Chr.

    1994-01-01

    The AGO 12 to 16 Project (the acronym AGO stands for the Dutch equivalent of 'Adaptive Instruction and Co-operative Learning') seeks to develop and evaluate a mathematics curriculum which is suitable for mixed-ability groups in secondary education. The research questions we will address here are, fi

  6. Leadership and co-operation in orchestras

    OpenAIRE

    Boerner, Sabine; Krause, Diana E.; Gebert, Diether

    2004-01-01

    The leadership of musicians by the conductor of an orchestra is a combination of authority and charisma. It is a special case of directive-charismatic leadership that needs to be explained because it involves substantive restriction of freedom for the led, whereas in other creative fields (e.g. research and development) a non-directive style of leadership is considered functional to success. Current theory on leadership (e.g. contingency theory) is not able to explain this phenomenon. We deve...

  7. Energy Technology Initiatives - Implementation Through Multilateral Co-operation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-15

    New technologies will be critical in addressing current global energy challenges such as energy security. More must be done, however, to push forward the development and deployment of the technologies we need today and will need in the future. Government leaders have repeatedly underlined the crucial role of industry and businesses in advancing energy technologies and the importance of strong collaboration among all stakeholders to accelerate technology advances. To attain these goals, increased co-operation between industries, businesses and government energy technology research is indispensable. The public and private sectors must work together, share burdens and resources, while at the same time multiplying results and outcomes. The 42 multilateral technology initiatives (Implementing Agreements) supported by the IEA are a flexible and effective framework for IEA member and non-member countries, businesses, industries, international organisations and non-government organisations to research breakthrough technologies, to fill existing research gaps, to build pilot plants, to carry out deployment or demonstration programmes -- in short to encourage technology-related activities that support energy security, economic growth and environmental protection. This publication highlights the significant accomplishments of the IEA Implementing Agreements.

  8. Development of bilateral chylothorax in a younger female secondary to tuberculosis

    Directory of Open Access Journals (Sweden)

    Surya Kant

    2011-01-01

    Full Text Available Chylothorax is a rare clinical entity characterized by a milky white aspirate with increased triglyceride levels. The commonest etiology is malignancy and trauma, and bilateral chylothorax, secondary to tuberculosis, is an extremely rare cause, as observed in the present case.

  9. Co-operativity in a nanocrystalline solid-state transition

    Science.gov (United States)

    White, Sarah L.; Smith, Jeremy G.; Behl, Mayank; Jain, Prashant K.

    2013-12-01

    Co-operativity is a remarkable phenomenon mostly seen in biology, where initial reaction events significantly alter the propensity of subsequent reaction events, giving rise to a nonlinear tightly regulated synergistic response. Here we have found unique evidence of atomic level co-operativity in an inorganic material. A thousand-atom nanocrystal (NC) of the inorganic solid cadmium selenide exhibits strong positive co-operativity in its reaction with copper ions. A NC doped with a few copper impurities becomes highly prone to be doped even further, driving an abrupt transition of the entire NC to the copper selenide phase, as manifested by a strongly sigmoidal response in optical spectroscopy and electron diffraction measurements. The examples presented here suggest that cooperative phenomena may have an important role in the solid state, especially in the nucleation of new chemical phases, crystal growth, and other materials’ transformations.

  10. Co-operativity in a nanocrystalline solid-state transition.

    Science.gov (United States)

    White, Sarah L; Smith, Jeremy G; Behl, Mayank; Jain, Prashant K

    2013-01-01

    Co-operativity is a remarkable phenomenon mostly seen in biology, where initial reaction events significantly alter the propensity of subsequent reaction events, giving rise to a nonlinear tightly regulated synergistic response. Here we have found unique evidence of atomic level co-operativity in an inorganic material. A thousand-atom nanocrystal (NC) of the inorganic solid cadmium selenide exhibits strong positive co-operativity in its reaction with copper ions. A NC doped with a few copper impurities becomes highly prone to be doped even further, driving an abrupt transition of the entire NC to the copper selenide phase, as manifested by a strongly sigmoidal response in optical spectroscopy and electron diffraction measurements. The examples presented here suggest that cooperative phenomena may have an important role in the solid state, especially in the nucleation of new chemical phases, crystal growth, and other materials' transformations.

  11. Cyberethics and co-operation in the information society.

    Science.gov (United States)

    Fuchs, Christian; Bichler, Robert M; Raffl, Celina

    2009-12-01

    The task of this paper is to ground the notion of cyberethics of co-operation. The evolution of modern society has resulted in a shift from industrial society towards informational capitalism. This transformation is a multidimensional shift that affects all aspects of society. Hence also the ethical system of society is penetrated by the emergence of the knowledge society and ethical guidelines for the information age are needed. Ethical issues and conflicts in the knowledge society are connected to topics of ecological and social sustainability. For information ethics and cyberethics, the sustainable design of society, social, and socio-technological systems is important. In this context the notions of sustainability and co-operation are discussed. Based on these categories, the approach of cyberethics of co-operation can be theoretically grounded.

  12. Old Wine in New Bottles? Does Climate Policy Determine Bilateral Development Aid for Renewable Energy and Energy Efficiency?

    Directory of Open Access Journals (Sweden)

    Axel Michaelowa

    2011-05-01

    Full Text Available Published by Palgrave MacmillanSince the UN Conference on Environment and Development in Rio de Janeiro in 1992 bilateral and multilateral donors have stressed that development assistance has increasingly been oriented towards climate-friendly interventions. With respect to energy aid, this should lead to a substantial increase in projects related to renewable energy and energy efficiency. Given a new database of hundreds of thousands of bilateral development assistance projects, we can assess whether such a reorientation has indeed taken place. We find that, contrary to expectations, the share of bilaterally-funded renewable energy and energy efficiency projects did not increase over the period from 1980 to 2008. This share fluctuated greatly, following the price of oil, peaking with the second oil crisis of the early 1980s. The impacts of global climate policy treaties are minor or inexistent. ‘Traditional’ renewable energies such as hydro and geothermal declined, while “new” renewables showed two peaks in the early 1980s and late 1990s. Differences between donor countries are huge. Several countries, including climate sceptics such as the US and Australia, but also the UK and Switzerland, saw a consistent decline. The self-proclaimed climate pioneers such as Germany, the Netherlands, Norway and Sweden show peaks related to both the oil crises and international climate policy. Only in Austria, Denmark, Finland and Spain can ‘new’ climate mitigation development assistance be found.

  13. Development of a de novo arteriovenous malformation after bilateral revascularization surgery in a child with moyamoya disease.

    Science.gov (United States)

    Fujimura, Miki; Kimura, Naoto; Ezura, Masayuki; Niizuma, Kuniyasu; Uenohara, Hiroshi; Tominaga, Teiji

    2014-06-01

    The development of a de novo arteriovenous malformation (AVM) in patients with moyamoya disease is extremely rare. A 14-year-old girl developed an AVM in the right occipital lobe during the 4-year postoperative period following successful bilateral revascularization surgeries. She suffered a transient ischemic attack with hemodynamic compromise of the bilateral hemispheres at the age of 10 years. Results of an initial examination by 1.5-T MRI and MR angiography satisfied the diagnostic criteria of moyamoya disease but failed to detect any vascular malformation. Bilateral direct and indirect revascularization surgeries in the anterior circulation relieved her symptoms, and she underwent MRI and MR angiography follow-up every year after surgery. Serial T2-weighted MRI revealed the gradual appearance of flow voids in the right occipital lobe during the follow-up period. Magnetic resonance angiography ultimately indicated the development of an AVM 4 years after these surgeries when catheter angiography confirmed the diagnosis of an AVM in the right occipital lobe. The AVM remained asymptomatic, and the patient remained free of cerebrovascular events during the time she was observed by the authors. Acquired AVM in moyamoya disease is extremely rare, with only 3 pediatric cases including the present case being reported in the literature. The development of a de novo AVM in a postoperative patient with moyamoya disease appears to be unique, and this case may provide insight into the dynamic pathology of AVMs.

  14. SMEs and their co-operation with academia.

    Science.gov (United States)

    Antoine, Jean Michel; Strömqvist, Mats

    2005-01-01

    Co-operation between SMEs and Academia can be a win-win situation when each partner understands the constraints of the other. SMEs are often leaders in innovation; therefore more ready to share interest in research. They are flexible and dynamic. They need a short feed-back to sustain their co-operation. Academia is often more long-term oriented and more question- than answer-oriented. A code of conduct can ease the relationship because it can anticipate the potential problems.

  15. Staged bilateral carotid endarterectomy

    DEFF Research Database (Denmark)

    Schroeder, T; Sillesen, H; Engell, Hans Christian

    1986-01-01

    In a series of 56 staged bilateral carotid endarterectomies, new neurologic symptoms developed in 5% and 20% following the first and second procedure, respectively. All complications were transient or minor. The incidence of postendarterectomy hypertension was significantly higher following...

  16. Twenty Years of Co-operation between Spain and France: Friends, Partners or Allies?

    Directory of Open Access Journals (Sweden)

    Laia Mestres i Camps

    2006-11-01

    Full Text Available The progress made in the relations between France and Spain at the 18th Spanish- French Summit, held in Paris on 10 November 2005, demonstrate that relations between France and Spain are passing through a good moment, and at the same time it allows us to go deeper into the analysis of the co-operation between these two neighbours over the past twenty years. This article aims to examine the evolution of relations between Spain and France, which must administer a dense bilateral agenda as neighbours and anothermultilateral agenda as European partners. In other words, it will analyse the extent to which French-Spanish relations can become a balanced, stable alliance.

  17. The Effects of Bilateral Electric and Bimodal Electric—Acoustic Stimulation on Language Development

    OpenAIRE

    2009-01-01

    There is no doubt that cochlear implants have improved the spoken language abilities of children with hearing loss, but delays persist. Consequently, it is imperative that new treatment options be explored. This study evaluated one aspect of treatment that might be modified, that having to do with bilateral implants and bimodal stimulation. A total of 58 children with at least one implant were tested at 42 months of age on four language measures spanning a continuum from basic to generative i...

  18. Military co-operation with South Caucasus countries / Rafal Seniuch

    Index Scriptorium Estoniae

    Seniuch, Rafal

    2003-01-01

    Ettekanne Poola ja Lõuna-Kaukaasia vabariikide vahelisest sõjalis-poliitilisest koostööst 22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO"

  19. The effects of bilateral electric and bimodal electric--acoustic stimulation on language development.

    Science.gov (United States)

    Nittrouer, Susan; Chapman, Christopher

    2009-09-01

    There is no doubt that cochlear implants have improved the spoken language abilities of children with hearing loss, but delays persist. Consequently, it is imperative that new treatment options be explored. This study evaluated one aspect of treatment that might be modified, that having to do with bilateral implants and bimodal stimulation. A total of 58 children with at least one implant were tested at 42 months of age on four language measures spanning a continuum from basic to generative in nature. When children were grouped by the kind of stimulation they had at 42 months (one implant, bilateral implants, or bimodal stimulation), no differences across groups were observed. This was true even when groups were constrained to only children who had at least 12 months to acclimatize to their stimulation configuration. However, when children were grouped according to whether or not they had spent any time with bimodal stimulation (either consistently since their first implant or as an interlude to receiving a second) advantages were found for children who had some bimodal experience, but those advantages were restricted to language abilities that are generative in nature. Thus, previously reported benefits of simultaneous bilateral implantation early in a child's life may not extend to generative language. In fact, children may benefit from a period of bimodal stimulation early in childhood because low-frequency speech signals provide prosody and serve as an aid in learning how to perceptually organize the signal that is received through a cochlear implant.

  20. Understanding mechanisms of enzyme co-operativity: The importance of not being at equilibrium

    Directory of Open Access Journals (Sweden)

    María Luz Cárdenas

    2015-03-01

    Full Text Available The discovery at the end of the 1950s and the beginning of the 1960s that there were enzymes like threonine deaminase and aspartate transcarbamoylase that failed to follow the expected hyperbolic behaviour predicted by the Michaelis–Menten equation, raised several questions and induced the development of mechanisms to explain this peculiar behaviour. At that time it was already known that the binding of oxygen to haemoglobin did not follow a hyperbolic curve, but a sigmoidal one, and it was thought that a similar situation probably existed for enzymes with sigmoidal kinetics. In other words, the observed kinetic behaviour was a consequence of co-operativity in the substrate binding. Two main models were postulated: those of Monod, Wyman and Changeux in 1965 and of Koshland, Némethy and Filmer in 1966. Both consider that the different conformations are in equilibrium and that there is a rapid equilibrium in the binding, which implies that co-operativity could only exist if there is more than one substrate binding site per enzyme molecule, that is, if the enzyme is an oligomer. What about monomeric enzymes, could they show kinetic co-operativity? Yes, but only through mechanisms that imply the existence of enzyme conformations that are not in equilibrium, and have different kinetic parameters. There are, in fact, very few examples of monomeric enzymes showing kinetic co-operativity with a natural substrate. The case of “glucokinase” (hexokinase D or hexokinase IV, a monomeric enzyme with co-operativity with respect to glucose, will be discussed.

  1. Echinoderms have bilateral tendencies.

    Science.gov (United States)

    Ji, Chengcheng; Wu, Liang; Zhao, Wenchan; Wang, Sishuo; Lv, Jianhao

    2012-01-01

    Echinoderms take many forms of symmetry. Pentameral symmetry is the major form and the other forms are derived from it. However, the ancestors of echinoderms, which originated from Cambrian period, were believed to be bilaterians. Echinoderm larvae are bilateral during their early development. During embryonic development of starfish and sea urchins, the position and the developmental sequence of each arm are fixed, implying an auxological anterior/posterior axis. Starfish also possess the Hox gene cluster, which controls symmetrical development. Overall, echinoderms are thought to have a bilateral developmental mechanism and process. In this article, we focused on adult starfish behaviors to corroborate its bilateral tendency. We weighed their central disk and each arm to measure the position of the center of gravity. We then studied their turning-over behavior, crawling behavior and fleeing behavior statistically to obtain the center of frequency of each behavior. By joining the center of gravity and each center of frequency, we obtained three behavioral symmetric planes. These behavioral bilateral tendencies might be related to the A/P axis during the embryonic development of the starfish. It is very likely that the adult starfish is, to some extent, bilaterian because it displays some bilateral propensity and has a definite behavioral symmetric plane. The remainder of bilateral symmetry may have benefited echinoderms during their evolution from the Cambrian period to the present.

  2. FUNCIÓN DE LAS COOPERATIVAS EN LA NORMATIVA DE FOMENTO DEL DESARROLLO RURAL/FUNCTION OF THE CO-OPERATIVES IN THE REGULATION OF THE RURAL DEVELOPMENT PROMOTION

    Directory of Open Access Journals (Sweden)

    Luis GALLEGO SEVILLA

    2007-05-01

    Full Text Available Las sociedades cooperativas son agentes económicos con gran implantación en el ámbito agrario y constituyen uno de los instrumentos más eficaces para ejecutar los objetivos de la política comunitaria de desarrollo rural. El marco jurídico del desarrollo rural se halla fundamentalmente en la legislación de la Unión Europea, que establece un complejo sistema de medidas y que actualmente gira entorno al Reglamento (CE nº 1698/2005, relativo a la ayuda al desarrollo rural a través del Fondo Europeo Agrícola de Desarrollo Rural (FEADER. El Derecho interno de los Estados miembros aplica e implementa la normativa comunitaria, pero además contiene una regulación propia sobre cooperativas y desarrollo rural. En el caso español, hay que tener en cuenta las normas estatales y autonómicas tanto en materia de cooperativas como de desarrollo rural. El presente trabajo, partiendo de la legislación sustantiva española, analiza el papel que desempeñan las cooperativas agrarias en el actual marco jurídico comunitario, estatal y autonómico en materia de desarrollo rural. Las cooperativas agrarias pueden ser agentes promotores del desarrollo local cuando actúan como interlocutores de la administración pública y como miembros de los “grupos de acción local” constituidos mediante la metodología LEADER. Igualmente, las cooperativas agrarias pueden ser beneficiarias de las ayudas suplementarias que algunas Comunidades Autónomas establecen para llevar a cabo acciones de fomento del desarrollo local./Cooperatives are economic agents widely established in the agrarian sector and constitute one of the most effective tools to attain the objectives of the European Union policies for rural development. The legal framework for rural development is mainly found in the European Union’s legislation which implements a complex system of measures and that nowadays revolves around the (CE Regulation no. 1698/2005, on support for rural development by

  3. Entrepreneurship and innovation: the co-operative society as a commercial option to development Empreendedorismo e inovação: a cooperativa como alternativa empresarial para o desenvolvimento

    Directory of Open Access Journals (Sweden)

    Giovani Ribeiro Rodrigues Alves

    2010-11-01

    Full Text Available The crisis of the traditional capitalism urges innovation. The cooperative is an alternative way of usual commercial organization, and it does this without compromising the institutes of free enterprises and private property. Cooperativism promotes ethics and democracy as an environment of entrepreneurship. The profits are shared according to the participation in the activities and not according to how much the person have paid before. The experience of cooperativism in developed countries shows how much it is profitable and good to economics and society.A crise da forma tradicional de capitalismo clama por inovações. A cooperativa é uma forma alternativa à organização empresarial tradicional, sem deixar de assegurar a livre iniciativa e a propriedade privada. O cooperativismo preza a ética e a democracia num ambiente propício ao empreendimento. Pressupõe uma cultura de desapego ao poder estabelecido com base no capital investido, e a participação nos resultados proporcional à conduta proativa do empreendedor. A experiência das cooperativas em países de alto grau de desenvolvimento corrobora o acerto desta forma de organização e se mostra útil para o desenvolvimento econômico e social do empreendedor.

  4. Signal co-operation between integrins and other receptor systems.

    Science.gov (United States)

    Streuli, Charles H; Akhtar, Nasreen

    2009-03-15

    The multicellular nature of metazoans means that all cellular processes need to be tuned by adhesive interactions between cells and their local microenvironment. The spatial organization of cells within tissues requires sophisticated networks of extracellular signals to control their survival and proliferation, movements and positioning, and differentiated function. These cellular characteristics are mediated by multiple inputs from adhesion systems in combination with soluble and developmental signals. In the present review we explore how one class of adhesion receptor, the integrins, co-operate with other types of receptor to control diverse aspects of cell fate. In particular we discuss: (i) how beta3 and beta1 integrins work together with growth factors to control angiogenesis; (ii) how alpha6beta4 integrin co-operates with receptor tyrosine kinases in normal epithelial function and cancer; (iii) the interplay between beta1 integrins and EGF (epidermal growth factor) receptor; (iv) signal integration connecting integrins and cytokine receptors for interleukins, prolactin and interferons; and (v) how integrins and syndecans co-operate in cell migration.

  5. NATO, Libya operations and intelligence co-operation – a step forward?

    DEFF Research Database (Denmark)

    Svendsen, Adam David Morgan

    2011-01-01

    "With the ‘fall’ of Tripoli towards the end of August 2011, it has become increasingly apparent that the intelligence co-operation witnessed in Libya during the NATO campaign performed an increasingly important role in realizing operational and strategic ‘successes’. These recent intelligence...... developments can be opened up for some further analysis, forming the main focus of this article. Ultimately, this article concludes that, over time and albeit while gradual, we have seen what can be regarded as ‘a step forward’ in co-operative intelligence activities in Libya. Although several pressing...... difficulties have been present, and have had various impacts at different junctures of interactivity, the ‘problems’ encountered have not completely overwhelmed either operationally or strategically all of the diverse participants involved in Libya." - Abstract from journal....

  6. Cross-border Co-operation and Policy Networks in West Africa

    DEFF Research Database (Denmark)

    Trémolières, Marie; Walther, Olivier

    policy networks, showing that borders have notable and diverse impacts on exchanges of information and the relative power of networks. The report then analyses a range of regional indicators of co-operation potential, visually demonstrating that borders can also affect the ability of sub-regions within......This publication examines how policy actors involved in cross-border co-operation contribute to the regional integration process in West Africa. It uses a pioneering methodology, known as social network analysis, to visualise the formal and informal relationships between actors involved in cross-border...... West Africa to develop cross-border initiatives in a number of ways. Combining these two analyses with the perceptions of regional policy makers as to which border areas they consider as priorities for regional integration, the publication concludes with the analytical foundations for more effective...

  7. A novel model for extending international co-operation in science and education

    Institute of Scientific and Technical Information of China (English)

    DE BOER Sirp J.; QIU Ji-zhen(邱济真)

    2004-01-01

    In September 1994 the University of Twente, the Netherlands, and Zhejiang University, China, decided to cooperate in the field of science, education and management. After several visits of delegations from both sides it was considered worthwhile to explore further opportunities for mutual cooperation. The directors of international cooperation on each side jointly commissioned a project to investigate the potential in a systematic way and to establish further contacts where appropriate. This paper reports on the results of the research cum matching project.To reveal promising matches between multiple departments of both academic institutions a matching model for universities was designed. The study was carried out along two parallel lines. In the research line the theoretical framework was developed into a model for international university co-operation. Moreover, an analysis was carried out on internal, external and cultural aspects resulting in a set of thirty four influencing factors.In the matching line a total of seventy interviews were held in order to identify promising matches between units at both universities. This line resulted in eleven promising matches for further co-operation.The novel model appeared useful in analyzing the variety of factors and in developing matches between both universities. In the further implementation of the model the issues of "level of co-operation" and "top-down versus bottom-up" need to be addressed in more detail.

  8. Bilateral optic neuropathy with bilateral putaminal lesions: a case report.

    Science.gov (United States)

    Togawa, Jumpei; Ohi, Takekazu

    2015-01-01

    Bilateral optic neuropathy with bilateral putaminal lesions may be caused by methanol or cyanide poisoning or mitochondrial disorders including Leber hereditary optic neuropathy and Leigh syndrome. We report the case of a 34-year-old Japanese man who developed bilateral visual loss 5 days after the development of gastrointestinal symptoms. Magnetic resonance imaging of the brain on admission revealed high-intensity signal areas in the bilateral putamina on diffusion-weighted and T2-weighted images as well as a high-intensity signal area in the left middle cerebellar peduncle that had been identified 3 years previously. We diagnosed bilateral optic neuropathy with bilateral putaminal lesions caused by preceding infection-triggered demyelination. We administered methylprednisolone, but his vision did not recover.

  9. Characteristic Gene Expression Profiles of Human Fibroblasts and Breast Cancer Cells in a Newly Developed Bilateral Coculture System

    Directory of Open Access Journals (Sweden)

    Takayuki Ueno

    2015-01-01

    Full Text Available The microenvironment of cancer cells has been implicated in cancer development and progression. Cancer-associated fibroblast constitutes a major stromal component of the microenvironment. To analyze interaction between cancer cells and fibroblasts, we have developed a new bilateral coculture system using a two-sided microporous collagen membrane. Human normal skin fibroblasts were cocultured with three different human breast cancer cell lines: MCF-7, SK-BR-3, and HCC1937. After coculture, mRNA was extracted separately from cancer cells and fibroblasts and applied to transcriptomic analysis with microarray. Top 500 commonly up- or downregulated genes were characterized by enrichment functional analysis using MetaCore Functional Analysis. Most of the genes upregulated in cancer cells were downregulated in fibroblasts while most of the genes downregulated in cancer cells were upregulated in fibroblasts, indicating that changing patterns of mRNA expression were reciprocal between cancer cells and fibroblasts. In coculture, breast cancer cells commonly increased genes related to mitotic response and TCA pathway while fibroblasts increased genes related to carbohydrate metabolism including glycolysis, glycogenesis, and glucose transport, indicating that fibroblasts support cancer cell proliferation by supplying energy sources. We propose that the bilateral coculture system using collagen membrane is useful to study interactions between cancer cells and stromal cells by mimicking in vivo tumor microenvironment.

  10. Neonatal sensory deprivation and the development of cortical function: unilateral and bilateral sensory deprivation result in different functional outcomes.

    Science.gov (United States)

    Popescu, Maria V; Ebner, Ford F

    2010-07-01

    The normal development of sensory perception in mammals depends on appropriate sensory experience between birth and maturity. Numerous reports have shown that trimming some or all of the large mystacial vibrissa (whiskers) on one side of the face after birth has a detrimental effect on the maturation of cortical function. The objective of the present study was to understand the differences that occur after unilateral whisker trimming compared with those that occur after bilateral deprivation. Physiological deficits produced by bilateral trimming (BD) of all whiskers for 2 mo after birth were compared with the deficits produced by unilateral trimming (UD) for the same period of time using extracellular recording under urethan anesthesia from single cells in rat barrel cortex. Fast spiking (FSUs) and regular spiking (RSUs) units were separated and their properties compared in four subregions identified by histological reconstructions of the electrode penetrations, namely: layer IV barrel and septum, and layers II/III above a barrel and above a septum. UD upregulated responses in layer IV septa and in layers II/III above septa and perturbed the timing of responses to whisker stimuli. After BD, nearly all responses were decreased, and poststimulus latencies were increased. Circuit changes are proposed as an argument for how inputs arising from the spared whiskers project to the undeprived cortex and, via commissural fibers, could upregulate septal responses after UD. Following BD, more global neural deficits create a signature difference in the outcome of UD and BD in rat barrel cortex.

  11. Rhadinovirus host entry by co-operative infection.

    Directory of Open Access Journals (Sweden)

    Clara Lawler

    2015-03-01

    Full Text Available Rhadinoviruses establish chronic infections of clinical and economic importance. Several show respiratory transmission and cause lung pathologies. We used Murid Herpesvirus-4 (MuHV-4 to understand how rhadinovirus lung infection might work. A primary epithelial or B cell infection often is assumed. MuHV-4 targeted instead alveolar macrophages, and their depletion reduced markedly host entry. While host entry was efficient, alveolar macrophages lacked heparan - an important rhadinovirus binding target - and were infected poorly ex vivo. In situ analysis revealed that virions bound initially not to macrophages but to heparan⁺ type 1 alveolar epithelial cells (AECs. Although epithelial cell lines endocytose MuHV-4 readily in vitro, AECs did not. Rather bound virions were acquired by macrophages; epithelial infection occurred only later. Thus, host entry was co-operative - virion binding to epithelial cells licensed macrophage infection, and this in turn licensed AEC infection. An antibody block of epithelial cell binding failed to block host entry: opsonization provided merely another route to macrophages. By contrast an antibody block of membrane fusion was effective. Therefore co-operative infection extended viral tropism beyond the normal paradigm of a target cell infected readily in vitro; and macrophage involvement in host entry required neutralization to act down-stream of cell binding.

  12. The Architecture of Co-operation: A Project for organizing collective creativity

    NARCIS (Netherlands)

    Borra, B.

    2014-01-01

    The Architecture of Co-operation investigates the relationship between the collective subject and urban form through co-operation as means of production. The point is how individuals can organize co-operation today for the city as a project and what could be the role of architects into this process.

  13. The Effectiveness of Structured Co-Operative Teaching and Learning in Greek Primary School Classrooms

    Science.gov (United States)

    Kaldi, Stavroula; Filippatou, Diamanto; Anthopoulou, Barbara

    2014-01-01

    This study focuses upon the effectiveness of structured co-operative group work on primary school students, aged between 8.5 and 9.5 years old, regarding their content knowledge, attitudes towards co-operative group work, experiential learning and open-ended curriculum as well as students' social and learning behaviour during co-operative group…

  14. Strategic Stakeholder Communication and Co-operation in Environmental Management

    DEFF Research Database (Denmark)

    Madsen, Henning; Ulhøi, John Parm

    2002-01-01

    Ever since the introduction of the first major Danish environmental protection law in 1974, environmental regulation has been instrumental in pushing industry towards adopting environmentally less harmful behaviour. However, since the early 1990s, pressure from a growing number of other stakehold......Ever since the introduction of the first major Danish environmental protection law in 1974, environmental regulation has been instrumental in pushing industry towards adopting environmentally less harmful behaviour. However, since the early 1990s, pressure from a growing number of other...... in this process is strategic stakeholder relationships like communication and co-operation. The paper addresses this topic based on a proposed approach for identifying and evaluating the influence from various groups of stakeholders as well as the findings from recent surveys of environmental management...

  15. Co-operative Principle of Conversation and Humor in English

    Institute of Scientific and Technical Information of China (English)

    付岚

    2012-01-01

    Language humor is a usual phenomenon in human communication. It is an interdisciplinary subject connected with a wide range of learning. Up to now, a great deal of research has been done from the viewpoint of psychology and sociology. In the field of linguistics, some explorations have already been made in regard to its semantic and rhetorical aspects, but due attention has not been paid to it in pragmatics in that in everyday verbal communication, humorous utterances are easy to enjoy but hard to define. Apart from its capability of laughter-making, language humor is more often than not, produced to implicitly perform some communicative functions, not achievable by explicit expressions. This the - sis, based on the fruitful studies of humor, attempts to investigate the mechanisms of English humor from the perspective of a new theory 一 Co- operative Principle.

  16. Co-operating for gold open access without APCs

    Directory of Open Access Journals (Sweden)

    Martin Paul Eve

    2015-03-01

    Full Text Available While article processing charges (APCs are emerging as a key way in which existing publishers can adapt to gold open access (OA, this mode is problematic in many ways. Considering the existing subscription publication ecosystem as a risk/cost-pooling mechanism leads to the conclusion that APCs are a concentration of risk that may come with damaging institutional consequences, particularly in the humanities disciplines. Consortial and co-operative modes of funding gold OA, however, do not come with these drawbacks but are susceptible to ‘free riders’. In this article, the theoretical backdrop to these models is addressed and the range of current offerings evaluated. Noting that classical economic incentives do not seem to operate in a world of inter-library loans, the article ends with a description of the model that is being implemented for the 'Open Library of Humanities' initiative, funded by the Andrew W Mellon Foundation.

  17. Protocol to co-operation agreement with Iran

    CERN Document Server

    2001-01-01

    A Co-operation Agreement between CERN and Iran will be signed in the coming weeks within the framework of the decisions taken by the Committee of Council and Council in June 1989. In view of implementing this Agreement, a Protocol between CERN and the International Scientific Meetings Office of the Ministry of Science of the Islamic Republic of Iran has been drawn up. It concerns the participation of scientific Institutions of Iran in the CMS Collaboration where CERN is acting on behalf of this Collaboration. This Protocol incorporates the agreement between CMS and ISMO on the Iranese contribution. It does not involve any financial commitment for CERN. The Protocol mainly addresses the status of the Iranese scientists at CERN, the supply by ISMO of the support tables for CMS, as well as the usual provisions concerning delivery and customs, guarantees, responsibilities, intellectual property and disputes. This Protocol is submitted to the Finance Committee for information.

  18. Celebrating Co-operation among Saskatchewan’s Libraries: The Multitype Library Board, 1996-2016

    Directory of Open Access Journals (Sweden)

    Michael Shires

    2016-03-01

    Full Text Available Saskatchewan’s Multitype Library Board (MLB celebrates its 20th anniversary in 2016. It was established under the passage of the provincial government’s The Libraries Co- operation Act in 1996 to facilitate the co-operative development of the multitype library system in Saskatchewan. This legislation is unique in Canada. The MLB is a Minister of Education Advisory Board and it provides a forum to promote and facilitate co-operation among over 320 public libraries in 10 provincial systems, 25 post-secondary libraries, 755 school libraries, several special libraries, and other information providers. Major milestones of the MLB include helping to eliminate the Provincial Sales Tax on library subscriptions, establishing a provincial digitization plan, and creating a cross-sector database licensing program that has resulted in a projected value of 14.8 million dollars to Saskatchewan users in 2014. The development of the MLB and the impact of the programs it has initiated will be discussed, and recommendations for developing a collaborative initiative will be provided. Le Multitype Library Board (MLB de Saskatchewan fête son 20e anniversaire en 2016. Il était établi sous l’Acte The Libraries Co-operation du parti Libéral en 1996 pour faciliter le développement coopératif du système de bibliothèque Multitype en Saskatchewan. Cette législation est unique au Canada. Le MLB est un comité consultatif du ministère de l’Éducation et il fournit un forum pour promouvoir et faciliter la coopération entre plus de 320 bibliothèques publiques dans dix systèmes provinciaux, 25 bibliothèques postsecondaires, 755 bibliothèques scolaires, plusieurs bibliothèques spéciales, et d’autres fournisseurs d’informations. Les étapes importantes du MLB comprennent, à aider à éliminer les taxes de vente provinciale sur les abonnements aux bibliothèques, à établir un plan provincial de numérisation, et à créer un programme de licence

  19. Development of spent fuel remote handling technology - Kinematic analysis of bilateral arms for abnormal spent fuels

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Kyu Won; Yoo, Ju Sang; Kim, Jong Yoon [Chungbuk National University, Chongju (Korea)

    2000-03-01

    In the project of 'Development of Spent Fuel Remote Handling Technology', Preprocessing technique, mechanism and teleoperation technique are being developed. One of the mechanisms is a device for disassembling of the spent fuel bundle. However, there may be abnormal fuel bar among the fuel bundle, In this case the unpacking task will be difficult and dangerous. So, in that case, a force reflected teleoperation manipulator is desirable. The system is composed of a anthropomorphic input device at control site, power manipulator at remote site and control system. In this research, the forward and inverse kinematic equations of input device and manipulators has been solved, respectively. In addition, the mapping algorithm is proposed and shown using computer simulation. The reaction force of the telemanipulator with the environmental object is reflected through control system. The reaction force is decomposed into joint torque of the input device based on the jacobian equation. The obtained theoretical relations are verified through computer simulation and they will be used effectively in the spent fuel remote handling technology. 6 refs., 26 figs., 7 tabs. (Author)

  20. Maternal-fetal resource allocation: co-operation and conflict.

    Science.gov (United States)

    Fowden, A L; Moore, T

    2012-11-01

    Pregnancy is generally a co-operative interaction between mother and fetus in which the evolutionary genetic interests of both benefit from production of healthy offspring. While this view is largely supported by empirical data, Kinship Theory predicts that mother and fetus will disagree over the optimum level of maternal investment that maximises their respective fitnesses. This conflict will be more evident with polyandrous than monogamous mating systems, when resources are scarce and in late gestation when the fetus is growing maximally, particularly if conceptus mass is large relative to maternal mass. As the site of nutrient transfer, the placenta is pivotal in the tug-of-war between mother and fetus over resource allocation. It responds to both fetal signals of nutrient demand and maternal signals of nutrient availability and, by adapting its phenotype, regulates the distribution of available resources. These adaptations involve changes in placental size, morphology, transport characteristics, metabolism and hormone bioavailability. They are mediated by key growth regulatory, endocrine and nutrient supply genes responsive to mismatches between nutrient availability and the fetal genetic drive for growth. Indeed, evolution of genomic imprinting and placental secretion of hormones are believed to have been driven by maternal-fetal conflict over resource allocation. Although many of the specific mechanisms involved still have to be identified, the placenta confers optimal fitness on the offspring for its developmental environment by balancing conflict and cooperation in the allocation of resources through generation of nutrient transport phenotypes specific to the prevailing nutritional conditions and/or fetal genotype.

  1. Status Quo and Measures for the Development of Bilateral Trade Between China and France

    Institute of Scientific and Technical Information of China (English)

    Wei Hao

    2011-01-01

    @@ In today's world economy, France is one of the major developed countries, the sixth-largest economy, the fifth trading nation, the fourth foreign aid-giving country and the first tourist destination in the world.Meanwhile, France is the fourth largest trading partner, the third investment source and the second 1 technology supplier in Europe.In global political situation, France is one of the five permanent members of UN Security Council, an important player in promoting world peace and stability, while France also has an important role and rights of speak in the European Union.Therefore, it is of great meaning and necessary for China to strengthen economic and trade cooperation with France, especially when facing the financial crisis and weak global economy.

  2. Military Training and Education: an Opportunity for V4 Co-Operation

    Directory of Open Access Journals (Sweden)

    Milan ŠUPLATA

    2015-03-01

    Full Text Available The Visegrad Group needs success stories if its defence co-operation is to develop. The recent differences between Poland and the rest of the region, as well as the closing window of opportunity to improve interoperability through the ISAF mission, make the hunger for concrete examples of co-operation even more urgent. Education and training projects are not only comparatively easily to implement in terms of time and money, but also represent a way of bringing the region’s civilian and military leaders closer together in terms of strategic thinking. Regional defence collaboration is also one of the ways to materialize NATO’s Smart Defence agenda. For the whole region, the way to keep Visegrad defence cooperation alive is not straightforward and certain, but it is likely to prove rewarding in the long term. It presents not only a chance to keep the whole region better prepared militarily, but also to build a more cohesive strategic awareness, thanks to intensive communication at all levels.

  3. “Co-operative identity†: A theoretical concept for economic analysis of practical co-operation dynamics

    OpenAIRE

    Szabo, Gabor G.

    2007-01-01

    Farmers’ problems and co-ordination of agricultural activities cannot be solved simply by EU and/or government support, or by private market co-ordination institutions. Emerging producer groups and co-operatives seem vital in achieving bargaining power. Theoretically, and according to Western European (Dutch, Danish etc.) and US practical experience, one of the major important private institutions that can strengthen producers and help co-ordinate (agricultural) chains is the co-operative e...

  4. Growth hormone abuse and bodybuilding as aetiological factors in the development of bilateral internal laryngocoeles. A case report.

    Science.gov (United States)

    Moor, James W; Khan, M Iqbal J

    2005-07-01

    A 36-year-old man presented with hoarseness and stridor. He was an elite professional bodybuilder and admitted to having abusing anabolic steroids and growth hormone in the recent past. A CT scan showed bilateral laryngocoeles. The patient was initially managed with intravenous corticosteroids and broad-spectrum antibiotics, and the stridor resolved sufficiently to permit discharge from the hospital. He proceeded to undergo endoscopic marsupialisation of his laryngocoeles and to date has made a full recovery. This is the first reported case where anabolic steroid and growth hormone abuse combined with an elite bodybuilder's exercise regime has been implicated in the aetiology of bilateral laryngocoeles.

  5. Traumatic bilateral hip dislocation with bilateral sciatic nerve palsy

    Institute of Scientific and Technical Information of China (English)

    Ajay Pal Singh; Amarjit Singh Sidhu; Arun Pal Singh

    2010-01-01

    Bilateral hip dislocation rarely occurs.In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic acci-dent is reported.Both hips were emergently reduced under general anaesthesia.Acetabular reconstruction was done bilaterally due to the unstable hips.The patient subsequently developed heterotopic ossification and avascular necrosis on the left hip and underwent total hip arthroplasty.The sciatic nerve on the right side achieved complete recovery but that on the left side only partly recovered and was aug-mented by tendon transfer.Such injuries are serious and one should be aware of the complications because they can resurface and so patients should be followed up for a long time.To the best of our knowledge, this kind of injury has not been reported in the English .language literature.

  6. Using Critical Problem Solving to Plan Inter-Organisational Co-operation in e-Customs

    NARCIS (Netherlands)

    Ponisio, M.L.; Eck, van P.A.T.; Riemens, L.

    2008-01-01

    The purpose of this paper is to present a systematic approach to plan assessment of electronic co-operation between customs organisations of different countries (e-Customs). Thorough assessment is of paramount importance, as co-operation in electronic networks usually requires considerable up-front

  7. Comparative study on membership legislation in Canadian and Chinese agricultural co-operative laws

    Institute of Scientific and Technical Information of China (English)

    CHU Zhihong; GUO Xiangyu

    2007-01-01

    For centuries, groups of people desiring to supply themselves with goods, to market their products, or to obtain services of various kinds on a co-operative basis, have made increasing use of co-operative associations to achieve these purposes. During the period, legislation designed especially for the incorporation and conduct of such associations has been enacted by different counties.Since a co-operative is established and carried on by and for the use of its members, this essay makes a comparison between Canadian and Chinese co-operative laws in terms of membership in the aspects of qualifications, rights and obligations and withdrawal of membership, so as to probe the function of co-operative legislation and find some enlightment from it.

  8. Local climate activities in co-operation between municipality, civil society and science shop

    DEFF Research Database (Denmark)

    Jørgensen, Michael Søgaard

    involvement in projects it was proposed to involve the local branch of the environmental NGO. The starting point was topics developed by the administration and the NGO together and announced to students as part of the Science Shop project supply. The focus is climate impact of local activities and strategies...... in canteens and to elderly citizens, municipal employees’ transportation habits, a municipal energy saving campaign, local businesses’ climate impact, and energy refurbishment of private houses. The knowledge production has in some projects mainly been academic, but joint knowledge production with civil...... society has taken place in some projects. Results have been published locally and some nationally. Especially the food projects have got national interest. Co-operation about environmental impacts of municipal investments may be an up-coming activity....

  9. Bilateral Bargaining

    DEFF Research Database (Denmark)

    Brendstrup, Bjarne; Kuhn, Johan Moritz; Paarsch, Harry J.

    2008-01-01

    We employ a simple two-person bargaining model to interpret wage data-demands(offers) by workers (firms) and acceptances by firms (workers). Under two polarextremebargaining solutions, we develop a strategy to recover estimates of themarginal-productivity and the opportunity-cost distributions. We...

  10. Regional higher education co-operation: a research proposal to compare the Baltic Sea and the Black Sea regions

    Directory of Open Access Journals (Sweden)

    Stefan Ewert

    2011-12-01

    Full Text Available While the Baltic Sea Region is considered to be a pioneer region in the development of regional integration and identity, the Black Sea Region is regarded to be a laggard in terms of regionali¬zation and region building. My paper summarizes the role of regional higher education co-operation in the Baltic Sea regionalization process in theory and analyzes the empirical background of these assumptions. Yet, inasmuch an evaluation of the regions` status as a pioneer is possible only in a comparative perspective, I propose to compare the Black Sea and the Baltic Sea Region regarding their higher education networks systematically. My paper asks for the transferability of arguments in favor of a strong regional higher education co-operation in the Baltic Sea Region since the 1990s to today’s situation of the Black Sea Region. It concludes with some fundamental considerations on a comparative research project.

  11. Bilateral Duane syndrome and bilateral aniridia.

    Science.gov (United States)

    Khan, Arif O; Aldahmesh, Mohammad

    2006-06-01

    Duane retraction syndrome has been reported in association with structural abnormalities of the eye, including epibulbar dermoid, keratoconus, iris dysplasia, heterochromia iridis, persistent fetal vasculature, cataract, choroidal coloboma, microphthalmia, and optic nerve dysplasia. A novel association, that of bilateral Duane syndrome with bilateral aniridia, is the subject of this report.

  12. Prophylactic Bilateral Gonadectomy for Ovotesticular Disorder of Sex Development in a Patient With Mosaic 45,X/46,X,idic(Yq11.222 Karyotype

    Directory of Open Access Journals (Sweden)

    Russell E.N. Becker

    2016-03-01

    Full Text Available Ovotesticular disorder of sex development is historically thought to confer a relatively low risk of germ cell malignancy relative to other disorders of sex development. This is likely due in part to the high prevalence of a normal 46,XX karyotype in these patients. However, disorders of sex development represent a broad phenotypic spectrum, and often patients cannot be neatly categorized with a single diagnosis. We report an atypical case of ovotesticular disorder of sex development in a child with ambiguous genitalia and 45,X/46,XY mosaic karyotype. Prophylactic bilateral gonadectomy was performed at age 14 months.

  13. Bilateral orbital cavernous haemangiomas.

    OpenAIRE

    Fries, P D; Char, D. H.

    1988-01-01

    Simultaneous bilateral orbital lesions are rare. The differential diagnosis includes orbital pseudotumour, metastasis, leukaemia, lymphoma, Wegener's granulomatosis, and neurofibromatosis. We report what we believe to be the first case of bilateral orbital cavernous haemangiomas.

  14. Sweden's Co-operation with Eastern Europe in Radiation Safety 2011

    Energy Technology Data Exchange (ETDEWEB)

    Dassen, Lars van; Andersson, Sarmite; Bejarano, Gabriela; Chirman, Inessa; Delalic, Zlatan; Ekblad, Christer; Karlberg, Olof; Klasen, Haakan; Olsson, Kjell; Sandberg, Viviana; Stenberg, Tor; Turner, Roland; Wickman, Barbro

    2012-11-01

    In 2011, the Swedish Radiation Safety Authority implemented co-operation projects in Russia, Ukraine, Georgia, Lithuania and Moldova, based on instructions from the Swedish Government and agreements with the European Union and the Swedish International Development Co-operation Agency, SIDA. The projects aim at achieving a net contribution to radiation safety (including nuclear safety, nuclear security, waste management, nonproliferation as well as radiation protection and emergency preparedness) for the benefit of the host countries and the international community as well as Sweden. This report gives an overview of all the projects implemented in 2011. The project managers from SSM are the cornerstones of our successful work, but all the efforts and dedication by staff members of the facilities and authorities in the mentioned countries are indispensable for the long-term positive outcomes. This report is meant to serve as a detailed account regarding SSM's efforts as part of the Swedish international activities, on which Sweden will report to the Nuclear Security Summit in Seoul. The parties to the G-8 Global Partnership have in June 2011 extended the Global Partnership for ten more years, till 2022. Other international frameworks, such as the UNSC Resolution 1540, remain a vibrant instrument by which UN Member States can exchange information on security concerns and request assistance from each other. The projects that SSM implements in Moldova and Georgia have a reference to the aims and purposes of the UNSC Resolution 1540. Much work has been done in the fields of nuclear security and safety, but there are still lots of issues that need to be taken care of. As such, SSM will continue to do its part for nuclear safety and security at the international level, along the lines and priorities set by our Government.

  15. Danish Exports and Danish Bilateral Aid

    DEFF Research Database (Denmark)

    Hansen, Henrik; Rand, John

    Danish bilateral development assistance is aimed at reducing poverty in the partner countries. Even so, bilateral assistance may have secondary, or knock-on, effects, which are beneficial for Denmark. An important secondary effect is the prospect of increased export from Denmark to the partner...... countries. This Evaluation Study presents an econometric analysis of Danish exports to 144 countries over the period from 1981 to 2010. The analysis is based on the gravity model of bilateral trade; a structural model developed over decades and now the central model in analyses of bilateral trade flows...... and trade policies. The main result of the study is that Danish bilateral aid has a positive and statistically significant impact on Danish exports to the recipient countries. Bilateral development assistance may affect exports through several channels. Three of the main channels are direct aid tying...

  16. Bilateral otogenic cerebellar abscesses.

    Directory of Open Access Journals (Sweden)

    Nadkarni T

    1993-01-01

    Full Text Available An unusual presentation of bilateral otogenic cerebellar abscesses observed in two of our patients is reported. Both gave a history of otorrhoea, fever, headache, vomiting and had bilateral cerebellar signs and conductive hearing loss. The abscesses were detected on computerised tomography. X-rays revealed bilateral mastoiditis. The therapy followed was excision of abscesses, mastoidectomy and antibiotic therapy.

  17. Success and failure of firms' innovation co-operations: The role of intermediaries and reciprocity

    DEFF Research Database (Denmark)

    Cantner, U.; Meder, A.; Wolf, T.

    2011-01-01

    attempts to fill this gap by investigating the possible presence of two problems in co-operation: the lack of intermediation and of reciprocity. Based on data gathered for firms in two German regions and one French region, we find that the success of co-operation projects depends on the perceived...... importance, rather than on the perceived quality, of intermediate actors. Hence, the major problem for intermediating suitable partners is more related to communication than it is a programmatic issue. Trust and reciprocity in co-operation between firms is found to be relevant ex-post in the sense of being...

  18. Proceedings of International Symposium on Energy Co-operation in North East Asia

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-06-01

    This proceedings are for the International Symposium on Energy Co-operation in North-East Asia, organized by Korea Energy Economics Institute, Institute of Energy Economics, Japan, and United Nations Economic and Social Commission for Asia and the Pacific, held on June 2001 at Sheraton Walker Hill Hotel in Seoul, Korea. The major themes discussed are following: 1.Energy Profile, Outlook and Perspectives on Regional Co-operation in Northeast Asia 2.Future Challenges in the Energy Sector in Northeast Asia 3.Perspectives of Energy Co-operation in Northeast Asia.

  19. Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Government of People's Republic of Bangladesh concerning Education, Scientific and Technical Co-operation in High-Energy Physics

    CERN Document Server

    2014-01-01

    Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Government of People's Republic of Bangladesh concerning Education, Scientific and Technical Co-operation in High-Energy Physics

  20. When a business isn’t a business: law and the political in the history of the United Kingdom’s co-operative movement

    Directory of Open Access Journals (Sweden)

    Tara Mulqueen

    2012-05-01

    Full Text Available Contemporary efforts to develop and promote co-operatives and the social economy confront a tension in the competing and often conflicting aims to achieve commercial sustainability in a capitalist market while also promoting social transformation. Through a review of the historical experience of institutionalization in the Co-operative Movement in the United Kingdom, this article attempts to generate insights into these tensions. Despite being seen as unpolitical, co-operatives can be understood as political at the level of re-shaping sociality through co-operative practice. Although the similarity between co-operatives and joint-stock companies produces ambiguities within the movement, this does not in itself detract from the co-operative project. It is argued that the codification of co-operatives in law as bodies corporate constitutes the closure of the political aspect of co-operation and reinforces and gives consequence to the misconception of co-operatives as primarily commercial entities. Los esfuerzos por desarrollar y promover las cooperativas y la economía social se enfrentan a un conflicto entre los objetivos contrapuestos de lograr la sostenibilidad comercial en un mercado capitalista, a la vez que se promueve una transformación de la sociedad. Realizando una revisión de la experiencia histórica de la institucionalización del movimiento cooperativista en el Reino Unido, este artículo pretende analizar estas tensiones. A pesar de ser apolíticas, las cooperativas se pueden entender como un elemento político por su intento de reformular la sociedad. Aunque la similitud entre cooperativas y sociedades anónimas produce ambigüedades dentro del movimiento cooperativista, esto no va, por sí mismo, en detrimento del proyecto de cooperación. Se argumenta que, al contemplar en la legislación a las cooperativas como personas jurídicas, se acaba con el aspecto político de las cooperativas. A su vez, esto refuerza y termina con la

  1. Organization for security and co-operation in Europe mission to Georgia / Joe McDonagh

    Index Scriptorium Estoniae

    McDonagh, Joe

    2003-01-01

    22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO" esitatud ettekanne OSCE missiooni tegevusest Gruusias

  2. A study of personality of leader and style of his co-operation in sporting command

    Directory of Open Access Journals (Sweden)

    Smolar I.I.

    2012-12-01

    Full Text Available The personality features of leader of sporting command and style of his co-operation are considered. The problems of adjusting and optimization of co-operation of leader and other players of command are selected in achievement of the set team purpose. 37 skilled sportsmen-handballers took part in research. An informal structure is exposed in commands, leaders and followers are certain. The quantitative indexes of personality features of leader, follower of sporting command are certain. Style of co-operation of leader and follower (prevailing and goodwill and quality is exposed personalities which will be realized by them in a sporting command. It is set that in interpersonality co-operation a leader will realize dominant style, and follower equal will realize dominant and benevolent styles.

  3. Competition and Co-operation between Stock Exchanges in Europe - Legal Aspects and Challenges

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig; Clausen, Nis Jul

    2002-01-01

    The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed.......The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed....

  4. Shariah Governance Framework For Islamic Co-Operatives As An Integral Social Insitution In Malaysia

    OpenAIRE

    Muhammad Issyam Itam; Rusni bt Hasan; Syed Musa Alhabshi

    2017-01-01

    In Malaysia, Islamic cooperatives are recognized as providers of some form of Islamic financial service similar to Islamic Banks and Takaful Operators. An Islamic Co-operative refers to a co-operative conducting activities and businesses based on Shariah principles. Being a non-banking financial institution, its main objective is to enhance social economic welfare of its members. As a form of captive social institution, it enables the less economically privileged members of society to pool re...

  5. Bilateral ekstrauterin graviditet

    DEFF Research Database (Denmark)

    Kirkegaard, Ida; Kruse, Christina

    2009-01-01

    Bilateral tubal pregnancies are extremely rare and they are usually found after assisted reproductive techniques have been applied. A rare case of bilateral tubal pregnancy after natural conception, occurring in a woman without any predisposing factors for ectopic pregnancy, is presented....... The condition was diagnosed during laparoscopic surgery, and she was optimally treated with conservative tubal surgery. A short review of the literature is provided and discussed along with the clinical features, diagnostic difficulties and treatment options of bilateral tubal pregnancy. Udgivelsesdato: 2009...

  6. IPPF Co-operative Information Service (ICIS). February 1978.

    Science.gov (United States)

    International Planned Parenthood Federation, London (England).

    This publication is a catalogue of document descriptions that may be of use to national family planning/population organizations. The International Planned Parenthood Federation (IPPF) Cooperative Information Service (ICIS) has developed this quarterly series as a service to population documentation centers so that these centers can acquire the…

  7. Public private co-operation in urban regeneration investment planning

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Larsen, Jacob Norvig

    Increasing renovation costs and ever more limited public funding for urban regeneration in combination with a political desire to stimulate the development of a sense of ownership in urban regeneration neighbourhoods has brought about a growing interest in attracting private sector funding. Previ...

  8. Bilateral acetabular fracture without trauma

    OpenAIRE

    De Rosa, M. A.; G. Maccauro; D’Arienzo, M.

    1999-01-01

     In the absence of trauma fracture of the acetabulum is an extremely rare injury. We describe a 70 year old man who spontaneously developed fractures in both acetabulae due to bony insufficiency. It was successfully treated by bilateral total hip replacement.

  9. Co-operative Scheduled Energy Aware Load-Balancing technique for an Efficient Computational Cloud

    Directory of Open Access Journals (Sweden)

    T R V Anandharajan

    2011-03-01

    Full Text Available Cloud Computing in the recent years has been taking its evolution from the scientific to the non scientific and commercial applications. Power consumption and Load balancing are very important and complex problem in computational Cloud. A computational Cloud differs from traditional high-performance computing systems in the heterogeneity of the computing nodes, as well as the communication links that connect the different nodes together. Load Balancing is a very important component in the commodity services based cloud computing. There is a need to develop algorithms that can capture this complexity yet can be easily implemented and used to solve a wide range of load-balancing scenarios in a Data and Computing intensive applications. In this paper, we propose to find the best EFFICIENT cloud resource by Co-operative Power aware Scheduled Load Balancing solution to the Cloud load-balancing problem. The algorithm developed combines the inherent efficiency of the centralized approach, energy efficient and the fault-tolerant nature of the distributed environment like Cloud.

  10. Japanese lunar robotics exploration by co-operation with lander and rover

    Indian Academy of Sciences (India)

    Takashi Kubota; Yasuharu Kunii; Yoji Kuroda

    2005-12-01

    Unmanned mobile robots for surface exploration of the Moon or planets have been extensively studied and developed.A lunar rover is expected to travel safely in a wide area and explore in detail. Japanese lunar robotics exploration is under study to conduct an unmanned geological survey in the vicinity of central peaks of impact craters for investigation of the sub-surface materials.This will give us the key information to study the lunar inner structure and understand the Moon ’s origin and evolution as well as to investigate the evolution of magma ocean and later igneous processes.To carry out the geological exploration in the central peak,lander and rover co-operative exploration is proposed.The working group has been conducting feasibility study of advance technologies.This paper addresses an overview of lunar exploration with lander and rover and also enumerates future technologies to be established. The rover R&D group has developed an innovative science micro rover with a new mobility system and a lightweight manipulator.The design and implementation of a science rover for the near future lunar missions requiring long traverses and scientific observations are described and some experimental results are presented.

  11. Competition and Co-operation in the Corrugated Paper

    OpenAIRE

    Nilsson, Carl-Henric; Axelson, Johan; Emanuelsson, Martin

    2000-01-01

    This paper describes how the five Swedish corrugated box manufacturers, while still in fierce competition, got together in 1999 to fight a new logistic system, plastic crates, which threatened to overtake a substantial part of the Swedish market for transport packaging. It explains the background of SWIF 2000, the competitive response by the five Swedish corrugated box manufacturers, how the strategy was developed, and what made the competitors work together. Many driving forces influence com...

  12. Pedagogical co-operation in the country of childhood

    Directory of Open Access Journals (Sweden)

    Gonchar O.V.

    2012-01-01

    Full Text Available Here both the general principles of the concept of "childhood" are revealed and the general features of the childhood period, teaching child development criteria are outlined. It is paid special attention to the essence of humanistic ideas of V. Sukhomlynsky of a teacher and student pedagogical mutual relations which resonated both in contemporaries and subsequent teacher generations work, dominant tasks of Ukrainian schools of different levels were outlined by an outstanding Ukrainian teacher as well. It is marked that a leading place in pedagogical mutual relations is occupied by principles of humanizing, socialization, nationality and self-perfection.

  13. Bilateral acute corneal calcification.

    Science.gov (United States)

    Freddo, T F; Leibowitz, H M

    1985-04-01

    A 38-year-old man with brittle, juvenile onset diabetes mellitus and bilateral severe dry eyes with recurrent corneal ulcers developed atypical band-shaped calcifications of both corneas during a 24-hour period. Serum calcium, phosphate, and carbon dioxide levels all were within normal limits. The patient was mildly uremic but was not in renal failure. When EDTA chelation failed to clear the deposits, partial keratectomies were performed in both eyes and the specimens were examined by light and electron microscopy, including energy dispersive x-ray analysis. Microscopic studies revealed an atypical calcific keratopathy which involved neither Bowman's layer nor the most superficial stromal lamellae. The deposits were confined to deeper lamellae in the anterior stroma and by electron microscopy were composed of extracellular crystalline aggregates. Energy dispersive x-ray analysis of these aggregates confirmed the presence of calcium and phosphate. Corneal dessication appeared to be a major contributing factor in the rapid formation of these deposits.

  14. South Asian co-operation in population programmes.

    Science.gov (United States)

    Iqbal, M A

    1989-12-01

    Efforts by governments of South Asian countries to improve the economic growth and welfare of the people are being negated by high fertility. In some countries, the expenditures on health programs have increased and the programs have expanded rapidly without any concomitant improvement in efficiency or cost-effectiveness. This highlights the urgency of tackling the problems of not only population growth but also of managing population programs. There are similarities as well as differences in the management of population programs in the South Asian countries. Bangladesh has a population policy with a strong political will behind it. It also has a sound administrative structure and organization. Some areas that need attention are building up the operational relationship between health and family planning personnel, improved infrastructure development, more community involvement, and better evaluation. Some states in India have shown outstanding success in population programs, and some have successfully experimented with beyond family planning methods. A greater awareness of family planning among health staff, a solid information base for decision making, and management training for medical officers and staff are also needed. Pakistan's population program has had uneven results in the past, but it has now developed multi-sectoral components in decentralized field activities, involvement of local organizations and leaders, and better information, education, and social marketing, but it still needs to plan for evaluation and strengthen management training. Of the South Asian countries, Sri Lanka, with a high level of literacy and health care, has shown the best achievement in its social sector. The coverage through the maternal and child health service delivery system has been commendable with 94% of deliveries through institutions. Regional meetings have identified program management problem areas in 1) planning, control, and coordination of program implementation, 2

  15. Co-operation between patient organisations and the drug industry in Finland.

    Science.gov (United States)

    Hemminki, Elina; Toiviainen, Hanna K; Vuorenkoski, Lauri

    2010-04-01

    The aim of the study was to investigate the co-operation between patient organizations and the drug industry in Finland prior to critical discussions on the topic. The data were gathered by a questionnaire survey of 85 patient organisations (response rate 65%, n = 55) and 20 drug firms (response rate 100%) in 2003, and by interviewing 13 organisations and surveying their web-pages and other documents in 2004. In the surveys, half of the patient organisations and 80% of the drug firms considered co-operation important. Most (71%) organisations reported financial support from the drug industry. Most organisations and drug firms had experienced problems. Common problems for organisations were too little or too unpredictable support from industry, and threats to independence and objectivity. Drug firms frequently mentioned unclear rules of co-operation. The patient organisation interviews exhibited similar themes and findings to those found in the surveys, revealing the complexity and importance of co-operation in organisation activities, and the variation between organisations. This case study from Finland showed that co-operation between patient organizations and the drug industry was common, many-sided and not usually transparent. The close connections between patient organizations and commercial companies, particularly drug firms, raise several policy issues and the need for action.

  16. Addressee co-operation and request reformulation in young children.

    Science.gov (United States)

    Marcos, H; Bernicot, J

    1994-10-01

    The purpose of the present study was to show that children under age 3;0 are capable of reformulating requests in different ways depending on how their addressee responds to the request. This adaptive ability is considered to be an indication of the use of both communicative and conversational skills. Children from French-speaking families were observed at two developmental thresholds: the end of the prelinguistic period (1;6) and the start of the linguistic period (2;6). The verbal and nonverbal outputs of the two groups of 12 children (1;6 and 2;6) were compared in three object request situations: the adult immediately complies with the request (satisfaction), the adult asks a clarification question (clarification), and the adult refuses to comply with the request (refusal). The ways in which the children adapted to each situation were found to be similar at the two ages considered. In the clarification situation, vocal productions and their repairs were more numerous, whereas in the refusal situation, non-reformulations and gazes to and from the requested object and addressee predominated. The discussion deals with the significance of these results in the development of communicative and conversational skills in children.

  17. Concentrating on Solar Power in a Trans-Mediterranean Renewable Energy Co-Operation

    Science.gov (United States)

    Trieb, F.; Kronshage, S.; Knies, G.

    2004-12-01

    Combining the large demand of clean electricity in Europe (EU) with the large potential of solar electricity generation from concentrating solar power stations (CSP) in the Middle East and North Africa (MENA) can provide both climate protection and development for both regions and lead to environmental, economical and social sustainability. The presentation will address the concept of solar cogeneration of electricity and desalted water and the scope of generating clean power for MENA and Europe while providing large quantities of freshwater for the MENA countries. Costs and benefits of the concept will be quantified, and the first steps to realisation within the Trans-Mediterranean Renewable Energy Co-Operation TREC are presented. After running through the technology learning curve within about 10-15 years, concentrated solar electricity will be generated at a cost of roughly 4 ct/kWh. Importing solar power from North Africa to Europe, will add 1 ct/kWh, thus being competitive with new fuel fired plants. The total initial support of about 1 billion € needed to trigger CSP market introduction and to achieve forever low electricity costs in the EU and MENA, equals 25 % of the German annual coal subsidies, 1 month of EU agronomic-subsidies or 1 day of US military expenses and could be provided in form of public investment, soft loans or feed-in guaranties like the German Renewable Energy Act.

  18. [Hemorrhagic bilateral renal angiomyolipoma].

    Science.gov (United States)

    Benjelloun, Mohamed; Rabii, Redouane; Mezzour, Mohamed Hicham; Joual, Abdenbi; Bennani, Saâd; el Mrini, Mohamed

    2003-09-01

    Renal angiomyolipoma is a rare benign tumour, often associated with congenital diseases especially de Bourneville's tuberous sclerosis. Bilateral angiomyolipoma is exceptional. The authors report a case of bilateral renal angiomyolipoma in a 33-year-old patient presenting with haemorrhagic shock. In the light of this case and a review of the literature, the authors discuss the diagnostic and therapeutic aspects of this disease.

  19. Bilateral microform cleft lip

    OpenAIRE

    Pace, David; Attard Montalto, Simon; Grech, Victor E.

    2006-01-01

    Microform cleft lip (MCL), also called congenital healed cleft lip or cleft lip "frustré", is a rare congenital anomaly. MCL has been described as having the characteristic appearance of a typical cleft lip which has been corrected in utero. We present a girl with bilateral microform cleft lip associated with a preauricular sinus and bilateral camptodactyly.

  20. O espaço da cooperativa "amigos do meio ambiente": cooperativa de trabalho ou cooperfraude? "Friends of the environment" co-operative: work co-operative or fraud co-operative?

    Directory of Open Access Journals (Sweden)

    Shirla Patrícia Weber Sterchile

    2011-06-01

    Full Text Available O presente artigo é resultado de pesquisa acadêmica que tem como objeto de estudo-pesquisa "A forma de existir e de ser da Cooperativa dos Agentes Ambientais de Santa Helena 'Amigos do Meio Ambiente' e sua imbricação na Usina de Beneficiamento de Resíduos Sólidos do município de Santa Helena-PR". Verificando o cotidiano profissional, o descontentamento de trabalhadores catadores de matérias recicláveis, o incentivo do gestor municipal para a instalação da usina e a formação da cooperativa, aliado aos postulados do capitalismo, em sua fase tardia, propusemos desconstruir e reconstruir o movimento do objeto em questão a partir da pesquisa teórica e empírica. Para coletar os dados utilizando a técnica de gravação, recorremos à análise documental e à observação. Após esse processo descrevemos e analisamos os conteúdos presentes. Concluímos em nosso estudo-pesquisa, que a Cooperativa - "Amigos do Meio Ambiente", é uma "cooperfraude", legitimada pelo Estado, que suprime os princípios do cooperativismo e exime o capital da raiz da exploração da força de trabalhoThis article resulted from a research aiming at "The form of existence and being of the Co-operative of Environmental Agents from St. Helena - 'Friends of the Environment' - and its imbrication in the Processing Plant of Solid Waste in the city of Santa Helena-PR". Checking the professional practice, the dissatisfaction of workers who collect recycling materials and the City Hall's encouragement to install the plant and to form the Co-operative, together with the tenets of capitalism in its late stage, we proposed to deconstruct and reconstruct the motion of the object studied from the empirical research. After analyzing our data we concluded that the "Friends of the Environment" Co-operative is a "fraud co-operative" legitimized by the State, that suppressed the principles of co-operativism and exempted the capital from the root of exploitation of the workforce

  1. Bilateral assymetric epidural hematoma

    Directory of Open Access Journals (Sweden)

    Edmundo Luis Rodrigues Pereira

    2015-01-01

    Full Text Available Background: Acute bilateral extradural hematoma is a rare presentation of head trauma injury. In sporadic cases, they represent 0.5-10% of all extradural hematomas. However, higher mortality rates have been reported in previous series. Case Description: The authors described the case of a 28-year-old male presenting head injury, comatose, Glasgow Coma Scale of 6, anisocoric pupils without puppilary light reflex. Computed tomography showed asymmetric bilateral epidural hematomas, effacement of the lateral ventricles and sulci, midline shift and a bilateral skull fracture reaching the vertex. Surgical evacuation was performed with simultaneous hematoma drainage. Patient was discharged on the 29 th postoperative day with no neurological deficit. Conclusion: The correct approach on bilateral epidural hematomas depends on the volume, moment of diagnosis, and neurological deficit level. Simultaneous drainage of bilateral hematomas has been demonstrated to be an effective technique for it, which soon decreases the intracranial pressure and promotes an efficient resolution to the neurological damage.

  2. Analysis on the Load Carrying Mechanism Integrated as Heterogeneous Co-operative Manipulator in a Walking Wheelchair

    Science.gov (United States)

    Rajay Vedaraj, I. S.; Jain, Ritika; Rao, B. V. A.

    2014-07-01

    After industrial robots came into existence during 1960, the technology of robotics with the design and analysis of robots in various forms in industries as well as in domestic applications were developed. Nowadays, along with the automotive sector the robots are producing a great impact in the form of quality and production rate to register their existence reliable in various other sectors also. Robotic technology has undergone various phase translations from being tortured as humanoids to the present day manipulators. Depending upon the various forms of its existence, robot manipulators are designed as serial manipulators and parallel manipulators. Individually both types can be proved effective though both have various drawbacks in design and the kinematic analysis. The versatility of robots can be increased by making them work in an environment where the same work volume is shared by more than one manipulator. This work volume can be identified as co-operative work volume of those manipulators. Here the interference of manipulators in the work volume of other manipulators is possible and is made obstacle free. The main advantage of co-operative manipulators is that when a number of independent manipulators are put together in a cooperative work envelope the efficiency and ability to perform tasks is greatly enhanced. The main disadvantage of the co-operative manipulators lies in the complication of its design even for a simple application, in almost all fields. In this paper, a cooperative design of robot manipulators to work in co-operative work environment is done and analysed for its efficacy. In the industrial applications when robotic manipulators are put together in more numbers, the trajectory planning becomes the tough task in the work cell. Proper design can remove the design defects of the cooperative manipulators and can be utilized in a more efficient way. In the proposed research paper an analysis is made on such a type of cooperative manipulator

  3. Pregnancy following bilateral salpingectomy

    DEFF Research Database (Denmark)

    Oturai, Annette Bang

    2008-01-01

    This report presents a rare case of spontaneous pregnancy following bilateral salpingectomy. A woman with a history of bilateral salpingectomy was admitted to hospital because of abdominal pain and positive urine HCG. Surprisingly, ultrasound confirmed a live intrauterine fetus. The pregnancy...... was unwanted, and the woman decided to terminate the pregnancy. She was offered diagnostic examination to localise a potential fistula, but she declined. In a MEDLINE search of English literature this is only the second case of spontaneous pregnancy following bilateral salpingectomy Udgivelsesdato: 2008/4/21...

  4. Bilateral Control - Operational enhancements

    OpenAIRE

    Altınışık, Ahmet; Altinisik, Ahmet

    2006-01-01

    A succinct definition of the word bilateral is having two sides [1]. In robotics the term bilateral control is used to define the specific interaction of two systems by means of position and/or force. Bilateral systems are composed of two sides named master and slave side. The aim of such an arrangement is such that position command dictated by master side is followed by a slave side, and at the same time the force sensation of the remote environment experienced by slave is transferred to the...

  5. Spontaneous development of bilateral subdural hematomas in an infant with benign infantile hydrocephalus: color Doppler assessment of vessels traversing extra-axial spaces

    Energy Technology Data Exchange (ETDEWEB)

    Amodio, John; Spektor, Vadim; Pramanik, Bidyut; Rivera, Rafael; Pinkney, Lynne; Fefferman, Nancy [New York University Medical Center, Department of Radiology, New York, NY (United States)

    2005-11-01

    We present an infant with macrocrania, who initially demonstrated prominent extra-axial fluid collections on sonography of the brain, compatible with benign infantile hydrocephalus (BIH). Because of increasing macrocrania, a follow-up sonogram of the brain was performed; it revealed progressive enlargement of the extra-axial spaces, which now had echogenic debris. Color Doppler US showed bridging veins traversing these extra-axial spaces, so it was initially thought that these spaces were subarachnoid in nature (positive cortical vein sign). However, an arachnoid membrane was identified superior to the cortex, and there was compression of true cortical vessels beneath this dural membrane. An MRI of the brain showed the extra-axial spaces to represent bilateral subdural hematomas. The pathogenesis of spontaneous development of the subdural hematomas, in the setting of BIH, is discussed. We also emphasize that visualizing traversing bridging veins through extra-axial spaces does not necessarily imply that these spaces are subarachnoid in origin. (orig.)

  6. Using Peer Teaching to Support Co-Operative Learning in Undergraduate Pharmacology

    Science.gov (United States)

    Depaz, Iris; Moni, Roger W.

    2008-01-01

    We report findings from the second phase of a study of co-operative, group-based assessment in Pharmacology for second-year undergraduates at The University of Queensland, Australia. Students (n = 285) enrolled in the 2006 Bachelor of Science degree program completed a group-based assessment task (weighted 10% of their course). Blended teaching…

  7. [SUPPORT, CO-OPERATIVE EDUCATION PROGRAMMES, PRAGMATIC CODE OF ETHICS: A CLINICAL APPROACH OF EXECUTIVE TRAINING].

    Science.gov (United States)

    Cabaret, Véronique

    2016-01-01

    This article aims at introducing an educational sequence completed at l'Institut de Formation des Cadres de Santé (IFCS) at the CHRU in Lille in France, entitled "training project and educational project" present in the "training duties" module whose goal is to generate students'knowledge through co-operative education programmes. By creating this innovative sequence, the educational aim is to use the Institut ground as a ground of learning, associated with the various internship grounds, in order to get the most of co-operative education programmes. Besides, in a pragmatic code of ethics in training, the teaching staff draw their inspiration from a clinical approach of executive training: they regard students as true protagonists in a co-operative plan created for them, wishing to design it with them using their words. Thus, students are brought to criticize the IFCS educational project and debate it with the trainers who have built it. Each partner tries to understand the Other, being aware of their being different. By contributing every year to rewriting the educational project which directly concerns them, students build their professional positions as health executives. They play an active role in co-operative education programmes just like IFCS outside partners.

  8. Evaluation of Georgian military co-operation with partner countries and institutions / George Manjgaladze

    Index Scriptorium Estoniae

    Manjgaladze, George

    2003-01-01

    Ettekanne Gruusia sõjalis-poliitilisest koostööst välisriikide relvajõudude ja rahvusvaheliste organisatsioonidega, sh NATO-ga 22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO"

  9. Jamming Transition of Point-To Traffic Through Co-Operative Mechanisms

    Science.gov (United States)

    Fang, Jun; Qin, Zheng; Chen, Xiqun; Xu, Zhaohui

    2012-11-01

    We study the jamming transition of two-dimensional point-to-point traffic through co-operative mechanisms (DCM) using computer simulation. We propose two decentralized co-operative mechanisms CM which are incorporated into the point-to-point traffic models: stepping aside (CM-SA) and choosing alternative routes (CM-CAR). Incorporating CM-SA is to prevent a type of ping-pong jumps from happening when two objects standing face-to-face want to move in opposite directions. Incorporating CM-CAR is to handle the conflict when more than one object competes for the same point in parallel update. We investigate and compare four models mainly from fundamental diagrams, jam patterns and the distribution of co-operation probability. It is found that although it decreases the average velocity a little, the CM-SA increases the critical density and the average flow. Despite increasing the average velocity, the CM-CAR decreases the average flow by creating substantially vacant areas inside jam clusters. We investigate the jam patterns of four models carefully and explain this result qualitatively. In addition, we discuss the advantage and applicability of decentralized co-operation modeling.

  10. A mixture of "cheats" and "co-operators" can enable maximal group benefit.

    Directory of Open Access Journals (Sweden)

    R Craig MaClean

    Full Text Available Is a group best off if everyone co-operates? Theory often considers this to be so (e.g. the "conspiracy of doves", this understanding underpinning social and economic policy. We observe, however, that after competition between "cheat" and "co-operator" strains of yeast, population fitness is maximized under co-existence. To address whether this might just be a peculiarity of our experimental system or a result with broader applicability, we assemble, benchmark, dissect, and test a systems model. This reveals the conditions necessary to recover the unexpected result. These are 3-fold: (a that resources are used inefficiently when they are abundant, (b that the amount of co-operation needed cannot be accurately assessed, and (c the population is structured, such that co-operators receive more of the resource than the cheats. Relaxing any of the assumptions can lead to population fitness being maximized when cheats are absent, which we experimentally demonstrate. These three conditions will often be relevant, and hence in order to understand the trajectory of social interactions, understanding the dynamics of the efficiency of resource utilization and accuracy of information will be necessary.

  11. Socialité et co-operation dans l'oeuvre de Charles Goodwin

    DEFF Research Database (Denmark)

    Mondeme, Chloé

    2016-01-01

    As a linguistic anthropologist, Goodwin elaborates a conceptual and methodological framework to describe the organization of human activities and conducts. The central notion of « co-operation » accounts for what is at stake in ordinary conversation as well as in professional practices, cultural ...

  12. Shariah Governance Framework For Islamic Co-Operatives As An Integral Social Insitution In Malaysia

    Directory of Open Access Journals (Sweden)

    Muhammad Issyam Itam

    2017-01-01

    Full Text Available In Malaysia, Islamic cooperatives are recognized as providers of some form of Islamic financial service similar to Islamic Banks and Takaful Operators. An Islamic Co-operative refers to a co-operative conducting activities and businesses based on Shariah principles. Being a non-banking financial institution, its main objective is to enhance social economic welfare of its members. As a form of captive social institution, it enables the less economically privileged members of society to pool resources as a cooperative. Malaysia is spearheading the Islamic banking and finance industry globally by having in place a proper and well-designed legal and regulatory framework for Islamic Financial Institutions, which includes the area of Shariah governance. However, the Shariah governance framework for the Islamic Co-operative in Malaysia is still in its infancy stage. In this paper, this area will be given focus and properly highlighted. Later, comparison will be made with the Shariah governance framework for the Islamic financial institutions. This paper will conclude that the requirements with regard to Shariah governance for the Islamic Co-operative are flexible and not as strict as required for the Islamic financial institutions.

  13. Effects of a Co-operative Learning Strategy on Ninth-Graders' Understanding of Human Nutrition.

    Science.gov (United States)

    Soyibo, Kola; Evans, Hermel G.

    2002-01-01

    Looks at the effect of teaching strategies on a group's attitude toward biology and understanding human nutrition. Used an experimental group that participated in co-operative learning and a control group taught using the lecture method. Involves ninth graders (n=156) from two high schools in Jamaica. (Author/YDS)

  14. Environmental Engineering Education (E3) in the Gulf Co-Operation Countries

    Science.gov (United States)

    Jassim, Majeed; Coskuner, Gulnur

    2007-01-01

    The six members of the Gulf Co-operation Countries (GCC)--Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and the United Arab Emirates--are facing enormous environmental challenges associated with rapid urbanisation and industrialisation, especially in the last three decades, due to its role as a global hydrocarbon energy centre. None of these…

  15. The VEL and VANLA environmental co-operatives as field laboratories

    NARCIS (Netherlands)

    Stuiver, M.; Ploeg, van der J.D.; Leeuwis, C.

    2003-01-01

    This article describes the Nutrient Management Project of the environmental co-operatives VEL and VANLA as a field laboratory. A field laboratory is defined as a heterogeneous collection of inter-linked scientific studies performed by several actors within a specific field, but – as in normal labora

  16. Design and implementation of co-operative control strategy for hybrid AC/DC microgrids

    Science.gov (United States)

    Mahmud, Rasel

    This thesis is mainly divided in two major sections: 1) Modeling and control of AC microgrid, DC microgrid, Hybrid AC/DC microgrid using distributed co-operative control, and 2) Development of a four bus laboratory prototype of an AC microgrid system. At first, a distributed cooperative control (DCC) for a DC microgrid considering the state-of-charge (SoC) of the batteries in a typical plug-in-electric-vehicle (PEV) is developed. In DC microgrids, this methodology is developed to assist the load sharing amongst the distributed generation units (DGs), according to their ratings with improved voltage regulation. Subsequently, a DCC based control algorithm for AC microgrid is also investigated to improve the performance of AC microgrid in terms of power sharing among the DGs, voltage regulation and frequency deviation. The results validate the advantages of the proposed methodology as compared to traditional droop control of AC microgrid. The DCC-based control methodology for AC microgrid and DC microgrid are further expanded to develop a DCC-based power management algorithm for hybrid AC/DC microgrid. The developed algorithm for hybrid microgrid controls the power flow through the interfacing converter (IC) between the AC and DC microgrids. This will facilitate the power sharing between the DGs according to their power ratings. Moreover, it enables the fixed scheduled power delivery at different operating conditions, while maintaining good voltage regulation and improved frequency profile. The second section provides a detailed explanation and step-by-step design and development of an AC/DC microgrid testbed. Controllers for the three-phase inverters are designed and tested on different generation units along with their corresponding inductor-capacitor-inductor (LCL) filters to eliminate the switching frequency harmonics. Electric power distribution line models are developed to form the microgrid network topology. Voltage and current sensors are placed in the proper

  17. A HYBRID APPROACH FOR NODE CO-OPERATION BASED CLUSTERING IN MOBILE AD HOC NETWORKS

    Directory of Open Access Journals (Sweden)

    C. Sathiyakumar

    2013-01-01

    Full Text Available A Mobile Ad-Hoc Network (MANET is termed as a set of wireless nodes which could be built with infrastructure less environment where network services are afforded by the nodes themselves. In such a situation, if a node refuses to co-operate with other nodes, then it will lead to a considerable diminution in throughput and the network operation decreases to low optimum value. Mobile Ad hoc Networks (MANETs rely on the collaboration of nodes for packet routing ahead. Nevertheless, much of the existing work in MANETs imagines that mobile nodes (probably possessed by selfish users will pursue prearranged protocols without variation. Therefore, implementing the co-operation between the nodes turn out to be an significant issue. The previous work described a secured key model for ad hoc network with efficient node clustering based on reputation and ranking model. But the downside is that the co-operation with the nodes is less results in a communication error. To enhance the security in MANET, in this work, we present a hybrid approach, build a node co-operation among the nodes in MANET by evaluating the weightage of cooperativeness of each node in MANET. With the estimation of normal co-operative nodes, nodes are restructured on its own (self. Then clustering is made with the reorganized nodes to form a secured communication among the nodes in the MANET environment. The Simulation of the proposed Hybrid Approach for Node Cooperation based Clustering (HANCC work is done for varying topology, node size, attack type and intensity with different pause time settings and the performance evaluations are carried over in terms of node cooperativeness, clustering efficiency, communication overhead and compared with an existing secured key model. Compared to an existing secured key model, the proposed HANCC performance is 80-90% high.

  18. Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient

    Directory of Open Access Journals (Sweden)

    Leith Sawalha

    2015-01-01

    Full Text Available We present a 54 year old male patient who had a bilateral lung transplant sixteen years ago for Alpha-1 Antitrypsin Deficiency-related emphysema. He was referred for flexible bronchoscopy with transbronchial biopsies to evaluate new mild exertional dyspnea and worsening of his FEV1. Eight transbronchial biopsies were done from the right middle lobe and the right lower lobe. Post procedure he developed bilateral pneumothoces that required emergent bilateral pleural ‘pigtail’ catheters. To our knowledge, this is the first reported case of bilateral pneumothoraces that developed after a unilateral procedure in a bilateral lung transplant recipient relatively late after the transplant.

  19. Immediate Sequential Bilateral Cataract Surgery

    DEFF Research Database (Denmark)

    Kessel, Line; Andresen, Jens; Erngaard, Ditte

    2015-01-01

    The aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence......-based national Danish guidelines for cataract surgery. A systematic literature review in PubMed, Embase, and Cochrane central databases identified three randomized controlled trials that compared outcome in patients randomized to ISBCS or bilateral cataract surgery on two different dates. Meta-analyses were...... performed using the Cochrane Review Manager software. The quality of the evidence was assessed using the GRADE method (Grading of Recommendation, Assessment, Development, and Evaluation). We did not find any difference in the risk of complications or visual outcome in patients randomized to ISBCS or surgery...

  20. THE EUROPEAN UNION’S BILATERAL APPROACH

    Directory of Open Access Journals (Sweden)

    Ludmila BORTA

    2014-12-01

    Full Text Available The EU is a world economic power and a major trading partner for most countries. All the time, this region has been interested and has acted towards a free and fair trade. The decrease and even the elimination of tariff and non-tariff barriers in the world trade are among the main objectives of the EU strategy for international trade. At the moment, the elusive outcome of the WTO Doha Round has led to the proliferation of bilateral trade agreements worldwide. Although the EU remains committed to further development of the multilateral trading system, however, the EU still has appealed also to the development of bilateral trade relations. The aim of this paper is to illustrate the current bilateral dimension of the common commercial policy of the EU. In conclusion, to describe this bilateral approach of the EU we are using one word, namely “diversity”.

  1. Escleritis posterior bilateral Bilateral posterior scleritis

    Directory of Open Access Journals (Sweden)

    A. Zurutuza

    2011-08-01

    Full Text Available La escleritis posterior es un proceso inflamatorio de la parte posterior de la esclera. Su prevalencia es muy baja y el diagnóstico puede resultar complicado por la ausencia de signos oculares externos. Es más frecuente en mujeres. Cuando aparece en pacientes jóvenes no suele tener otras patologías asociadas, pero en mayores de 55 años hasta un tercio de los casos tienen relación con alguna enfermedad sistémica, sobre todo la artritis reumatoide. El diagnóstico de esta patología puede requerir un abordaje multidisciplinar y la colaboración de oftalmólogos con neurólogos, internistas o reumatólogos. En este artículo se describe un caso de escleritis posterior bilateral idiopática.Posterior scleritis is an inflammatory process of the posterior part of the sclera. Its prevalence is very low and its diagnosis can be complicated due to the absence of external ocular signs. It is more frequent in women. In young patients it does not usually have other associated pathologies, but in those over 55 years nearly one-third of the cases have a relation with some systemic disease, above all rheumatoid arthritis. The diagnosis of this pathology can require a multidisciplinary approach and the collaboration of ophthalmologists with neurologists, internists or rheumatologists. This article describes a case of idiopathic bilateral posterior scleritis.

  2. Sequential presentation of bilateral Brown syndrome.

    Science.gov (United States)

    Sekeroğlu, Hande Taylan; Türkçüoğlu, Peykan; Sanaç, Ali Şefik; Sener, Emin Cumhur

    2012-04-01

    Brown syndrome, characterized by a limitation of elevation in adduction and positive forced duction testing, is usually unilateral but occurs bilaterally in 10% of all cases. It may present as a congenital condition in one eye and develop in the other eye with no apparent cause. We present a case of bilateral Brown syndrome in which the right eye became involved within 1 year of surgery on the left eye for congenital Brown syndrome.

  3. Development of gene therapy for inner ear disease: Using bilateral vestibular hypofunction as a vehicle for translational research.

    Science.gov (United States)

    Staecker, Hinrich; Praetorius, Mark; Brough, Douglas E

    2011-06-01

    Despite the significant impact of hearing and balance disorders on the general population there are currently no dedicated pharmaceuticals that target the inner ear. Advances in molecular biology and neuroscience have improved our understanding of the inner ear allowing the development of a range of molecular targets that have the potential to treat both hearing and balance disorders. One of the principal advantages of the inner ear is that it is accessible through a variety of approaches that would allow a potential to be delivered locally rather than systemically. This significantly broadens the potential medications that can be developed and opens the possibility of local gene delivery as a therapeutic intervention. Several potential clinical targets have been identified including delivery of neurotrophin expressing genes as an adjunct to cochlear implantation, delivery of protective genes to prevent trauma and the development of strategies for regenerating inner ear sensory cells. In order to translate these potential therapeutics into humans we will want to optimize the gene delivery methodology, dosing and activity of the drug for therapeutic value. To this end we have developed a series of adenovectors that efficiently transduce the inner ear. The use of these gene delivery approaches are attractive for the potential of hair cell regeneration after loss induced by trauma or ototoxins. This approach is particularly suited for the development of molecular therapies targeted at the vestibular system given that no device based therapeutic such a cochlear implant available for vestibular loss.

  4. Benefits and detriments of unilateral cochlear implant use on bilateral auditory development in children who are deaf

    Directory of Open Access Journals (Sweden)

    Karen A. Gordon

    2013-10-01

    Full Text Available We have explored both the benefits and detriments of providing electrical input through a cochlear implant in one ear to the auditory system of young children. A cochlear implant delivers electrical pulses to stimulate the auditory nerve, providing children who are deaf with access to sound. The goals of implantation are to restrict reorganization of the deprived immature auditory brain and promote development of hearing and spoken language. It is clear that limiting the duration of deprivation is a key factor. Additional considerations are the onset, etiology, and use of residual hearing as each of these can have unique effects on auditory development in the pre-implant period. New findings show that many children receiving unilateral cochlear implants are developing mature-like brainstem and thalamo-cortical responses to sound with long term use despite these sources of variability; however, there remain considerable abnormalities in cortical function. The most apparent, determined by implanting the other ear and measuring responses to acute stimulation, is a loss of normal cortical response from the deprived ear. Recent data reveal that this can be avoided in children by early implantation of both ears simultaneously or with limited delay. We conclude that auditory development requires input early in development and from both ears.

  5. Bilaterally Incarcerated Morgagni Hernia

    Directory of Open Access Journals (Sweden)

    Zuhal Demirhan Yananli

    2013-06-01

    Full Text Available Morgagni hernia is a rare congenital diaphragmatic hernia. It is seen rarely bilaterally. Patients are usually asymptomatic. Therefore, diagnosis may be delayed until adulthood. Significant morbidity can occur in case complications arise and diagnosis is delayed. The patient, a 74 year-old female, presented in this article, was admitted to the emergency department with abdominal pain, vomiting, and shortness of breath. The plain abdominal radiograph of the patient revealed bowel obstruction and suspicious appearence in favor of the diaphragmatic hernia on both sides of the sternum. Computed tomography revealed bilaterally incarcerated Morgagni hernia with strangulated omentum in the right side of the sternum and a part of colon in the left side of sternum. Incarcerated organs were withdrawn to peritoneal cavity and defects of hernia were sutured primarily on laparatomy. Because bilateral incarcerated Morgagni hernia can be seen rarely, this case was reported.

  6. Bilateral inferior turbinate osteoma

    Science.gov (United States)

    Sahemey, R.; Warfield, A.T.; Ahmed, S.

    2016-01-01

    Osteomas are the most common benign osteoclastic tumours of the paranasal sinuses. However, nasal cavity and turbinate osteomas are extremely rare. Only nine middle turbinate, three inferior turbinate and one inferior turbinate osteoma cases have been reported to date. The present case report describes the management and follow-up of symptomatic bilateral inferior turbinate osteoma. A 60-year-old female presented with symptoms of bilateral nasal obstruction and right-sided epiphora. Radiological investigation found hypertrophic bony changes involving both inferior turbinates. The patient was managed successfully by endoscopic inferior turbinectomies in order to achieve a patent airway, with no further recurrence of tumour after 3 months postoperatively. To the best of our knowledge, this is the first reported case of bilateral inferior turbinate osteoma. We describe a safe and minimally invasive method of tumour resection, which has a better cosmetic outcome compared with other approaches. PMID:27534890

  7. Institutional and scientific co-operation, networking and capacity building in the field of food safety and quality

    NARCIS (Netherlands)

    Boekel, van M.A.J.S.; Meerdink, G.; Banati, D.; Marvin, H.J.P.; Kuiper, H.A.; Houtman, C.B.

    2002-01-01

    This paper explains the situation in Hungary and The Netherlands regarding scientific co-operation, networking and capacity building in the field of food quality and safety. Specific details are given about institutional co-operation including exchanges between staff and students, collaborative proj

  8. Power corrupts co-operation: cognitive and motivational effects in a double EEG paradigm.

    Science.gov (United States)

    Kanso, Riam; Hewstone, Miles; Hawkins, Erin; Waszczuk, Monika; Nobre, Anna Christina

    2014-02-01

    This study investigated the effect of interpersonal power on co-operative performance. We used a paired electro-encephalogram paradigm: pairs of participants performed an attention task, followed by feedback indicating monetary loss or gain on every trial. Participants were randomly allocated to the power-holder, subordinate or neutral group by creating different levels of control over how a joint monetary reward would be allocated. We found that power was associated with reduced behavioural accuracy. Event-related potential analysis showed that power-holders devoted less motivational resources to their targets than did subordinates or neutrals, but did not differ at the level of early conflict detection. Their feedback potential results showed a greater expectation of rewards but reduced subjective magnitude attributed to losses. Subordinates, on the other hand, were asymmetrically sensitive to power-holders' targets. They expected fewer rewards, but attributed greater significance to losses. Our study shows that power corrupts balanced co-operation with subordinates.

  9. Reactions of Spanish Agricultural Co-operatives to Collective Globalization: Ideal Discourse Types

    OpenAIRE

    Entrena Durán, Francisco; Moyano Estrada, Eduardo

    2005-01-01

    The main objective of this article is to build up a typology of the ideological discourses which guide and legitimize the different, and often mutually contradictory, reactions of Spanish agricultural co-operatives to the process of ever-increasing socio-economical globalization in which they are immersed. In accordance with this typology, in which we have followed a criterion similar to Max Weber's, we distinguish four ideal ideological discourse types. These go along a continuum from those ...

  10. Civil-military relations and co-operation in Kosovo 1999 to 2001

    OpenAIRE

    2003-01-01

    Co-operation between civil society actors and military personnel is increasingly common in humanitarian missions since the early 1990s. However the interaction has led to varying degrees of friction between both groups, at times lessening the coordination and efficiency of the civil-military relationship. Existing theories of civilmilitary relations are largely based upon the relationship between the military and their civilian government, and have not been tested within the relationships exp...

  11. Bilateral Primary Intraocular Lymphoma

    Directory of Open Access Journals (Sweden)

    Mehrdad Karimi

    2011-01-01

    Full Text Available Purpose: To report a case of bilateral primary intraocular lymphoma. Case report: A 33-year-old man presented with bilateral blurred vision since two years ago. Examination revealed large keratic precipitates, anterior chamber reaction, posterior subcapsular cataracts, and vitreous infiltration. After a short trial of topical and periocular steroids, diagnostic 25-gauge pars plana vitrectomy was performed and cytologic evaluation of the aspirate confirmed a diagnosis of intraocular lymphoma. The patient was subsequently managed with intravitreal methotrexate in both eyes and responded favorably. Central nervous system workup for lymphoma was negative. Conclusion: Primary intraocular lymphoma should be considered in young adults suffering from chronic recalcitrant panuveitis.

  12. Co-operative versus independent transport of different cargoes by Kinesin-1.

    Science.gov (United States)

    Hammond, Jennetta W; Griffin, Kelly; Jih, Gloria T; Stuckey, Jeanne; Verhey, Kristen J

    2008-05-01

    Kinesin motors drive the intracellular transport of multiple cargoes along microtubule tracks; yet, how kinesins discriminate among their many potential cargoes is unknown. We tested whether Kinesin-1 cargoes compete, co-operate or are transported independently of each other. We focused on Kinesin-1 cargoes that bind directly to the kinesin light chain (KLC) subunit, namely the c-Jun NH(2)-terminal kinase-interacting proteins (JIPs) 1 and 3, Kidins220/ARMS and PAT1. Overexpression of individual cargo proteins in differentiated CAD cells resulted in mislocalization of the endogenous protein but had no effect on localization of other cargo proteins to neurite tips. Thus, while transport of distinct cargoes is saturable, they do not compete with each other. Interestingly, we found that low expression of JIP1 or JIP3 enhanced the transport of the other JIP to neurite tips. Moreover, JIP1 and JIP3 require each other for transport. Co-operative transport is due to an interaction between JIP1 and JIP3 as well as distinct binding sites on the KLC tetratricopeptide repeat (TPR) bundle: the TPR groove binds to C-terminal residues of JIP1, whereas the TPR surface binds to internal residues in JIP3. Formation of a JIP1/JIP3/KLC complex is necessary for efficient JIP1 or JIP3 transport in neuronal cells. Thus, JIP scaffolding proteins are transported in a co-operative manner, despite the independent transport of other Kinesin-1 cargoes.

  13. The Relationship between journalists and PR practitioners in Romania – Somewhere in between co-operation and conflict

    Directory of Open Access Journals (Sweden)

    Cristina COMAN

    2009-01-01

    Full Text Available One constant idea emerges from all of the studies regarding the relationship between journalists and PR practitioners: this relationship is a complex and ambiguous one. It is quite obvious that both participants aim at holding control over the production and distribution of information; despite this aim, it is certain that none of the two can develop a monopoly over such a process. The inter-dependency between the actors involved in this game is based on the interest in mutual co-operation showed by each of the participants. This very study stands for the fact that by means of the values they referred to, the Romanian journalists and PR professionals express attitudes that are similar to those of their colleagues from other countries where these two professions have a longer tradition behind.

  14. The ACCEND program: a combined BS and MS program in environmental engineering that includes co-operative work experience.

    Science.gov (United States)

    Bishop, P L; Keener, T C; Kukreti, A R; Kowel, S T

    2004-01-01

    Environmental engineering education has rapidly expanded in recent years and new teaching methods are needed. Many professionals and educators believe that a MS degree in environmental engineering should be the minimum in order to practice the profession, along with practical training. This paper describes an innovative program being offered at the University of Cincinnati that combines an integrated BS in civil engineering and an MS in environmental engineering with extensive practical co-operative education (co-op) experience, all within a five-year period. The program includes distance learning opportunities during the co-op periods. The result is a well-trained graduate who will receive higher pay and more challenging career opportunities, and who will have developed professionalism and maturity beyond that from traditional engineering programs.

  15. Bilateral Naevus Of OTA

    Directory of Open Access Journals (Sweden)

    Ahmad Qazi Masood

    2001-01-01

    Full Text Available Naevus of Ota is a type of dermal melanocytic naevus characterized by extensive blue patch of dermal melanocytic pigmentation of the sclera and the skin adjacent to the eye. The condition is usually unilateral. Here we report a patient with bilateral naevus of Ota in view of the rarity of this condition.

  16. Strengthening the Radiation Protection System in Cuba (SRPS - Cuba). A co-operation project between Cuban and Swedish institutions, February 2001 - June 2003

    Energy Technology Data Exchange (ETDEWEB)

    Avila, Rodolfo; Larsson, Carl-Magnus; Prendes, Miguel; Zerquera, Juan Tomas

    2004-02-01

    This project results from the co-operation between a number of Cuban and Swedish institutions. It started in February 2001 and ended in June 2003 and was made possible thanks to the contributions of the Swedish International Development Co-operation Agency (SIDA), the Centro de Proteccion e Higiene de las Radiaciones, Cuba (CPHR), and the Swedish Radiation Protection Authority (SSI). The overall objective was to strengthen the radiation protection system in Cuba, and in this way contribute with the control and reduction of risks to man and the environment from exposures to ionizing radiation. The project focused on four priority areas: 1) Protection of workers and patients exposed to radiation in radiation practices; 2) Preparedness for response to an emergency situation; 3) Environmental radiological protection; and, 4) Exposure to radiation in areas with high levels of natural radioactivity. The present report summarizes the findings of the whole project period, providing an overview of the overall achievements, as well as listing its deliverables. The results of an evaluation of the project, conducted during the final workshop, are also included. The report ends with a list of generic and specific conclusions and recommendations for implementation of the project's achievements and for further development of co-operation.

  17. Bilateral matrix-exponential distributions

    DEFF Research Database (Denmark)

    Bladt, Mogens; Esparza, Luz Judith R; Nielsen, Bo Friis

    2012-01-01

    In this article we define the classes of bilateral and multivariate bilateral matrix-exponential distributions. These distributions have support on the entire real space and have rational moment-generating functions. These distributions extend the class of bilateral phasetype distributions of [1]...

  18. Bilateral cleft lip nasal deformity

    Directory of Open Access Journals (Sweden)

    Singh Arun

    2009-01-01

    Full Text Available Bilateral cleft lip nose deformity is a multi-factorial and complex deformity which tends to aggravate with growth of the child, if not attended surgically. The goals of primary bilateral cleft lip nose surgery are, closure of the nasal floor and sill, lengthening of the columella, repositioning of the alar base, achieving nasal tip projection, repositioning of the lower lateral cartilages, and reorienting the nares from horizontal to oblique position. The multiplicity of procedures in the literature for correction of this deformity alludes to the fact that no single procedure is entirely effective. The timing for surgical intervention and its extent varies considerably. Early surgery on cartilage may adversely affect growth and development; at the same time, allowing the cartilage to grow in an abnormal position and contributing to aggravation of deformity. Some surgeons advocate correction of deformity at an early age. However, others like the cartilages to grow and mature before going in for surgery. With peer pressure also becoming an important consideration during the teens, the current trend is towards early intervention. There is no unanimity in the extent of nasal dissection to be done at the time of primary lip repair. While many perform limited nasal dissection for the fear of growth retardation, others opt for full cartilage correction at the time of primary surgery itself. The value of naso-alveolar moulding (NAM too is not universally accepted and has now more opponents than proponents. Also most centres in the developing world have neither the personnel nor the facilities for the same. The secondary cleft nasal deformity is variable and is affected by the extent of the original abnormality, any prior surgeries performed and alteration due to nasal growth. This article reviews the currently popular methods for correction of nasal deformity associated with bilateral cleft lip, it′s management both at the time of cleft lip repair

  19. Bilateral chronic subdural hematoma

    DEFF Research Database (Denmark)

    Andersen-Ranberg, Nina Christine; Poulsen, Frantz Rom; Bergholt, Bo

    2017-01-01

    OBJECTIVE Bilateral chronic subdural hematoma (bCSDH) is a common neurosurgical condition frequently associated with the need for retreatment. The reason for the high rate of retreatment has not been thoroughly investigated. Thus, the authors focused on determining which independent predictors...... are associated with the retreatment of bCSDH with a focus on surgical laterality. METHODS In a national database of CSDHs (Danish Chronic Subdural Hematoma Study) the authors retrospectively identified all bCSDHs treated in the 4 Danish neurosurgical departments over the 3-year period from 2010 to 2012....... Univariate and multivariate analyses were performed to determine the relationship between retreatment of bCSDH and clinical, radiological, and surgical variables. RESULTS Two hundred ninety-one patients with bCSDH were identified, and 264 of them underwent unilateral (136 patients) or bilateral (128 patients...

  20. Bilateral tibial hemimelia I.

    Science.gov (United States)

    Suganthy, J; Rassau, Marina; Koshi, Rachel; Battacharjee, Suranjan

    2007-05-01

    Congenital absence of tibia is a rare anomaly. We report a case of bilateral tibial hemimelia born to phenotypically normal parents. The two amputated legs with tibial dysplasia obtained from a 3-year-old boy were studied by radiography and anatomical dissection. The radiological evaluation revealed a normal hip joint. The lower end of femur was normal without any bifurcation, shortening or bowing. Fibula was present on both legs and there was no sign of bowing or doubling. Both right and left tibiae were absent. In addition, on the right side, five tarsal bones, two metatarsals and the corresponding digital rays were absent. On the left side, three tarsal bones were absent. Dissection of the amputated segments showed the presence of extensor digitorum longus, peroneus tertius, peroneus longus and brevis, gastrocnemius, and soleus. Following bilateral knee disarticulation the patient was fitted with prosthesis and is doing well.

  1. [Spontaneous bilateral Petit hernia].

    Science.gov (United States)

    Fontoura, Rodrigo Dias; Araújo, Emerson Silveira de; Oliveira, Gustavo Alves de; Sarmenghi Filho, Deolindo; Kalil, Mitre

    2011-01-01

    Petit's lumbar hernia is an uncommon defect of the posterior abdominal wall that represents less than 1% of all abdominal wall hernias. It is more often unilateral and founded in young females, rarely containing a real herniated sac. There are two different approaches to repair: laparoscopy and open surgery. The goal of this article is to report one case of spontaneous bilateral lumbar Petit's hernia treated with open surgery.

  2. Bilateral lunate intraosseous ganglia

    Energy Technology Data Exchange (ETDEWEB)

    Pablos, J.M. [Department of Radiology, Hospital San Juan de Dios, Seville (Spain); Valdes, J.C. [Department of Radiology, Cemedi, Seville (Spain); Gavilan, F. [Department of Pathology, Hospital Universitario Virgen del Rocio, Seville (Spain)

    1998-12-01

    An intraosseous ganglion is a relatively uncommon, benign, cyst-like lesion that occurs in young and middle-aged adults. Most commonly seen adjacent to the hip, ankle, knee, or wrist, they are histologically identical to their soft tissue counterparts. A review of the literature revealed only two previously reported examples of bilateral symmetrical ganglia of the lunate bones. (orig.) With 3 figs., 10 refs.

  3. Ischemic Bilateral Opercular Syndrome

    OpenAIRE

    Aysel Milanlioglu; Mehmet Nuri Aydın; Alper Gökgül; Mehmet Hamamcı; Mehmet Atilla Erkuzu; Temel Tombul

    2013-01-01

    Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the...

  4. Bilateral akillesseneruptur hos nyretransplanterede

    DEFF Research Database (Denmark)

    Skovgaard, D; Feldt-Rasmussen, B F; Nimb, L

    1996-01-01

    Increased incidence of tendinitis and tendon ruptures is reported in recipients of a kidney transplant. Two cases of bilateral achilles tendon rupture after minimal trauma are described. Tendon ruptures are more frequent in individuals with kidney disease in dialysis or after transplantation...... compared with patients receiving other organ transplantations. It is therefore more likely that tendon ruptures are related to metabolic changes associated with kidney disease rather than with transplantation or with glucocorticoid treatment per se. Clinical symptoms of achilles tendinitis should...

  5. Bilateral Malignant Brenner Tumour

    Directory of Open Access Journals (Sweden)

    Nasser D Choudhary, S.Manzoor Kadri, Ruby Reshi, S. Besina, Mansoor A. Laharwal, Reyaz tasleem, Qurrat A. Chowdhary

    2002-10-01

    Full Text Available Bilateral malignant Brenner tumour ofovary is extremely rate. A case ofmalignant Brenner tumourinvolving both the ovaries with mctastasis to mesentery in a 48 year femalc is presented. Grosslyo'arian masses were firm with soft areas, encapsulated and having bosselated external surfaces.Cut sections showed yellowish white surface with peripheral cysts (in both tumours. Microscopyrevealed transitional cell carcinoma with squamoid differentiation at places. Metastatic deposits werefound in the mesentery. Endometrium showed cystic glandular hyperplasia.

  6. Kyrgyz Libraries Community – Co-Operation for Development: New Challenges and New Approaches = Kırgız Kütüphane Topluluğu – Gelişim İçin İşbirliği: Yeni Fırsatlar ve Uygulamalar

    Directory of Open Access Journals (Sweden)

    Battalova, Sania

    2012-01-01

    Full Text Available “Kyrgyz Libraries Information Consortium”, one of the largest library associations in the country, celebrates its 10th anniversary. The Consortium was established in 2002 and through membership, it comprises more than 400 libraries within Kyrgyzstan, including the National Library, the State Patent and Technical Library, the Library of the Academy of Science, and many other academic and regional libraries. The Consortium’s creation was an answer to the challenges the country faced: lack of information, very low level of technological development, no budget for collection development, lack of cooperation and collaboration between libraries in the country as well as with the international library community. The history and development of the Consortium, the Consortium mission, its goals, its main initiatives and the strategic directions to be taken are presented in the article. The importance of library development and how libraries in developed countries established strong and effective organizations are reviewed and analyzed here. This paper also presents the challenges and approaches that must be taken for future development of libraries in Kyrgyzstan. / “Kırgız Kütüphaneleri Bilgi Konsorsiyumu” ülkedeki en büyük kütüphanecilik derneklerinden biridir ve kuruluşunun onuncu yıl dönümünü kutlamaktadır. Bu Konsorsiyum 2000 yılında kurulmuş olup, üyelik sayısı sonucu Kırgızistan içinde toplam 400'den fazla kütüphaneyi kapsamaktadır. Konsorsiyum içinde Milli Kütüphane (The National Library, Devlet Patent ve Teknik Kütüphanesi (State Patent and Technical Library, Bilim Akademisi Kütüphanesi (Library of the Academy ofScience, ile bunların yanısıra çok sayıda akademik ve bölgesel kütüphaneler de yer almaktadır. Konsorsiyum’un kuruluşu ülkede karşılaşılan güçlüklere bir karşı çıkış olmuştur: yetersiz bilgi, çok düşük düzeyli teknik gelişmeler, koleksiyon geliştirmek için b

  7. The Effects of Electronic Publishing on Co-operative Collection Development and Library Consortia and the Applications in Turkey Elektronik Yayıncılığın Ortak Koleksiyon Geliştirme ve Kütüphane Konsorsiyumlarına Etkileri ve Türkiye’deki Uygulamalar

    Directory of Open Access Journals (Sweden)

    Mehmet Toplu

    2009-09-01

    Full Text Available Consortiums have been one of the basic concepts in the field of libraries since the second half of 20th century. Information centers have failed to meet the user demands as the number of international publications increased, and this in turn, has forced them to share documents and develop common collections, while it also paved the way for consortiums. Interlibrary loans, document delivery, establishment of union catalogs were also among the main activities of consortiums in the same time period in which printed publications were dominating. Electronic publications have dominated the information services since the second half of 1990’s. As a result, consortiums have quickly become widespread internationally, and concentrated their activities mainly on buying the same databases together with the others. In this paper, how the consortiums have developed internationally, and how electronic publishing affected this process are investigated first. Then, the effects of the agreements of ANKOS, UNAK-OCLC consortiums and TÜBİTAK EKUAL (National Academic License for Electronic Resources on the collection development and information services are evaluated in Turkey. Finally, problematic areas are determined, and solutions are proposed. Konsorsiyum oluşumları, 20. yüzyılın ikinci yarısından itibaren, kütüphanecilik alanındaki temel kavramlardan biri olmuştur. Uluslararası düzeyde meydana gelen yayın artışı karşısında, enformasyon merkezlerinin kullanıcı taleplerini tek başlarına karşılayamamaları, kaynak paylaşımı ve ortak koleksiyon gelişimi gibi uygulamaları zorunlu kılarken, konsorsiyum oluşumlarının da zeminini hazırlamıştır. Basılı yayıncılığın etkin olduğu bu dönemde, kütüphanelerarası ödünç verme, belge sağlama, toplu katalogların oluşturulması gibi konular da, konsorsiyumların faaliyetleri arasında yer almaktadır. 1990’lı yılların ikinci yarısından itibaren, elektronik yay

  8. Power corrupts co-operation: cognitive and motivational effects in a double EEG paradigm

    Science.gov (United States)

    Kanso, Riam; Hewstone, Miles; Hawkins, Erin; Waszczuk, Monika; Nobre, Anna Christina

    2014-01-01

    This study investigated the effect of interpersonal power on co-operative performance. We used a paired electro-encephalogram paradigm: pairs of participants performed an attention task, followed by feedback indicating monetary loss or gain on every trial. Participants were randomly allocated to the power-holder, subordinate or neutral group by creating different levels of control over how a joint monetary reward would be allocated. We found that power was associated with reduced behavioural accuracy. Event-related potential analysis showed that power-holders devoted less motivational resources to their targets than did subordinates or neutrals, but did not differ at the level of early conflict detection. Their feedback potential results showed a greater expectation of rewards but reduced subjective magnitude attributed to losses. Subordinates, on the other hand, were asymmetrically sensitive to power-holders’ targets. They expected fewer rewards, but attributed greater significance to losses. Our study shows that power corrupts balanced co-operation with subordinates. PMID:23160813

  9. Co-operation and conflict in a hospital: interprofessional differences in perception and management of conflicts.

    Science.gov (United States)

    Skjørshammer, M

    2001-02-01

    This article presents a case study of a Norwegian hospital, analysing how health professionals manage conflicts related to work co-operation. Altogether, 29 health professionals working in the hospital were interviewed, and data was analysed according to a grounded theory approach. When in conflict, health professionals seem to use three major approaches to handling the situation: avoidance, forcing and negotiation, and usually in that order. Avoidance behaviour or suppression is the most common reaction to an emerging conflict. If the use of power does not re-establish a balance between the participants, one negotiates. These conflict styles seem to be determined by two major factors: the perceived interdependence between parties and the perceived urgency of doing something about the situation. Nurses and physicians in particular seem to differ considerably in their perception of what is a conflict and when to do something about it. Such differences in perceptions and the extensive use of avoidance represent important challenges to managers and clinical leaders when it comes to advancing interprofessional co-operation.

  10. TRIPS, Bilateralism And Patents: How They Are Failing Both the Developed And The Developing World and What To Do About It

    OpenAIRE

    2007-01-01

    The vast majority of the world’s biological resources and traditional knowledge is located in the developing world, yet the vast majority of the world’s intellectual property over biotechnology is owned by the developed world. Since the formation of the WTO the developing world has supported the developed world’s demands for stronger intellectual property protection. However, as it now seeks the support of the developed world to exploit these resources, it finds that the developed world has o...

  11. Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review

    Directory of Open Access Journals (Sweden)

    Sultan Şevik Eliçora

    2015-01-01

    Full Text Available Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB facial paralysis of grade 6 was observed on the right side and HB grade 5 paralysis on the left. Upon temporal bone computed tomography (CT examination, a fracture line exhibiting transverse progression was observed in both petrous temporal bones. Our patient underwent transmastoid facial decompression surgery of the right ear. The patient refused a left-side operation. Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. Therefore, delays may ensue in both diagnosis and treatment of bilateral facial paralysis.

  12. Ischemic Bilateral Opercular Syndrome

    Directory of Open Access Journals (Sweden)

    Aysel Milanlioglu

    2013-01-01

    Full Text Available Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the present case, an 81-year-old male presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.

  13. Ischemic bilateral opercular syndrome.

    Science.gov (United States)

    Milanlioglu, Aysel; Aydın, Mehmet Nuri; Gökgül, Alper; Hamamcı, Mehmet; Erkuzu, Mehmet Atilla; Tombul, Temel

    2013-01-01

    Opercular syndrome, also known as Foix-Chavany-Marie syndrome, is a paralysis of the facial, pharyngeal, masticatory, tongue, laryngeal, and brachial muscles. It is a rare cortical form of pseudobulbar palsies caused by vascular insults to bilateral operculum. Its clinical presentations include anarthria, weakness of voluntary muscles involving face, tongue, pharynx, larynx, and masticatory muscles. However, autonomic reflexes and emotional activities of these structures are preserved. In the present case, an 81-year-old male presented with acute onset of anarthria with difficulties in chewing, speaking, and swallowing that was diagnosed with opercular syndrome.

  14. Clinical subgroups in bilateral Meniere disease

    Directory of Open Access Journals (Sweden)

    Lidia Frejo

    2016-10-01

    Full Text Available Meniere disease (MD is a heterogeneous clinical condition characterized by sensorineural hearing loss, episodic vestibular symptoms and tinnitus associated with several comorbidities such as migraine or autoimmune disorders (AD. The frequency of bilateral involvement may range from 5-50% and it depends on the duration of the disease. We have performed a two-step cluster analysis in 398 patients with bilateral MD to identify the best predictors to define clinical subgroups with a potential different etiology to improve the phenotyping of bilateral MD and to develop new treatments. We have defined five clinical variants in bilateral MD. Group 1 is the most frequently found, includes 46% of patients, and is defined by metachronic hearing loss without migraine and without AD. Group 2 is found in 17% of patients, and it is defined by synchronic hearing loss without migraine or AD. Group 3, with 13% of patients, is characterized by familial MD, while group 4, that includes 12% of patients, is associated by the presence of migraine in all cases. Group 5 is found in 11% of patients and is defined by AD. This approach can be helpful in selecting patients for genetic and clinical research. However, further studies will be required to improve the phenotyping in these clinical variants for a better understanding of the diverse etiological factors contributing to bilateral MD.

  15. Civilian-military co-operation strategies in developing new technologies

    NARCIS (Netherlands)

    Kulve, te Haico; Smit, Wim A.

    2003-01-01

    Dual use technology has been advocated as the solution for the twin problem of maintaining a high tech defence technology base and improving economic competitiveness. The concept of dual use technology turns out to be rather imprecise representing a multitude of different meanings. This paper focuse

  16. Developing Graduate Sales Professionals through Co-operative Education and Work Placements: A Relationship Marketing Approach.

    Science.gov (United States)

    Ellis, Nick

    2000-01-01

    A literature review and data from 346 British business studies students identified the importance of relationship marketing approaches in business and highlighted the need for students to gain experience in work placements. Careful management of work placements by universities is required. (SK)

  17. Bilateral accessory thoracodorsal artery.

    Science.gov (United States)

    Natsis, Konstantinos; Totlis, Trifon; Tsikaras, Prokopios; Skandalakis, Panagiotis

    2006-09-01

    The subscapular artery arises from the third part of the axillary artery and gives off the circumflex scapular and the thoracodorsal arteries. Although anatomical variations of the axillary artery are very common, the existence of a unilateral accessory thoracodorsal artery has been described in the literature only once. There are no reports of bilateral accessory thoracodorsal artery, in the literature. In the present study, a bilateral accessory thoracodorsal artery, originating on either side of the third part of the axillary artery, is described in a 68-year-old female cadaver. All the other branches of the axillary artery had a typical origin, course, distribution and termination. This extremely rare anatomical variation apart from the anatomical importance also has clinical significance for surgeons in this area. Especially, during the dissection or mobilization of the latissimus dorsi that is partly used for coverage problems in many regions of the body and also in dynamic cardiomyoplasty, any iatrogenic injury of this accessory artery may result in ischemia and functional loss of the graft.

  18. [Bilateral choroidal osteoma--a case report].

    Science.gov (United States)

    Jędrychowska-Jamborska, Justyna; Kulig-Stochmal, Agnieszka; Markiewicz, Anna; Jakubowska, Barbara; Romanowska-Dixon, Bożena

    2014-01-01

    Choroidal osteoma is a an extremely rare (especially located bilaterally), benign, intraocular tumor, the type of choristoma. It occurs between 2-3 decades of life, women are particularly vulnerable. The main complication in 1/3 cases is a subretinal neovascularization which may cause bleeding. The gradually progressive decalcification develops within the tumour over time, which causes atrophy of the retinal pigment epithelium and Bruch's membrane deformity. The article presents a case of a 26-year-old woman with bilateral choroidal osteoma complicated by subretinal hemorrhage; the diagnosis was based on clinical examination (biomicroscopy and indirect ophthalmoscopy) as well as specialised tests including: ultrasonography, optical coherence tomography, and fluorescein angiography.

  19. Caffeinated coffee enhances co-operative behavior in the Mixed Motive Game in healthy volunteers.

    Science.gov (United States)

    Tse, Wai S; Chan, Chi Choi S; Shiu, Shun Yan K; Chung, Pik Yee A; Cheng, Shuk Han

    2009-02-01

    Caffeinated drinks are commonly consumed in social gatherings. However, their effects on social behavior remain unclear. The present study examined the effects of caffeinated coffee on antidepressant-related co-operative behavior. Seventy-seven low-caffeine users took part in a randomized, double-blind, cross-over study of single dose of caffeinated coffee (150 mg caffeine) and decaffeinated coffee (9 mg caffeine) with at least a 3-day washout period. In each session, participants were asked to imagine a fictitious person and play the Mixed Motive Game with that person 45 min after coffee consumption. Heart rate, blood pressure, and state moods were measured at baseline and at 45 min post-coffee consumption. After caffeinated coffee, participants exhibited significantly higher blood pressure. They also allocated significantly fewer scores to themselves and sent significantly more sadness message during the game. These results suggest that caffeinated coffee may help to improve social support and depressive symptoms.

  20. Bilateral carpal tunnel syndrome in Graves' disease.

    Science.gov (United States)

    Manganelli, P; Pavesi, G; Salaffi, F

    1987-01-01

    Carpal tunnel syndrome (CTS) may be associated with endocrinopathies, such as hypothyroidism and acromegaly. A direct relationship between CTS and hyperthyroidism has recently been suggested. We now report a case in which bilateral CTS developed after treatment of Graves' disease, thus, questioning the possibility of a relationship between these two disease processes.

  1. Co-operation between Large Enterprises (LE’s and SME’s: an Approach to Overcome the Stage Internationalization Process

    Directory of Open Access Journals (Sweden)

    Eurico Brilhante Dias

    2014-12-01

    Full Text Available Many companies are using their networks in order to overcome psychic distance – liability of foreignness – and liability of outsidership; and networks at domestic markets can be a base in which SMEs can find a lever to get a rapid internationalization process. Regarding this topic has been developed a case study in the Polish market, where a local retailer (“Biedronka” owned by a Portuguese group (“Jerónimo Martins” is offering Portuguese products. In order to apply a constructivist methodology, using the case study method, five SMEs where selected in order to understand if co-operation between these companies and a LE (Large Enterprise would be a way in order to overcome the liability of foreignness and the liability of outsidership. It was also our purpose the understanding of which are the main issues that promote insidership and also the promotion of a rapid internationalization. Our conclusions have shown a LE as a source of institutional and market-specific knowledge, and regarding this last type of knowledge, as source of opportunities, and also how a SME with internationalization knowledge, an international focus and adaptation skills (in order to adapt products and prices can introduce in a co-operative international venture, in far psychic markets, the ingredients needed to get a successful and rapid entry in a foreign market. Trust as a resource, accumulated during lasting relationships in the domestic market, has been shown as a basic requirement to develop these co-operative approaches in international markets.

  2. GENERATION OF COMPLEMENTARY CODES AND DOUBLY CO-OPERATIVE TERNARY SEQUENCES AND THEIR COMPARITIVE STUDY IN AMBIGUITY DOMAIN

    Directory of Open Access Journals (Sweden)

    K. SRIHARI RAO,

    2011-03-01

    Full Text Available Pulse coding and linear frequency modulation in analog or discrete form are widely used in radar systems for pulse compression to achieve high range resolution. Such coded waveforms are detected by a threshold detector after matched filtering. Complementary codes, which use multiple binary sequences exhibit the most desirable characteristics, so that they achieve perfect side lobe cancellation.Here generation of complementary codes is presented whose sum of autocorrelation functions is double the length of the sequence for zero shift and zero for other shifts and pairs of doubly co-operative ternary sequences which are co-operative not only in the utocorrelation domain but also in the signal domain is presented. Theenergy efficiency of the sequences is found as unity or 100%. The hoice of the selection of the sequence in the case of complementary sequences is restricted to a few number of sequences where as in doubly co-operative sequences, the choice is broader. This is due to the property of the co-operative sequence is slightly relaxedfrom complementary codes as side lobe is relaxed to ±1 from zero in the case of complementary codes. The radar ambiguity function epresents the output of the matched filter used by the radar esigners which provides information about how different waveforms may be suitable for various radar applications. The behaviour of complementary sequences and doubly co-operative sequences is studied in ambiguity domain.

  3. Wound care in primary health care: district nurses' needs for co-operation and well-functioning organization.

    Science.gov (United States)

    Friman, Anne; Klang, Birgitta; Ebbeskog, Britt

    2010-01-01

    Most patients with leg- and foot ulcers are managed within non-institutional care. The aim of this study was to investigate the district nurses' wound management, including wound appearance, assignment of responsibility, guidelines for wound treatment and co-operation with other professional groups. The study has a descriptive quantitative approach. Data was collected using a wound registration form and a questionnaire. The selection of participants was made by random sampling. District nurses (n = 26) in five health-care centers situated in central Stockholm and two of its suburbs, participated in the study. The results show that the wound appearance is dominated by traumatic wounds. Approximately 40% of the wounds were not medically diagnosed. The area of responsibility of different professional groups was not defined and guidelines for wound treatment were mostly lacking. The decision about wound management was generally made by the district nurse. Co-operation with the general practitioner was lacking and when a consultation with dermatologist was required, the routines concerning referral were undefined. Co-operation with the assistant nurses consisted of redressing the wounds in home care. Interprofessional co-operation was regarded as important for wound healing. The paper provides insights into the district nurses' wound management and co-operation in wound care.

  4. Bilateral Antepartum Mastitis

    Directory of Open Access Journals (Sweden)

    Peyman Alibeigi

    2010-12-01

    Full Text Available Antepartum mastitis is a rare condition, whereas postpartum orlactation mastitis is a common problem. This report introducesa case of complicated bilateral antepartum mastitis, which wastreated successfully by drain insertion and antibiotic therapy.The patient was a 23-year-old woman in the 23rd week of herfirst pregnancy. Her chief complaint was progressive swelling,redness and radicular pain in both breasts, which had beenstarted gradually from the 18th week of pregnancy. The patientwas admitted to hospital, and received oral and intravenous antibioticsempirically, which was not effective. The patient wastreated by drainage and oral antibiotic therapy. Based on theapproaches employed and the outcomes achieved it is suggestedthat early surgical insertion in the presence of fluid collection inantepartum mastitis will shorten hospitalization and course ofintravenous antibiotic therapy.Iran J Med Sci 2010; 35(4: 327-330.

  5. [Bilateral cochlear implantation].

    Science.gov (United States)

    Kronenberg, Jona; Migirov, Lela; Taitelbaum-Swead, Rikey; Hildesheimer, Minka

    2010-06-01

    Cochlear implant surgery became the standard of care in hearing rehabilitation of patients with severe to profound sensorineural hearing loss. This procedure may alter the lives of children and adults enabling them to integrate with the hearing population. In the past, implantation was performed only in one ear, despite the fact that binaural hearing is superior to unilateral, especially in noisy conditions. Cochlear implantation may be performed sequentially or simultaneously. The "sensitive period" of time between hearing loss and implantation and between the two implantations, when performed sequentially, significantly influences the results. Shorter time spans between implantations improve the hearing results after implantation. Hearing success after implantation is highly dependent on the rehabilitation process which includes mapping, implant adjustments and hearing training. Bilateral cochlear implantation in children is recommended as the proposed procedure in spite of the additional financial burden.

  6. Idiopathic Bilateral Bloody Tearing

    Directory of Open Access Journals (Sweden)

    Emrullah Beyazyıldız

    2015-01-01

    Full Text Available Bloody tear is a rare and distinct clinic phenomenon. We report a case presenting with the complaint of recurrent episodes of bilateral bloody tearing. A 16-year-old girl presented to our clinic with complaint of bloody tearing in both eyes for 3 months. Bloody tearing was not associated with her menses. A blood-stained discharge from the punctum was not observed during the compression of both nasolacrimal ducts. Nasolacrimal passage was not obstructed. Imaging studies such as dacryocystography and gradient-echo magnetic resonance imaging (MRI of nasolacrimal canal were normal. Intranasal endoscopic evaluation was normal. We collected samples from bloody tears two times and pathological examination was performed. Pathological analysis showed lots of squamous cells and no endometrial cells; dysplastic cells were found. Further evaluations for underlying causes were unremarkable. No abnormalities were found in ophthalmologic, radiologic, and pathologic investigations. This condition is likely a rare abnormality and the least recognized aetiology for the idiopathic phenomenon.

  7. Silicosis with bilateral spontaneous pneumothorax

    Directory of Open Access Journals (Sweden)

    Fotedar Sanjay

    2010-01-01

    Full Text Available Presentation with simultaneous bilateral pneumothorax is uncommon and usually in the context of secondary spontaneous pneumothorax.The association of pneumothorax and silicosis is infrequent and most cases are unilateral. Bilateral pneumothorax in silicosis is very rare with just a few reports in medical literature.

  8. Pediatric isolated bilateral iliac aneurysm.

    Science.gov (United States)

    Chithra, R; Sundar, R Ajai; Velladuraichi, B; Sritharan, N; Amalorpavanathan, J; Vidyasagaran, T

    2013-07-01

    Aneurysms are rare in children. Isolated iliac artery aneurysms are very rare, especially bilateral aneurysms. Pediatric aneurysms are usually secondary to connective tissue disorders, arteritis, or mycotic causes. We present a case of a 3-year-old child with bilateral idiopathic common iliac aneurysms that were successfully repaired with autogenous vein grafts.

  9. Effect of co-operative fuzzy c-means clustering on estimates of three parameters AVA inversion

    Indian Academy of Sciences (India)

    Rajesh R Nair; Suresh Ch Kandpal

    2010-04-01

    We determine the degree of variation of model fitness,to a true model based on amplitude variation with angle (AVA)methodology for a synthetic gas hydrate model,using co-operative fuzzy c-means clustering,constrained to a rock physics model.When a homogeneous starting model is used,with only traditional least squares optimization scheme for inversion,the variance of the parameters is found to be comparatively high.In this co-operative methodology,the output from the least squares inversion is fed as an input to the fuzzy scheme.Tests with co-operative inversion using fuzzy c-means with damped least squares technique and constraints derived from empirical relationship based on rock properties model show improved stability,model fitness and variance for all the three parameters in comparison with the standard inversion alone.

  10. Co-operation at work: a process-oriented perspective on joint activity in inter-organizational relations.

    Science.gov (United States)

    Wehner, T; Clases, C; Bachmann, R

    2000-07-01

    In this paper the authors present a conceptual framework for analysing co-operation between organizations as a situated process, highlighting co-operation, co-ordination and co-construction as different modes of joint activity. Within this framework, the analysis of unexpected events becomes a crucial issue. The analytic power of reconstructing the (psycho-) logics of unexpected events in inter-organizational relations will be demonstrated in the presentation of selected outcomes of a research project on the dynamics of producer-supplier relationships in the German automobile industry. Also in this empirical part, the significance of trust and confidence in inter-organizational relations will be reflected.

  11. A Distributed and Co-Operative Approach To Botnet Detection Using Gossip Protocol

    Directory of Open Access Journals (Sweden)

    Manoj Rameshchandra Thakur

    2012-07-01

    Full Text Available Bots, in recent times, have posed a major threat to enterprise networks. With the distributed nature of the way in which botnets operate, the problems faced by enterprises have become acute. A bot is a programme that operates as an agent for a user and runs automated tasks over the internet, at a much higher rate than would be possible for a human alone. A collection of bots in a network, used for malicious purposes, is referred to as a botnet. In this paper we suggested a distributed, co-operative approach towards detecting botnets is a given network which is inspired by the gossip protocol. Each node in a given network runs a standalone agent that computes a suspicion value for that node after regular intervals. Each node in the network exchanges its suspicion values with every other node in the network at regular intervals. The use of gossip protocol ensures that if a node in the network is compromised, all other nodes in the network are informed about it as soon as possible. Each node also ensures that at any instance, by means of the gossip protocol, it maintains the latest suspicion values of all the other nodes in the network.

  12. UEFA and the European Union: From Confrontation to Co-operation?

    Directory of Open Access Journals (Sweden)

    Borja García

    2007-12-01

    Full Text Available This article investigates the relationship between UEFA, as European football’s governing body, and the EU. It assesses the evolution of UEFA as a football governing body since the Bosman ruling (1995 until current initiatives such as the rules on locally-trained players (2005-2006. The paper traces the evolution of UEFA’s reactions to the increasing involvement of EU institutions in football matters, with special focus on the regulation of the players’ market. It is argued that UEFA’s attitude towards the EU has changed in the last ten years. Whilst the EU was seen as a threat for UEFA in 1995, it is now considered a ‘long term strategic partner’. Two main reasons can be identified for UEFA’s evolution. First and foremost, UEFA has been forced to accept the primacy of European law and its application to the activities of football organisations. UEFA has had no option but to adapt to the impact of European law and policies on its activities. This has lead to a relationship of ‘supervised’ autonomy between UEFA and the EU institutions. Second, UEFA’s strategic vision to preserve its own position within the governance structures of football. UEFA has tried to enhance its legitimacy within football’s governing structures by engaging in policy co-operation with EU authorities. This paper draws almost entirely on empirical research conducted through elite interviews and the review of official documents.

  13. Co-operative Wireless Intrusion Detection System Using MIBs From SNMP

    Directory of Open Access Journals (Sweden)

    Ashvini Vyavhare

    2012-03-01

    Full Text Available In emerging technology of Internet, security issues are becoming more challenging. In case of wired LAN it is somewhat in control, but in case of wireless networks due to exponential growth in attacks, it has made difficult to detect such security loopholes. Wireless network security is being addressed using firewalls, encryption techniques and wired IDS (Intrusion Detection System methods. But the approaches which were used in wired network were not successful in producing effective results for wireless networks. It is so because of features of wireless network such as open medium, dynamic changing topology, cooperative algorithms, lack of centralized monitoring and management point, and lack of a clear line of defense etc. So, there is need for new approach which will efficiently detect intrusion in wireless network. Efficiency can be achieved by implementing distributive, co-operative based, multi-agent IDS. The proposed system supports all these three features. It includes mobile agents for intrusion detection which uses SNMP (Simple network Management Protocol and MIB (Management Information Base variables for mobile wireless networks

  14. Prevention of Co-operative Black Hole attack in Manet on DSR protocol using Cryptographic Algorithm

    Directory of Open Access Journals (Sweden)

    G.Vennila

    2014-10-01

    Full Text Available The Mobile ad-hoc network (MANET is a collection of wireless mobile node in which each node can communicate with other node without use of predefined infrastructure. Currently, a lot of efficient protocols have been proposed for MANET. All of these efficient Routing protocols are depends only conviction and supportive environment. Conversely, the networks are more vulnerable to various kinds of routing attacks with the presence of malicious nodes. Black hole attack is one of network layer attack. In this attack, A malicious node make use of routing protocol to advertise itself that has a shortest path to reach destination, drops at the cost of original routing packets. In our work, the proposed algorithm is used to secure the DSR protocol. This will help to improve the performance of Mobile Ad hoc network due to the attack. There are several prevention mechanisms to eliminate the Black Hole attack in MANET. The aim of the paper is to provide better prevention of Co-operative Black hole attack in MANET and how it affects the performance metrics in terms of throughput and delay of the network by comparing the network performance with and without black hole nodes.

  15. A rare case of bilateral oral carcinoma

    Directory of Open Access Journals (Sweden)

    Sonia Behal

    2008-01-01

    Full Text Available Tobacco in different forms is an acknowledged etiologic factor in development of oral cancer. Due to the habit pattern, mostly a single malignant lesion develops. While multiple oral malignancies and second primaries are well reported in the literature, a truly bilateral oral malignancy seems to be a rare occurrence. We report such an occurrence in an individual with an unusual pattern of tobacco habit.

  16. How to create more supportive supervision for primary healthcare: lessons from Ngamiland district of Botswana: co-operative inquiry group

    Directory of Open Access Journals (Sweden)

    Oathokwa Nkomazana

    2016-06-01

    Full Text Available Background: Supportive supervision is a way to foster performance, productivity, motivation, and retention of health workforce. Nevertheless there is a dearth of evidence of the impact and acceptability of supportive supervision in low- and middle-income countries. This article describes a participatory process of transforming the supervisory practice of district health managers to create a supportive environment for primary healthcare workers. Objective: The objective of the study was to explore how district health managers can change their practice to create a more supportive environment for primary healthcare providers. Design: A facilitated co-operative inquiry group (CIG was formed with Ngamiland health district managers. CIG belongs to the participatory action research paradigm and is characterised by a cyclic process of observation, reflection, planning, and action. The CIG went through three cycles between March 2013 and March 2014. Results: Twelve district health managers participated in the inquiry group. The major insights and learning that emerged from the inquiry process included inadequate supervisory practice, perceptions of healthcare workers’ experiences, change in the managers’ supervision paradigm, recognition of the supervisors’ inadequate supervisory skills, and barriers to supportive supervision. Finally, the group developed a 10-point consensus on what they had learnt regarding supportive supervision. Conclusion: Ngamiland health district managers have come to appreciate the value of supportive supervision and changed their management style to be more supportive of their subordinates. They also developed a consensus on supportive supervision that could be adapted for use nationally. Supportive supervision should be prioritised at all levels of the health system, and it should be adequately resourced.

  17. Manual of electric power conservation. Residential co-operatives buildings; Manual de conservacao de energia eletrica. Condominios residenciais

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-01-01

    Procedures to electric power consumption optimization, and energy conservation on residential co-operative buildings are presented. Lighting consumption profiles, lamps and its lighting characteristic table, internal program to energy conservation, some information about energy consumption optimization, water consumption, energy costs, performance evaluation and safety patterns on electric plants are discussed. 25 figs., 5 tabs.

  18. Student Perceptions of Social Learning Space: Designing and Implementing a Co-Operative Assessment Task in Pharmacology

    Science.gov (United States)

    Moni, Roger W.; Depaz, Iris; Lluka, Lesley J.

    2008-01-01

    We report findings from a case study of co-operative, group-based assessment in Pharmacology for second-year undergraduates at The University of Queensland, Australia. Students enrolled in the 2005 Bachelor of Science and 2006 Bachelor of Pharmacy degree programs, were early users of the university's new Collaborative Teaching and Learning Centre…

  19. Managing technical-institutional design processes: some strategic lessons from environmental co-operatives in the Netherlands

    NARCIS (Netherlands)

    Roep, D.; Ploeg, van der J.D.; Wiskerke, J.S.C.

    2003-01-01

    In this paper the case of the environmental co-operatives VEL and VANLA is reviewed in terms of coevolving technical and institutional change and the strategic lessons to be learned for a pro-active management of such complex technical-institutional design processes. Facing the many-sided crisis in

  20. Is the Ownership Structure Model a Decisive Determinant of Co-Operatives' Financial Success? A Financial Assessment

    NARCIS (Netherlands)

    Kalogeras, N.; Pennings, J.M.E.; Kuikman, J.; Doumpos, M.

    2011-01-01

    Abstract. In this paper, the financial/ownership structures of agribusiness co-operatives (co-ops) are analyzed in order to examine whether new co-op models perform better than the more traditional ones. The assessment procedure introduces a new financial decision-aid approach, which is based on dat

  1. Bilateral, independent juvenile nasopharyngeal angiofibroma

    DEFF Research Database (Denmark)

    Mørkenborg, Marie-Louise; Frendø, M; Stavngaard, T;

    2015-01-01

    BACKGROUND: Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating...... from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning...... embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated. CONCLUSION: This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral...

  2. Bilateral Olecranon Tophaceous Gout Bursitis

    Directory of Open Access Journals (Sweden)

    Güzelali Özdemir

    2017-01-01

    Full Text Available In this case, we present a patient with the diagnosis of bilateral olecranon tophaceous gout. After the surgical treatment, there was no limitation of range of motion or wound problem at 6th month control.

  3. Bilateral hematoma of sternocleidomastoid muscles. A case presentation.

    Directory of Open Access Journals (Sweden)

    Zoe Quintero Delgado

    2005-08-01

    Full Text Available Presentation of the case of an infant with bilateral congenital torticollis which development was followed by ultrasound. Homeopathy and physiotherapy were used for its treatment. This is an infrequent disease scarcely reported in medical literature.

  4. Bilateral Morgagni Hernia in Adult

    Directory of Open Access Journals (Sweden)

    Ali Celik

    2014-03-01

    Full Text Available       Morgagni hernia is a congenital anterior diaphragma hernias. Although it generally seen in childhood and on the right side, rarely seen bilaterally and adult. Computarize tomography is helpful in diagnosis for this lesions asymptomatic in adult. In this article, bilaterally morgagni hernia diagnosed a sixty-five year old male patient looked for due to dyspne was presented.

  5. Bilateral sarkoidose i glandula parotis

    DEFF Research Database (Denmark)

    Hahn, Pernille; Krogdahl, Annelise; Godballe, Christian

    2012-01-01

    We describe an unusual case of sarcoidosis in which the patient presented with a bilateral swelling of the parotid salivary glands and no other manifestation of the disease. Sarcoidosis is a multisystem granulomatous disorder of unknown cause in which there may be multiple exocrine involvement......, including the salivary glands. This case emphasises the importance of including sarcoidosis in the differential diagnosis of bilateral parotid swelling....

  6. China-Pakistan Strengthen Bilateral Custom Cooperation

    Institute of Scientific and Technical Information of China (English)

    Guo Yan

    2008-01-01

    @@ Mr.Abdullah Yusuf,Secretary General/Chairman,Central Board Of Revenue of Pakistan,arrived Shenzhen on April 22 to meet with Mr.Sheng Guangzu,the Chinese Minister for Customs Administration for discussing the bilateral customs issues.During his two-day visit,China's Foreign Trade Magazine interviewed to Mr.Abdullah Yusuf in Beijing,he gave the high evaluation on this visit and China's great development in the recent years.

  7. [Bilateral pleural mesothelioma--case report].

    Science.gov (United States)

    Land, I; Knolle, H

    1990-08-01

    It is reported on the rare case of a 46-year-old female patient with a bilateral mesothelioma of the pleura without contact to asbest. Although the female was suspected in a malignant tumor and many diagnostic investigations were performed, diagnosis could be ensured morphologically only a short time before her death. Causes and development of mesothelioma, histological types, clinical symptoms and diagnostic procedures are described.

  8. Hypersexuality following bilateral thalamic infarction: case report

    OpenAIRE

    Mutarelli Eduardo G; Omuro Antonio M.P.; Adoni Tarso

    2006-01-01

    Hypersexuality is a rare but well recognized condition following brain injury. It has been described secondarily to dysfunction in the hypothalamus, the temporal and frontal lobes. We report a 63 year-old man that developed neuropsychological disturbances with hypersexuality as a prominent feature, disinhibition and moderate memory loss, hypersomnia and irritability after a bilateral paramedian thalamic infarction. A SPECT showed frontal hypoperfusion. We believe that these findings are expre...

  9. Bilateral cochlear implantation: current concepts, indications, and results.

    Science.gov (United States)

    Basura, Gregory J; Eapen, Rose; Buchman, Craig A

    2009-12-01

    The optimal treatment for bilateral hearing loss continues to evolve as cochlear implant (CI) and hearing aid technologies advance, as does our understanding of the central auditory system. Ongoing discussions continue on the validity and feasibility of bilateral CI in terms of performance, justification of need, medical/surgical safety concerns, and economics. The purpose of this review article is to provide an update on the advantages and disadvantages of bilateral CI and to provide a discussion on timing (simultaneous vs. sequential), technology (bimodal vs. binaural) and feasibility. Binaural advantages are found in both adult and pediatric bilateral CI recipients, the greatest being the head shadow effect and improvements in localization and loudness summation. This theoretically offers an advantage over their unilateral implanted counterparts in terms of improved sound localization and enhanced speech perception under noisy conditions. Most investigators agree that bilateral stimulation during critical periods of development is paramount for optimizing auditory functioning in children. Currently, bilateral CI is widely accepted as a safe and effective means of bilateral auditory stimulation.

  10. Bilateral Diabetic Papillopathy and Metabolic Control

    DEFF Research Database (Denmark)

    Ostri, Christoffer; Lund-Andersen, Henrik; Sander, Birgit;

    2010-01-01

    OBJECTIVE: The pathogenesis of diabetic papillopathy largely is unknown, but case reports suggest that it may follow rapidly improved metabolic control. The present study was designed to investigate this hypothesis. DESIGN: Retrospective case-control study. PARTICIPANTS: Two thousand sixty......-six patients with type 1 diabetes. METHODS: Review of clinical, photographic, and clinical chemistry records from a large diabetology and ophthalmology unit between 2001 and 2008. MAIN OUTCOME MEASURES: Simultaneous, bilateral diabetic papillopathy. RESULTS: The mean follow-up was 4.9 years. During 10 020...... patient-years of observation, bilateral diabetic papillopathy developed in 5 patients. During the year preceding this incident, all 5 patients had experienced a decrease in glycosylated hemoglobin A(1c) (HbA(1C)) at a maximum rate of -2.5 (mean) percentage points per quarter year, which was significantly...

  11. Bilateral zeta functions and their applications

    OpenAIRE

    Shibukawa, Genki

    2011-01-01

    We introduce a new type of multiple zeta functions, which we call bilateral zeta functions, analogous to the Barnes zeta functions. The bilateral zeta function is a periodic function and shares certain basic properties of Barnes zeta function. Especially, we prove that the bilateral zeta function has a nice Fourier series expansion and the Barnes zeta function can be expressed as a finite sum of bilateral zeta functions. By these properties of the bilateral zeta functions, We obtain simple pr...

  12. Paralisia facial bilateral Bilateral facial paralysis: a case report

    Directory of Open Access Journals (Sweden)

    J. Fortes-Rego

    1976-03-01

    Full Text Available É apresentado um caso de diplegia facial surgida após meningite meningocócica e infecção por herpes simples. Depois de discutir as diversas condições que o fenômeno pode apresentar-se, o autor inclina-se por uma etiologia herpética.A case of bilateral facial paralysis following meningococcal meningitis and herpes simplex infection is reported. The author discusses the differential diagnosis of bilateral facial nerve paralysis which includes several diseases and syndromes and concludes by herpetic aetiology.

  13. Bilateral spontaneous hemotympanum: Case report

    Directory of Open Access Journals (Sweden)

    Economou Nicolas C

    2006-10-01

    Full Text Available Abstract Background The most common causes of hemotympanum are therapeutic nasal packing, epistaxis, blood disorders and blunt trauma to the head. Hemotympanum is characterized as idiopathic, when it is detected in the presence of chronic otitis media. A rare case of spontaneous bilateral hemotympanum in a patient treated with anticoagulants is presented herein. Case presentation A 72-year-old male presented with acute deterioration of hearing. In the patient's medical history aortic valve replacement 1 year before presentation was reported. Since then he had been administered regularly coumarinic anticoagulants, with INR levels maintained between 3.4 and 4.0. Otoscopy revealed the presence of bilateral hemotympanum. The audiogram showed symmetrical moderately severe mixed hearing loss bilaterally, with the conductive component predominating. Tympanograms were flat bilaterally with absent acoustic reflexes. A computerized tomography scan showed the presence of fluid in the mastoid and middle ear bilaterally. Treatment was conservative and consisted of a 10-day course of antibiotics, anticongestants and temporary interruption of the anticoagulant therapy. After 3 weeks, normal tympanic membranes were found and hearing had returned to previous levels. Conclusion Anticoagulant intake should be included in the differential diagnosis of hemotympanum, because its detection and appropriate treatment may lead to resolution of the disorder.

  14. Inter-Firm Co-Operative Strategies In The Context Of Discontinuous Technological Change. The Case Of The Uk Optical Communications Systems Industry

    NARCIS (Netherlands)

    S. Spedale-Latimer (Simona)

    2002-01-01

    textabstractAt times of discontinuous technological change co-operation represents a viable strategy for both incumbents and new-entrants, provided that the choice of co-operation is consistent with the firm's business strategy (market-pull vs. technology-push) and with its degree of organizational

  15. Stage 4S Bilateral Adrenal Neuroblastoma in a Newborn

    Directory of Open Access Journals (Sweden)

    Rahul Gupta

    2014-02-01

    Full Text Available Stage 4S bilateral adrenal neuroblastoma presenting in the neonatal period is extremely rare. A 1-day-old male with 4S bilateral adrenal neuroblastoma complicated by marked hepatomegaly managed by chemotherapy is being reported. The provisional diagnosis of neuroblastoma was made in the fetal life during the last trimester of pregnancy. Cardiomyopathy due to doxorubicin cytotoxicity developed over ensuing years, which is being treated.

  16. Bilateral scleritis and sclerokeratitis associated with IgA nephropathy

    OpenAIRE

    Garza-Leon, Manuel; Flores, Diana; Alarcón-Galván, Gabriela; Sánchez-Martínez, Concepción

    2012-01-01

    Purpose The purpose of this study is to report a case of bilateral nodular scleritis in a patient with final diagnosis of IgA nephropathy. Methods This is an observational case report. Results A male patient, 42 years old, presented with a bilateral nodular scleritis and OD sclerokeratitis. He had a previous history of acute otitis media and developed posterior renal failure and arterial hypertension. Clinical and systemic findings suggest Wegener's granulomatosis. A kidney biopsy was perform...

  17. Recurrent Bilateral Occipital Infarct with Cortical Blindness and Anton Syndrome

    OpenAIRE

    Kiu Kwong Yew; Sanihah Abdul halim; Ahmad Tajudin Liza-Sharmini; John Tharakan

    2014-01-01

    Bilateral cortical blindness and Anton syndrome, are most commonly caused by ischaemic stroke. In this condition, patients have loss of vision but deny their blindness despite objective evidence of visual loss. We report a case of a patient with multiple cardiovascular risk factors who developed recurrent bilateral occipital lobe infarct with Anton syndrome. A suspicion of this condition should be raised when the patient has denial of blindness in the presence of clinical and radiological evi...

  18. Bilateral Traumatic Globe Luxation with Optic Nerve Transection

    Directory of Open Access Journals (Sweden)

    Levent Tok

    2014-12-01

    Full Text Available Purpose: The purpose of this study was to document clinical findings and management of a patient with bilateral globe luxation and optic nerve transection. Materials and Methods: A 25-year-old female patient was admitted to the emergency department with bilateral traumatic globe luxation following a motor vehicle accident. Results: Visual acuity testing showed no light perception. The right pupil was dilated and bilaterally did not react to light. The globes were bilaterally intact. A computed tomography scan revealed Le Fort type II fractures, bilateral optic nerve transection and disruption of all extraocular muscles. The globes of the patient were bilaterally reduced into the orbit. However, the patient developed phthisis bulbi in the right eye at month 3. Conclusion: Globe luxation presents a dramatic clinical picture, and may lead to the development of severe complications due to the concomitance of complete optic nerve dissection and multiple traumas. Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.

  19. Loss of heterozygosity in bilateral breast cancer.

    Science.gov (United States)

    Kollias, J; Man, S; Marafie, M; Carpenter, K; Pinder, S; Ellis, I O; Blamey, R W; Cross, G; Brook, J D

    2000-12-01

    Women who develop bilateral breast cancer at an early age are likely to harbour germline mutations in breast cancer susceptibility genes. The aim of this study was to test for concordant genetic changes in left and right breast cancer of young women (age < 50) with bilateral breast cancer that may suggest an inherited breast cancer predisposition. Microsatellite markers were used to test for loss of heterozygosity (LOH) in left and right tumours for 31 women with premenopausal bilateral breast cancer. Markers adjacent to or within candidate genes on 17p (p53), 17q (BRCA1), 13q (BRCA2), 11q (Ataxia Telangiectasia-ATM) and 3p (FHIT) were chosen. Mutational testing for BRCA1 and BRCA2 was performed for cases where blood was available. Concordant LOH in both left and right tumours was demonstrated for at least one of the markers tested in 16/31(54%) cases. Where allelic loss was demonstrated for both left and right breast cancer, the same allele was lost on each occasion. This may suggest a common mutational event. Four cases showed concordant loss of alleles in both left and right breast cancer at D17S791 (BRCA1). BRCA1 mutations were identified in two of these cases where blood was available. Four cases showed concordant LOH at D13S155 (BRCA2). Concordant LOH was further demonstrated in seven cases for D11S1778 (ATM) and four cases for D3S1300 (which maps to the FHIT gene), suggesting a possible role for these tumour suppressor genes in this subgroup of breast cancer patients. No concordant allelic loss was demonstrated for D17S786 suggesting that germline mutations in p53 are unlikely in such cases of bilateral breast cancer.

  20. A Bilateral Slam Dunk

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    New Zealand became the first developed country to sign a free trade agreement with China The three years of hard work on nego- tiating a free trade agreement finally paid off for China and New Zealand. Chinese Commerce Minister Chen Deming and Trade Minister of New Zealand Phil Goff formally signed a free trade agree- ment (FTA) on April 7 in Beijing.It was the first FTA that the Chinese Government signed with a developed country.

  1. The Contribution Of Co-Operative Education In The Growing Of Talent In South Africa: A Qualitative Phenomenological Exploration

    Directory of Open Access Journals (Sweden)

    Thomas Groenewald

    2003-11-01

    Full Text Available Organisational talent is internationally regarded a key success factor in a competitive world and is continuously challenged. In South Africa, the Apartheid heritage further presents major challenges regarding developmental opportunities of talented people. Co-operative education presents, as structured educational strategy that progressively integrates academic study with learning through productive work experiences, itself as a means to grow the talent of the South African people. As result of the inadequate practice of co-operative education and a fair amount of associated resistance, ‘classical’ literature is reviewed. The literature review further identifies the core properties of co-operative education and the study has attempted to distil the core principles of a phenomenological research design. The specific ‘phenomena’ which the research focused on are existing joint ventures between Higher Education institutions and business enterprises aimed at educating people and growing talent. Selections of the voices of the research participants are presented in this article. Although the present study identifies several shortcomings regarding the practice of co-operative education, it pioneers the notion that the growing of talent can be enhanced through a co-operative education strategy. OpsommingOrganisatoriese talent word internasionaal beskou as ’n sleutelfaktor in ’n kompeterende wêreld en word dus voortdurend aan uitdagings onderwerp. In Suid Afrika stel die nagevolge van Apartheid grootskaalse uitdagings ten opsigte van die ontwikkelings moontlikhede van talentvolle mense. Koöperatiewe onderwys bied, as gestruktureerde opvoedkundige strategie wat progressief akademiese leer met produktiewe werkservaring integreer, ’n geleentheid om die talent van Suid-Afrikaners op te bou. ‘Klasieke’ literatuur word weegegee ten einde die ontoereikende beoefening van koöperatiewe onderwys en ’n gepaartgaande redelike mate van

  2. 中国与伊朗石油合作探析%Analysis on China - Iran Petroleum Co - operation

    Institute of Scientific and Technical Information of China (English)

    苏欣; 李福泉

    2015-01-01

    中国经济持续快速发展,能源需求急剧增加,石油对外依存度逐年升高,保障石油来源的安全日益重要。伊朗拥有丰富的石油资源,石油收入是其经济命脉,确保稳定的石油出口极为关键。21世纪以来,中国和伊朗石油贸易额持续上升,跨国合资经营项目大规模展开,双方能源合作取得长足进展。国际政治变动、中东局势不稳定、石油运输通道的安全隐患、中伊能源政策等不确定因素直接影响中伊石油合作进程。中国在加大从伊朗进口石油量的同时,仍需坚持石油进口渠道的多元化,以此来维护本国能源的安全与稳定。%With a sustainable and rapid economic development in China,energy demands increase sharp-ly,followed by the annual increase of dependence on foreign oil,so it is increasingly important to seek a stable and secure oil supply. Because Iran has rich oil resources and oil revenues are the lifeblood of its economy,it is very crucial for Iran to ensure the stable export of petroleum. Since the beginning of the 21st century,China and Iran have made great progress in the bilateral energy cooperation with the continuous rise of bilateral oil trade and the large - scale development of multinational cooperation management projects. However,with the political change and the upheaval of Middle East Situation,some factors like the potential safety hazard in the oil transport channels,and the uncertainty of China - Iran energy policy can directly affect the oil cooperation process between China and Iran. Therefore,while enlarging the import of petroleum from Iran,China should persist in the diversification of petroleum import sources in order to guarantee the security and stability of our energy.

  3. Bilateral familial nevus of Ota.

    Science.gov (United States)

    Goyal, Sunali; Uwaydat, Sami H; Phillips, Paul H; Schaefer, G Bradley

    2014-12-01

    Nevus of Ota is a benign congenital melanocytic lesion found most commonly in people of Asian ancestry. It is associated with an increased risk of glaucoma and uveal melanomas. Most cases are sporadic and unilateral. We present the first reported case of a brother and sister with familial, bilateral nevus of Ota.

  4. Spontaneous bilateral quadriceps tendon rupture.

    Science.gov (United States)

    Vigneswaran, N; Lee, K; Yegappan, M

    2007-11-01

    Spontaneous bilateral quadriceps tendon ruptures are uncommon. We present a 30-year-old man with end-stage renal failure, who sustained this injury, and subsequently had surgical repair of both tendons on separate occasions. He has since regained full range of movement of both knees.

  5. Bilateral breast in brothers - abreast

    Directory of Open Access Journals (Sweden)

    Altamash Mohammed Yusuf Shaikh

    2013-01-01

    Full Text Available Gynecomastia is a common occurrence in pubertal age group, and is physiological in up to 65 percent of cases. When occurs in the family it should be investigated in order not to miss on a treatable etiology. Two brothers within the same family, presenting with bilateral gynecomastia of different causes and requiring different treatment are presented.

  6. Bilateral primary breast lymphoma

    Institute of Scientific and Technical Information of China (English)

    Jung Im Yi; Byung Joo Chae; Ja Seong Bae; Bong Joo Kang; Ahwon Lee; Byung Joo Song; Sang Seol Jung

    2010-01-01

    @@ Primary breast lymphoma (PBL) is rare, accounting for 0.04%-0.50% of breast malignancies and 1.7% of extranodal lymphoma.1,2 The originally described diagnostic criteria for PBL2 remains the standard definition for this disease. These criteria are breast location as the clinical site of presentation, absence of history of previous lymphoma or evidence of widespread disease at diagnosis, close association of lymphoma with breast tissue in pathologic specimens, and involvement of ipsilateral lymph nodes if they develop simultaneously with PBL.

  7. Hypersexuality following bilateral thalamic infarction: case report.

    Science.gov (United States)

    Mutarelli, Eduardo G; Omuro, Antonio M P; Adoni, Tarso

    2006-03-01

    Hypersexuality is a rare but well recognized condition following brain injury. It has been described secondarily to dysfunction in the hypothalamus, the temporal and frontal lobes. We report a 63 year-old man that developed neuropsychological disturbances with hypersexuality as a prominent feature, disinhibition and moderate memory loss, hypersomnia and irritability after a bilateral paramedian thalamic infarction. A SPECT showed frontal hypoperfusion. We believe that these findings are expression of frontal-subcortical circuits dysfunction, particularly the orbitofrontal circuit, secondary to dorso medial thalamic infarction which probably plays a role in the determination of human sexual behavior. This case favors a thalamic modulation of frontal function.

  8. European tendencies and co-operation in the field of ITS systems - national achievements and challenges in Hungary

    Science.gov (United States)

    Lindenbach, Ágnes

    2016-06-01

    The article presents the role of intelligent transport systems/services related to the implementation of the essential European and Hungarian transport policy objectives. The `ITS Directive' will provide a framework for the tasks/works to be performed in the forthcoming years within the priority areas of ITS. The European Commission published regulations / specifications for the priority actions in the form of delegated acts defining the tasks/responsibilities of Member States. Regional/European co-operation for Hungary started after the EU-accession of the country. Hungary was an active partner within the European CONNECT and EasyWay projects, currently Hungary is a member of the CROCODILE consortium.

  9. Use of KPIs to Regulate Co-operation and to Improve Intercompany Benchmarking in the Construction Industry

    DEFF Research Database (Denmark)

    Ditlev Bohnstedt, Kristian

    2013-01-01

    With the aim to investigate whether it can fairly be assumed that the prequalification and selection of co-operators via Key Performance Indicators (KPI) provide increased odds in favour of success, a study on contractors consisting of benchmark results from The Benchmark Centre for the Danish...... Construction Sector and financial statements has been accomplished. Through a comparative analysis based on detected correlations between economy and KPIs, it is explained how these factors are linked. The research showed that the use of KPIs has motivated companies to improve their competitive ability, thus...... with the company's financial stability and customer satisfaction....

  10. LTI system order reduction approach based on asymptotical equivalence and the Co-operation of biology-related algorithms

    Science.gov (United States)

    Ryzhikov, I. S.; Semenkin, E. S.; Akhmedova, Sh A.

    2017-02-01

    A novel order reduction method for linear time invariant systems is described. The method is based on reducing the initial problem to an optimization one, using the proposed model representation, and solving the problem with an efficient optimization algorithm. The proposed method of determining the model allows all the parameters of the model with lower order to be identified and by definition, provides the model with the required steady-state. As a powerful optimization tool, the meta-heuristic Co-Operation of Biology-Related Algorithms was used. Experimental results proved that the proposed approach outperforms other approaches and that the reduced order model achieves a high level of accuracy.

  11. Bilateral pallidotomy for generalized dystonia Palidotomia bilateral para distonias generalizadas

    Directory of Open Access Journals (Sweden)

    Hélio A. G. Teive

    2001-06-01

    Full Text Available OBJECTIVE: To evaluate the efficacy and safety of bilateral pallidotomies in five patients with generalized dystonia. BACKGROUND: Generalized dystonias are frequently a therapeutic challenge, with poor responses to pharmacological treatment. GPi (globus pallidus internus pallidotomies for Parkinson's disease ameliorate all kinds of dyskinesias/dystonia, and recent studies reported a marked improvement of refractory dystonias with this procedure. METHODS: Five patients with generalized dystonias refractory to medical treatment were selected; one posttraumatic and four idiopathic. The decision to perform bilateral procedures was based on the predominant axial involvement in these patients. Dystonia severity was assessed with the Burke-Fahn-Marsden Dystonia Scale (BFM. Simultaneous procedures were performed in all but one patient, who had a staged procedure. They were reevaluated with the same scale (BFM by an unblinded rater at 1, 2, 3, 30, 60, 90, 120 and 180 days post-operatively. RESULTS: The four patients with idiopathic dystonia showed a progressive improvement up to three months; the patient with posttraumatic dystonia relapsed at three months. One patient had a marked improvement, being able to discontinue all the medications. A mean decrease in the BFM scores of 52,58% was noted. One patient had a trans-operative motor seizure followed by a transient hemiparesis secondary to rack hemorrhage; other was lethargic up to three days after the procedure. CONCLUSIONS: Our results show that bilateral GPi pallidotomies may be a safe and effective approach to medically refractory generalized dystonias; it can also be speculated that the posttraumatic subgroup may not benefit with this procedure.As distonias generalizadas são freqüentemente um desafio terapêutico, com pobres respostas aos tratamentos farmacológicos. As cirurgias estereotáxicas, como a palidotomia, têm sido utilizadas com êxito no tratamento da doença de Parkinson e estudos

  12. Bilateral Lhermitte-Duclos disease

    Directory of Open Access Journals (Sweden)

    Bozbuga Mustafa

    2010-01-01

    Full Text Available Lhermitte-Duclos disease (LDD is a pathologic entity with progrediating, diffuse hypertrophy chiefly of the stratum granulosum of the cerebellum. Typically LDD is a unilateral lesion of the cerebellum or in vermis. Here we report a case of LDD with bilateral lesions of cerebellar hemispheres managed surgically. A 28-year-old woman presented with one-year history of progressive headache, nausea, vomiting, and blurred vision. Neurologic examination revealed a bilateral mild papilledema, mild dysmetria, and dysdiadochokinesia. The cerebellar lesions caused moderate mass effect in posterior fossa with hydrocephalus, and Chiari type I malformation. We performed the suboccipital-retrosigmoid approach, and removed completely the left intracerebellar mass. Symptoms related to elevated intracranial pressure disappeared in a short period postoperatively.

  13. Compensation following bilateral vestibular damage

    Directory of Open Access Journals (Sweden)

    Bill J Yates

    2011-12-01

    Full Text Available Bilateral loss of vestibular inputs affects far fewer patients than unilateral inner ear damage, and thus has been understudied. In both animal subjects and human patients, bilateral vestibular hypofunction (BVH produces a variety of clinical problems, including impaired balance control, inability to maintain stable blood pressure during postural changes, difficulty in visual targeting of images, and disturbances in spatial memory and navigational performance. Experiments in animals have shown that nonlabyrinthine inputs to the vestibular nuclei are rapidly amplified following the onset of BVH, which may explain the recovery of postural stability and orthostatic tolerance that occurs within 10 days. However, the loss of the vestibulo-ocular reflex and degraded spatial cognition appear to be permanent in animals with BVH. Current concepts of the compensatory mechanisms in humans with BVH are largely inferential, as there is a lack of data from patients early in the disease process. Translation of animal studies of compensation for BVH into therapeutic strategies and subsequent application in the clinic is the most likely route to improve treatment. In addition to physical therapy, two types of prosthetic devices have been proposed to treat individuals with bilateral loss of vestibular inputs: those that provide tactile stimulation to indicate body position in space, and those that deliver electrical stimuli to branches of the vestibular nerve in accordance with head movements. The relative efficacy of these two treatment paradigms, and whether they can be combined to facilitate recovery, is yet to be ascertained.

  14. CASE STUDIES OF CROSS-BORDER CO-OPERATION IN EUROPEAN TOURISM – PERSPECTIVES AND CHALLENGES FOR THE CROSS-BORDER REGION BUCOVINA/OBLAST TSCHERNIWZI

    OpenAIRE

    HEIKE BÄHRE

    2016-01-01

    The article focuses on success factors and management models in destination management for cross-border co-operation in tourism. The method is based on literature research, case-studies in European cross-border-regions and descriptive.

  15. Information transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients.

    LENUS (Irish Health Repository)

    Kiely, Fiona

    2013-12-01

    In Ireland, weekend and night medical cover for community based patients is largely provided by general practice co-operatives. Doctors working in this service do not have direct access to patients\\' medical records which challenges continuity of care.

  16. Farmers′ Professional Co - operatives of Science and Technology Talent Cultivation Mechanism Analysis---Taking Tianjin Wuqing Area as an Example%农民专业合作社科技人才培养机制探析--以天津市武清区为例

    Institute of Scientific and Technical Information of China (English)

    张颖; 李丽君

    2014-01-01

    The paper analyzes the meaning of the scientific and technological personnel to co - operatives and the status quo of technology talent training in Tianjin Wuqing Area co - operatives on the basis of the experience of the developed countries,and explores technology talent cultivation mechanism for Wuqing Area co - operatives.%在分析科技人才对合作社的意义以及天津市武清区合作社科技人才培养现状的基础上,借鉴发达国家的相关经验,探索针对武清区合作社科技人才的培养机制。

  17. Empirical Analysis of Xinjiang's Bilateral Trade: Gravity Model Approach

    Institute of Scientific and Technical Information of China (English)

    CHEN Xuegang; YANG Zhaoping; LIU Xuling

    2008-01-01

    Based on the basic trade gravity model and Xinjiang's practical situation, new explanatory variables (GDP,GDPpc and SCO) are introduced to build an extended trade gravity model fitting for Xinjiang's bilateral trade. Fromthe empirical analysis of this model, it is proposed that those three variables affect the Xinjiang's bilateral trade posi-tively. Whereas, geographic distance is found to be a significant factor influencing Xinjiang's bilateral trade negatively.Then, by the extended trade gravity model, this article analyzes the present trade situation between Xinjiang and itsmain trade partners quantitatively in 2004. The results indicate that Xinjiang cooperates with its most trade partnerssuccessfully in terms of present economic scale and developing revel. Xinjiang has established successfully trade part-nership with Central Asia, Central Europe and Eastern Europe, Western Europe, East Asia and South Asia. However,the foreign trade development with West Asia is much slower. Finally, some suggestions on developing Xinjiang's for-eign trade are put forward.

  18. An analysis of educators' views on their effectiveness to use group work as a co-operative learning strategy / Mary M. Seshabela

    OpenAIRE

    Seshabela, Mary M

    2004-01-01

    The study was undertaken to analyse educator's views on their effectiveness in using group work as a co-operative learning strategy. Specifically the study aims to: To determine through literature the nature of group work as a co-operative learning strategy. To find out views of educators in their effectiveness of using group work as a teaching strategy. The investigation involved 208 educators from middle and secondary schools in Themba District. Close and open ended que...

  19. 1 November 2012 - Signature of the Co-operation Agreement between the Administrative Department of Science, Technology and Innovation (COLCIENCIAS) of Colombia and the European Organization for Nuclear Research (CERN) concerning Scientific and Technical Co-operation in High-Energy Physics and related technologies by CERN Director-General R. Heuer, witnessed by Ambassador of Colombia to Switzerland C. Turbay Quintero.

    CERN Multimedia

    Maximilien Brice

    2012-01-01

    1 November 2012 - Signature of the Co-operation Agreement between the Administrative Department of Science, Technology and Innovation (COLCIENCIAS) of Colombia and the European Organization for Nuclear Research (CERN) concerning Scientific and Technical Co-operation in High-Energy Physics and related technologies by CERN Director-General R. Heuer, witnessed by Ambassador of Colombia to Switzerland C. Turbay Quintero.

  20. 3 July 2007 - Ambassador A. Navarro Llanos, Permanent Representative of the Republic of Bolivia to the United Nations Office and other international organisations in Geneva signing a Co-operation Agreement concerning Scientific and Technical Co-operation in High-Energy Physics with CERN Director General R. Aymar.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    3 July 2007 - Ambassador A. Navarro Llanos, Permanent Representative of the Republic of Bolivia to the United Nations Office and other international organisations in Geneva signing a Co-operation Agreement concerning Scientific and Technical Co-operation in High-Energy Physics with CERN Director General R. Aymar.

  1. A new co-operative inversion strategy via fuzzy clustering technique applied to seismic and magnetotelluric data

    Science.gov (United States)

    Thong Kieu, Duy; Kepic, Anton

    2015-04-01

    Geophysical inversion produces very useful images of earth parameters; however, inversion results usually suffer from inherent non-uniqueness: many subsurface models with different structures and parameters can explain the measurements. To reduce the ambiguity, extra information about the earth's structure and physical properties is needed. This prior information can be extracted from geological principles, prior petrophysical information from well logs, and complementary information from other geophysical methods. Any technique used to constrain inversion should be able to integrate the prior information and to guide updating inversion process in terms of the geological model. In this research, we have adopted fuzzy c-means (FCM) clustering technique for this purpose. FCM is a clustering method that allows us to divide the model of physical parameters into a few clusters of representative values that also may relate to geological units based on the similarity of the geophysical properties. This exploits the fact that in many geological environments the earth is comprised of a few distinctive rock units with different physical properties. Therefore FCM can provide a platform to constrain geophysical inversion, and should tend to produce models that are geologically meaningful. FCM was incorporated in both separate and co-operative inversion processing of seismic and magnetotelluric (MT) data with petrophysical constraints. Using petrophysical information through FCM assists the inversion to build a reliable earth model. In this algorithm, FCM plays a role of guider; it uses the prior information to drive the model update process, and also forming an earth model filled with rocks units rather than smooth transitions when the boundary is in doubt. Where petrophysical information from well logs or core measurement is not locally available the cluster petrophysics may be solved for in inversion as well if some knowledge of how many distinctive geological exist. A

  2. Substantial generalization of sensorimotor learning from bilateral to unilateral movement conditions.

    Directory of Open Access Journals (Sweden)

    Jinsung Wang

    Full Text Available Controversy exists regarding whether bimanual skill learning can generalize to unimanual performance. For example, some investigators showed that dynamic adaptation could only partially generalize between bilateral and unilateral movement conditions, while others demonstrated complete generalization of visuomotor adaptation. Here, we identified three potential factors that might have contributed to the discrepancy between the two sets of findings. In our first experiment, subjects performed reaching movements toward eight targets bilaterally with a novel force field applied to both arms, then unilaterally with the force field applied to one arm. Results showed that the dynamic adaptation generalized completely from bilateral to unilateral movements. In our second experiment, the same force field was only applied to one arm during both bilateral and unilateral movements. Results indicated complete transfer again. Finally, our subjects performed reaching movements toward a single target with the force field or a novel visuomotor rotation applied only to one arm during both bilateral and unilateral movements. The reduced breadth of experience obtained during bilateral movements resulted in incomplete transfer, which explains previous findings of limited generalization. These findings collectively suggest a substantial overlap between the neural processes underlying bilateral and unilateral movements, supporting the idea that bilateral training, often employed in stroke rehabilitation, is a valid method for improving unilateral performance. However, our findings also suggest that while the neural representations developed during bilateral training can generalize to facilitate unilateral performance, the extent of generalization may depend on the breadth of experience obtained during bilateral training.

  3. “Not Just an Apartment Building”: Residents’ Quality of Life in a Social Housing Co-operative

    Directory of Open Access Journals (Sweden)

    Angela Eileen Wisniewski

    2010-01-01

    Full Text Available The objective of this study was to examine the impact that two social housing complexes have had on their residents' quality of life. These two complexes, known as Tannery Court Co-operative Ltd., target a specific segment of the affordable housing market: non-elderly singles. A mixed-methods approach was used to assess the quality of life of residents. The data collection strategy used semi-structured interviews conducted with the help of a questionnaire. A total of 43 interviews were completed at the two building sites. Analysis of interview and questionnaire data identified six areas of improvement in residents' quality of life. These are life in general (an overarching dimension, housing (the focus of the Tannery Court intervention, neighbourhood (including safety and appearance, food, self-confidence (an enabling dimension for future development of projects and goals among the residents, and financial situation (a key dimension because of its multiple impacts on other aspects of life. / L'objectif de cette recherche était d'évaluer l'impact des deux complexes de logements coopératifs Tannery Court sur la qualité de vie des résidants. Ces complexes ciblent un segment particulier du marché du logement social, les célibataires d'âge actif et vivant en deçà du seuil de la pauvreté. Cette étude utilise une méthodologie mixte pour évaluer la situation et la qualité de vie des résidants. La stratégie de cueillette de données s'appuie sur des entrevues semi-dirigées effectuées à l'aide d'un questionnaire. Au total, nous avons complété 43 entrevues. Six aspects de la qualité de vie se sont améliorés de façon significative. Il s'agit de la vie en général (une dimension globale, le logement (l'objectif premier visé par l'équipe de Tannery Court, le quartier de résidence (dimensions importantes de la localisation d'un complexe comme la sécurité et l'apparence la confiance en soi (une dimension clé pour le d

  4. Predictors of Cardiogenic and Non-Cardiogenic Causes in Cases with Bilateral Chest Infiltrates

    OpenAIRE

    Lee, Yeon Joo; Lee,Jinwoo; Park, Young Sik; Lee, Sang-min; Yim, Jae-Joon; Yoo, Chul-Gyu; Kim, Young Whan; Han, Sung Koo; Lee, Chang-Hoon

    2013-01-01

    Background Differentiating cardiogenic pulmonary edema from other bilateral lung diseases such as pneumonia is frequently difficult. We conducted a retrospective study to identify predictors for cardiogenic pulmonary edema and non-cardiogenic causes of bilateral lung infiltrates in chest radiographs. Methods The study included patients who had newly developed bilateral lung infiltrates in chest radiographs and patients who underwent echocardiography. Cases were divided into two groups based o...

  5. "Asking Pompeii Questions": A Co-Operative Approach to Writing in the Disciplines

    Science.gov (United States)

    Somerville, Elizabeth M.; Creme, Phyllis

    2005-01-01

    This article is an account of a cooperative project to develop student writing within an interdisciplinary human sciences degree, in line with the 'Writing in the Disciplines' approach adopted in the USA that aims to develop student writing within mainstream teaching. The course tutor worked with a writing tutor to introduce a 'writing strand'…

  6. North-South FDI and Bilateral Investment Treaties

    NARCIS (Netherlands)

    Falvey, R.; Foster-McGregor, N.

    2015-01-01

    Bilateral Investment Treaties (BITs) have become increasingly popular as a means of encouraging FDI from developed to developing countries. We adopt a matched difference-in-difference estimation to deal with the problem of endogeneity when estimating the effects of BITs on inward FDI. Our results in

  7. Surgical management of bilateral bronchiectases: results in 29 patients.

    Science.gov (United States)

    Aghajanzadeh, Manucher; Sarshad, Ali; Amani, Hosin; Alavy, Ali

    2006-06-01

    Bronchiectasis is a major cause of morbidity and mortality in developing countries. Staged bilateral segmental resection of the lungs is performed in selected patients. Our experience of surgical removal of 87 bilateral bronchiectases in 29 patients during an 11-year period was reviewed retrospectively. High-resolution computed tomography was performed preoperatively in all patients to locate the anatomic sites of bronchiectasis. The mortality and morbidity of the surgical procedure, clinical symptoms, age distribution, etiology, bacteriology, and operative procedures were analyzed. There were 22 males (76%) and 7 females (24%), aged 5 to 60 years, with a mean age of 30 years. Complications developed in 11 patients (38%); atelectasia was the most common (14%). There was one hospital death. Clinical symptoms disappeared in 19 (66%) patients, improved in 5 (17%), and were unchanged in 4 (14%). Staged bilateral resection for bronchiectases can be performed at any age with acceptable morbidity and mortality.

  8. Amelogenesis imperfecta with bilateral nephrocalcinosis.

    Science.gov (United States)

    Poornima, P; Katkade, Shashikant; Mohamed, Roshan Noor; Mallikarjuna, Rachappa

    2013-05-24

    A 12-year-old patient presented with a severe delay of eruption in permanent maxillary and mandibular incisors. On examination, there was over-retained primary teeth and delayed eruption of permanent teeth. Retained primary teeth showed light yellow discolouration whereas permanent teeth were distinct yellow with thin or little enamel. Subsequent imaging revealed all the premolars except maxillary left first premolar showed signs of intra-alveolar coronal resorption, nephrocalcinosis with bilateral multiple calculi and small papillary tip calcifications, marked increase in alkaline phosphatase. Subsequent dental treatment for restoring the functional and aesthetic requirement followed by appropriate treatment for renal problem was undertaken.

  9. Influence of unilateral weight on bilateral cyclograms

    Science.gov (United States)

    Pellicer Costa, Juan José; Dusza, Jacek J.

    2014-11-01

    The paper presents the results of gait parameters as a function of unilateral weight. The object of the research was a woman walking on a stationary surface and carrying in his hand weights from 0 to 15 kg. Her movement was recorded by 6 cameras recording the location of 34 markers placed at appropriate points in the body. 3D reconstruction was performed for each of the reflecting markers. Tested signals were changes in the value the joint angles of ankle, knee and hip. On the basis of about 6 cycles of movement of each load, a model for the average gait cycle was developed. The result of the experiments are graphs of changes the joint angles as a function of time, bilateral cyclograms, synchronized bilateral cyclograms and regression lines. The conclusion of the study is to determine how one-sided load affects gait asymmetry. Simple and easy to interpret method of presentation of results were also shown. Studies were conducted using VICON system.

  10. Clinical Subgroups in Bilateral Meniere Disease

    Science.gov (United States)

    Frejo, Lidia; Soto-Varela, Andres; Santos-Perez, Sofía; Aran, Ismael; Batuecas-Caletrio, Angel; Perez-Guillen, Vanesa; Perez-Garrigues, Herminio; Fraile, Jesus; Martin-Sanz, Eduardo; Tapia, Maria C.; Trinidad, Gabriel; García-Arumi, Ana María; González-Aguado, Rocío; Espinosa-Sanchez, Juan M.; Marques, Pedro; Perez, Paz; Benitez, Jesus; Lopez-Escamez, Jose A.

    2016-01-01

    Meniere disease (MD) is a heterogeneous clinical condition characterized by sensorineural hearing loss, episodic vestibular symptoms, and tinnitus associated with several comorbidities, such as migraine or autoimmune disorders (AD). The frequency of bilateral involvement may range from 5 to 50%, and it depends on the duration of the disease. We have performed a two-step cluster analysis in 398 patients with bilateral MD (BMD) to identify the best predictors to define clinical subgroups with a potential different etiology to improve the phenotyping of BMD and to develop new treatments. We have defined five clinical variants in BMD. Group 1 is the most frequently found, includes 46% of patients, and is defined by metachronic hearing loss without migraine and without AD. Group 2 is found in 17% of patients, and it is defined by synchronic hearing loss without migraine or AD. Group 3, with 13% of patients, is characterized by familial MD, while group 4, that includes 12% of patients, is associated by the presence of migraine in all cases. Group 5 is found in 11% of patients and is defined by AD. This approach can be helpful in selecting patients for genetic and clinical research. However, further studies will be required to improve the phenotyping in these clinical variants for a better understanding of the diverse etiological factors contributing to BMD. PMID:27822199

  11. Post Traumatic Delayed Bilateral Facial Nerve Palsy (FNP): Diagnostic Dilemma of Expressionless Face.

    Science.gov (United States)

    Kumar, Rakesh; Mittal, Radhey Shyam

    2015-04-01

    Bilateral facial nerve palsy [FNP] is a rare condition. Mostly it is idiopathic. Post traumatic bilateral FNP is even more rare and having unique neurosurgical considerations. Post traumatic delayed presentation of bilateral FNP is socially debilitating and also having diagnostic challenge. Due to lack of facial asymmetry as present in unilateral facial paralysis, it is difficult to recognize. We are presenting a case of delayed onset bilateral FNP who developed FNP after 12 days of head injury with a brief discussion of its diagnostic dilemma and management along with literature review.

  12. Regional Co-operation for Literacy in Asia and the Pacific.

    Science.gov (United States)

    Sasaoka, Taichi

    1990-01-01

    Discusses the Asian Cultural Centre for UNESCO's copublication program producing follow-up reading materials for expanding literacy. Includes lists of materials produces, information of the development of materials, and personnel training. Describes how the regional literacy programs workshops, and activities ar managed. Suggests that regional…

  13. Mobility 2.0: co-operative ITS systems for enhanced personal electromobility

    NARCIS (Netherlands)

    Solar, Alma; Bolovinou, Anastasia; Heijenk, Geert; Lasgouttes, Jean-Marc; Giménez, Rafael

    2013-01-01

    Mobility2.0 is an ITS project aiming at developing and testing an in-vehicle commuting assistant for FEV mobility, resulting in more reliable and energy-efficient electro-mobility. In order to achieve a maximum impact, Mobility2.0 takes an integrated approach of addressing the main bottlenecks of ur

  14. Mobility2.0: co-operative ITS systems for enhanced electric vehicle mobility

    NARCIS (Netherlands)

    Heijenk, G.; Dimitrova, D.C.; Brogle, M.; Braun, T.; Heijenk, G.J.

    2013-01-01

    Mobility2.0 will develop and test an in-vehicle commuting assistant for FEV mobility, resulting in more reliable and energy-efficient electro-mobility. In order to achieve a maximum impact, Mobility2.0 takes an integrated approach of ad- dressing the main bottlenecks of urban FEV mobility: range anx

  15. Co-operation between School and Family in the German Democratic Republic.

    Science.gov (United States)

    Senf, Hans

    1980-01-01

    Describes the major objective of schools and families in East Germany as the education of universally and harmoniously developed socialist personalities. Ways in which families and schools work together to achieve this objective include investigation by teachers of the social and educational situation of pupils' families and detailed reports by…

  16. Directional bilateral filters for smoothing fluorescence microscopy images

    Directory of Open Access Journals (Sweden)

    Manasij Venkatesh

    2015-08-01

    Full Text Available Images obtained through fluorescence microscopy at low numerical aperture (NA are noisy and have poor resolution. Images of specimens such as F-actin filaments obtained using confocal or widefield fluorescence microscopes contain directional information and it is important that an image smoothing or filtering technique preserve the directionality. F-actin filaments are widely studied in pathology because the abnormalities in actin dynamics play a key role in diagnosis of cancer, cardiac diseases, vascular diseases, myofibrillar myopathies, neurological disorders, etc. We develop the directional bilateral filter as a means of filtering out the noise in the image without significantly altering the directionality of the F-actin filaments. The bilateral filter is anisotropic to start with, but we add an additional degree of anisotropy by employing an oriented domain kernel for smoothing. The orientation is locally adapted using a structure tensor and the parameters of the bilateral filter are optimized for within the framework of statistical risk minimization. We show that the directional bilateral filter has better denoising performance than the traditional Gaussian bilateral filter and other denoising techniques such as SURE-LET, non-local means, and guided image filtering at various noise levels in terms of peak signal-to-noise ratio (PSNR. We also show quantitative improvements in low NA images of F-actin filaments.

  17. Microprocessor, Setx, Xrn2, and Rrp6 co-operate to induce premature termination of transcription by RNAPII.

    Science.gov (United States)

    Wagschal, Alexandre; Rousset, Emilie; Basavarajaiah, Poornima; Contreras, Xavier; Harwig, Alex; Laurent-Chabalier, Sabine; Nakamura, Mirai; Chen, Xin; Zhang, Ke; Meziane, Oussama; Boyer, Frédéric; Parrinello, Hugues; Berkhout, Ben; Terzian, Christophe; Benkirane, Monsef; Kiernan, Rosemary

    2012-09-14

    Transcription elongation is increasingly recognized as an important mechanism of gene regulation. Here, we show that microprocessor controls gene expression in an RNAi-independent manner. Microprocessor orchestrates the recruitment of termination factors Setx and Xrn2, and the 3'-5' exoribonuclease, Rrp6, to initiate RNAPII pausing and premature termination at the HIV-1 promoter through cleavage of the stem-loop RNA, TAR. Rrp6 further processes the cleavage product, which generates a small RNA that is required to mediate potent transcriptional repression and chromatin remodeling at the HIV-1 promoter. Using chromatin immunoprecipitation coupled to high-throughput sequencing (ChIP-seq), we identified cellular gene targets whose transcription is modulated by microprocessor. Our study reveals RNAPII pausing and premature termination mediated by the co-operative activity of ribonucleases, Drosha/Dgcr8, Xrn2, and Rrp6, as a regulatory mechanism of RNAPII-dependent transcription elongation.

  18. Investigation of the Possibilities for Interdisciplinary Co-operation by the Use of Knowledge-based System

    Directory of Open Access Journals (Sweden)

    Ágnes Szeghegyi

    2007-08-01

    Full Text Available Each problem always originates from constraints. The decision is a response tothe challenges by the environment. In order to chose appropriate decision supporttechniques the structural complexity of the problem has to be determined. The aim of theapplication of knowledge based systems is to obtain decision support. In this paper theapplication of the system ‘Doctus’ is illustrated and exemplified in connection withprocessing the problem of the potential co-operation between the industrial companies andinstitutes of higher education. The analysis was carried out by the application of inductiveand deductive inference procedures taking into account the requirements of the companiesand the abilities and skills of the higher educational institutions. The assessment of theresults obtained may generate further dilemmas for the solution of which appropriateknowledge bases can be brought about or the already existing ones have to be refined.

  19. Co-operatives and competition in local coffee markets: The case of Chiapas, Mexico

    OpenAIRE

    2010-01-01

    Every year more than 6 million tons of coffee is produced in different parts of the world, mainly in developing countries in Africa, Asia and Latin America. Because there is little scope for economies of scale in coffee production, most of the producers are smallholders (Oxfam 2001). Coffee is a typical tropical cash crop, about three quarters of it is exported, mostly to industrialized countries (ICO 2009). Due to inelastic supply and demand, the international coffee prices ar...

  20. Marfan Syndrome Presenting with Bilateral Retinal Detachment

    Directory of Open Access Journals (Sweden)

    Subrata Chakrabarti

    2014-02-01

    Full Text Available Marfan syndrome is an autosomal dominant systemic disorder of the connective tissue. Marfan syndrome affects most organs and tissues, especially the skeleton, lungs, eyes, heart, and the large blood vessels. Eye involvement may be in the form of retinal detachment which is a potentially dangerous manifestation for its sight threatening nature .We report a case where a 17 year old male developed sudden blindness due to spontaneous bilateral retinal detachment. Examination revealed features of Marfan syndrome and was stamped as a case of Marfan syndrome by Ghent criteria . The point to stress upon is that a young male developing spontaneous retinal detachment, a diagnosis of underlying Marfan syndrome should be kept in mind if appropriate clinical stigmata are present. [Natl J Med Res 2014; 4(1.000: 104-105

  1. Bilateral zosteriform extragenital lichen sclerosus.

    Science.gov (United States)

    Kumar, Piyush; Jha, Abhijeet Kumar; Mallik, Sambeet Kumar; Raihan, Mohammed

    2014-01-01

    A 35-year-old man presented with asymptomatic eruption on both forearms and lower aspects of the legs for 6 months. The lesions first appeared on his inner aspects of the wrist, the dorsal surface of the hands, and legs and progressed to involve proximal aspects of the extremities. There was no significant past history. On examination, multiple pearly white papules and depigmented atrophic plaques were found bilaterally on the flexors of the arms and the extensors of the legs. The lesions were arranged in a linear manner, following the lines of Blaschko (Figures 1 and 2). The surface of the atrophic plaques was notable for prominent telangiectasia, giving an erythematous appearance. The genitalia, oral cavity, palms, and soles were spared. Systemic examination was noncontributory. Lichen striatus and extragenital lichen sclerosus (ELS) were considered the differential diagnosis. Clinically, the age of the patient, the absence of scaling, and the presence of atrophic plaques and telangiectasia were in favor of ELS. A punch biopsy from an atrophic plaque was performed, and it revealed hyperkeratosis, atrophic epidermis, basal layer vacuolar degeneration, mild lymphocytic infiltration in the dermis, edema, and homogenization of collagen of the upper portion of the dermis (Figures 3 and Figure 4). Histopathologic findings were consistent with lichen sclerosus. A diagnosis of bilateral zosteriform ELS was made.

  2. A Rare Devastating Complication of Lasik: Bilateral Fungal Keratitis

    Directory of Open Access Journals (Sweden)

    H. Taylan Sekeroglu

    2010-01-01

    Full Text Available Purpose. To report an unusual case of severe bilateral fungal keratitis following laser in situ keratomileusis (LASIK. Method. A 48-year-old man developed bilateral diffuse corneal infiltration two weeks after LASIK. The corneal scrapings revealed fungal filaments but cultures were negative. Results. The corneal ulceration was improved on the left eye whereas spontaneous perforation occurred and finally evisceration was needed on the right eye despite topical and systemic antifungal treatment. Conclusions. Fungal keratitis, especially with bilateral involvement, is a very rare and serious complication of LASIK surgery. Clinical suspicion is crucial because most of fungal keratitis are misdiagnosed as bacterial keratitis and can lead serious visual results, even eye loss.

  3. Permanent bilateral cortical blindness due to reversible posterior leukoencephalopathy syndrome.

    Science.gov (United States)

    Iwama, Mayumi; Takahashi, Hiroshi; Takagi, Ryo; Hiraoka, Miki

    2011-01-01

    Reversible posterior leukoencephalopathy syndrome (RPLS) is induced by acute cerebral edema. Its symptoms include seizures, headache, altered mental status, and visual disturbances. The clinical and radiological findings are usually transient. This report describes a case of RPLS resulting in bilateral total blindness. A 40-year-old man presented with lethargy and bilateral visual loss. He had a 20-year history of hypertension, but had never been treated. On presentation, the left eye was able to perceive light, but the right eye was not. Radiological examination showed diffuse edema in the brain, and ocular fundus examination revealed severe bilateral hypertensive retinopathy. Antihypertensive therapy improved the patient's general condition, including blood pressure. Radiological findings 5 months later showed resolution of most of the abnormal signal areas. However, total blindness had developed in both eyes by day 15, and two courses of pulsed corticosteroid therapy failed to restore the visual loss.

  4. Recurrent Bilateral Occipital Infarct with Cortical Blindness and Anton Syndrome

    Directory of Open Access Journals (Sweden)

    Kiu Kwong Yew

    2014-01-01

    Full Text Available Bilateral cortical blindness and Anton syndrome, are most commonly caused by ischaemic stroke. In this condition, patients have loss of vision but deny their blindness despite objective evidence of visual loss. We report a case of a patient with multiple cardiovascular risk factors who developed recurrent bilateral occipital lobe infarct with Anton syndrome. A suspicion of this condition should be raised when the patient has denial of blindness in the presence of clinical and radiological evidence of occipital lobe injury. Management of this condition should focus on the underlying cause, in which our patient requires secondary stroke prevention and rehabilitation.

  5. Recurrent bilateral occipital infarct with cortical blindness and anton syndrome.

    Science.gov (United States)

    Kwong Yew, Kiu; Abdul Halim, Sanihah; Liza-Sharmini, Ahmad Tajudin; Tharakan, John

    2014-01-01

    Bilateral cortical blindness and Anton syndrome, are most commonly caused by ischaemic stroke. In this condition, patients have loss of vision but deny their blindness despite objective evidence of visual loss. We report a case of a patient with multiple cardiovascular risk factors who developed recurrent bilateral occipital lobe infarct with Anton syndrome. A suspicion of this condition should be raised when the patient has denial of blindness in the presence of clinical and radiological evidence of occipital lobe injury. Management of this condition should focus on the underlying cause, in which our patient requires secondary stroke prevention and rehabilitation.

  6. Integration Strategies and Barriers to Co-Operation in Cross-Border Regions

    DEFF Research Database (Denmark)

    Hansen, Povl Adler; Serin, Göran Folke

    2007-01-01

    and business on the global level. In this respect, the article points out the importance of market forces and their influence on institutional change. Recent economic crises have put growth center stage at both the national and regional level, and have called for regional development programs on both...... the Swedish and Danish sides of the Sound. The strengths and weaknesses of the Øresund Region’s ‘traditional’ and new institutions as instruments for change are examined. The article identifies and discusses the structures, institutions, and players which are the driving forces in the field between markets...

  7. New Curious Bilateral q-Series Identities

    Directory of Open Access Journals (Sweden)

    Frédéric Jouhet

    2012-10-01

    Full Text Available By applying a classical method, already employed by Cauchy, to a terminating curious summation by one of the authors, a new curious bilateral q-series identity is derived. We also apply the same method to a quadratic summation by Gessel and Stanton, and to a cubic summation by Gasper, respectively, to derive a bilateral quadratic and a bilateral cubic summation formula.

  8. From an inflicted dependency to a positive co-operation in the domain of energy

    Energy Technology Data Exchange (ETDEWEB)

    Host, Jean-Paul; Darras, Marc [Gaz de France (France)

    2007-07-01

    The 20th World Energy Congress entitled, ''Energy Future in an Interdependent World'', is aimed at highlighting the main challenges and opportunities that the energy industry should face to contribute to sustainable development across the world. For we are very much in the face of a challenge: with the demand for energy likely to increase, the energy industry will have to get by with limited resources: as concerns energy, the gradual rarefaction of fossil fuels resources, combined with the lack of any convincing substitution options in the medium term; as concerns natural resources, or more accurately, the harm that the natural environment can bear sustainably; and as concerns capital, insofar as the huge investments needed in the field of energy will be competing with other types of investments that may appear more profitable or safer. Given this situation, two types of political and economic response can be envisioned. The first is to simply let the market run its course and relations between States play out as they normally would. This would, admittedly, make it possible to solve some of the issues raised but no one can guarantee that this will not heighten political tension and lead to dangerous dawdling with regard to the climate issue. Another option is to mobilise the international community so that the interdependency leads to some sort of positive cooperation. This would require that, building on the reflections carried out virtually everywhere, international consensus would emerge and make it possible to create and champion a shared vision, leading to the institution of an enabling environment for action for states and operators altogether. Above and beyond the trade relationship that binds the latter, they have an important part to play insofar as they can significantly contribute to sustainable development across the world through the investments they make abroad and the results of their 'research' when shared through

  9. [Our experience with bilateral cochlear implantation].

    Science.gov (United States)

    Carmel, Eldar; Taitelbaum-Swead, Ricky; Migirov, Lela; Hildesheimer, Minka; Kronenberg, Jona

    2008-03-01

    Cochlear implantation is a standard method of hearing rehabilitation among patients with severe to profound bilateral sensorineural hearing loss. In recent years there have been an increasing number of studies showing superior hearing with bilateral cochlear implantation in comparison with a unilateral procedure. In this study we present our experience with 15 patients, children and adults, who had bilateral cochlear implant surgery. Speech perception test results demonstrated a hearing benefit in bilateral cochlear implantation in comparison with a unilateral device, mainly by improvement in the identification of speech in noise tests.

  10. Fairness-Aware Energy-Efficient Resource Allocation for AF Co-Operative OFDMA Networks

    KAUST Repository

    Bedeer, Ebrahim

    2015-09-23

    In this paper, we adopt an energy-efficiency (EE) metric, named worst-EE, that is suitable for EE fairness optimization in the uplink transmission of amplify-and-forward (AF) cooperative orthogonal frequency division multiple access (OFDMA) networks. More specifically, we assign subcarriers and allocate powers for mobile and relay stations in order to maximize the worst-EE, i.e., to maximize the EE of the mobile station (MS) with the lowest EE value, subject to MSs transmit power, relay station (RS) transmit power, and MSs quality-of-service (QoS) constraints. The formulated primal max-min optimization problem is nonconvex fractional mixed integer nonlinear program, i.e., NP-hard to solve. We provide a novel optimization framework that studies the structure of the primal problem and prove that the dual min-max optimization problem attains the same optimal solution of the primal problem. Additionally, we propose a modified Dinkelbach algorithm, named dual Dinkelbach, to achieve the optimal solution of the dual problem in a polynomial time complexity. We further exploit the structure of the obtained optimal solution and develop a low complexity suboptimal heuristic. Numerical results show the effectiveness of the proposed algorithm to improve the network performance in terms of fairness between MSs, worst-EE, and average network transmission rate when compared to traditional schemes that maximize the EE of the whole network. Presented results also show that the suboptimal heuristic balances the achieved performance and the computational complexity.

  11. Employing Multiple Unmanned Aerial Vehicles for Co-Operative Path Planning

    Directory of Open Access Journals (Sweden)

    Durdana Habib

    2013-05-01

    Full Text Available In this paper, we work to develop a path planning solution for a group of Unmanned Aerial Vehicles (UAVs using a Mixed Integer Linear Programming (MILP approach. Co‐operation among team members not only helps reduce mission time, it makes the execution more robust in dynamic environments. However, the problem becomes more challenging as it requires optimal resource allocation and is NP‐hard. Since UAVs may be lost or may suffer significant damage during the course of the mission, plans may need to be modified in real‐time as the mission proceeds. Therefore, multiple UAVs have a better chance of completing a mission in the face of failures. Such military operations can be treated as a variant of the Multiple Depot Vehicle Routing Problem (MDVRP. The proposed solution must be such that m UAVs start from multiple source locations to visit n targets and return to a set of destination locations such that (1 each target is visited exactly by one of the chosen UAVs (2 the total distance travelled by the group is minimized and (3 the number of targets that each UAV visits may not be less than K or greater than L.

  12. Opportunities and Threats of Ukrainian Membership in WTO for Engineering under Conditions of Co-operation with EU Countries and Customs Union of Belarus, Kazakhstan and Russia

    Directory of Open Access Journals (Sweden)

    Kyzym Mykola O.

    2014-02-01

    Full Text Available The article considers consequences of the membership of Ukraine in the World Trade Organisation (WTO for the engineering industry when co-operating with the EU and CU (Customs Union of Belarus, Kazakhstan and Russia countries. It shows that, after Ukraine joined WTO, tariff rates for Ukrainian products reduced in general and liberalisation of access to the world market took place. Along with it, the internal market of Ukraine became more open for imported products. The article analyses the structure of export from Ukraine after joining WTO in the context of individual types of products. The article identifies changes that took place in the market of engineering products after Ukraine joined WTO. The article shows that by main indicators of economic security the engineering industry of Ukraine cannot be considered as stable and also that, after joining WTO, main indicators of economic security of the engineering industry of Ukraine have not improved. It analyses the structure of export and import of Ukrainian engineering products to EU, CU and other countries. It proves that the most topical for the Ukrainian engineering industry is the issue of realisation of the import-replacement potential and increase of competitiveness of domestic products. It considers the state and changes, which took place after Ukraine joined WTO, in car building. It identifies main problems of domestic car building. It analyses measures of the state programme of Ukraine on economic development.

  13. Baltic 21 - an exiting and concrete co-operation for sustainable development / Anna Carin Thomer, Sven Sjögren

    Index Scriptorium Estoniae

    Thomer, Anna Carin

    2002-01-01

    Läänemere Agenda 21 koostööga on seotud 11 riiki, 30 aasta perspektiivis pürgitakse säästva arengu poole, hõlmates kaheksat valdkonda: põllumajandust, energeetikat, kalandust, metsandust, tööstust, turismi, transporti ja haridust

  14. Improving Employment and Manpower Information in Developing Countries. Results and Lessons of an ILO Technical Co-operation Programme.

    Science.gov (United States)

    Richter, Lothar

    1989-01-01

    Discusses an International Labour Organization program based on scenario-building, regular reporting on labor markets, indicators of imbalances in labor supply and demand, and extension of manpower assessment and planning to the informal sector. Looks at progress, areas calling for action, and outstanding tasks. (JOW)

  15. A Rare Entity: Bilateral First Rib Fractures Accompanying Bilateral Scapular Fractures

    Directory of Open Access Journals (Sweden)

    Gultekin Gulbahar

    2015-01-01

    Full Text Available First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first rib fractures accompanying bilateral scapular fractures are very rare, although they may be together with scapular and clavicular fractures. According to our knowledge, no case of bilateral first rib fractures accompanying bilateral scapular fractures has been reported, so we herein discussed the diagnosis, treatment, and complications of bone fractures due to thoracic trauma in bias of this rare entity.

  16. Bilateral metachronous breast cancer with bilateral recurrences: A case report and literature review

    Energy Technology Data Exchange (ETDEWEB)

    Park, So Hyun; Sohn, Yu Mee [Dept. of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul (Korea, Republic of); Kim, Eun Kyung [Dept. of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2014-05-15

    The incidence of bilateral breast cancer has been reported to range from 0.4% to 14%, and it increases gradually as a result of improved early detection capabilities and longer survival times. We report a rare case where the bilateral breast cancers occurred as a metachronous bilateral breast cancer with bilateral recurrences, detected by mammography, and the rapid growth of tumor that manifested as microcalcification and skin thickening within 3 months.

  17. Bilateral microvascular second toe transfer for bilateral post-traumatic thumb amputation

    OpenAIRE

    Rajendra Nehete; Anita Nehete; Sandeep Singla; Harshad Adhav

    2012-01-01

    In bilateral thumb amputations, the functional impairment is serious and every attempt should be made to reconstruct the thumb. We report a case of bilateral post traumatic thumb amputation, reconstructed with bilateral second toe transfer. Only two such cases have been reported in literature so far. Though there are various modalities for the reconstruction of thumb, microvascular toe transfer has its own merits. The convalescent period is minimal with excellent function. It is bilaterally s...

  18. Computed tomography findings in bilateral perinephric lymphangiomatosis

    Directory of Open Access Journals (Sweden)

    Hakeem Aijaz

    2010-01-01

    Full Text Available Perinephric lymphangioma is rare disorder that may be confused with various forms of renal cystic diseases and urinomas. In this disorder a developmental malformation results in failure of developing lymphatic tissue to establish normal communication with the rest of lymphatic system. Once there is restricted drainage of lymphatic fluid the lymphatic channels dilate to form cystic masses that may be unilocular or multilocular and may be seen unilaterally or bilaterally .This condition presents with various signs and symptoms or can be just an incidental finding which in presence of misleading clinical history may be confused with other diseases. CT scan with delayed cuts and USG guided aspiration with biochemical analysis of fluid will help us in arriving to final diagnosis.

  19. Computed tomography findings in bilateral perinephric lymphangiomatosis.

    Science.gov (United States)

    Hakeem, Aijaz; Gojwari, Tariq A; Reyaz, Sheikh; Rasool, Shubana; Shafi, Hakim; Mufti, Shahida

    2010-01-01

    Perinephric lymphangioma is rare disorder that may be confused with various forms of renal cystic diseases and urinomas. In this disorder a developmental malformation results in failure of developing lymphatic tissue to establish normal communication with the rest of lymphatic system. Once there is restricted drainage of lymphatic fluid the lymphatic channels dilate to form cystic masses that may be unilocular or multilocular and may be seen unilaterally or bilaterally .This condition presents with various signs and symptoms or can be just an incidental finding which in presence of misleading clinical history may be confused with other diseases. CT scan with delayed cuts and USG guided aspiration with biochemical analysis of fluid will help us in arriving to final diagnosis.

  20. Bilaterally Weighted Patches for Disparity Map Computation

    Directory of Open Access Journals (Sweden)

    Laura Fernández Julià

    2015-03-01

    Full Text Available Visual correspondence is the key for 3D reconstruction in binocular stereovision. Local methods perform block-matching to compute the disparity, or apparent motion, of pixels between images. The simplest approach computes the distance of patches, usually square windows, and assumes that all pixels in the patch have the same disparity. A prominent artifact of the method is the "foreground fattening effet" near depth discontinuities. In order to find a more appropriate support, Yoon and Kweon introduced the use of weights based on color similarity and spatial distance, analogous to those used in the bilateral filter. This paper presents the theory of this method and the implementation we have developed. Moreover, some variants are discussed and improvements are used in the final implementation. Several examples and tests are presented and the parameters and performance of the method are analyzed.

  1. Decision making and co-operation between stakeholders within the process of sick leave. A case study in a Danish municipality

    DEFF Research Database (Denmark)

    Johansen, Kristina; Andersen, John Sahl; Mikkelsen, Sigurd;

    2011-01-01

    The study addresses how recent reforms of the Sickness Benefit Act in Denmark are put into practice. A single case study embedded with five subunits of analysis based on "real life" cases has been conducted in a Danish municipality. Five "sick-listed" citizens and their respective municipal case...... manager and general practitioner (GP) were interviewed. Two key persons within the municipality were interviewed as background informants. The GPs and case managers ability to co-operate was hampered by lack of time, frequent staff turnover, lack of financial resources, and low accessibility....... The motivation for co-operation was low due to low status of social medical issues, lack of feedback and lack of trust. The co-operation was characterized by sequential task integration. The stakeholders encountered difficulties when reciprocal task integration was needed. The decision making was affected...

  2. Concurrent bilateral ectopic pregnancy: a rarity

    Directory of Open Access Journals (Sweden)

    Prabhleen Kaur

    2015-08-01

    Full Text Available Bilateral ectopic pregnancy is a rare twin gestation with only a few cases reported in the literature. We report a 30 year old woman without any high risk factor for ectopic pregnancy, who had concurrent bilateral ectopic pregnancy. A 30 year old female presented to the Gynecology emergency department complaining of vaginal bleeding and abdominal pain. The presumptive diagnosis of ruptured left sided ectopic pregnancy was made on basis of clinical findings and ultrasound finings. An emergency laparotomy was done revealed a hemoperitoneum of 1.5 liters, a ruptured left tubal pregnancy with active bleeding and right tubal un-ruptured ectopic was found. A bilateral salpingectomy was performed. Histopathology confirmed presence of chorionic villi in both tubes. In theory, laparoscopic salpingostomy is the best surgical approach in bilateral tubal pregnancy. However, bilateral salpingectomy may be necessary when both tubes are extensively damaged or are actively bleeding. Successful pregnancies have been reported after conservative surgical treatment of bilateral ectopic, but the risk of recurrence is high. Our decision for an emergency laparotomy followed by bilateral salpingectomy was based on the fact that the patient presented with acute abdomen and was haemodynamically unstable and there was extensive bilateral tubal damage. As the incidence of ectopic pregnancies is increasing concurrently with the incidences of pelvic inflammatory disease and use of assisted fertility techniques; it may be that these and ldquo;rare ectopics and rdquo; will become less uncommon. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1197-1199

  3. Acral osteolysis in bilateral compartment syndrome

    Directory of Open Access Journals (Sweden)

    Iram Saeed

    2008-08-01

    Full Text Available Carpal tunnel syndrome is a common neurological condition with rare yet potentially serious cutaneous and skeletal complications. We present a case of mutilating/ulcerating bilateral carpal tunnel syndrome in a 63 year old female. Radiographs showed symmetrical acral osteolysis in the index and middle fingers distal phalanges bilaterally. Carpal tunnel decompressions provided symptomatic relief.

  4. Bilateral locked facets in the thoracic spine

    NARCIS (Netherlands)

    M.H.A. Willems; Braakman, R. (Reinder); B. van Linge (Bert)

    1984-01-01

    textabstractTwo cases of traumatic bilateral locked facets in the thoracic spine are reported. Both patients had only minor neurological signs. They both made a full neurological recovery after surgical reduction of the locked facets. Bilateral locked facets are very uncommon in the thoracic spine.

  5. Simultaneous and spontaneous bilateral quadriceps tendons rupture.

    Science.gov (United States)

    Celik, Evrim Coşkun; Ozbaydar, Mehmet; Ofluoglu, Demet; Demircay, Emre

    2012-07-01

    Simultaneous and spontaneous bilateral quadriceps tendon rupture is an uncommon injury that is usually seen in association with multiple medical conditions and some medications. We report a case of simultaneous and spontaneous bilateral quadriceps tendon rupture that may be related to the long-term use of a statin.

  6. Spontaneous bilateral adrenal hemorrhage following cholecystectomy.

    Science.gov (United States)

    Dahan, Meryl; Lim, Chetana; Salloum, Chady; Azoulay, Daniel

    2016-06-01

    Postoperative bilateral adrenal hemorrhage is a rare but potentially life-threatening complication. This diagnosis is often missed because the symptoms and laboratory results are usually nonspecific. We report a case of bilateral adrenal hemorrhage associated with acute primary adrenal insufficiency following laparoscopic cholecystectomy. The knowledge of this uncommon complication following any abdominal surgery allows timey diagnosis and rapid treatment.

  7. Cerebral potentials preceding unilateral and simultaneous bilateral finger movements.

    Science.gov (United States)

    Kristeva, R; Keller, E; Deecke, L; Kornhuber, H H

    1979-08-01

    Cerebral potentials preceding voluntary bilateral simultaneous finger movements were investigated in 19 right-handed young adult subjects, and were compared with unilateral right-sided finger m n the same experiment. With bilateral movements, the Bereitschaftspotential (BP) was not symmetrical or larger over the dominant hemisphere, but surprisingly, it was larger over the minor hemisphere. The BP averaged -3.66 microV (S.D. 1.96) over the left precentral region and -4.82 microV (S.D. 3.73) over the right precentral region in this condition. The difference was significant at 2P less than 0.01. This difference was pronounced in precentral leads but very small and almost missing in parietal leads. The pre-motion positivity (PMP) was well developed and even larger with bilateral than with unilateral (right-sides) movements. At the vertex it averaged +1.33 microV (S.D.4.16) with bilateral movements and only +0.15 microV (S.D. 1.42) with right-sided unilateral movements (2P less than 0.05). With bilateral movements the PMP could be observed in any record, but with unilateral movements it was missing at the left precentral lead, in accordance with previous publications (Deecke et al. 1969, 1976). The motor potential (MP), measured in a bipolar record from left and right precentral leads, was larger with unilateral (-1.25 microV, S.D. 1.33) than with bilateral movements (-0.36 microV, S.D. 0.92). Onset time differences of the BP preceding unilateral and bilateral movements were very small. However, there was a tendency towards earlier onset with unilateral than with bilateral movements (1031 msec, S.D. 358, as compared with 951 msec, S.D. 305). The averaged EMG revealed differences in movement onset. Muscular contraction tended to be earlier in the right than in the left m. flexor indicis in our right-handed subjects, on the average by 16 msec (S.D. 15). With unilateral right-sided movements, the left m. flexor indicis was not silent but showed an abortive mirror activity

  8. Bilateral zeta functions and their applications

    CERN Document Server

    Shibukawa, Genki

    2011-01-01

    We introduce a new type of multiple zeta functions, which we call bilateral zeta functions, analogous to the Barnes zeta functions. The bilateral zeta function is a periodic function and shares certain basic properties of Barnes zeta function. Especially, we prove that the bilateral zeta function has a nice Fourier series expansion and the Barnes zeta function can be expressed as a finite sum of bilateral zeta functions. By these properties of the bilateral zeta functions, We obtain simple proofs of some formulas, for example the reflection formula for the multiple gamma function, the inversion formula of the Dedekind eta function, Ramanujan's formula, Fourier expansion of the Barnes zeta function and multiple Iseki's formula.

  9. Zika virus evades interferon-mediated antiviral response through the co-operation of multiple nonstructural proteins in vitro

    Science.gov (United States)

    Wu, Yaoxing; Liu, Qingxiang; Zhou, Jie; Xie, Weihong; Chen, Cheng; Wang, Zefang; Yang, Haitao; Cui, Jun

    2017-01-01

    Type I interferon (IFN) serves as the first line of defense against invading pathogens. Inhibition of IFN-triggered signaling cascade by Zika virus (ZIKV) plays a critical role for ZIKV to evade antiviral responses from host cells. Here we demonstrate that ZIKV nonstructural proteins NS1, NS4B and NS2B3 inhibit the induction of IFN and downstream IFN-stimulated genes through diverse strategies. NS1 and NS4B of ZIKV inhibit IFNβ signaling at TANK-binding kinase 1 level, whereas NS2B-NS3 of ZIKV impairs JAK–STAT signaling pathway by degrading Jak1 and reduces virus-induced apoptotic cell death. Furthermore, co-operation of NS1, NS4B and NS2B3 further enhances viral infection by blocking IFN-induced autophagic degradation of NS2B3. Hence, our study reveals a novel antagonistic system employing multiple ZIKV nonstructural proteins in restricting the innate antiviral responses. PMID:28373913

  10. A Cytotoxic, Co-operative Interaction Between Energy Deprivation and Glutamate Release From System xc− Mediates Aglycemic Neuronal Cell Death

    Directory of Open Access Journals (Sweden)

    Trista L. Thorn

    2015-11-01

    Full Text Available The astrocyte cystine/glutamate antiporter (system xc− contributes substantially to the excitotoxic neuronal cell death facilitated by glucose deprivation. The purpose of this study was to determine the mechanism by which this occurred. Using pure astrocyte cultures, as well as, mixed cortical cell cultures containing both neurons and astrocytes, we found that neither an enhancement in system xc− expression nor activity underlies the excitotoxic effects of aglycemia. In addition, using three separate bioassays, we demonstrate no change in the ability of glucose-deprived astrocytes—either cultured alone or with neurons—to remove glutamate from the extracellular space. Instead, we demonstrate that glucose-deprived cultures are 2 to 3 times more sensitive to the killing effects of glutamate or N-methyl-D-aspartate when compared with their glucose-containing controls. Hence, our results are consistent with the weak excitotoxic hypothesis such that a bioenergetic deficiency, which is measureable in our mixed but not astrocyte cultures, allows normally innocuous concentrations of glutamate to become excitotoxic. Adding to the burgeoning literature detailing the contribution of astrocytes to neuronal injury, we conclude that under our experimental paradigm, a cytotoxic, co-operative interaction between energy deprivation and glutamate release from astrocyte system xc− mediates aglycemic neuronal cell death.

  11. Sympathetic control of skeletal muscle function: possible co-operation between noradrenaline and neuropeptide Y in rabbit jaw muscles.

    Science.gov (United States)

    Grassi, C; Deriu, F; Roatta, S; Santarelli, R; Azzena, G B; Passatore, M

    1996-07-19

    Stimulation of the cervical sympathetic nerve at 10/s increases by 12.9 +/- 0.7% peak tension of maximal twitches in the directly stimulated jaw muscles and markedly depresses (41.6 +/- 1.3%) the tonic vibration reflex (TVR) elicited in the same muscles by vibration of the mandible. Both effects are not significantly influenced by administration of beta-adrenoceptor antagonists. When both alpha- and beta-adrenergic receptors are blocked, sympathetic stimulation induces a very small increase in twitch tension (3.8 +/- 0.7%), while no detectable change in the TVR is observed. Close arterial injection of alpha 1-adrenoceptor agonist phenylephrine mimics the effects induced by sympathetic stimulation on twitch tension and TVR, dose-dependently. The noradrenaline co-transmitter neuropeptide Y also produces a long-lasting, dose-dependent increase in the twitch tension which is unaffected by blockade of adrenergic receptors as well as of the neuromuscular junctions. Contribution of neuropeptide Y to the sympathetically-induced reduction of the stretch reflex is not clearly demonstrated. These data suggest that co-operation between noradrenaline and neuropeptide Y may be effective in determining sympathetic modulation of skeletal muscle function.

  12. A Cytotoxic, Co-operative Interaction Between Energy Deprivation and Glutamate Release From System xc- Mediates Aglycemic Neuronal Cell Death.

    Science.gov (United States)

    Thorn, Trista L; He, Yan; Jackman, Nicole A; Lobner, Doug; Hewett, James A; Hewett, Sandra J

    2015-01-01

    The astrocyte cystine/glutamate antiporter (system xc(-)) contributes substantially to the excitotoxic neuronal cell death facilitated by glucose deprivation. The purpose of this study was to determine the mechanism by which this occurred. Using pure astrocyte cultures, as well as, mixed cortical cell cultures containing both neurons and astrocytes, we found that neither an enhancement in system xc(-) expression nor activity underlies the excitotoxic effects of aglycemia. In addition, using three separate bioassays, we demonstrate no change in the ability of glucose-deprived astrocytes--either cultured alone or with neurons--to remove glutamate from the extracellular space. Instead, we demonstrate that glucose-deprived cultures are 2 to 3 times more sensitive to the killing effects of glutamate or N-methyl-D-aspartate when compared with their glucose-containing controls. Hence, our results are consistent with the weak excitotoxic hypothesis such that a bioenergetic deficiency, which is measureable in our mixed but not astrocyte cultures, allows normally innocuous concentrations of glutamate to become excitotoxic. Adding to the burgeoning literature detailing the contribution of astrocytes to neuronal injury, we conclude that under our experimental paradigm, a cytotoxic, co-operative interaction between energy deprivation and glutamate release from astrocyte system xc(-) mediates aglycemic neuronal cell death.

  13. Co-operative mineralization and protein self-assembly in amelogenesis: silica mineralization and assembly of recombinant amelogenins in vitro.

    Science.gov (United States)

    Fowler, Christabel E; Beniash, Elia; Yamakoshi, Yasuo; Simmer, James P; Margolis, Henry C

    2006-05-01

    An amorphous silica mineralization technique was used to produce inorganic/protein composites to elucidate the structure and mechanism of formation of amelogenin assemblies, which may play an important role in regulating enamel structure during the initial stages of amelogenesis. Full-length recombinant amelogenins from mouse (rM179) and pig (rP172) were investigated along with key degradation products (rM166 and native P148) lacking the hydrophilic C terminus found in parent molecules. The resulting products were examined using transmission electron microscopy and/or small-angle X-ray scattering. Using protein concentrations of 0.1-3 mg ml-1, large monodisperse spheres of remarkably similar mean diameters were observed using rM179 (124+/-4 nm) and rP172 (126+/-7 nm). These spheres also exhibited 'internal structure', comprising nearly spherical monodisperse particles of approximately 20 nm in diameter. In the presence of rM166, P148, and bovine serum albumin (control), large unstructured and randomly shaped particles (250-1000 nm) were observed. Without added protein, large dense spherical particles of silica (mean approximately 500 nm) lacking internal structure were produced. These findings demonstrate that full-length amelogenins have the ability to form higher-order structures, whereas amelogenins that lack the hydrophilic C terminus do not. The results also suggest that full-length amelogenin can guide the formation of organized mineralized structures through co-operative interactions between assembling protein and forming mineral.

  14. Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient

    Directory of Open Access Journals (Sweden)

    Patrick Goetti

    2016-01-01

    Full Text Available Diabetic osteoarthropathy is a rare cause of neuropathic joint disease of the knee; bilateral involvement is even more exceptional. Diagnosis is often made late due to its unspecific symptoms and appropriate surgical management still needs to be defined, due to lack of evidence because of the disease’s low incidence. We report the case of a forty-year-old woman with history of diabetes type I who developed bilateral destructive Charcot knee arthropathy. Bilateral total knee arthroplasty was performed in order to achieve maximal functional outcome. Follow-up was marked by bilateral tibial periprosthetic fractures treated by osteosynthesis with a satisfactory outcome. The diagnosis of Charcot arthropathy should always be in mind when dealing with atraumatic joint destruction in diabetic patients. Arthroplasty should be considered as an alternative to arthrodesis in bilateral involvement in young patients.

  15. Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient

    Science.gov (United States)

    Gallusser, Nicolas; Borens, Olivier

    2016-01-01

    Diabetic osteoarthropathy is a rare cause of neuropathic joint disease of the knee; bilateral involvement is even more exceptional. Diagnosis is often made late due to its unspecific symptoms and appropriate surgical management still needs to be defined, due to lack of evidence because of the disease's low incidence. We report the case of a forty-year-old woman with history of diabetes type I who developed bilateral destructive Charcot knee arthropathy. Bilateral total knee arthroplasty was performed in order to achieve maximal functional outcome. Follow-up was marked by bilateral tibial periprosthetic fractures treated by osteosynthesis with a satisfactory outcome. The diagnosis of Charcot arthropathy should always be in mind when dealing with atraumatic joint destruction in diabetic patients. Arthroplasty should be considered as an alternative to arthrodesis in bilateral involvement in young patients. PMID:27668112

  16. [The incidence of bilateral multiple primary breast cancer among the female inhabitants of Crimea].

    Science.gov (United States)

    Tel'kina, G N; Sorkin, V M

    1998-08-01

    A method is proposed for calculation of PMSO frequency depending on succession of origination of polyneoplasias. The incidence rate of synchronous bilateral breast cancer (BC) was calculated in reference to all primary BC patients and came to 0.75%. The incidence rate of metachronous bilateral BC was calculated depending on the number of those BC patients having been registered every year of observation and it was found to be 5.4%. The total frequency of bilateral BC in a 20-year follow-up in the Crimean region appeared to be 6.15%. The incidence of metachronous bilateral BC was noted to be dependent on the length of follow-up: 1.27 percent and 4.14 percent in the 3- to 10- and 11- to 20-year periods respectively. The risk for the development of bilateral BC is conditioned by the time having elapsed since detection of the first tumor and increases after 10 and 18 years.

  17. Non-union following bilateral simultaneos Ganz trochanteric osteotomy

    Directory of Open Access Journals (Sweden)

    Sean M. Dixon

    2010-01-01

    Full Text Available Between January 2003 and December 2004, 13 patients underwent bilateral resurfacing arthroplasty via a Ganz trochanteric osteotomy. This bilateral group was mobilised fully weight-bearing with crutches. During the same period 139 Ganz trochanteric osteoto-mies were performed for unilateral hip resurfacing. These patients were mobilised with crutches, weight-bearing up to 10 kg on the operated leg. Nine osteotomies (32% in the bilateral group subsequently developed a symptomatic non-union requiring revision of fixation. This compares with 10 patients (7% in the unilateral group. Applying the Fisher’s exact test, the difference reached significance (P=0.0004. In two patients a second revision was required to achieve union. In one patient, revision of trochanteric fixation precipitated a deep infection. Protected weight-bearing following a Ganz trochanteric osteotomy is important to the success of the procedure. Simultaneous bilateral hip arthroplasty through a Ganz approach should be avoided. If it is undertaken, we recommend that patients should be non weight-bearing for 6 weeks following surgery. Non-union following a Ganz trochanteric osteotomy for arthroplasty carries a significant morbidity.

  18. [Difficult respiratory management in a patient with bilateral giant bullae].

    Science.gov (United States)

    Fujita, Ayaka; Hashiba, Eiji; Takahira, Yoko; Kitayama, Masatou; Tubo, Toshihito; Hirota, Kazuyoshi

    2009-10-01

    We report a case of bilateral giant bullae in a patient with multiple traumas. He had his arm amputated at the shoulder because of a machine accident and admitted to our hospital. Chest X-ray showed right-sided pneumothorax with bilateral giant bullae. Trimming of the stump was performed immediately after the placement of a right chest tube. He gradually developed hypoxia and hypercapnia with acidemia during the operation because of atelectasis due to sputum. Postoperatively, enlargement of right giant bulla led to frequent respiratory failure and he received a bilateral bullectomy through a median sternotomy 3 weeks after the accident. It was difficult to ventilate him due to air leak from the bilateral bulla and SpO2 dropped to below 70% with 100% oxygen. We continued the operation with standby extracorporeal membrane oxygenator (ECMO). Although the operation was finished without ECMO finally, ECMO had better been kept ready during anethesia with giant bullae when life threatening complication may occur at any point.

  19. Sound localization ability of young children with bilateral cochlear implants.

    NARCIS (Netherlands)

    Beijen, J.W.; Snik, A.F.M.; Mylanus, E.A.M.

    2007-01-01

    OBJECTIVE: To evaluate the benefit of bilateral cochlear implantation in young children. STUDY DESIGN: Clinical trial comparing a group of bilaterally implanted children with a group of unilaterally implanted children. SETTING: Tertiary referral center. PATIENTS: Five bilaterally implanted children

  20. Note: Unshielded bilateral magnetoencephalography system using two-dimensional gradiometers

    Science.gov (United States)

    Seki, Yusuke; Kandori, Akihiko; Ogata, Kuniomi; Miyashita, Tsuyoshi; Kumagai, Yukio; Ohnuma, Mitsuru; Konaka, Kuni; Naritomi, Hiroaki

    2010-09-01

    Magnetoencephalography (MEG) noninvasively measures neuronal activity with high temporal resolution. The aim of this study was to develop a new type of MEG system that can measure bilateral MEG waveforms without a magnetically shielded room, which is an obstacle to reducing both the cost and size of an MEG system. An unshielded bilateral MEG system was developed using four two-dimensional (2D) gradiometers and two symmetric cryostats. The 2D gradiometer, which is based on a low-Tc superconducting quantum interference device and wire-wound pickup coil detects a magnetic-field gradient in two orthogonal directions, or ∂/∂x(∂2Bz/∂z2), and reduces environmental magnetic-field noise by more than 50 dB. The cryostats can be symmetrically positioned in three directions: vertical, horizontal, and rotational. This makes it possible to detect bilateral neuronal activity in the cerebral cortex simultaneously. Bilateral auditory-evoked fields (AEF) of 18 elderly subjects were measured in an unshielded hospital environment using the MEG system. As a result, both the ipsilateral and the contralateral AEF component N100m, which is the magnetic counterpart of electric N100 in electroencephalography and appears about 100 ms after the onset of an auditory stimulus, were successfully detected for all the subjects. Moreover, the ipsilateral P50m and the contralateral P50m were also detected for 12 (67%) and 16 (89%) subjects, respectively. Experimental results demonstrate that the unshielded bilateral MEG system can detect MEG waveforms, which are associated with brain dysfunction such as epilepsy, Alzheimer's disease, and Down syndrome.

  1. Bilateral adrenalectomy for Cushing's syndrome: Pros and cons

    Directory of Open Access Journals (Sweden)

    O P Prajapati

    2015-01-01

    Full Text Available Aim: To assess the outcome of patients undergoing bilateral adrenalectomy for Cushing's syndrome (CS. Methods: All patients who underwent bilateral adrenalectomy for CS at the Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences hospital between 1991 and 2013 were included. Medical records were reviewed to obtain patient characteristics and follow-up data. Results: Twenty-seven patients were studied. Mean age was 28.74 ± 12.95 years (range 9–60, male:female ratio was 1.7:1. About half that is, 48.19% were of Cushing's disease (failed trans-sphenoidal surgery [TSS], 37.04% were of ectopic CS (ECS, and 14.81% were of CS due to bilateral adrenal pathology. Median follow-up period was 80.5 months. Before surgery, 74.1% patients had body mass index > which after surgery declined to <25 in 75% of them. Hypertension was present in 85.2% and after surgery resolved in 40%. Diabetes mellitus was present in 44.4% and after surgery resolved in 33% of them. Hirsutism and proximal muscle weakness were present in 55.6% and 70.4% patients, respectively, and after surgery improved markedly in all patients. Adrenal crisis developed in 36.3% and Nelson's syndrome in 41.7% patients during follow-up. Three patients died in perioperative period while three succumbed to the disease during follow-up. Two patients developed recurrence of endogenous cortisol production during the follow-up period. Conclusions: Bilateral adrenalectomy is a valid treatment option for palliating severe symptoms in Pituitary Cushing's with failed TSS and unlocalized ECS but the procedure is curative for CS due to bilateral adrenal disease. Overall morbidity and mortality is higher than other endocrine operations. Co-morbidities tend to be more severe and are a risk factor for mortality during the time patient survives.

  2. Heterochronic bilateral ectopic pregnancy after ovulation induction.

    Science.gov (United States)

    Zhu, Bo; Xu, Gu-feng; Liu, Yi-feng; Qu, Fan; Yao, Wei-miao; Zhu, Yi-min; Gao, Hui-juan; Zhang, Dan

    2014-08-01

    Ectopic pregnancy is identified with the widely-applied assisted reproductive technology (ART). Bilateral ectopic pregnancy is a rare form of ectopic pregnancy which is difficult to be diagnosed at the pre-operation stage. In this paper, we presented an unusual case of heterochronic bilateral ectopic pregnancy after stimulated intrauterine insemination (IUI), where there has been a delay of 22 d between the diagnoses of the two ectopic pregnancies. Literature was reviewed on the occurrence of bilateral ectopic pregnancy during the past four years in the MEDLINE database. We found 16 cases of bilateral ectopic pregnancy reported since 2008, and analyzed the characteristics of those cases of bilateral ectopic pregnancy. We emphasize that ovulation induction and other ARTs may increase the risk of bilateral ectopic pregnancy. Because of the difficulty in identification of bilateral ectopic pregnancy by ultrasonography, the clinician should be aware that the treatment of one ectopic pregnancy does not preclude the occurrence of a second ectopic pregnancy in the same patient and should pay attention to the intra-operation inspection of both side fallopian tubes in any ectopic pregnancy case.

  3. Bilateral optic neuropathy in acute cryptococcal meningitis

    Institute of Scientific and Technical Information of China (English)

    Qi Zhe Ngoo; Li Min Evelyn Tai; Wan Hazabbah Wan Hitam; John Tharakan

    2016-01-01

    We reported a case of cryptococcal meningitis presenting with bilateral optic neuropathy in an immunocompetent patient. A 64-year-old Malay gentleman with no medical comorbidities presented with acute bilateral blurring of vision for a week, which was associated with generalised throbbing headache and low grade fever. He also had som-nolence and altered consciousness. Visual acuity in both eyes was no perception of light with poor pupillary reflexes. Extraocular muscle movements were normal. Anterior segments were unremarkable bilaterally. Fundoscopy revealed bilateral optic disc swelling. CT scan of the brain showed multifocal infarct, but no meningeal enhancement or mass. Cerebrospinal fluid opening pressure was normal, while its culture grew Cryptococcus neoformans. A diagnosis of cryptococcal meningitis with bilateral optic neuropathy was made. Patient was treated with a six-week course of intravenous flu-conazole and started concomitantly on a fortnight's course of intravenous amphotericin B. After that, his general condition improved, but there was still no improvement in his visual acuity. On reviewing at two months post-initiation of treatment, fundi showed bilateral optic atrophy. Bilateral optic neuropathy secondary to cryptococcal meningitis was rare. The prognosis was guarded due to the sequelae of optic atrophy. Anti-fungal medication alone may not be sufficient to manage this condition. However, evidence for other treatment modalities is still lacking and further clinical studies are required.

  4. Advanced research workshop "South Caucasus : making the best use of external assistance for stability building and for co-operation with NATO"

    Index Scriptorium Estoniae

    2003-01-01

    Leedu Kaitseministeeriumi poolt 22.-23. septembrini 2003 Vilniuses korraldatud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO" arutati, kas ja kuidas on Lõuna-Kaukaasia regioonis võimalik rakendada Balti riikide julgeolekualase koostöö kogemusi

  5. Managing the Co-operation-Competition Dilemma in R&D Alliances : A Multiple Case Study in the Advanced Materials Industry

    NARCIS (Netherlands)

    Faems, Dries; Janssens, Maddy; Van Looy, Bart

    2010-01-01

    Generating value in R&D alliances requires intensive and fine-grained interaction between collaborating partners. At the same time, more intensive co-operation increases the risk of competitive abuse of the R&D alliance by one or more partners. In this study, we explore how managers address the fund

  6. Bilateral Petit’s Triangle Hernia

    Directory of Open Access Journals (Sweden)

    Sanjay Kumar Bhasin, Arshad Bashir Khan, Sanjay Sharma

    2006-07-01

    Full Text Available Lumbar traingle hernia that occurs through lumbar triangles is very rare type of hernia. Only about 300 cases havebeen reported till date. Bilateral Petit’s triangle hernia find further rarity and the case under reference is probably thefirst ever reported case of Primary bilateral Petit’s triangle hernia. The present case is of a 46 years old married,multigravida female who presented with 1 year duration of LBA and subsequently notice of swelling both sides oflow back. FNAC revealed lipoma and on exploration it turned out to be rarest extra peritoneal bilateral Petit’s trianglehernia, fat as contents.

  7. Metachronous bilateral testicular germ cell tumors: Report of two cases

    Directory of Open Access Journals (Sweden)

    James Francis

    2009-01-01

    Full Text Available Metachronous bilateral testicular germ cell tumors is a rare known problem. However, no report of metachronus bilateralism was identified in the PubMed database published from India so far, where testicular cancer is relatively rare. We report the cases of two gentlemen. One had stage 1 nonseminomatous germ cell tumor (NSGCT at the age of 32 in 1990 and developed marker relapse on surveillance and had chemotherapy using cisplatin and etoposide for four cycles. He developed contralateral seminoma in the testis 13 years later. Another patient had left orchidectomy in 2003 for NSGCT, had adjuvant BEP for two cycles, and developed a contralateral testicular tumor 5 years later, which was also seminoma. As more patients with germ cell tumors are cured with chemotherapy, long-term problems become important. Contralateral testicular tumor is one of them. As it can be very late, many years of continued follow-up examination and patients′ awareness are necessary.

  8. Does Happiness Affect the Bilateral Aid Flows Between Donor and Recipient Countries?

    OpenAIRE

    2010-01-01

    The literature on the economics of well-being and happiness is currently growing at a remarkable rate. In separate studies, happiness has been linked to income, health, age, political and economic freedom, unemployment, inflation, self-employment, voluntary work, marriage, and even watching television. None of these studies have linked happiness to foreign aid disbursements. Using data from the Organisation for Economic Co-operation and Development, the World Bank and the World Database of Ha...

  9. Quality of type 2 diabetes management in the states of the Co-operation Council for the Arab States of the Gulf: a systematic review.

    Directory of Open Access Journals (Sweden)

    Layla Alhyas

    Full Text Available Type 2 diabetes mellitus is a growing, worldwide public health concern. Recent growth has been particularly dramatic in the states of The Co-operation Council for the Arab States of the Gulf (GCC, and these and other developing economies are at particular risk. We aimed to systematically review the quality of control of type 2 diabetes in the GCC, and the nature and efficacy of interventions. We identified 27 published studies for review. Studies were identified by systematic database searches. Medline and Embase were searched separately (via Dialog and Ovid, respectively; 1950 to July 2010 (Medline, and 1947 to July 2010 (Embase on 15/07/2009. The search was updated on 08/07/2010. Terms such as diabetes mellitus, non-insulin-dependent, hyperglycemia, hypertension, hyperlipidemia and Gulf States were used. Our search also included scanning reference lists, contacting experts and hand-searching key journals. Studies were judged against pre-determined inclusion/exclusion criteria, and where suitable for inclusion, data extraction/quality assessment was achieved using a specifically-designed tool. All studies wherein glycaemic-, blood pressure- and/or lipid- control were investigated (clinical and/or process outcomes were eligible for inclusion. No limitations on publication type, publication status, study design or language of publication were imposed. We found the extent of control to be sub-optimal and relatively poor. Assessment of the efficacy of interventions was difficult due to lack of data, but suggestive that more widespread and controlled trial of secondary prevention strategies may have beneficial outcomes. We found no record of audited implementation of primary preventative strategies and anticipate that controlled trial of such strategies would also be useful.

  10. Amino acid catalyzed bulk-phase gelation of organoalkoxysilanes via a transient co-operative self-assembly.

    Science.gov (United States)

    Shen, Shukun; Hu, Daodao; Sun, Peipei; Zhang, Xiaoru; Parikh, Atul N

    2009-10-15

    We report acceleration in the rate of bulk phase gelation of an organoalkoxysilane, 3-methacryloxypropyltrimethoxysilane (MAPTMS), in the presence of an amphiphilic additive, N-phenyl glycine (NPG). The MAPTMS gelation occurs within 30 min in the presence of 0.5 wt % NPG, which took several months in the absence of NPG. Using a combination of ATR-FT IR, (29)Si NMR, (1)H NMR, viscosity analysis, SEM, UV-vis, and pi-A isotherm measurements, we elucidate the molecular-level details of the structural changes during NPG-catalyzed MPTMS gelation rate. On the basis of these results, we propose a gelation mechanism in which a transient cooperative self-assembly process fosters hydrolysis and retards early condensation thereby promoting the formation of extended three-dimensionally cross-linked gels. Specifically, the amphiphilic character of the hydrolysis product of MAPTMS, consisting of a hydrophobic tail R = -CH(2)CH(2)CH(2)O(CO)C(CH(3)) horizontal lineCH(2) and a hydrophilic Si-OH headgroup, promotes micelle formation at high MAPTMS/water ratio. NPG readily inserts within these micelles thus retarding the topotactic condensation of silanols at the micellar surface. This in turn allows for a more complete hydrolysis of Si-OCH(3) groups prior to condensation in MAPTMS. With increased silanol concentration at the micellar periphery, a delayed condensation phase initiates. This formation of a covalently bonded Si-O-Si framework (and possibly also the formation of the methanol byproduct) likely destabilizes the micellar motif thus promoting its transformation into condensed mesophases (e.g., lamellar microstructure) upon gelation. Because of the generality of this transient and co-operative organic-inorganic self-assembly between hydrolyzed amphiphilic organoalkoxysilanes and surfactant-like amino acid additives, we envisage applications in controlling bulk phase gelation of many chain-substituted organoalkoxysilanes.

  11. Directed evolution of Tau class glutathione transferases reveals a site that regulates catalytic efficiency and masks co-operativity.

    Science.gov (United States)

    Axarli, Irine; Muleta, Abdi W; Vlachakis, Dimitrios; Kossida, Sophia; Kotzia, Georgia; Maltezos, Anastasios; Dhavala, Prathusha; Papageorgiou, Anastassios C; Labrou, Nikolaos E

    2016-03-01

    A library of Tau class GSTs (glutathione transferases) was constructed by DNA shuffling using the DNA encoding the Glycine max GSTs GmGSTU2-2, GmGSTU4-4 and GmGSTU10-10. The parental GSTs are >88% identical at the sequence level; however, their specificity varies towards different substrates. The DNA library contained chimaeric structures of alternated segments of the parental sequences and point mutations. Chimaeric GST sequences were expressed in Escherichia coli and their enzymatic activities towards CDNB (1-chloro-2,4-dinitrobenzene) and the herbicide fluorodifen (4-nitrophenyl α,α,α-trifluoro-2-nitro-p-tolyl ether) were determined. A chimaeric clone (Sh14) with enhanced CDNB- and fluorodifen-detoxifying activities, and unusual co-operative kinetics towards CDNB and fluorodifen, but not towards GSH, was identified. The structure of Sh14 was determined at 1.75 Å (1 Å=0.1 nm) resolution in complex with S-(p-nitrobenzyl)-glutathione. Analysis of the Sh14 structure showed that a W114C point mutation is responsible for the altered kinetic properties. This was confirmed by the kinetic properties of the Sh14 C114W mutant. It is suggested that the replacement of the bulky tryptophan residue by a smaller amino acid (cysteine) results in conformational changes of the active-site cavity, leading to enhanced catalytic activity of Sh14. Moreover, the structural changes allow the strengthening of the two salt bridges between Glu(66) and Lys(104) at the dimer interface that triggers an allosteric effect and the communication between the hydrophobic sites.

  12. Effect of Oral Midazolam Premedication on Children’s Co-operation Before General Anesthesia in Pediatric Dentistry

    Directory of Open Access Journals (Sweden)

    Nasser Kaviani

    2014-09-01

    Full Text Available Statement of the Problem: Premedication is expedient in reducing the psychological trauma from recalling the unpleasant pre-anesthetic phases, hence, inducing a trouble-free anesthesia. Purpose: This study aimed to determine the effectiveness of oral midazolam in co-operation of the subjects before general anesthesia and in recalling the pre-anesthetic phases, performed on children candidate for dental treatment under general anesthesia. Materials and Method: In this prospective clinical trial study, 62 healthy non-cooperative children, candidate for dental treatment under general anesthesia, were randomly divided into study and control groups. The children received 20ml orange juice, 20 minutes before starting the anesthesia. The juice of the test group contained 0.5mg/kg of midazolam and that of the control group included no medication. The induction and the maintenance process of anesthesia were similar in both groups. The manner of subjects when separated from parents, their cooperation during intravenous catheterization, and recalling the pre-anesthetic events were recorded. Data were analyzed by adopting chi-square and Mann-Whitney tests. Results: Most of the children in the test group had a comfortable separation from parents, restful IV catheterization and 90% of the subjects did not recall the pre-anesthetic events. Conclusion: Under the circumstances of this study, it could be concluded that 0.5mg/kg oral midazolam premedication is effective for comfortable separation of children from parents and restful IV catheterization and also forgetting the pre-anesthetic events.

  13. Extensive Bilateral Naevus Comedonicus Exacerbating During Pregnancy

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    Rao M.V

    1999-01-01

    Full Text Available Naevus comedonicus is a rare developmental anomaly of the pilosebaceous apparatus. It occurred bilaterally in a 23 year old pregnant woman. She noted exacerbations during two pregnancies, hitherto unreported in the literature.

  14. FLOWING BILATERAL FILTER: DEFINITION AND IMPLEMENTATIONS

    Directory of Open Access Journals (Sweden)

    Maxime Moreaud

    2015-06-01

    Full Text Available The bilateral filter plays a key role in image processing applications due to its intuitive parameterization and its high quality filter result, smoothing homogeneous regions while preserving the edges of the objects. Considering the image as a topological relief, seeing pixel intensities as peaks and valleys, we introduce a way to control the tonal weighting coefficients, the flowing bilateral filter, reducing "halo" artifacts typically produced by the regular bilateral filter around a large peak surrounded by two valleys of lower values. In this paper we propose to investigate exact and approximated versions of CPU and parallel GPU (Graphical Processing Unit based implementations of the regular and flowing bilateral filter using the NVidia CUDA API. Fast implementations of these filters are important for the processing of large 3D volumes up to several GB acquired by x-ray or electron tomography.

  15. Bilateral areolar and periareolar pityriasis versicolor.

    Science.gov (United States)

    Sárdy, Miklós; Korting, Hans Christian; Ruzicka, Thomas; Wolff, Hans

    2010-08-01

    An adolescent boy presented with isolated, symmetrical, bilateral areolar and periareolar pityriasis versicolor. This extremely rare condition should be considered in the differential diagnosis of light brown patches on the areolae.

  16. Genetics of Infantile Bilateral Striatal Necrosis

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2006-09-01

    Full Text Available The gene mutation causing autosomal recessive infantile bilateral striatal necrosis (IBSN was identified in eight consanguineous Israeli Bedouin families, in a study at Schneider Children’s Medical Center, Petah Tikva, Israel, and other centers.

  17. Bilateral giant juvenile fibroadenoma of breasts

    Directory of Open Access Journals (Sweden)

    Mukhopadhyay Madhumita

    2009-01-01

    Full Text Available An 11-year-old girl with rapidly enlarging bilateral breast lumps is reported. It was diagnosed as a case of juvenile fibroadenoma following fine needle aspiration cytology and confirmed on histopathological examination of the excised specimens.

  18. BILATERAL TESSIER CLEFT 3: A CASE REPORT

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    Utpal

    2014-06-01

    Full Text Available Tessier cleft 3 is a very rare congenital anomaly, (2 especially the bilateral form. Very few cases have been reported worldwide. (1,2 I report a case of bilateral Tessier cleft 3 presenting at the age of three months with clefts extending from philtral regions, undermining the nasal alar bases to the medial canthal areas bilaterally. There were bilateral complete alveolar clefts with mild protrusion of the pre-maxilla, but the rest of the maxilla including the palate was not involved. Surgical correction was started at the age of three months and completed at the age of one and half years in three stages. There was no intra-operative or postoperative complications and the final result was satisfactory.

  19. Clinical subgroups in bilateral Meniere disease

    OpenAIRE

    2016-01-01

    Meniere disease (MD) is a heterogeneous clinical condition characterized by sensorineural hearing loss, episodic vestibular symptoms and tinnitus associated with several comorbidities such as migraine or autoimmune disorders (AD). The frequency of bilateral involvement may range from 5-50% and it depends on the duration of the disease. We have performed a two-step cluster analysis in 398 patients with bilateral MD to identify the best predictors to define clinical subgroups with a potential d...

  20. Bilateral anophthalmia with septo-optic dysplasia

    Directory of Open Access Journals (Sweden)

    Manisha Jana

    2010-01-01

    Full Text Available Bilateral anophthalmia is a rare entity and association with septo-optic dysplasia is an even rare condition. The condition is characterized by absent eyeballs in the presence of eyelids, conjunctiva or lacrimal apparatus. Though anophthalmia can be diagnosed clinically, imaging plays a crucial role in delineating the associated anomalies. In addition, often clinical anophthalmia may prove to be severe microphthalmia on imaging. We describe the imaging findings in an infant with bilateral anophthalmia and septo-optic dysplasia.

  1. Fingolimod Associated Bilateral Cystoid Macular Edema—Wait and See?

    Directory of Open Access Journals (Sweden)

    Refik Pul

    2016-12-01

    Full Text Available Fingolimod 0.5-mg once-daily is an approved therapy for patients with relapsing–remitting multiple sclerosis (MS. Several pivotal and real-world studies have demonstrated that fingolimod is associated with the development of macular edema (ME. Herein, we present a case of a diabetic MS patient who developed severe bilateral ME during fingolimod treatment. By means of this case study we provide a detailed review about fingolimod associated macular edema (FAME, its current incidence with or without diabetes mellitus, and previous therapy attempts and outcomes in MS patients. Intravitreal administration of antibodies raised against vascular endothelial growth factor A (VEGF-A has not yet been used in the management of FAME, however, the excellent therapeutic response in our patient may justify the use of anti-VEGF-A agents in combination with cessation of fingolimod to achieve fast resolution of FAME and to prevent visual deficits, particularly in bilateral FAME.

  2. Bilateral Keratectasia 34 Years after Corneal Transplant

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    Xavier Valldeperas

    2010-07-01

    Full Text Available We report the clinical findings of a patient with severe bilateral keratectasia 34 years after a penetrating keratoplasty (PK in both eyes. An otherwise healthy 67-year-old man complained of deterioration of the eyesight in both eyes over the last 6 months. The patient was diagnosed with bilateral keratoconus at the age of 32 years, and he underwent a bilateral PK. At presentation, visual acuity was 20/200 in the right eye and light perception in the left eye. A Pentacam pachymetric map revealed a central pachymetry of 720 µm in the right eye and of 710 µm in the left eye, as well as an average paracentral pachymetry of 436 and 270 µm in the 9-mm zone in the right and the left eye, respectively. Corneal topography revealed bilateral irregular and asymmetric bowing with generalized steepening and high corneal power. We describe a case of bilateral keratectasia 34 years after PK in a patient who was originally diagnosed with bilateral keratoconus.

  3. MODERN VIEWS ON BILATERAL BREAST CANCER

    Directory of Open Access Journals (Sweden)

    Ye. A. Fesik

    2014-01-01

    Full Text Available Presented modern literature data on the features of the pathogenesis, course, clinical and morphological expression and tumor characteristics, parameters and nodal metastasis of hematogenous bilateral breast cancer. Highlight the results of domestic and foreign studies in recent years to determine the prognostic factors and recurrence of synchronous and metachronous bilateral breast cancer. It was revealed that the frequency of bilateral breast tumor lesions varies widely, ranging from 0.1 to 20%, with metachronous tumors recorded significantly higher (69.6% than the synchronous (22.7%. The probability of occurrence of metachronous breast cancer is higher in women with a family history, as well as if they have a gene mutation BRCA-1. Found that the most common histological type of breast tumor with bilateral lesions is invasive ductal. However, the incidence of invasive lobular cancer and non-invasive lobular cancer is slightly higher among synchronous bilateral cancer compared with unilateral disease. Studies have shown that in a double-sided synchronous breast cancer tumor, as a rule, has a lower degree of differentiation, and the higher the expression level of estrogen receptors and progesterone receptors. Relevance of the issue because the identification of patterns in the study of lymphatic and hematogenous features bilateral metastasis of mammary tumors provides a basis for speculation about the differences in the progression of neoplastic disease in these groups and is a cause for further detailed research in this area to identify and evaluate the prognosis and also the choice of tactics of such patients.

  4. Opportunities and threats of WTO membership of Ukraine in foreign trade of high-technology products under conditions of co-operation with EU countries and Customs Union of Belarus, Kazakhstan, and Russia

    Directory of Open Access Journals (Sweden)

    Kyzym Mykola O.

    2014-01-01

    Full Text Available The article considers the problem of consequences of membership in the World Trade Organisation (WTO for Ukraine in foreign trade of high-technology products under conditions of co-operation with EU countries and the Customs Union of Belarus, Kazakhstan and Russia (CU. The article shows that after Ukraine joined WTO there were some rather significant reductions of tariff rates for Ukrainian products and liberalisation of access to the world markets, at the same time the internal Ukrainian market became more open for imported products. The article studies specific features and changes in the high-technology products market after Ukraine joined WTO. It analyses dynamics of volumes and specific weight of the world export-import of high-technology products and the structure of the world export and import of high technology products, including by individual countries and groups. The article makes a conclusion about a weak high-technology component of the Ukrainian export. It studies the structure of export of high-technology products of EU, CU and Ukraine. It shows that in order to develop the high-technology products market Ukraine needs to develop foreign trade with EU countries and also to continue co-operation with CU countries, in particular, with Russia. The article shows that the aerospace industry products takes the biggest specific weight in the export of high-technology products of Ukraine. It considers prospects of development of civil aircraft production in the world and Ukraine under the modern conditions. It analyses strengths and weaknesses of the aircraft construction industry and also threats and opportunities for aircraft construction of Ukraine due to external environment influence. The article shows that Ukraine cannot keep national aircraft building on its own, that is why it is necessary to develop close co-operation both with Russian enterprises and with the countries of the Western Europe. It offers recommendations on

  5. Bilateral Heel Numbness due to External Compression during Obstetric Epidural Analgesia

    Directory of Open Access Journals (Sweden)

    Vivian P. Kamphuis

    2015-01-01

    Full Text Available We describe the case of a 32-year-old woman who developed bilateral heel numbness after obstetric epidural analgesia. We diagnosed her with bilateral neuropathy of the medial calcaneal nerve, most likely due to longstanding pressure on both heels. Risk factors for the development of this neuropathy were prolonged labour with spinal analgesia and a continuation of analgesia during episiotomy. Padded footrests decrease pressure and can possibly prevent this neuropathy.

  6. Bilateral microvascular second toe transfer for bilateral post-traumatic thumb amputation.

    Science.gov (United States)

    Nehete, Rajendra; Nehete, Anita; Singla, Sandeep; Adhav, Harshad

    2012-01-01

    In bilateral thumb amputations, the functional impairment is serious and every attempt should be made to reconstruct the thumb. We report a case of bilateral post traumatic thumb amputation, reconstructed with bilateral second toe transfer. Only two such cases have been reported in literature so far. Though there are various modalities for the reconstruction of thumb, microvascular toe transfer has its own merits. The convalescent period is minimal with excellent function. It is bilaterally symmetric and aesthetically superior to the osteoplastic reconstruction. The technical details are discussed, and the long term functional and aesthetic results are presented.

  7. Bilateral microvascular second toe transfer for bilateral post-traumatic thumb amputation

    Directory of Open Access Journals (Sweden)

    Rajendra Nehete

    2012-01-01

    Full Text Available In bilateral thumb amputations, the functional impairment is serious and every attempt should be made to reconstruct the thumb. We report a case of bilateral post traumatic thumb amputation, reconstructed with bilateral second toe transfer. Only two such cases have been reported in literature so far. Though there are various modalities for the reconstruction of thumb, microvascular toe transfer has its own merits. The convalescent period is minimal with excellent function. It is bilaterally symmetric and aesthetically superior to the osteoplastic reconstruction. The technical details are discussed, and the long term functional and aesthetic results are presented.

  8. [Rare case of bilateral pulmonary agenesis and prenatal diagnosis].

    Science.gov (United States)

    Veluppillai, C; Jossic, F; Quéré, M-P; Philippe, H-J; Le Vaillant, C

    2014-01-01

    Bilateral pulmonary agenesis (BPA) is a rare congenital lung malformation. The prognosis is severe as it is incompatible with extra-uterine life. Although multiple prenatal imaging modalities are developed, the prenatal diagnosis of BPA remains problematic. We report a case of BPA observed in our unity and for which the diagnosis was not clearly identified during the evaluation. This report illustrates the need to consider all the imaging aspects and particularly during US examination suspecting BPA.

  9. Bilateral acute angle-closure glaucoma after dexfenfluramine treatment.

    Science.gov (United States)

    Denis, P; Charpentier, D; Berros, P; Touameur, S

    1995-01-01

    We report the case of a patient with narrow angles who had an attack of bilateral acute angle-closure glaucoma precipitated by dexfenfluramine, a serotoninergic drug developed for appetite suppression. Although the exact mechanism remains uncertain, the pupillary block observed in our case may be the result of the serotoninergic or indirect parasympatholytic properties of the drug on the iris sphincter muscle. Serotonergic psychoactive drugs should be prescribed cautiously in patients with known narrow angles and should be monitored by an ophthalmologist.

  10. Primary bilateral adrenal intravascular large B-cell lymphoma associated with adrenal failure.

    Science.gov (United States)

    Fukushima, Ayumi; Okada, Yosuke; Tanikawa, Takahisa; Onaka, Takashi; Tanaka, Aya; Higashi, Takehiro; Tsukada, Junichi; Tanaka, Yoshiya

    2003-07-01

    We report a rare case of bilateral primary adrenal non-Hodgkin's lymphoma with adrenal failure. A 66-year-old woman developed symptoms of adrenal failure. The cause of adrenal failure was suspected to be malignant lymphoma based on the high levels of serum soluble interleukin-2 receptor and LDH. Bilateral adrenalectomy was performed and pathological examination showed intravascular large B-cell lymphoma (IVL). Although complete remission was achieved, recurrence occurred three months later with brain metastases. IVL should be suspected in patients with bilateral adrenal tumors who present with rapidly progressive adrenal failure.

  11. Bilateral optic neuropathy associated with the tumor necrosis factor-alpha inhibitor golimumab.

    Science.gov (United States)

    Chang, Jessica R; Miller, Neil R

    2014-12-01

    A 62-year-old man developed bilateral blurred vision associated with bilateral optic disc swelling shortly after receiving his third dose of the tumor necrosis factor-alpha (TNF-α) inhibitor golimumab, that he took for psoriatic arthritis. An extensive assessment including magnetic resonance imaging, lumbar puncture, and serologies was negative. He was treated with systemic corticosteroids and the golimumab was stopped, after which his vision improved and his disc swelling resolved. We postulate that the bilateral, simultaneous anterior optic neuropathies in this patient were due to golimumab, representing a rare but well-documented serious adverse event associated with TNF-α inhibitors.

  12. Co-operative agreements and the EU Water Framework Directive in conjunction with the Common Agricultural Policy

    Science.gov (United States)

    Heinz, I.

    2008-05-01

    This paper discusses the significance of voluntary arrangements for the water and agricultural policies in the European Union. The current implementation of the European Water Framework Directive (WFD) and the reform of the Common Agricultural Policy (CAP) require new approaches in water management. As many case studies have shown, co-operative agreements (CAs) between water companies, farmers and authorities can help to reduce environmental pressures on water bodies. The main reasons for that are: i) water companies are ready to advise and financially support farmers in changing production methods; ii) changes of farming practices are tailored to the site-specific requirements; iii) farmers and water companies are interested in minimising the costs and environmental pressures as they benefit, for example, from modernization of farming methods, and reductions in cost of water treatment, and iv) voluntarily agreed commitments to change farming practices are often stricter than statutory rules. Moreover, precautionary rather than remedial measures are preferred. Tackling diffuse pollution is one of the main concerns of the WFD. CAs can enhance the cost-effectiveness of actions within the programmes of measures so that good water status is achieved by 2015. In CAs all relevant stakeholders, located in catchment areas of agricultural usage, can be involved. Thus, they can help to foster integrated water resources management. In particular, disproportionate costs of changing farming practices can be identified. With regard to the recent CAP reform, financial support for farmers will be linked to compliance with environmental standards and further commitments. This concerns both direct payments and agri-environmental programmes. The experience gained in CAs can provide information on best agricultural practices. Informed farmers are more ready to meet environmental requirements. Because CAs implement the most cost-effective changes in farming practice, it can be assumed

  13. Gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden.

    Science.gov (United States)

    Aden, A S; Dahlgren, L; Tarsitani, G

    2004-01-01

    Political upheaval and poverty at home has been forcing many Somalis to immigrate. These immigrants do not only leave their physical house, families, relatives, loved ones, friends, but also familiarities, culture, customs, and often they do end up in no man's land being between their own and new home culture. Available reports suggest that there are about 15,000 Somalis in Sweden and their majority came here from late 1989 to 1996. About one third these immigrants live in and around the city of Gothenburg. This paper explores and describes gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden. A qualitative sociological in-depth interviews with 6 women and 7 men was performed during May 1999 to January 2000. A follow up focus group interviews with 10 people (2 women and 8 men) was also carried on. The results show that both the Somali culture and Muslim religion do not support the children being taught sex education in schools or the names of the sex organs being pronounced other than to be used as metaphors. The girls, unlike their age group males, experience a very painful and terrifying process during childhood in which their self-esteem is downgraded by means of serious degrading traditional active violence such as female genital mutilation and visible virginity control. The narratives tell stories in which Somali women are degraded and expected to obey in situations characterised by their man's arbitrariness. They are subject to a very extensive form of social control, which is especially pronounced on issues regarding sexuality. Their integrity as women is, consequently set aside. When Somali refugees came to Sweden some of them came to adopt much of the modern lifestyle and cultural norm systems, preferable young people and some of the females. Relating to a new culture with its new expectations on the norm obedience also created changes in self-esteem. Exile situation tends to generate

  14. Co-operative agreements and the EU Water Framework Directive in conjunction with the Common Agricultural Policy

    Directory of Open Access Journals (Sweden)

    I. Heinz

    2008-05-01

    Full Text Available This paper discusses the significance of voluntary arrangements for the water and agricultural policies in the European Union. The current implementation of the European Water Framework Directive (WFD and the reform of the Common Agricultural Policy (CAP require new approaches in water management. As many case studies have shown, co-operative agreements (CAs between water companies, farmers and authorities can help to reduce environmental pressures on water bodies. The main reasons for that are: i water companies are ready to advise and financially support farmers in changing production methods; ii changes of farming practices are tailored to the site-specific requirements; iii farmers and water companies are interested in minimising the costs and environmental pressures as they benefit, for example, from modernization of farming methods, and reductions in cost of water treatment, and iv voluntarily agreed commitments to change farming practices are often stricter than statutory rules. Moreover, precautionary rather than remedial measures are preferred. Tackling diffuse pollution is one of the main concerns of the WFD. CAs can enhance the cost-effectiveness of actions within the programmes of measures so that good water status is achieved by 2015. In CAs all relevant stakeholders, located in catchment areas of agricultural usage, can be involved. Thus, they can help to foster integrated water resources management. In particular, disproportionate costs of changing farming practices can be identified. With regard to the recent CAP reform, financial support for farmers will be linked to compliance with environmental standards and further commitments. This concerns both direct payments and agri-environmental programmes. The experience gained in CAs can provide information on best agricultural practices. Informed farmers are more ready to meet environmental requirements. Because CAs implement the most cost-effective changes in farming practice, it

  15. Co-operative agreements and the EU Water Framework Directive in conjunction with the Common Agricultural Policy

    Directory of Open Access Journals (Sweden)

    I. Heinz

    2007-06-01

    Full Text Available This paper discusses the significance of voluntary arrangements for the water and agricultural policies in the European Union. The current implementation of the European Water Framework Directive (WFD and the reform of the Common Agricultural Policy (CAP require new approaches in water management. As many case studies have shown, co-operative agreements (CAs between water companies, farmers and authorities can help to reduce environmental pressures on water bodies. The main reasons for that are: i water companies are ready to advise and financially support farmers in changing production methods; ii changes of farming practices are tailored to the site-specific requirements; iii farmers and water companies are interested in minimising the costs and environmental pressures as they benefit, for example, from modernization of farming methods, and reductions in cost of water treatment, and iv voluntarily agreed commitments to change farming practices are often stricter than statutory rules. Moreover, precautionary rather than remedial measures are preferred. Tackling diffuse pollution is one of the main concerns of the WFD. CAs can enhance the cost-effectiveness of actions within the programmes of measures so that good water status is achieved by 2015. In CAs all relevant stakeholders, located in catchment areas of agricultural usage, can be involved. Thus, they can help to foster integrated water resources management. In particular, disproportionate costs of changing farming practices can be identified. With regard to the recent CAP reform, financial support for farmers will be linked to compliance with environmental standards and further commitments. This concerns both direct payments and agri-environmental programmes. The experience gained in CAs can provide information on best agricultural practices. Informed farmers are more ready to meet environmental requirements. Because CAs implement the most cost-effective changes in farming practice, it

  16. Bilateral Psoas Haematomata Complicating Renal Transplantation

    Directory of Open Access Journals (Sweden)

    Jacob A. Akoh

    2014-01-01

    Full Text Available Background. The challenge in managing patients undergoing renal transplantation is how to achieve optimum levels of anticoagulation to avoid both clotting and postoperative bleeding. We report a rare case of severe postoperative retroperitoneal bleeding including psoas haematomata complicating renal transplantation. Case Report. SM, a 55-year-old female, had a past history of aortic valve replacement, cerebrovascular event, and thoracic aortic aneurysm and was on long-term warfarin that was switched to enoxaparin 60 mg daily a week prior to her living donor transplantation. Postoperatively, she was started on a heparin infusion, but this was complicated by a large retroperitoneal bleed requiring surgical evacuation on the first postoperative day. Four weeks later, she developed features compatible with acute femoral neuropathy and a CT scan revealed bilateral psoas haematomata. Following conservative management, she made steady progress and was discharged home via a community hospital 94 days after transplantation. At her last visit 18 months after transplantation, she had returned to full fitness with excellent transplant function. Conclusion. Patients in established renal failure who require significant anticoagulation are at increased risk of bleeding that may involve prolonged hospitalisation and more protracted recovery and patients should be carefully counselled about this.

  17. Rehabilitation for bilateral amputation of fingers

    Science.gov (United States)

    Stapanian, Martin A.; Stapanian, Adrienne M.P.; Staley, Keith E.

    2010-01-01

    We describe reconstructive surgeries, therapy, prostheses, and adaptations for a patient who experienced bilateral amputation of all five fingers of both hands through the proximal phalanges in January 1992. The patient made considerable progress in the use of his hands in the 10 mo after amputation, including nearly a 120% increase in the active range of flexion of metacarpophalangeal joints. In late 1992 and early 1993, the patient had "on-top plasty" surgeries, in which the index finger remnants were transferred onto the thumb stumps, performed on both hands. The increased web space and functional pinch resulting from these procedures made many tasks much easier. The patient and occupational therapists set challenging goals at all times. Moreover, the patient was actively involved in the design and fabrication of all prostheses and adaptations or he developed them himself. Although he was discharged from occupational therapy in 1997, the patient continues to actively find new solutions for prehension and grip strength 18 yr after amputation.

  18. Rehabilitation for bilateral amputation of fingers.

    Science.gov (United States)

    Stapanian, Martin A; Stapanian, Adrienne M P; Staley, Keith E

    2010-01-01

    We describe reconstructive surgeries, therapy, prostheses, and adaptations for a patient who experienced bilateral amputation of all five fingers of both hands through the proximal phalanges in January 1992. The patient made considerable progress in the use of his hands in the 10 mo after amputation, including nearly a 120% increase in the active range of flexion of metacarpophalangeal joints. In late 1992 and early 1993, the patient had "on-top plasty" surgeries, in which the index finger remnants were transferred onto the thumb stumps, performed on both hands. The increased web space and functional pinch resulting from these procedures made many tasks much easier. The patient and occupational therapists set challenging goals at all times. Moreover, the patient was actively involved in the design and fabrication of all prostheses and adaptations or he developed them himself. Although he was discharged from occupational therapy in 1997, the patient continues to actively find new solutions for prehension and grip strength 18 yr after amputation.

  19. Bilateral agenesis of the anterior cruciate ligament: MRI evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Bedoya, Maria A.; Jaramillo, Diego [The Children' s Hospital of Philadelphia, Radiology Department, Philadelphia, PA (United States); McGraw, Michael H. [Hospitalof theUniversityof Pennsylvania, Divisionof Orthopaedics, Philadelphia, PA (United States); Wells, Lawrence [The Children' s Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA (United States)

    2014-09-15

    Bilateral agenesis of the anterior cruciate ligament (ACL) is extremely rare. We describe a 13-year-old girl who presented with bilateral knee pain without history of trauma; she has two family members with knee instability. Magnetic resonance imaging showed bilateral absence of the ACL, and medial posterior horn meniscal tears. Bilateral arthroscopic partial meniscectomy and anterior cruciate ligament reconstruction was performed. (orig.)

  20. The Realization of Command Channel-Mechanism in a System for Human to Human Interaction and Co-operative%人人交互与协作系统中命令通道机制的实现

    Institute of Scientific and Technical Information of China (English)

    田友胜; 侯义斌

    2000-01-01

    The concept of command channel-mechanism has been introduced into the command channelmechanism system for human to human interaction and co-operative over the Internet/Intranet.A new type of interaction and co-operative environment has been built up.This paper discusses the running mechanism and software realization of the command channel.

  1. Post-Traumatic Bilateral Facial Paralysis Associated with Temporal Bone Fracture.

    Science.gov (United States)

    Habib, Syed Shahid; Al Rouq, Fawzia; Meo, Imran

    2015-10-01

    Bilateral traumatic facial paralysis is a very rare clinical condition. Loss of taste sensation, associated with bilateral traumatic paralysis, is even rarer and has not been well described in the literature. In this report, a 23-year old male, who developed bilateral facial paralysis with loss of taste sensation and hearing impairment, following a motor vehicle accident, is presented. He had initially presented with unconsciousness for about 2 hours after he sustained closed head injury after a motor vehicle accident. Initial Computed Tomography (CT) scans revealed a small epidural hematoma, right temporal bone fracture and air densities around the basal cistern. On the 4th day after trauma, he was noted to have incomplete closure of both eyes and was feeling difficulty with chewing and drooling of saliva. Electrodiagnostic testing confirmed the diagnosis of bilateral facial paralysis-House-Brackmann (HB) grade V. Electroneuronography (ENoG) showed degeneration of 90% nerve fibres bilaterally. The high-resolution CT scans showed bilateral temporal bone fractures. At 3 months of follow-up, the patient had partial recovery of facial nerve function bilaterally and improvement in HB classification to grade III and ENoG of 60% was observed.

  2. Thou should not know too much. When lack of information promotes co-operative behaviour. The case of oil-fields in Wyoming, Oklahoma and Texas

    Energy Technology Data Exchange (ETDEWEB)

    Hassler, B.

    1997-12-31

    Proper assumptions of information levels are of vital importance in all kinds of analysis of interdependent decision-making. In most cases the rule is; the more information the better. In this paper, however, it is shown that such is not always the case. Lack of information can enhance resource utilisation of resources, when the problem of co-operation is of a Prisoner`s dilemma type, and when iteration of the interaction game is unlikely. The case of oil-fields in the United States has been chosen as an empirical example of the latter. Optimal drilling procedures tend to be chosen more often the less the drillers know about the resource characteristics. This outcome is explained by the structure of the decision-making problem, where low levels of information render it advantageous to choose co-operative strategies 16 refs, 4 figs

  3. Theoretical Foundations of the Web: Cognition, Communication, and Co-Operation. Towards an Understanding of Web 1.0, 2.0, 3.0

    Directory of Open Access Journals (Sweden)

    Robert Bichler

    2010-02-01

    Full Text Available Currently, there is much talk of Web 2.0 and Social Software. A common understanding of these notions is not yet in existence. The question of what makes Social Software social has thus far also remained unacknowledged. In this paper we provide a theoretical understanding of these notions by outlining a model of the Web as a techno-social system that enhances human cognition towards communication and co-operation. According to this understanding, we identify three qualities of the Web, namely Web 1.0 as a Web of cognition, Web 2.0 as a Web of human communication, and Web 3.0 as a Web of co-operation. We use the terms Web 1.0, Web 2.0, Web 3.0 not in a technical sense, but for describing and characterizing the social dynamics and information processes that are part of the Internet.

  4. HOXA2 haploinsufficiency in dominant bilateral microtia and hearing loss.

    Science.gov (United States)

    Brown, Kerry K; Viana, Lucas M; Helwig, Cecilia C; Artunduaga, Maria A; Quintanilla-Dieck, Lourdes; Jarrin, Patricia; Osorno, Gabriel; McDonough, Barbara; DePalma, Steven R; Eavey, Roland D; Seidman, Jonathan G; Seidman, Christine E

    2013-10-01

    Microtia is a rare, congenital malformation of the external ear that in some cases has a genetic etiology. We ascertained a three-generation family with bilateral microtia and hearing loss segregating as an autosomal dominant trait. Exome sequencing of affected family members detected only seven shared, rare, heterozygous, nonsynonymous variants, including one protein truncating variant, a HOXA2 nonsense change (c.703C>T, p.Q235*). The HOXA2 variant was segregated with microtia and hearing loss in the family and was not seen in 6,500 individuals sequenced by the NHLBI Exome Sequencing Project or in 218 control individuals sequenced in this study. HOXA2 has been shown to be critical for outer and middle ear development through mouse models and has previously been associated with autosomal recessive bilateral microtia. Our data extend these conclusions and define HOXA2 haploinsufficiency as the first genetic cause for autosomal-dominant nonsyndromic microtia.

  5. Bilateral sandwiched scapulae: A rare presentation of hereditary multiple exostoses.

    Science.gov (United States)

    Mozaffarian, Kamran; Farahani, Mohammad Javad; Vosoughi, Amir Reza

    2016-01-01

    Hereditary multiple exostoses, an autosomal dominant condition, is a common benign tumor which is characterized by the development of multiple osteochondromas. Bilateral dorsal and ventral involvement of scapulae is extremely rare without any reported case in the literature. An 18-year-old girl was referred because of bilateral prominent scapulae and left-sided pain on shoulder girdle motion especially at more than 90° abduction and forward flexion. Radiograph evaluation showed multiple exostoses on ventral and dorsal surfaces of body of both scapulae; hence simple excision of the lesion was impossible. The patient was symptom-free about 18 months after partial scapulectomy of left side. Partial scapulectomy seems to be an effective treatment for the sandwiched scapula between dorsal and ventral benign tumors.

  6. Open environmental data sets - prospect of co-operation between public and private sector in water quality monitoring. Final report of Water Quality Service for Lakes -project; Avoin ympaeristoetieto - yhteistyoen kehittaeminen vesistoejen seurannassa. Jaervien vedenlaatupalvelu -hankkeen loppuraportti

    Energy Technology Data Exchange (ETDEWEB)

    Anttila, S.; Broeckl, M.; Herlevi, A. (and others)

    2012-04-15

    Data sets collected by the public sector are common property and should be freely available. Effective usage of this open data is anticipated to create new information and services, but also to develop welfare for humans. Insufficient usage of public and open environmental data sets in the private sector has been recognized as a problem. Reasons for this can be found from the non-commercial nature of environmental data, the way it is collected and archived, but also from the strong role of public sector in this field. In the Water Quality Service for Lakes -project (Tekes, 2009-2012), we wanted to advance the utilization of the public data sets in the private sector, as well as to promote the co-operation between these two sectors. Starting point was to develop local research infrastructure in the way that collected information would be easily accessible to private companies. This was realized by creating a data base that gathers water quality information from several data sources and provides a standardized interface for the data utilization. In addition, project provided a variety of research results including a questionnaire survey targeted to the users of water quality information, and the methods to increase the accuracy of collected data and to create forecasts from it. A concrete result from the project was also the development of 'laymans' water quality measurement device named as Secchi3000. A digital camera installed in e.g. mobile phones can be used with Secchi3000 device to measure water quality of different natural waters. This new innovation has great potential in e.g. citizen based monitoring. The challenges and opportunities to create business based on the public environmental data were revolved in two work shops. In this publication the prospects of co-operation between public and private sector are discussed based on the results of the Water Quality Service for lakes -project. (orig.)

  7. 警检配合与侦查监督%Co-operation between the Police and the Procurator and the Investigation Supervision

    Institute of Scientific and Technical Information of China (English)

    周标龙

    2012-01-01

    The Criminal Procedure Law of China stipulates that the police and the procurator should co-operate with each other and that the procurator supervises the investigating activities by the police. However there exists contradiction between the "co- operation" and the "supervision".. if the co-operation between the police and the procurator is strengthened, the function of su- pervision to the investigative power will be weakened; if the supervision to the investigative power is strengthened, the co-oper- ation between the police and the procurator will not work well. We ought to design a mode of relationship between the police and the procurator that the police and the procurator co-operate with each other intensely in order to complete the mission of crime control. At the same , it's necessary to strengthen the checking mechanism to the investigation power of the police.%我国刑事诉讼法规定公安机关与检察机关应当互相配合,同时规定检察机关对公安机关侦查活动进行监督。然而,警检配合与侦查监督具有矛盾性:加强警检配合会削弱侦查监督;加强侦查监督则会使警检难以相互配合。我国应以提高对犯罪的有效追诉为目标构建相互配合与协作的警检关系。同时,应当完善侦查权制约机制以防止侦查权的滥用。

  8. Bilateral parotid enlargement following snake bite:A rare sign

    Institute of Scientific and Technical Information of China (English)

    Madi Deepak; Achappa Basavaprabhu; John T Ramapuram; Chowta Nithyananda; Soundarya Mahalingam

    2013-01-01

    Snakebite is a common medical emergency in India. Unusual complications may occur after viper bite. Bilateral parotid enlargement after viper bite is a rare entity. An 18-year old gentleman presented to our hospital with history of viper bite. On examination he had cellulitis of right lower limb. He developed swelling of both the parotid glands 12 h after admission. He developed coagulopathy, acute renal failure and died within 48 h of hospital admission. Development of parotid swelling after snake bite is associated with poor prognosis. This case is found worth reporting as it is an unusual complication having prognostic value.

  9. Bilateral Versus Unilateral Cochlear Implants in Children: A Study of Spoken Language Outcomes

    OpenAIRE

    2014-01-01

    Objectives: Although it has been established that bilateral cochlear implants (CIs) offer additional speech perception and localization benefits to many children with severe to profound hearing loss, whether these improved perceptual abilities facilitate significantly better language development has not yet been clearly established. The aims of this study were to compare language abilities of children having unilateral and bilateral CIs to quantify the rate of any improvement in language attr...

  10. [Bilateral pheochromocytoma: laparoscopic surgery in 2 cases].

    Science.gov (United States)

    Lam, J; Castillo, O; Bravo, J; Henríquez, R; Tagle, F

    2001-01-01

    Laparoscopic adrenalectomy, if done by skilled surgeons, is now the first choice for treating most adrenal tumors, including bilateral pheochromocytoma. We report two women, aged 35 and 34 years old, with bilateral adrenal pheochromocytoma successfully excised by laparoscopic surgery. Both had severe hypertension, high urinary catecholamine values (epinephrine + norepinephrine: 528 and 1083 ug/24 h) and bilateral adrenal tumors at CT scan. After 4 weeks of doxazosin treatment, a laparoscopic transperitoneal adrenalectomy was done (Gugner's technique), with surgical times of 7 and 5 hours respectively. Both patients received hydrocortisone and only the second one required one unit of packed cells. Postoperative evolution was uneventful and both patients were discharged at the fifth postoperative day. At two months of follow up, both patients are asymptomatic and normotensive.

  11. Prognosis of synchronous bilateral breast cancer

    DEFF Research Database (Denmark)

    Holm, Marianne; Tjønneland, Anne; Balslev, Eva

    2014-01-01

    Currently, no consistent evidence-based guidelines for the management of synchronous bilateral breast cancer (SBBC) exist and it is uncertain how presenting with SBBC affects patients' prognosis. We conducted a review of studies analyzing the association between SBBC and prognosis. The studies...... that reported adjusted effect measures were included in meta-analyses of effect of bilaterality on breast cancer mortality. From 57 initially identified records 17 studies from 11 different countries including 8,050 SBBC patients were included. The quality of the studies varied but was generally low with small...... sample sizes, and lack of consistent, detailed histo-pathological information. When doing meta-analysis on the subgroup of studies that provided adjusted effect estimates on breast cancer mortality (nine studies including 3,631 SBBC cases), we found that bilaterality in itself had a negative impact...

  12. Langerhans Cell Histiocytosis in Bilateral Mastoid Cavity

    Directory of Open Access Journals (Sweden)

    Kazım Bozdemir

    2013-01-01

    Full Text Available A 39-year-old male was admitted to our clinic with symptoms of headache, dizziness, nausea, otalgia, otorrhea, tinnitus, and hearing loss in both ears for 3 weeks. Physical examination revealed edema in the tympanic membrane and external ear canal, and pain by palpation in the mastoid area bilaterally. There was no nystagmus, and the rest of the physical examination was otherwise normal. Temporal bone high resolution computed tomography (CT showed a lesion causing erosion in the mastoid cortex, tegmen tympani, ossicles, and in the bone covering the sigmoid sinus bilaterally. There was also erosion in the superior semicircular canal and petrous bone on the left side. Cortical mastoidectomy was performed under general anesthesia. Histopathologic examination of the tissue revealed Langerhans cell histiocytosis (LCH. In this paper a case with LCH, presenting with bilateral mastoid involvement which has been rarely reported in the literature, is discussed with the existing literature.

  13. Anesthetic keratopathy presenting as bilateral Mooren-like ulcers

    Directory of Open Access Journals (Sweden)

    Khakshoor H

    2012-10-01

    Full Text Available Hamid Khakshoor,1 Majid Moshirfar,2 Rachel G Simpson,3 Hamid Gharaee,1 Amir H Vejdani,1 Steven M Christiansen,2 Jason N Edmonds,2 Nicholas L Behunin21Mashhad University of Medical Sciences, Department of Ophthalmology, Mashad, Iran; 2John A Moran Eye Center, University of Utah, Salt Lake City, UT, 3The University of Arizona College of Medicine, Phoenix, AZ, USAAbstract: This observational case report describes the development of bilateral Mooren-like ulcers in a patient with anesthetic keratopathy. A 42-year-old man with a recent history of minor eye trauma and pain self-treated with tetracaine eye drops presented with complaints of acutely worsening vision and severe pain bilaterally. His visual acuity at presentation was limited to hand motion. Slit-lamp examination revealed bilateral epithelial defects at the center of the cornea, and an area of stromal infiltration and thinning with an undermining leading edge resembling a Mooren's ulcer in both eyes. Corneal haze and hypopyon were visible. Anesthetic use was halted immediately and the patient was started on prednisolone and mycophenolate mofetil (Cellcept®, after which visual acuity gradually improved and pain decreased. Despite improvement of symptoms, residual epithelial defects remained, and the patient was ultimately treated with keratoplasty for recovery of vision. We suggest that anesthetic keratopathy should be included in the differential diagnosis for any patient presenting with ring-shaped stromal infiltrates or nonhealing epithelial defects.Keywords: anesthetic abuse, corneal damage, corneal ulceration

  14. Bilateral Acute Angle-Closure Glaucoma Induced By Escitalopram

    Directory of Open Access Journals (Sweden)

    Dilbade Yıldız Ekinci

    2014-10-01

    Full Text Available Escitalopram is an antidepressant of the selective serotonin reuptake inhibitor(SSRI class. In this manuscript, we report the case of a female patient who developed bilateral acute angle-closure glaucoma induced by escitalopram. A 46-year-old female patient was admitted to our ophthalmology clinic with complaints of severe pain around the both eyes, headache, nausea, and vomiting for two days. In her past medical history, she was using escitalopram for depression for two years. Visual acuity was at hand movement level in both eyes. Anterior segment examination showed bilateral diffuse conjunctival hyperemia, corneal edema, shallow anterior chamber, and fixed dilated pupils. Intraocular pressure was 47 mmHg in the right and 68 mmHg in the left eye. The diagnosis was acute angle-closure glaucoma, and the escitalopram medication was discontinued. She was treated with topical and systemic antiglaucomatous medication. After the cornea become clear, bilateral peripheral laser iridotomy was done. In the following year, she did not begin escitalopram medication again and no other acute angle-closure attack was seen. (Turk J Ophthalmol 2014; 44:396-9

  15. Bilateral Meckel's cave amyloidoma: a case report.

    Science.gov (United States)

    Gültaşli, N; van den Hauwe, L; Bruneau, M; D'Haene, N; Delpierre, I; Balériaux, D

    2012-05-01

    Primary solitary amyloidoma of Meckel's cave is rare, and a bilateral location is even more rare. To the best of our knowledge, only 12 cases in the literature have described such a primary lesion, including one case of bilateral involvement of Meckel's cave. We report here on the case of a 57-year-old woman presenting with pseudotumor masses involving both Meckel's caves and responsible for trigeminal neuropathy. The final diagnosis of amyloidoma was made on the basis of histological examination of surgical biopsy specimens.

  16. Bilateral Renal Mass-Renal Disorder: Tuberculosis

    Directory of Open Access Journals (Sweden)

    Ozlem Tiryaki

    2013-01-01

    Full Text Available A 30-year-old woman has presented complaining of weakness and fatigue to her primary care physician. The renal sonography is a routine step in the evaluation of new onset renal failure. When the renal masses have been discovered by sonography in this setting, the functional imaging may be critical. We reported a case about bilateral renal masses in a young female patient with tuberculosis and renal insufficiency. Magnetic resonance (MR has revealed the bilateral renal masses in patient, and this patient has been referred to our hospital for further management. The patient’s past medical and surgical history was unremarkable.

  17. Sudden bilateral hearing loss after organophosphate inhalation

    OpenAIRE

    Dundar, Mehmet Akif; Derin, Serhan; Aricigil, Mitat; Eryilmaz, Mehmet Akif

    2016-01-01

    Sudden bilateral hearing loss are seen rarely and the toxic substance exposure constitutes a small part of etiology. A Fifty-eight-year-old woman admitted to our clinic with sudden bilateral hearing loss shortly after chlorpyrifos-ethyl exposure. Otolaryngologic examination findings were normal. The patient had 40 dB sensorineural hearing loss (SNHL) on the right ear and 48 dB SNHL on the left ear. Additional diagnostic tests were normal. The conventional treatment for sudden hearing loss was...

  18. Bilateral accessory cleidohyoid in a human cadaver

    Directory of Open Access Journals (Sweden)

    Stark ME

    2009-10-01

    Full Text Available During routine anatomical dissection of the infrahyoid region, a muscle was found bilaterally originating from the sternal end of clavicle and inserting into the hyoid bone. The muscle coursed parallel and lateral to the sternohyoid muscle. The muscle was found in the presence of an intact omohyoid, thus being classified as an accessory cleidohyoid (cleidohyoideus accessorius muscle. While other authors have reported the presence of a unilateral cleidohyoideus accessorius muscle, to our knowledge this is the first case of a bilateral cleidohyoideus accessorius muscle in the medical literature. Anatomical variations of the infrahyoid muscles may have functional, diagnostic, surgical and pathological implications.

  19. Isolated Bilateral Congenital Iris Sphincter Agenesis

    Directory of Open Access Journals (Sweden)

    Aparna Rao

    2011-01-01

    Full Text Available Purpose. We herein report a patient with bilateral congenital total iris sphincter agenesis with no other abnormality detected on systemic examination. Methods. A 24-year-old laborer presented to us for a routine checkup with complaint of photophobia and inability to work under sunlight. Examination revealed bilateral absence of sphincter and 6.5 mm pupil in both eyes in the undilated state. Results. Accommodation was poor in both eyes. Systemic examination was within normal limits. He was prescribed bifocal photochromic glasses for constant wear. Conclusions. Congenital sphincter agenesis can occur in an isolated form without systemic abnormalities which can be managed conservatively.

  20. Bilateral disease and new trends in Wilms tumour

    Energy Technology Data Exchange (ETDEWEB)

    Owens, Catherine M.; Olsen, Oeystein E. [Great Ormond Street Hospital for Children NHS Trust, Department of Radiology, London (United Kingdom); Brisse, Herve J. [Institut Curie, Service de Radiodiagnostic, Paris (France); Begent, Joanna [University College Hospital, Paediatric Oncology, London (United Kingdom); Smets, Anne M. [Academic Medical Center Amsterdam, Department of Radiology, Amsterdam (Netherlands)

    2008-01-15

    Wilms tumour is a great therapeutic success story within paediatric oncology; its prognosis is excellent. Although mainly sporadic, occurring in otherwise well children, it occurs in a small number of genetically predisposed children. Thus regular surveillance imaging is performed in predisposed children in parts of the USA and Europe. The risks and benefits of surveillance are unclear, as the existing ad-hoc surveillance protocols are lacking in consistency of practice and equity of provision. We present guidelines for Wilms tumour surveillance based on a review of current practice and available evidence, outlined by a multidisciplinary working group in the UK. Wilms tumours are bilateral in 4-13% of affected children. Bilateral synchronous nephroblastomas are observed in 5% of affected children and are usually associated with the presence of nephrogenic rests, congenital malformations and predisposing syndromes. The major challenge in bilateral disease is to achieve a cure and at the same time to preserve sufficient functional renal tissue for normal growth and development. The association among Wilms tumour, nephrogenic rests and nephroblastomatosis makes detection and characterization of renal lesions with imaging extremely important. We discuss the relative strengths and weaknesses of the different modalities used for diagnosis and follow-up in bilateral renal disease. We also discuss newly emerging diagnostic imaging tests such as {sup 18}F-fluorodeoxyglucose positron emission tomography (FDG-PET). This technique, when fused with CT (PET-CT), allows accelerated metabolic activity to be accurately anatomically localised and so is potentially useful for staging, assessment of treatment response, and for surgical and radiotherapy planning. In addition, quantitative MRI techniques have been proved to be valuable in intracranial tumours, but no such role has been validated in abdominal disease. Diffusion-weighted imaging with calculation of ADC maps is feasible in

  1. Bilateral Moyamoya Disease in a 2-Year-Old Pakistani Male Treated with Bilateral Encephaloduroarteriosynangiosis: A Positive Outcome.

    Science.gov (United States)

    Magsi, Shahvaiz; Khoja, Adeel; Rameez, Mansoor Ali Merchant; Khan, Ariba; Ishaque, Noman

    2016-01-01

    Background. We present a rare case of bilateral moyamoya disease presenting as multiple strokes and neurological deficits, treated with the neurosurgical procedure, encephaloduroarteriosynangiosis (EDAS), in a 2-year-old male Pakistani minor. A positive outcome was achieved and the patient recovered fully. Case Summary. Our patient presented with a history of seizures and multiple episodes of hemiparesis (on and off weakness) at the age of 2 years. He had a delayed speech development and could not speak more than a few words. He had a slight slurring of speech too. He was diagnosed with bilateral moyamoya disease on Computed Tomography Angiography (CTA). Bilateral EDAS was done in the same year, after which his symptoms improved and patient had moderate functional recovery. Conclusion. A rare disease, moyamoya has been left unexplored in Pakistan; physicians and surgeons when dealing with cases in the pediatric population presenting with symptoms of stroke, signs of generalized weakness, and seizures should consider moyamoya disease as a possibility. Furthermore, this case demonstrates the effectiveness of EDAS procedure for the treatment of moyamoya disease.

  2. Bilateral Moyamoya Disease in a 2-Year-Old Pakistani Male Treated with Bilateral Encephaloduroarteriosynangiosis: A Positive Outcome

    Directory of Open Access Journals (Sweden)

    Shahvaiz Magsi

    2016-01-01

    Full Text Available Background. We present a rare case of bilateral moyamoya disease presenting as multiple strokes and neurological deficits, treated with the neurosurgical procedure, encephaloduroarteriosynangiosis (EDAS, in a 2-year-old male Pakistani minor. A positive outcome was achieved and the patient recovered fully. Case Summary. Our patient presented with a history of seizures and multiple episodes of hemiparesis (on and off weakness at the age of 2 years. He had a delayed speech development and could not speak more than a few words. He had a slight slurring of speech too. He was diagnosed with bilateral moyamoya disease on Computed Tomography Angiography (CTA. Bilateral EDAS was done in the same year, after which his symptoms improved and patient had moderate functional recovery. Conclusion. A rare disease, moyamoya has been left unexplored in Pakistan; physicians and surgeons when dealing with cases in the pediatric population presenting with symptoms of stroke, signs of generalized weakness, and seizures should consider moyamoya disease as a possibility. Furthermore, this case demonstrates the effectiveness of EDAS procedure for the treatment of moyamoya disease.

  3. Bilateral Facial Nerve Palsy: A Diagnostic Dilemma

    Directory of Open Access Journals (Sweden)

    Sohil Pothiawala

    2012-01-01

    Conclusion. We reinforce the importance of considering the range of differential diagnosis in all cases presenting with bilateral FNP. These patients warrant admission and prompt laboratory and radiological investigation for evaluation of the underlying cause and specific further management as relevant.

  4. [Congenital lumbar hernia and bilateral renal agenesis].

    Science.gov (United States)

    Barrero Candau, R; Garrido Morales, M

    2007-04-01

    We report a new case of congenital lumbar hernia. This is first case reported of congenital lumbar hernia and bilateral renal agenesis. We review literature and describe associated malformations reported that would be role out in every case of congenital lumbar hernia.

  5. Bilateral chylothorax, chylopericardium and chylous ascitis

    Directory of Open Access Journals (Sweden)

    Anil Kashyap

    2011-01-01

    Full Text Available Non-Hodgkin′s lymphoma (NHL can commonly present as chylothorax and rarely as chylopericardium. Here we are presenting a case of a 21-years-old female with bilateral chylothorax, chylopericardium and chylous ascites all together finally diagnosed to have NHL as the etiology. To the best of our knowledge, it has been reported very infrequently.

  6. Bilateral duplication of the internal auditory canal

    Energy Technology Data Exchange (ETDEWEB)

    Weon, Young Cheol; Kim, Jae Hyoung; Choi, Sung Kyu [Seoul National University College of Medicine, Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si (Korea); Koo, Ja-Won [Seoul National University College of Medicine, Department of Otolaryngology, Seoul National University Bundang Hospital, Seongnam-si (Korea)

    2007-10-15

    Duplication of the internal auditory canal is an extremely rare temporal bone anomaly that is believed to result from aplasia or hypoplasia of the vestibulocochlear nerve. We report bilateral duplication of the internal auditory canal in a 28-month-old boy with developmental delay and sensorineural hearing loss. (orig.)

  7. Bilateral eyelid edema : Cutis laxa or blepharochalasis?

    NARCIS (Netherlands)

    Braakenburg, A; Nicolai, JPA

    2000-01-01

    A 59-year-old woman with massive bilateral edema of the upper and lower eyelids is presented. The edema occurred suddenly and without provocation. No cause could be identified despite a multitude of examinations. Initially the patient was diagnosed as having blepharochalasis, but later skin biopsy s

  8. Bilateral Diabetic Papillopathy and Metabolic Control

    DEFF Research Database (Denmark)

    Ostri, Christoffer; Lund-Andersen, Henrik; Sander, Birgit;

    2010-01-01

    -six patients with type 1 diabetes. METHODS: Review of clinical, photographic, and clinical chemistry records from a large diabetology and ophthalmology unit between 2001 and 2008. MAIN OUTCOME MEASURES: Simultaneous, bilateral diabetic papillopathy. RESULTS: The mean follow-up was 4.9 years. During 10 020...

  9. Bilateral synchronous rupture of the quadriceps tendon.

    LENUS (Irish Health Repository)

    Ellanti, P

    2012-09-01

    Bilateral simultaneous rupture of the quadriceps tendon is a rare entity. They are often associated with degenerative changes of the tendons and predisposing conditions such as diabetes or excessive steroid use. They most commonly tend to occur in patients of 40 years of age or older.

  10. ANAESTHETIC MANAGEMENT OF BILATERAL PHEOCHROMOCYTOM A

    OpenAIRE

    Joginder Pal; Veena; Ranjana; Gurmeet Kaur; Anju

    2012-01-01

    A 27 year old female patient with bilateral pheochrom ocytoma presented with hypertension. Confirmation of diagnosis was done by CT scan and raised 24 hour urinary vanillylmandelic acid levels. Preoperative BP was co ntrolled with prazosin, labetolol, indapamide and clonidine. The anaesthetic technique used was general anaesthesia with epidural analgesia.

  11. ANAESTHETIC MANAGEMENT OF BILATERAL PHEOCHROMOCYTOM A

    Directory of Open Access Journals (Sweden)

    Joginder Pal

    2012-11-01

    Full Text Available A 27 year old female patient with bilateral pheochrom ocytoma presented with hypertension. Confirmation of diagnosis was done by CT scan and raised 24 hour urinary vanillylmandelic acid levels. Preoperative BP was co ntrolled with prazosin, labetolol, indapamide and clonidine. The anaesthetic technique used was general anaesthesia with epidural analgesia.

  12. Fetal goiter and bilateral ovarian cysts

    DEFF Research Database (Denmark)

    Lassen, Pernille; Sundberg, Karin; Juul, Anders

    2008-01-01

    A unique case of fetal goiter accompanied by bilateral ovarian cysts in a mother treated with methimazole for Graves'disease is reported. The abnormal findings were detected by ultrasound at 31 weeks of gestation. Umbilical fetal blood sampling revealed elevated serum TSH, normal concentrations o...

  13. "Ostrich sign" indicates bilateral vertebral artery dissection.

    Science.gov (United States)

    Rose, David Z; Husain, M Rizwan

    2012-11-01

    Vertebral artery dissections (VADs) comprise about 2% of ischemic strokes and can be associated with trauma, chiropractic manipulation, motor vehicle collisions, whiplash, amusement park rides, golfing, and other motion-induced injuries to the neck. We present a case of bilateral extracranial VAD as a complication of conducting an orchestra. To our knowledge, this has not been documented in the literature. Conceivably, vigorous neck twisting in an inexperienced, amateur conductor may place excessive rotational forces upon mobile portions of the verterbral arteries, tear the intima, deposit subintimal blood that extends longitudinally, and cause neck pain and/or posterior fossa ischemic symptoms. Magnetic resonance angiography examinations of axially oriented slices of bilateral VADs resemble the face of an ostrich. This observation is similar to the "puppy sign," in which bilateral internal carotid artery dissections resemble the face of a dog. Craniocervical dissections of either the carotid or vertebral arteries have the potential to form an aneurysm, cause artery-to-artery embolism, or completely occlude the parent artery, resulting in an ischemic stroke. Because bilateral VADs in axial magnetic resonance angiographic sections stand out like the eyes of an ostrich, and because the fast identification of VADs is so critical, we eponymize this image the "ostrich sign."

  14. Fast and Provably Accurate Bilateral Filtering.

    Science.gov (United States)

    Chaudhury, Kunal N; Dabhade, Swapnil D

    2016-06-01

    The bilateral filter is a non-linear filter that uses a range filter along with a spatial filter to perform edge-preserving smoothing of images. A direct computation of the bilateral filter requires O(S) operations per pixel, where S is the size of the support of the spatial filter. In this paper, we present a fast and provably accurate algorithm for approximating the bilateral filter when the range kernel is Gaussian. In particular, for box and Gaussian spatial filters, the proposed algorithm can cut down the complexity to O(1) per pixel for any arbitrary S . The algorithm has a simple implementation involving N+1 spatial filterings, where N is the approximation order. We give a detailed analysis of the filtering accuracy that can be achieved by the proposed approximation in relation to the target bilateral filter. This allows us to estimate the order N required to obtain a given accuracy. We also present comprehensive numerical results to demonstrate that the proposed algorithm is competitive with the state-of-the-art methods in terms of speed and accuracy.

  15. Severe Hyperkalemia and Bilateral Adrenal Metastasis

    Directory of Open Access Journals (Sweden)

    Michael Nagler

    2009-01-01

    Full Text Available Adrenal metastases are a common finding in metastatic lung and breast cancer. Often there are no clinical symptoms suggesting them. In this paper, we present a case of a 66-year-old man with metastatic lung cancer suffering from severe hyperkaliemia due to hypoaldosteronism as a result of bilateral adrenal metastasis.

  16. Guillain-Barre Syndrome Presenting With Bilateral Facial Nerve Palsy

    Directory of Open Access Journals (Sweden)

    Soroor INALOO

    2014-01-01

    Full Text Available How to Cite This Article: Inaloo S, Katibeh P. Guillain-Barre Syndrome Presenting With Bilateral Facial Nerve Palsy. Iran J Child Neurol. 2014 Winter;8(1:69-71.ObjectiveThis case study is about an 11-year-old girl with bilateral facial weakness, abnormal taste sensation, and deep tendon reflexes of both knees and ankles were absent. However, the muscle power of the lower and upper extremities across all muscle groups was normal. After 2 days, she developed paresthesia and numbness in the lower extremities. Other neurologic examinations, such as fundoscopic evaluation of the retina were normal with the muscle power of both upper- and lower-extremities intact. A lumbar puncture revealed albumincytological dissociation. EMG and NCV were in favor of Guillain-Barre syndrome, for which IVIG was prescribed and the abnormal sensations in the lower limbs rapidly improved. Bilateral facial diplegia without weakness and paresthesia is a variant of Guillain-Barre syndrome that mostly presents withacute onset, rapid progression with or without limb weakness, paresthesia, and decreased or absent DTR and albumin-cytological dissociation.References:Barbi F, Ariatti A, Funakoshi K, Meacci M, Odaka M, Galassi G. Parvovirus B19 infection antedating Guillain-Barre’ syndrome variant with prominent facial diplegia. J Neurol 2011 Aug; 258(8:1551-2. doi: 10.1007/s00415-011-5949-5. Epub 2011 Feb 15.Yardimci N, Avci AY, Kayhan E, Benli S. Bilateral facial nerve enhancement demonstrated by magnetic resonance imaging in Guillain-Barré syndrome. Neurol Sci 2009 Oct; 30(5:431-3. doi:10.1007/s10072-009-0120-0.Lim TC, Yeo WS, Loke KY, Quek SC. Bilateral facial nerve palsy in Kawasaki disease. Ann Acad Med Singapore 2009; 38(8:737-8.Quintas E, Silva A, Sarmento A. Bilateral facial palsy in a young patient after meningococcal meningitis, associated to herpetic infection. Arq Neuro-Psiquiatr 2009; 67(3a: 712-14.Jain V, Deshmukh A, Gollomp S. Bilateral facial

  17. Amnesia Associated with Bilateral Hippocampal and Bilateral Basal Ganglia Lesions in Anoxia with Stimulant Use

    Science.gov (United States)

    Haut, Marc W.; Hogg, Jeffery P.; Marshalek, Patrick J.; Suter, Blair C.; Miller, Liv E.

    2017-01-01

    We report a case of a 55-year-old man with ischemic lesions of the bilateral hippocampus and bilateral basal ganglia following a myocardial infarction during an episode of multiple drug use with subsequent anoxia requiring resuscitation. He presented for a neuropsychological evaluation with an anterograde amnesia for both explicit and procedural memory. There are two main points to this case, the unique aspects of the bilateral multifocal lesions and the functional, cognitive impact of these lesions. We hypothesize that his rare focal bilateral lesions of both the hippocampus and basal ganglia are a result of anoxia acting in synergy with his stimulant drug use (cocaine and/or 3,4-methylenedioxy-methamphetamine). Second, his unique lesions produced an explicit and implicit/procedural anterograde amnesia. PMID:28228745

  18. Bilateral Progressive Obliterative Retinal Vasculitis

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    In this paper, 10 cases of a special type of retinal vasculitis are reported, which was characterized by progressive obliteration of vessels in both eyes, developed from the periphery to the posterior ploe, and was complicated by vitreous hemorrhage (5 eyes) and neovascular glaucoma (5 eyes) in later stage. The visual acuity was 0. 05 in 10 eyes (50%). Argon laser pho-tocoagulation seemed to be able to retard the natural course of the disease. Fundus changes, differential diagnosis and treatment etc are...

  19. Economic Diplomacy in Africa: The Impact of Regional Integration versus Bilateral Diplomacy on Bilateral Trade

    OpenAIRE

    Afesorgbor, Sylvanus Kwaku

    2016-01-01

    The paper examines the impact of two main instruments of economic diplomacy — regional integration and commercial diplomacy on export flows among African states. We test whether there is any evidence of a trade-off or complementary interaction between these two instruments in trade facilitation. We compare the effects of these two instruments of economic diplomacy on bilateral trade by employing a gravity model for 45 African states over the period 1980-2005. The results show that bilateral d...

  20. Extensive co-operation between the Epstein-Barr virus EBNA3 proteins in the manipulation of host gene expression and epigenetic chromatin modification.

    Directory of Open Access Journals (Sweden)

    Robert E White

    Full Text Available Epstein-Barr virus (EBV is able to drive the transformation of B-cells, resulting in the generation of lymphoblastoid cell lines (LCLs in vitro. EBV nuclear proteins EBNA3A and EBNA3C are necessary for efficient transformation, while EBNA3B is dispensable. We describe a transcriptome analysis of BL31 cells infected with a series of EBNA3-knockout EBVs, including one deleted for all three EBNA3 genes. Using Affymetrix Exon 1.0 ST microarrays analysed with the MMBGX algorithm, we have identified over 1000 genes whose regulation by EBV requires one of the EBNA3s. Remarkably, a third of the genes identified require more than one EBNA3 for their regulation, predominantly EBNA3C co-operating with either EBNA3B, EBNA3A or both. The microarray was validated by real-time PCR, while ChIP analysis of a selection of co-operatively repressed promoters indicates a role for polycomb group complexes. Targets include genes involved in apoptosis, cell migration and B-cell differentiation, and show a highly significant but subtle alteration in genes involved in mitosis. In order to assess the relevance of the BL31 system to LCLs, we analysed the transcriptome of a set of EBNA3B knockout (3BKO LCLs. Around a third of the genes whose expression level in LCLs was altered in the absence of EBNA3B were also altered in 3BKO-BL31 cell lines.Among these are TERT and TCL1A, implying that EBV-induced changes in the expression of these genes are not required for B-cell transformation. We also identify 26 genes that require both EBNA3A and EBNA3B for their regulation in LCLs. Together, this shows the complexity of the interaction between EBV and its host, whereby multiple EBNA3 proteins co-operate to modulate the behaviour of the host cell.

  1. Similarities and differences of doctor-patient co-operated evidence-based medical record of treating digestive system diseases with integrative medicine compared with traditional medical records

    Institute of Scientific and Technical Information of China (English)

    Bo Li; Wen-Hong Shao; Yan-Da Li; Ying-Pan Zhao; Qing-Na Li; Zhao Yang; Hong-Cai Shang

    2016-01-01

    Objective: To establish the model of doctor-patient cooperated record, based on the concepts of narrative evidence-based medicine and related theories on Doctor-Patient Co-operated Evidence-Based Medical Record. Methods: We conducted a literature search from Pubmed, following the principles of narrative evidence-based medicine, and refer to the advice of experts of digestive system and EBM in both traditional Chinese medicine and Western medicine. Result: This research is a useful attempt to discuss the establishment of doctor-patient co-operated evidence-based medical record guided by narrative evidence-based medicine. Conclusion:Doctor-patient co-operated medical record can become a key factor of the curative effect evaluation methodology system of integrated therapy of tradition Chinese medicine and Western medicine on spleen and stomach diseases.%遵循叙事循证医学理念,咨询中西医消化内科及循证医学专家,凝练医患共建式病历的理论,建立医患共建式病历的范本,对比医患共建式病历与传统病历记录的不同,分析医患共建式病历的优缺点。思考与展望:医患共建式病历有可能成为中西医合作治疗脾胃病疗效评价方法学体系的一个要素。

  2. Somatotopic reorganization of hand representation in bilateral arm amputees with or without special foot movement skill.

    Science.gov (United States)

    Yu, Xiao Jing; He, Hong Jian; Zhang, Qiao Wei; Zhao, Feng; Zee, Chi Shing; Zhang, Shi Zheng; Gong, Xiang Yang

    2014-02-10

    Bilateral arm amputees usually are excellent foot users. To explore the plasticity of the primary motor cortex in upper-extremities amputees and to determine if the acquisition of special foot movement skill is related with the bilateral hand amputation, we studied the primary motor cortex by using combined task and resting state functional magnetic resonance imaging (fMRI). We investigated 6 bilateral arm amputees with or without special foot movement skill. In the task fMRI study, we found that toe tapping of all the amputees activated the bilateral hand area, including cases without special foot skill. In addition, cases without special foot skill mainly activated the precentral gyrus, which differed from those with more adept foot motor skill who activated both the precentral and postcentral gyri. To further understand the plasticity of the hand area, the resting state functional connectivity was investigated between the foot and hand regions. One-tailed two-sample t-test suggested that the connections between two areas became significantly stronger in the amputee group. Our study demonstrates that hand region of the cortex does not remain 'silent' after bilateral arm amputation, but rather is recruited by other modalities such as adjacent or nonadjacent cortexes to process motor information in a functionally relevant manner. From the data presented, it seems that the bilateral arm amputees have a strong potential to develop new skills in their remaining extremities and practice may further enhance this potential.

  3. One-stage clipping of bilateral middle cerebral artery aneurysms via the bilateral pterional keyhole approach.

    Science.gov (United States)

    Maruyama, Keisuke; Kurita, Hiroki; Yamaguchi, Ryuichi; Noguchi, Akio; Shiokawa, Yoshiaki

    2013-01-01

    Five patients aged 55 to 73 years (mean 63 years) underwent one-stage clipping for unruptured aneurysms in the bilateral middle cerebral arteries (mean size 4.5 mm, range 2 to 7 mm) via the bilateral pterional keyhole approach in our institute. Important points are as follows: the head is affixed with no rotation; one side manipulation is started 5 minutes after the other side to avoid conflict of surgical instruments; a 5-cm curvilinear skin incision is made inside the hairline and pterional keyhole craniotomy is made bilaterally using 2 burr holes; the whole operating table is rotated 15 degrees to one side to facilitate the microsurgical trans-sylvian approach and aneurysm clipping; the operating table is rotated to the other side for the contralateral procedure; and particular care is taken to avoid bilateral brain injury. This approach provided minimum but sufficient working space required for trans-sylvian dissection. Aneurysm neck clipping was safely performed in a mean operation time of 5 hours 17 minutes. No complications occurred and satisfactory cosmetic results were obtained in all patients. Postoperative neuroimaging studies exhibited bilateral complete clipping with minimal intracranial air content and minimum consequences of brain retraction. One-stage clipping via the pterional keyhole approach is a safe and effective therapeutic option for small bilateral aneurysms.

  4. Bilateral cerebellar activation in unilaterally challenged essential tremor

    Directory of Open Access Journals (Sweden)

    Marja Broersma

    2016-01-01

    Conclusions: Our results expand on previous findings of bilateral cerebellar involvement in ET. We have identified specific areas in the bilateral somatomotor regions of the cerebellum: lobules V, VI and VIII.

  5. Bilateral internal auditory canal gangliogliomas mimicking neurofibromatosis Type II

    Directory of Open Access Journals (Sweden)

    Kristopher G Hooten

    2016-01-01

    Conclusion: This is the first reported case of bilateral IAC/CPA gangliogliomas. When evaluating bilateral IAC/CPA lesions with unusual imaging characteristics, ganglioglioma should be included in the differential diagnosis.

  6. Tratamiento conservador en pacientes con retinoblastoma bilateral

    Directory of Open Access Journals (Sweden)

    Juan C. Suárez

    2008-11-01

    Full Text Available OBJETIVO: comparar el tratamiento convencional del retinoblastoma bilateral, usado hasta hace algunos años, consistente en radioterapia o enucleación bilateral, con el tratamiento conservador actual que incluye termoterapia transpupilar (TTT o TTT/quimioterapia al menos en un ojo, en niños con diagnóstico de retinoblastoma bilateral. DISEÑO: estudio retrospectivo descriptivo. MUESTRA: 20 pacientes con diagnóstico de retinoblastoma bilateral que consultaron al Hospital Universitario San Vicente de Paúl, de Medellín, Colombia, entre 1997 y 2007. MÉTODO: se hizo enucleación del ojo con el tumor de mayor tamaño. En el otro ojo se hizo tratamiento con TTT, con el láser diodo (810 nm, spot amplio, solo o combinado con otras terapias. RESULTADOS: se dividió a los pacientes en dos grupos: 16 pacientes (32 ojos en el grupo 1 tratados conservadoramente y 4 pacientes (8 ojos en el grupo 2 con tratamiento convencional. El rango de edad fue de 1-72 meses en el grupo 1 y de 1-12 meses en el grupo 2. El tiempo de seguimiento fue de 7-67 meses para el grupo 1 y de 13-73 meses para el grupo 2. En el grupo 1 se hizo enucleación de 16 ojos (50%, radioterapia externa de uno (3,1%, quimioterapia más termoterapia de 5 (15,6% y quimioterapia más termoterapia más crioterapia de 10 (31,3%. En todos los pacientes se logró preservar al menos un ojo. En el grupo 2, se enuclearon 7 ojos (87,5% y se hizo radioterapia externa más enucleación en un paciente (12.5%. Además, todos los pacientes recibieron quimioterapia. CONCLUSIÓN: la terapia conservadora actual consistente en tratamiento local (termoterapia, crioterapia o braquiterapia y quimiorreducción permite preservar al menos un ojo y en algunos casos de los dos, muchas veces con buena agudeza visual, en niños con retinoblastoma bilateral; se evitan así la enucleación bilateral y la radioterapia externa usada en el tratamiento convencional con todos sus efectos secundarios. La enucleación contin

  7. Persistent Hyperprolactinemia and Bilateral Galactocele in a Male Infant

    Directory of Open Access Journals (Sweden)

    Casti Tiziana

    2009-02-01

    Full Text Available Galactocele is a benign breast lesion, usually occurring in nursing women. This lesion is a rare cause of breast enlargement in children. In this paper we describe the case of an infant with hyperprolactinemia (which persisted throughout 15 years of clinical observation and bilateral galactocele. We speculate that a congenital midline defect in our patient might have impaired the normal dopaminergic inhibitory tone on pituitary lactotroph cells, thus leading to an increased prolactin secretion by the pituitary gland; this, in turn, might have favored the development of the galactocele.

  8. Bilateral axillary artery aneurysms after Bentall procedure in Marfan syndrome.

    Science.gov (United States)

    Haruki, Takashi; Ito, Hiroshi; Sakata, Kensuke; Kobayashi, Yurio

    2015-11-01

    A man with Marfan syndrome underwent a Bentall procedure for annuloaortic ectasia and severe aortic regurgitation at 43 years of age. Twenty-eight years after the Bentall procedure, he developed bilateral axillary artery aneurysms (length × diameter: right: 80 × 39 mm; left: 103 × 45 mm). Aneurysmectomy and reconstruction of the axillary artery were performed using an artificial vascular graft. Histological examination revealed cystic medial necrosis. The postoperative course was uneventful, but long-term follow-up is necessary.

  9. Bilateral Simultaneous Rhegmatogenous Retinal Detachment following Laser in situ Keratomileusis

    Directory of Open Access Journals (Sweden)

    Erhan Yumusak

    2016-06-01

    Full Text Available A 21-year-old woman developed simultaneous rhegmatogenous retinal detachment after laser in situ keratomileusis (LASIK in both eyes. She underwent pars plana vitrectomy surgery combined with endolaser photocoagulation and silicone oil tamponade in the right eye. A week later, pneumatic retinopexy was done in the left eye. As the retinal tear did not seal, 360° scleral buckling surgery was performed and retina was attached. Bilateral simultaneous rhegmatogenous retinal detachment after LASIK for correction of myopia can be a serious complication. Patients should be informed about the possibility of this complication.

  10. Leber Hereditary Optic Neuropathy Associated with Bilateral Macular Holes

    Science.gov (United States)

    Shimada, Yoshiaki; Horiguchi, Masayuki

    2016-01-01

    ABSTRACT Leber hereditary optic neuropathy (LHON) causes visual loss, predominantly in healthy young men. We recently examined a patient who previously had bilateral macular holes and subsequently developed LHON at 74 years of age. Although his central scotomas were initially attributed to the macular holes, his visual acuity declined following an initial improvement after operative closure of the macular holes; thus, other diagnoses, including LHON, were considered. Furthermore, macular optical coherence tomography (OCT) images remained unchanged in this time. A mitochondrial genetic analysis identified a 11778G→A mutation. From this case, we propose that LHON remains in the differential diagnosis even in older patients, as has previously been reported. PMID:27335507

  11. Bilateral hematoma of sternocleidomastoid muscles. A case presentation. Hematoma bilateral de los músculos esternocleidomastoideos. Presentación de un caso.

    Directory of Open Access Journals (Sweden)

    Zoe Quintero Delgado

    Full Text Available Presentation of the case of an infant with bilateral congenital torticollis which development was followed by ultrasound. Homeopathy and physiotherapy were used for its treatment. This is an infrequent disease scarcely reported in medical literature.Se reporta el caso de un lactante con una tortícolis congénita bilateral, que fue seguida evolutivamente por ultrasonido y para el tratamiento se utilizó homeopatía y fisioterapia. Esta es una afección poco común, y reportada con poca frecuencia en la literatura.

  12. Bilateral hematoma of sternocleidomastoid muscles. A case presentation. Hematoma bilateral de los músculos esternocleidomastoideos. Presentación de un caso.

    OpenAIRE

    Zoe Quintero Delgado; José Julio Requeiro Molina

    2005-01-01

    Presentation of the case of an infant with bilateral congenital torticollis which development was followed by ultrasound. Homeopathy and physiotherapy were used for its treatment. This is an infrequent disease scarcely reported in medical literature.Se reporta el caso de un lactante con una tortícolis congénita bilateral, que fue seguida evolutivamente por ultrasonido y para el tratamiento se utilizó homeopatía y fisioterapia. Esta es una afección poco común, y reportada con poca frecuencia e...

  13. Recurrence of bilateral herpes simplex virus keratitis following bimatoprost use

    Directory of Open Access Journals (Sweden)

    Kothari Mihir

    2006-01-01

    Full Text Available A 76-year-old man presented with features of bilateral herpes simplex virus (HSV keratitis. It was found to be recurrence of bilateral HSV keratitis following the use of Bimatoprost eye drops for uncontrolled intraocular pressure in a case of bilateral primary open-angle glaucoma.

  14. Bilateral Severe Ectropion and Mature Cataract in Lamellar Ichthyosis

    Directory of Open Access Journals (Sweden)

    Intiyaz A. Lone, Reyaz A. Untoo, Sheikh S. Ahmad

    2004-07-01

    Full Text Available Lamellar ichthyosis is a rare, autosomal recessive, genetically heterogeneous skin disorder causedby mutations in the transglutaminase-1 gene. Eye abnormalities include bilateral ectropion of lowerlids, chronic blepharitis and rarely cataract. A case of lamellar ichthyosis with bilateral lower lidectropion and bilateral mature cataract is hereby presented for its rarity.

  15. Computerized prediction of breast cancer risk: comparison between the global and local bilateral mammographic tissue asymmetry

    Science.gov (United States)

    Wang, Xingwei; Lederman, Dror; Tan, Jun; Wang, Xiao Hui; Zheng, Bin

    2011-03-01

    We have developed and preliminarily tested a new breast cancer risk prediction model based on computerized bilateral mammographic tissue asymmetry. In this study, we investigated and compared the performance difference of our risk prediction model when the bilateral mammographic tissue asymmetrical features were extracted in two different methods namely (1) the entire breast area and (2) the mirror-matched local strips between the left and right breast. A testing dataset including bilateral craniocaudal (CC) view images of 100 negative and 100 positive cases for developing breast abnormalities or cancer was selected from a large and diverse full-field digital mammography (FFDM) image database. To detect bilateral mammographic tissue asymmetry, a set of 20 initial "global" features were extracted from the entire breast areas of two bilateral mammograms in CC view and their differences were computed. Meanwhile, a pool of 16 local histogram-based statistic features was computed from eight mirror-matched strips between the left and right breast. Using a genetic algorithm (GA) to select optimal features, two artificial neural networks (ANN) were built to predict the risk of a test case developing cancer. Using the leave-one-case-out training and testing method, two GAoptimized ANNs yielded the areas under receiver operating characteristic (ROC) curves of 0.754+/-0.024 (using feature differences extracted from the entire breast area) and 0.726+/-0.026 (using the feature differences extracted from 8 pairs of local strips), respectively. The risk prediction model using either ANN is able to detect 58.3% (35/60) of cancer cases 6 to 18 months earlier at 80% specificity level. This study compared two methods to compute bilateral mammographic tissue asymmetry and demonstrated that bilateral mammographic tissue asymmetry was a useful breast cancer risk indicator with high discriminatory power.

  16. Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Hachemite Kingdom of Jordan and the Synchrotron-Light for Experimental Science and Applications in the Middle East (SESAME)

    CERN Document Server

    2004-01-01

    Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Hachemite Kingdom of Jordan and the Synchrotron-Light for Experimental Science and Applications in the Middle East (SESAME)

  17. [Bilateral dependency and the minimal group paradigm].

    Science.gov (United States)

    Jin, N; Yamagishi, T; Kiyonari, T

    1996-06-01

    Two experiments examined the effect of illusion of control on in-group favoritism found in the minimal group situation (Tajfel, Billig, Bundy, & Flament, 1971). In bilateral dependency condition, each member made allocation decisions for in-group as well as out-group participants. It was exactly the same situation used in the original studies under the minimal group paradigm, and the subjects knew that their reward allocation too depended on others' decisions. In contrast, in unilateral dependency condition, the subjects made allocation decisions knowing that theirs were not dependent on others' decisions. In Experiment 1, an in-group bias in reward distribution was found in the bilateral dependency condition, but not in the unilateral condition. In Experiment 2, it was found that only those who felt illusion of control exhibited such an in-group bias. Results of the experiments therefore confirmed that illusion of control explained in-group favoritism, as Karp, Jin, Yamagishi, and Shinotsuka (1993) originally hypothesized.

  18. [Bilateral eye injuries by external transversal force].

    Science.gov (United States)

    Geidel, K; Schob, S; Unterlauft, J D; Wiedemann, P; Meier, P

    2016-12-14

    A 49-year-old female victim of violent crime with an acute bilateral loss of vision was referred to our hospital. The ophthalmological evaluation showed complete subconjunctival hemorrhage of both eyes, bilateral hemophthalmos and hypotonia of the left eye. These raised the suspicion of an occult scleral rupture. We immediately performed exploratory surgery and found a perforating scleral lesion of the left eye and a penetrating scleral lesion of the right eye. Furthermore, a small, cruciform wound was detected on the left temple. In cooperation with the department of radiology, the extraordinary injury pattern was reconstructed: a horizontal stab wound with perforation of the left eye and penetration of the right eye caused by a screwdriver. Visual rehabilitation necessitated further surgical interventions. Besides the intraoperative approach, immediate primary wound management within 100 h of trauma plays a pivotal role for long-term outcome.

  19. Sudden bilateral hearing loss after organophosphate inhalation.

    Science.gov (United States)

    Dundar, Mehmet Akif; Derin, Serhan; Aricigil, Mitat; Eryilmaz, Mehmet Akif

    2016-12-01

    Sudden bilateral hearing loss are seen rarely and the toxic substance exposure constitutes a small part of etiology. A Fifty-eight-year-old woman admitted to our clinic with sudden bilateral hearing loss shortly after chlorpyrifos-ethyl exposure. Otolaryngologic examination findings were normal. The patient had 40 dB sensorineural hearing loss (SNHL) on the right ear and 48 dB SNHL on the left ear. Additional diagnostic tests were normal. The conventional treatment for sudden hearing loss was performed. On the second week following organophosphate (OP) exposure the patient's hearing loss almost completely resolved. OP's are heavily used in agriculture and should be taken into consideration as an etiologic factor in sudden hearing loss.

  20. Bilateral akillesseneruptur efter behandling med ciprofloxacin

    DEFF Research Database (Denmark)

    Attarzadeh, Amir Pasha; Ryge, Camilla

    2013-01-01

    We report a case of spontaneous non-traumatic bilateral rupture of the Achilles tendons following ciprofloxacin treatment. A 54-year-old man presented with spontaneous Achilles tendon rupture on the left side, tendinitis and partial tear on the right side following few days of treatment with cipr......We report a case of spontaneous non-traumatic bilateral rupture of the Achilles tendons following ciprofloxacin treatment. A 54-year-old man presented with spontaneous Achilles tendon rupture on the left side, tendinitis and partial tear on the right side following few days of treatment...... with ciprofloxacin 500 mg twice daily and long-term treatment with prednisolon 10 mg once daily. This rare side effect caused by concurrent treatment with steroids and ciprofloxacin should be kept in mind. Any signs of tendinitis following this treatment should arouse the physicians' suspicion towards ciprofloxacin....

  1. [Bilateral acetabulum fracture after suffering sport trauma].

    Science.gov (United States)

    Trost, P; Kollersbeck, C; Pelitz, M; Walcher, T; Genelin, F

    2013-07-01

    This case study describes a 37-year-old male who suffered a bilateral transverse acetabulum fracture with a fracture of the posterior wall and a double-sided dorsal hip dislocation in combination with a left-sided femoral head fracture (Pipkin IV) while skiing in a "fun park". The accurate diagnosis and presurgical planning was made by means of a computed tomography (CT) scan and a subsequent 3D reconstruction. After a primarily executed shielded repositioning of the bilateral hip dislocationearly secondary and anatomical reconstruction of the double-sided acetabulum fracture was possible using the Kocher-Langenbeck approach. A consistent physiotherapy as well as rehabilitation finally led to a positive clinical result for the patient.

  2. Simultaneous bilateral patellar tendon rupture without

    Directory of Open Access Journals (Sweden)

    LU Hua-ding

    2012-04-01

    Full Text Available 【Abstract】There is a dearth of case reports de-scribing simultaneous bilateral patellar tendon ruptures in the medical literature. These ruptures are often associated with systemic disorders such as lupus erythematosus or chronic steroid use. The author describes a case of a 24-year-old man who sustained traumatic bilateral patellar ten-don ruptures without any history of systemic disease or steroidal medication. We repaired and reattached the rup-tured tendons to the patella and augmented our procedure with allogeneic tendon followed by wire loop reinforcement. One year after operation, the patient regained a satisfactory range of motion of both knees with good quadriceps strength and no extensor lag. The recurrent microtrauma from a history of intense sports activity and a high body mass index may have played an important role in this trauma event. Key words: Patella; Patellar ligament; Rupture; Ten-don injuries; Knee

  3. Bilateral hypoglossal schwannoma: a radiologic diagnosis.

    Science.gov (United States)

    Bektaş, Devrim; Caylan, Refik

    2004-01-01

    A 53-year-old woman presented with a complaint of a sore throat. Examination showed a left-sided atrophy of the tongue. Upon protrusion, the tongue deviated to the left, suggestive of a unilateral hypoglossal nerve palsy. Computed tomography revealed enlarged hypoglossal canals. Magnetic resonance imaging (MRI) demonstrated bilateral hypoglossal canal masses, with enhancement following gadolinium administration. Magnetic resonance angiography and MRI with fat suppression revealed nonvascular masses in both hypoglossal canals. Radiological diagnosis of bilateral hypoglossal nerve schwannoma was made and the patient was scheduled for MRI monitoring with six-month intervals. The size of the masses and the clinical manifestations remained unchanged during a two-year follow-up period.

  4. Bilateral germinoma of the basal ganglia.

    Science.gov (United States)

    Rossi, Andrea; Garrè, Maria Luisa; Ravegnani, Marcello; Nozza, Paolo; Abbruzzese, Arturo; Giangaspero, Felice; Tortori-Donati, Paolo

    2008-01-01

    Germinoma arising in the bilateral basal ganglia is exceedingly rare, with only five cases reported to date. Owing to non-specific clinical findings and the frequent presence of ill-defined abnormalities without a definite tumor mass on neuroimaging, the diagnosis can be difficult. We describe a case in which magnetic resonance spectroscopy (MRS) findings suggested a tumor and supported the decision to perform biopsy of the lesion.

  5. Bilateral Pseudoexfoliation Deposits on Intraocular Lens Implants

    OpenAIRE

    Elena Bonafonte Marquez; Sergio Bonafonte Royo

    2015-01-01

    We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL) implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for i...

  6. Bilateral accessory cleidohyoid in a human cadaver

    OpenAIRE

    Stark ME; Wu B; Bluth BE; Wisco JJ

    2009-01-01

    During routine anatomical dissection of the infrahyoid region, a muscle was found bilaterally originating from the sternal end of clavicle and inserting into the hyoid bone. The muscle coursed parallel and lateral to the sternohyoid muscle. The muscle was found in the presence of an intact omohyoid, thus being classified as an accessory cleidohyoid (cleidohyoideus accessorius) muscle. While other authors have reported the presence of a unilateral cleidohyoideus accessorius muscle, to our know...

  7. Erlotinib-related bilateral anterior uveitis

    Science.gov (United States)

    Ali, Kashif; Kumar, Indu; Usman-Saeed, Muniba; Usman Saeed, Muhammad

    2011-01-01

    The authors report the case of a 68-year-old woman with secondary adenocarcinoma of the lungs from an unknown primary. Erlotinib was started which produced symptoms suggestive of uveitis. Erlotinib was stopped and restarted a month later at a lower dose, which resulted in severe bilateral anterior uveitis. The uveitis settled after stopping erlotinib and treatment with topical steroids and cycloplegics. To the best of the authors’ knowledge, this is the first case of erlotinib-related anterior uveitis. PMID:22694887

  8. A rare case of bilateral aspergillus endophthalmitis

    Directory of Open Access Journals (Sweden)

    Saurabh Gupta

    2015-12-01

    Full Text Available Aspergillus endophthalmitis is a devastating inflammatory condition of the intraocular cavities that may result in irreparable loss of vision and rapid destruction of the eye. Almost all cases in the literature have shown an identified source causing aspergillus endophthalmitis as a result of direct extension of disease. We present a rare case of bilateral aspergillus endophthalmitis. A 72-year-old woman with a history of diabetes mellitus, congenital Hirschsprung disease, and recent culture-positive candida pyelonephritis with hydronephrosis status post-surgical stent placement presented with difficulty opening her eyes. She complained of decreased vision (20/200 with pain and redness in both eyes – right worse then left. Examination demonstrated multiple white fungal balls in both retinas consistent with bilateral fungal endophthalmitis. Bilateral vitreous taps for cultures and staining were performed. Patient was given intravitreal injections of amphotericin B, vancomycin, ceftazidime, and started on oral fluconazole. Patient was scheduled for vitrectomy to decrease organism burden and to remove loculated areas of infection that would not respond to systemic antifungal agents. Four weeks after initial presentation, the fungal cultures revealed mold growth consistent with aspergillus. Patient was subsequently started on voriconazole and fluconazole was discontinued due to poor efficacy against aspergillus. Further workup was conducted to evaluate for the source of infection and seeding. Transthoracic cardiogram was unremarkable for any vegetation or valvular abnormalities. MRI of the orbits and sinuses did not reveal any mass lesions or bony destruction. CT of the chest was unremarkable for infection. Aspergillus endophthalmitis may occur because of one of these several mechanisms: hematogenous dissemination, direct inoculation by trauma, and contamination during surgery. Our patient's cause of bilateral endophthalmitis was through an

  9. Occipital seizures presenting with bilateral visual loss

    Directory of Open Access Journals (Sweden)

    Hadjikoutis S

    2003-01-01

    Full Text Available Transient visual loss may occur with occipital seizures as an ictal or post-ictal phenomenon. Its duration varies from less than one minute to days, or can be permanent. We describe a 61-year-old man presenting with headache, vomiting and bilateral visual loss. EEG revealed persistent spike discharge in the occipital lobes suggesting occipital seizures. His vision improved with carbamazepine.

  10. Bilateral Brodie's abscess at the proximal tibia.

    Science.gov (United States)

    Buldu, Halil; Bilen, Fikri Erkal; Eralp, Levent; Kocaoglu, Mehmet

    2012-08-01

    Brodie's abscess is a form of subacute osteomyelitis, which typically involves the metaphyses of the long tubular bones, particularly in the tibia. The diagnosis is usually made incidentally, as there are no accompanying symptoms or laboratory studies. Bilateral involvement at the proximal tibia is unusual. However, orthopaedic surgeons should be aware of this entity, as it may present without symptoms. Checking the contralateral limb for concomitant Brodie's abscess is recommended.

  11. Planning of biogas plants. A question of co-operation and negotiation; Planering av biogasanlaeggningar. En fraaga om samverkan och foerhandling

    Energy Technology Data Exchange (ETDEWEB)

    Khan, Jamil

    2003-04-01

    During the last years there has been an increased interest in Sweden to build biogas reactors. The planning of a biogas plant brings about the need for co-operation between a variety of actors. Furthermore, there are a number of different issues that need to be dealt with. To build a biogas plant is thus a rather complicated thing to do. The aim of this report is to increase the knowledge about the processes that precede a decision to build a biogas plant, in order to try to facilitate the planning of future projects. The report is based on case studies of the planning of two biogas plants in Sweden and the empirical material consists of interviews with key persons as well as written documents. In the study, three parallel processes are identified and analysed, which are all crucial to carry through a project. These are the project planning process, the political process and the application process. The most important result of the study is that there is not only one way to carry through a project and that the choice of strategy depends on the character of the project and the different questions that need to be handled. Examples of other results are: the importance of an early and continuous dialogue with the political leadership, the necessity to build an organisation for the co-operation between key actors and that the project leaders should be flexible and open to changes in the project throughout the planning process.

  12. Learning from the Co-operative Institutional Model: How to Enhance Organizational Robustness of Third Sector Organizations with More Pluralistic Forms of Governance

    Directory of Open Access Journals (Sweden)

    Keith Taylor

    2015-08-01

    Full Text Available Third sector organizations are oftentimes seen as contributing to a robust civil society. Yet the dominant modes of third sector organizational governance often adhere to a unitary orientation. The over-reliance on unitary modes of governance introduces two challenges: first, organizational stakeholders are kept from utilizing participatory mechanisms that would enable them to act as societal intermediaries, and; second, these organizations may underperform due to the artificial separation of stakeholders from participating in governance. This paper addresses calls to widen our knowledge by translating theory into practice through a discussion about the efficacy of pluralistic governance. The co-operative enterprise in introduced to focus analyses on pluralist modes of stakeholder governance. A specific co-operative’s governance structure and practice is introduced—Choctaw Electric Co-operative—through an archival analyses of secondary media accounts of a stakeholder-led reform initiative in rural Oklahoma. The Ostrom Design Principles—a diagnostic used to assess institutional robustness—are applied to demonstrate the shortsightedness of unitary governance, and highlight the potential benefits of pluralistic stakeholder engagement. Knowledge is widened in two ways: first, empirical analyses of co-operative enterprise may provide for significant insights and innovations in third sector governance, and; second proper systems of pluralistic governance exhibit enormous capacity to better orient the firm toward better serving the stakeholder base, improving performance and institutional robustness, while empowering stakeholders as societal intermediaries.

  13. 内镜黏膜切除术的配合体会%Experiences of nursing co-operation during Endoscopic Submucosal Dissection (ESD)

    Institute of Scientific and Technical Information of China (English)

    姜素峰; 韩树堂

    2011-01-01

    目的 探讨内镜黏膜切除术时护理配合治疗.方法 术前给患者心理指导和术前常规准备,并备好各种治疗器械,术中配合术者操作,术后做好健康教育预防并发症的发生.结果 58例胃肠道侧向发育型肿瘤均经内镜切除,成功率100%.结论护士能否在术前、术中和术后做好配合影响内镜下侧向发育型肿瘤切除术的效果.%Objective To explore the role of nursing cooperation during endoscopic submucosal dissection (ESD). Methods Psychological counseling and regular preparation were carried out pre- operationally, co- operation with the operator was done during endoscopic submucosal dissection (ESD), and health education was given to prevent the complications. Results Totally 58 cases of laterally spreading tumor (LST) were resected by endoscopic submucosal dissection (ESD), the successful rate was 100%. Conclusion Whether nursing co-operation was performed skillfully in perioperative period influenced the effects of endoscopic submucosal dissection of laterally spreading tumor (LST).

  14. Multilateral, regional and bilateral energy trade governance

    Energy Technology Data Exchange (ETDEWEB)

    Leal-Arcas, Rafael; Grasso, Costantino; Rios, Juan Alemany (Queen Mary Univ. of London (United Kingdom))

    2014-12-01

    The current international energy trade governance system is fragmented and multi-layered. Streamlining it for greater legal cohesiveness and international political and economic cooperation would promote global energy security. The current article explores three levels of energy trade governance: multilateral, regional and bilateral. Most energy-rich countries are part of the multilateral trading system, which is institutionalized by the World Trade Organization (WTO). The article analyzes the multilateral energy trade governance system by focusing on the WTO and energy transportation issues. Regionally, the article focuses on five major regional agreements and their energy-related aspects and examines the various causes that explain the proliferation of regional trade agreements, their compatibility with WTO law, and then provides several examples of regional energy trade governance throughout the world. When it comes to bilateral energy trade governance, this article only addresses the European Union’s (EU) bilateral energy trade relations. The article explores ways in which gaps could be filled and overlaps eliminated whilst remaining true to the high-level normative framework, concentrating on those measures that would enhance EU energy security.

  15. Diagnosis and management of bilateral nasolabial cysts

    Directory of Open Access Journals (Sweden)

    Rajkumar Parwani

    2013-01-01

    Full Text Available Nasolabial cysts are painless, submucosal, non-odontogenic jaw cysts presenting as soft tissue swellings in the maxillary anterior mucolabial fold lateral to midline, leading to elevation of nasal ala. Present case documents bilateral nasolabial cysts in a 69-year-old Asian female patient. In the present case, extraoral swelling of maxillary lip and elevation of nasal ala was observed on right side of the face. Intraorally, soft and fluctuant bilateral cysts were observed. Straw-colored fluid was aspirated from the right cyst. Radiographically, erosion of bone in a "cupping" fashion was observed in the region of left cyst. The cysts were enucleated using intraoral approach. Histopathology of the right-sided cyst revealed a cystic cavity lined by stratified squamous cells along with a few mucosal cells. At few places, stratified squamous and pseudostratified columnar epithelia with many cilia and goblet cells were also evident. Capsule was loosely arranged with fibrous tissue and chronic inflammatory infiltrate. Left-sided cystic specimen showed two or more layered stratified squamous lining epithelium with thin capsule. Diagnosis of bilateral nasolabial/nasoalveolar cysts was confirmed.

  16. High Performance, Three-Dimensional Bilateral Filtering

    Energy Technology Data Exchange (ETDEWEB)

    Bethel, E. Wes

    2008-06-05

    Image smoothing is a fundamental operation in computer vision and image processing. This work has two main thrusts: (1) implementation of a bilateral filter suitable for use in smoothing, or denoising, 3D volumetric data; (2) implementation of the 3D bilateral filter in three different parallelization models, along with parallel performance studies on two modern HPC architectures. Our bilateral filter formulation is based upon the work of Tomasi [11], but extended to 3D for use on volumetric data. Our three parallel implementations use POSIX threads, the Message Passing Interface (MPI), and Unified Parallel C (UPC), a Partitioned Global Address Space (PGAS) language. Our parallel performance studies, which were conducted on a Cray XT4 supercomputer and aquad-socket, quad-core Opteron workstation, show our algorithm to have near-perfect scalability up to 120 processors. Parallel algorithms, such as the one we present here, will have an increasingly important role for use in production visual analysis systems as the underlying computational platforms transition from single- to multi-core architectures in the future.

  17. Bilateral ovarian fibroma associated with Gorlin syndrome

    Directory of Open Access Journals (Sweden)

    Shahnaz Aram

    2009-02-01

    Full Text Available

    • Gorlin syndrome (GS, also known as nevoid basal cell carcinoma syndrome (NBCCS, is a rare inherited multisystem disorder. This paper presents a 22-years-old Iranian woman with this syndrome whose past history was multiple keratocysts of maxillary bone. She was referred to gynecology clinic with the chief complaint of irregular menses and vaginal spotting. On examination, frontal bossing and hypertelorism were detected. Physical examination of genitalia disclosed bilateral adnexal masses. Pelvic ultrasound showed two solid, echogenous and calcified masses measuring 100*50*10 & 60*50*45 mm in the left and right ovaries, respectively. The patient underwent right oophorectomy and ovarian mass resection with preservation of intact ovarian tissue on the left side. On frozen and permanent histological sections, bilateral and calcified ovarian fibromas were diagnosed. Surprisingly, during the last follow-up one year after the surgery, we found that our patient was expecting a baby. It can be concluded that in the presence of bilateral and calcified ovarian fibromas, the possibility of GS should be considered. Accurate diagnosis is only possible with close attention to the familial and past medical history and physical examination. In these patients, careful follow up for detecting malignancies and other complications is highly recommended.
    • KEY WORDS: Gorlin syndrome, ovarian fibroma, multiple keratocysts.

  18. Gastric metastasis of bilateral breast cancer

    Science.gov (United States)

    Belaïd, Asma; Mghirbi, Fahmi; Béhi, Khalil; Doghri, Raoudha; Benna, Farouk

    2017-01-01

    Breast cancer is the most common malignancy in women. The most frequent metastatic sites are lung, bone, liver and brain. On the other hand, gastric metastases are rare. Synchronous bilateral breast cancer (SBBC) occurs rarely. Lobular carcinoma is the histological type most often associated with bilateral breast carcinomas and gastric metastases. We made a retrospective study including four patients followed in the Salah Azaiez Institute, for a bilateral breast cancer with gastric metastases. We analyzed the epidemiological, anatomoclinical and therapeutic particularities of this rare entity. Symptoms were unspecific. The diagnosis of gastric metastasis of the SBBC was confirmed by a histopathological examination of an endoscopic biopsy. The median age was 46.2 years (range, 36–51 years) and the median time until the gastric involvement was 19 months (range, 0–41 months). None of patients had a surgical treatment for the gastric location. All Patients received at least one line of chemotherapy and radiotherapy. Median survival following the detection of gastric involvement was 22 months (range, 1–56 months). Gastric metastases from breast cancer are rare and frequently associated with other distant metastasis. Symptoms are unspecific and endoscopy may not be contributive. Therefore, gastric involvement is underestimated. Lobular infiltrating carcinoma (LIC) is the most histological type incriminated in its occurrence. The supply of immunohistochemistry is crucial to distinguish between primary or metastatic gastric cancer. PMID:28280631

  19. Bilateral limbic system destruction in man

    Science.gov (United States)

    Feinstein, Justin S.; Rudrauf, David; Khalsa, Sahib S.; Cassell, Martin D.; Bruss, Joel; Grabowski, Thomas J.; Tranel, Daniel

    2010-01-01

    We report here a case study of a rare neurological patient with bilateral brain damage encompassing a substantial portion of the so-called “limbic system.” The patient, Roger, has been studied in our laboratory for over 14 years and the current article presents his complete neuroanatomical and neuropsychological profiles. The brain damage occurred in 1980 following an episode of herpes simplex encephalitis. The amount of destroyed neural tissue is extensive and includes bilateral damage to core limbic and paralimbic regions, including the hippocampus, amygdala, parahippocampal gyrus, temporal poles, orbitofrontal cortex, basal forebrain, anterior cingulate cortex, and insular cortex. The right hemisphere is more extensively affected than the left, although the lesions are largely bilateral. Despite the magnitude of his brain damage, Roger has a normal IQ, average to above average attention, working memory, and executive functioning skills, and very good speech and language abilities. In fact, his only obvious presenting deficits are a dense global amnesia and a severe anosmia and ageusia. Roger's case presents a rare opportunity to advance our understanding of the critical functions underlying the human limbic system, and the neuropsychological and neuroanatomical data presented here provide a critical foundation for such investigations. PMID:19763994

  20. Proceedings of the Takasaki workshop on bilateral cooperations. Radiation Processing of natural polymers

    Energy Technology Data Exchange (ETDEWEB)

    Kume, Tamikazu; Maekawa, Yasunari [eds.

    2000-03-01

    Takasaki has been taking efforts to contribute the development in the field of radiation processing through IAEA/RCA projects and bilateral cooperations. We are currently conducting the following bilateral cooperations on radiation processing of natural polymers. Indonesia: Development of protein free radiation vulcanized natural rubber latex. China: Research cooperation in the field of application of radiation (information exchange). Malaysia: Radiation crosslinking of starch. Thailand: Radiation processing of silk proteins. Vietnam: Radiation processing of marine carbohydrates. These cooperation researches are aiming at extending the application field of natural polymers produced in South Asia using radiation processing such as degradation, crosslinking, and graft polymerization methods. Though each bilateral cooperation has different target materials, we can proceed the cooperations efficiently by exchanging common radiation phenomena of the targets. Therefore, these cooperations must contribute the establishment of the technologies, which meet the regional demand such as recycling of natural resources and prevention of environmental pollution. We held the workshop concerning research and development on radiation processing techniques of natural polymers with invited researchers from 5 bilateral collaboration countries. In the workshop we had presentations and discussions on the outcomes of the bilateral cooperations. This proceeding compiles the invited and contributed papers that were submitted from the speakers. The 18 of the presented papers are indexed individually. (J.P.N.)

  1. Challenges of transfrontier conservation areas: Natural resources nationalism, security and regionalism in the southern African development community region

    Directory of Open Access Journals (Sweden)

    Oswell Rusinga

    2012-12-01

    Full Text Available Transfrontier Conservation Areas (TFCAs initiatives in the Southern African Development Community (SADC region offer hope for providing a mechanism for resolving political tensions and conflicts which are not only related to environmental issues but to security concerns as well. The geopolitical implications of TFCAs in the SADC region cannot be overemphasised with regard to international relations and regional integration. The SADS region is characterised by histories of contested military balance of power and geopolitical rivalries which have a potential to degenerate into military confrontation. Although there is a strong belief in multilateral co-operation among SADC member countries, most of them often engage the international community at the bilateral level. Moreover, there is disharmony in constitutional applications of the rule of law, respect of human rights and good governance. However, TFCAs initiatives in Southern Africa have been seen as offering an opportunity to heal the wounds of pre- and post-independence wars of destabilisation through the encouragement of inter-state collaboration and co-operation by giving governments an opportunity for mutual action on issues of common interest.

  2. Bilateral and multiple cavitation sounds during upper cervical thrust manipulation

    Directory of Open Access Journals (Sweden)

    Dunning James

    2013-01-01

    Full Text Available Abstract Background The popping produced during high-velocity, low-amplitude (HVLA thrust manipulation is a common sound; however to our knowledge, no study has previously investigated the location of cavitation sounds during manipulation of the upper cervical spine. The primary purpose was to determine which side of the spine cavitates during C1-2 rotatory HVLA thrust manipulation. Secondary aims were to calculate the average number of pops, the duration of upper cervical thrust manipulation, and the duration of a single cavitation. Methods Nineteen asymptomatic participants received two upper cervical thrust manipulations targeting the right and left C1-2 articulation, respectively. Skin mounted microphones were secured bilaterally over the transverse process of C1, and sound wave signals were recorded. Identification of the side, duration, and number of popping sounds were determined by simultaneous analysis of spectrograms with audio feedback using custom software developed in Matlab. Results Bilateral popping sounds were detected in 34 (91.9% of 37 manipulations while unilateral popping sounds were detected in just 3 (8.1% manipulations; that is, cavitation was significantly (P Conclusions Cavitation was significantly more likely to occur bilaterally than unilaterally during upper cervical HVLA thrust manipulation. Most subjects produced 3–4 pops during a single rotatory HVLA thrust manipulation targeting the right or left C1-2 articulation; therefore, practitioners of spinal manipulative therapy should expect multiple popping sounds when performing upper cervical thrust manipulation to the atlanto-axial joint. Furthermore, the traditional manual therapy approach of targeting a single ipsilateral or contralateral facet joint in the upper cervical spine may not be realistic.

  3. BILATERAL PNEUMOTHORAX AS A COMPLICATION OF PERCUTANEOUS TRACHEOSTOMY: CASE REPORT.

    Science.gov (United States)

    Klancir, Tino; Adam, Višnja Nesek; Mršić, Viviana; Marin, Damjan; Goranović, Tatjana

    2016-03-01

    Percutaneous dilatational tracheostomy is a common surgical procedure that is becoming the method of choice in critically ill patients whenever prolonged airway secure and/or ventilation support is needed. Although adverse events are relatively uncommon, serious life threatening complications can arise from this bedside procedure. We report a case of a 70-year-old female who developed extensive subcutaneous emphysema and bilateral pneumothorax immediately after a percutaneous dilatational tracheostomy procedure. Different mechanisms, such as damage to posterior or anterior tracheal wall, false passage or paratracheal placement or dislocation of the cannula are considered to be responsible for the development of pneumothorax and subcutaneous emphysema. Although bronchoscopic control after the tracheostomy procedure did not reveal any tracheal injury, we believe that subcutaneous emphysema and bilateral pneumothorax are most likely caused by procedure induced injuries of the trachea in addition to the applied high airway pressure induced by excessive or inappropriate ventilation. In our case report, we would like to emphasize that continuous bronchoscopic guidance during percutaneous tracheostomy is invaluable in decreasing the incidence of its overall complications, especially during enhancing the team experience.

  4. An EMG-Controlled Robotic Hand Exoskeleton for Bilateral Rehabilitation.

    Science.gov (United States)

    Leonardis, Daniele; Barsotti, Michele; Loconsole, Claudio; Solazzi, Massimiliano; Troncossi, Marco; Mazzotti, Claudio; Castelli, Vincenzo Parenti; Procopio, Caterina; Lamola, Giuseppe; Chisari, Carmelo; Bergamasco, Massimo; Frisoli, Antonio

    2015-01-01

    This paper presents a novel electromyography (EMG)-driven hand exoskeleton for bilateral rehabilitation of grasping in stroke. The developed hand exoskeleton was designed with two distinctive features: (a) kinematics with intrinsic adaptability to patient's hand size, and (b) free-palm and free-fingertip design, preserving the residual sensory perceptual capability of touch during assistance in grasping of real objects. In the envisaged bilateral training strategy, the patient's non paretic hand acted as guidance for the paretic hand in grasping tasks. Grasping force exerted by the non paretic hand was estimated in real-time from EMG signals, and then replicated as robotic assistance for the paretic hand by means of the hand-exoskeleton. Estimation of the grasping force through EMG allowed to perform rehabilitation exercises with any, non sensorized, graspable objects. This paper presents the system design, development, and experimental evaluation. Experiments were performed within a group of six healthy subjects and two chronic stroke patients, executing robotic-assisted grasping tasks. Results related to performance in estimation and modulation of the robotic assistance, and to the outcomes of the pilot rehabilitation sessions with stroke patients, positively support validity of the proposed approach for application in stroke rehabilitation.

  5. Local causes, regional co-operation and global financing for environemntal problems: the case of Southeast Asian Haze pollution

    OpenAIRE

    Luca Tacconi; Frank Jotzo; R. Quentin Grafton

    2006-01-01

    Lack of action on cross-border environmental problems in developing countries is often ascribed to gaps in local capacity and resources, failure of regional cooperation, and lack of financial support from rich countries. Using the case of the Southeast Asian Haze pollution from forest and peat fires in Indonesia, we explore the challenges posed by environmental problems whose causes are closely linked to local development and livelihood strategies, and whose impacts are local, regional (haze)...

  6. Effects of bilateral intermittent nasal obstruction on the mandibular growth and development in young rats%间歇性双侧完全鼻阻塞对幼年大鼠下颌骨生长发育的影响

    Institute of Scientific and Technical Information of China (English)

    陈金东; 王晓玲; 孙惠珺; 薛晓晨; 朱妍菲; 朱敏

    2016-01-01

    Objective To investigate the effects of bilateral intermittent nasal obstruction on the mandibular growth and development of young rats. Methods Thirty 3-week⁃old SD rats were randomly distributed into three groups ( n=10 each) . The experimental sub⁃jects were treated with single / both nostrils occluded with nose plugs, while the internal control group was left with blank treatment. The experimental subjects were sacrificed after 4 weeks and their mandibles were detached. Ten variables of mandibles were acquired based on X⁃rays. Results The subjects with bilateral nasal obstruction showed significant reduced mandible and femur in size com⁃pared to unilateral nasal obstruction group and control group. However, only length of mandibular body、height of first molar in mandi⁃ble and length of femur in unilateral nasal obstruction group showed significant difference compared to control group. Conclusion The bilateral intermittent nasal obstruction may retard the development of mandibles in rats.%目的:探讨间歇性双侧完全鼻阻塞对幼年大鼠下颌骨生长发育的影响。方法30只3周龄SD大鼠,分为3组,A组:对照组,B组:单侧鼻阻塞组,C组:双侧鼻阻塞组(张口呼吸组),每组各10只。4周后处死30只大鼠,分离大鼠的下颌骨,在X线片上测量10项下颌骨的指标。结果双侧鼻阻塞组与对照组及单侧鼻阻塞组相比,下颌骨及股骨明显小,差异有统计学意义。单侧鼻阻塞组与对照组相比仅下颌体长度、下颌磨牙高度、股骨长度有统计学差异。结论间歇性双侧完全鼻阻塞可以引起大鼠下颌骨的发育不足。

  7. Economic Diplomacy in Africa: The Impact of Regional Integration versus Bilateral Diplomacy on Bilateral Trade

    DEFF Research Database (Denmark)

    Afesorgbor, Sylvanus Kwaku

    The paper examines the impact of two main instruments of economic diplomacy — regional integration and commercial diplomacy on export flows among African states. We test whether there is any evidence of a trade-off or complementary interaction between these two instruments in trade facilitation. We...... compare the effects of these two instruments of economic diplomacy on bilateral trade by employing a gravity model for 45 African states over the period 1980-2005. The results show that bilateral diplomatic exchange is a relatively more significant determinant of bilateral exports among African states...... compared to regional integration. We also find a nuanced interaction between these two instruments of economic diplomacy: the trade–stimulating effect of diplomatic exchange is less pronounced among African countries that shared membership of the same regional bloc. Generally, this could mean...

  8. Surgical management for early-stage bilateral breast cancer patients in China.

    Directory of Open Access Journals (Sweden)

    Jia-jian Chen

    Full Text Available The aim of this study was to investigate the current surgical management strategy for bilateral breast cancer (BBC patients and to assess the changes in this strategy in China.This is a retrospective review of all patients with early-stage BBC who underwent surgical treatment at the Fudan University Shanghai Cancer Center between June 2007 and June 2014.A total of 15,337 patients with primary breast cancer were identified. Of these patients, 218 (1.5% suffered from synchronous bilateral breast cancer (sBBC, and 296 (2.0% suffered from metachronous bilateral breast cancer (mBBC. Patients with a lobular carcinoma component, those with estrogen receptor-positive cancer, and those with an accompanying sclerosing adenosis in the affected breast tended to develop BBC. The rates of bilateral mastectomy, breast conserving therapy, reconstruction, and combined surgeries were 86.2%, 6.4%, 3.7%, and 3.7%, respectively, for patients with sBBC and 81.1%, 4.4%, 3.0%, and 11.5%, respectively, for patients with mBBC. The interval between bilateral cancers, age at first diagnosis of breast cancer, histopathological type, and stage have significant impacts on the choice of surgery for patients with BBC.Bilateral mastectomy was the dominant surgical management for patients with BBC in China, despite the increased application of breast reconstruction surgery observed in recent years. Bilateral prosthetic breast reconstruction was the ideal choice for patients with sBBC. Chinese surgeons should take responsibility for patient education and inform their patients about their surgical options.

  9. Ceratite bilateral por Acanthamoeba: relato de caso Bilateral Acanthamoeba keratitis: case report

    Directory of Open Access Journals (Sweden)

    Wilson Nahmatallah Obeid

    2003-12-01

    Full Text Available A ceratite por Acanthamoeba é uma infecção ocular grave que, apesar dos recentes progressos no diagnóstico e tratamento, ainda provoca prolongada morbidade e perda da acuidade visual. Relatamos um caso de ceratite bilateral por Acanthamoeba em usuário de lentes de contato, que é o primeiro caso descrito na literatura brasileira.Acanthamoeba keratitis is a severe ocular infection which even with recent progress in diagnosis and treatment still causes long morbidity and loss of visual acuity. We describe a case of bilateral Acanthamoeba keratitis in a user of contact lenses, which is the first case discussed in Brazilian literature.

  10. Preparing Engineering Students to Work in a Global Environment to Co-Operate, to Communicate and to Compete

    Science.gov (United States)

    Andersen, Arvid

    2004-01-01

    Since the inception in 1987 of European funding programmes the number of students and the range of countries annually involved in international exchange have increased dramatically. In order to comply with this international development, the European Project Semester (EPS) was started in 1995. Since then, more and more students, also from…

  11. Higher Education Co-operation and Western Dominance of Knowledge Creation and Flows in Third World Countries.

    Science.gov (United States)

    Selvaratnam, Viswanathan

    1988-01-01

    Third World adoption of the Western university and the accompanying Eurocentric system of information flow is criticized as sometimes being counterproductive and alien to developing nations. The potential for a self-reliant, interdependent higher education system among Third World countries is discussed. (MSE)

  12. Practice on the Construction of "College-Enterprise Co-operation"Talent Cultivation Mode%“校企合作”人才培养模式建设的实践

    Institute of Scientific and Technical Information of China (English)

    于文玲

    2014-01-01

    College-enterprise cooperation is an effective way of the development of higher education and the improvement of tal-ent cultivation quality. Through a profound understanding of the meaning of college-enterprise cooperation, combined with the problems encountered in the college-enterprise cooperation of logistics management in our college, a new way to effectively pro-mote the development of college-enterprise cooperation is pro-posed, making the true implementation of college-enterprise co-operation in practice and the realization of"win-win"among en-terprises, colleges and students.%校企合作是高等教育发展、提高人才培养质量的有效途径。论文通过对校企合作意义的深刻认识,结合我院物流管理专业在校企合作过程中遇到的问题,提出了有效推动校企合作发展的新途径,使得校企合作能够真正落到实处,实现了企业、高校以及学生的“共赢”。

  13. Bilateral maculopathy associated with Pierre Robin sequence.

    Science.gov (United States)

    Witmer, Matthew T; Vasan, Ryan; Levy, Richard; Davis, Jessica; Chan, R V Paul

    2012-08-01

    Pierre Robin sequence has been associated with a number of ocular complications, including myopia, strabismus, Möbius syndrome, nasolacrimal duct obstruction, glaucoma, cataract, microphthalmos, coloboma of choroid, and retinal detachment. We report a 10-day-old boy who presented with micrognathia, glossoptosis, and cleft palate as well as multiple congenital anomalies. Ophthalmic examination was notable for bilateral maculopathy, with focal areas of retinal and retinal pigment epithelial atrophy. The association of Pierre Robin sequence and maculopathy has been reported only twice previously.

  14. Bilateral Pseudoexfoliation Deposits on Intraocular Lens Implants

    Directory of Open Access Journals (Sweden)

    Elena Bonafonte Marquez

    2015-01-01

    Full Text Available We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for it could be the only sign of secondary glaucoma.

  15. Bilateral amaurosis caused by Salmonella enteritidis infection.

    Science.gov (United States)

    Cerovski, Branimir; Barisić, Nina; Vidović, Tomislav; Petricek, Igor; Cerovski, Jasenka

    2004-12-01

    The aim of this paper was to show the potential of Salmonella enteritidis infection to eventually result in visual impairment. A case of salmonellosis in a 6-year-old boy, caused by intake of a cake made from eggs infected with Salmonella enteritidis, is presented. Prolonged duration of the disease was followed by complete remission of neurologic complications and persistent amaurosis with bilateral optic nerve atrophy. A severe form of Salmonella enterocolitis with neurologic involvement can lead to optic nerve lesion with consequential loss of vision.

  16. Primary amenorrhea with bilateral endometriotic cysts.

    Science.gov (United States)

    Jabeen, Sadaqat; Raees, Mehnaz

    2015-05-01

    Primary amenorrhea is a common problem. Diagnosis is usually by going through systematic approach of history, examination and investigations. This case had bilateral large endometriotic cysts in the adnexal region. Uterus was normal sized with well-formed endometrium. She underwent laparotomy followed by drainage of endometriotic cysts, stripping and reconstruction of ovaries was performed. Patient was given a trial of combined oral contraceptive pills for two consecutive cycles to observe withdrawal bleeding, but it failed. Till now we are unable to find out such case in literature. Exact case of primary amenorrhea could not be found.

  17. Spontan bilateral ekstrauterin graviditet efter kejsersnit

    DEFF Research Database (Denmark)

    Petersen, Jesper Friis; Ekelund, Charlotte; Settnes, Annette

    2015-01-01

    contralateral tube. The woman was readmitted three weeks later and had an additional salpingectomy on behalf of an unrecognized tubal pregnancy. Considering the rising caesarean section rates clinicians need to be certain of no additional ectopic pregnancy while performing the primary operation.......We describe a rare case of bilateral tubal pregnancy following natural conception in a woman with no other known risk factor than two former caesarean sections. Intraabdominal adhesions following the caesarean sections complicated the salpingectomy thus diminishing certainty of a healthy...

  18. Panuveite bilateral simultânea

    OpenAIRE

    RAMALHO, M.; Coutinho, I; Pina, S.; Santos, C.; Pedrosa, C; Vaz, F.; Chang, N; Bernardo, M.

    2013-01-01

    Introdução Tem sido descrito um ressurgimento da sífilis desde o final da década de 90. Descrevem-se dois casos clínicos de um casal homossexual com panuveite bilateral sifilítica simultânea. Métodos O primeiro caso clinico é de um homem de 31 anos, homossexual, com antecedentes de Hepatite C desde há 7 anos e diagnóstico de VIH-1 realizado 3 meses antes no contexto de úlcera peniana, VDRL negativo na altura, tendo iniciado terapêutica anti-retroviral mês e meio antes. Apresentou-se ...

  19. Bilateral pneumothoraces secondary to acupuncture therapy.

    Science.gov (United States)

    Nguyen, Theresa M; Roy, Neil K; Zlupko, George R

    2011-09-01

    Acupuncture is becoming increasingly popular in the United States for a wide variety of uses, ranging from the treatment of chronic back pain to aiding in addiction therapy. As this form of complementary and alternative medicine becomes more prevalent in certain areas of the country, it is of paramount importance that the emergency physician be familiar with its methods and potential complications. In general, acupuncture is perceived as fairly safe. However, it is not without risks or side effects. In this case report, we discuss the history, methods, and common complications of acupuncture in the context of a patient who presented to the Emergency Department (ED) with bilateral pneumothoraces secondary to acupuncture therapy.

  20. Espasmo hemifacial bilateral: relato de caso

    OpenAIRE

    Machado Flavia Costa Nunes; Fregni Felipe; Campos Cynthia Resende; Limongi João Carlos Papaterra

    2003-01-01

    Espasmo hemifacial bilateral é um distúrbio de movimento raro geralmente associado à compressão vascular dos nervos faciais. Caracteriza-se clinicamente por contrações assimétricas e assíncronas da musculatura facial e por longa latência entre a instalação dos movimentos em cada hemiface. Deve ser diferenciado de outras condições como blefaroespasmo, miocimia facial, tiques faciais, distonia oromandibular e espasmo hemimastigatório. O tratamento sintomático mais eficaz e menos invasivo consis...

  1. Bilateral generating functions and operational methods

    Energy Technology Data Exchange (ETDEWEB)

    Dattoli, G. [ENEA, Divisione Fisica Applicata, Centro Ricerche Frascati, Frascati, RM (Italy)

    2000-07-01

    Bilateral generating functions are those involving products of different types of polynomials. It is showed that operational methods offer a powerful tool to derive these families of generating functions. Cases relevant to products of Hermite and Laguerre, Hermite and Legendre ... polynomials and propose further extensions of the method are studied in this report. [Italian] Le funzioni generatrici bilaterali sono quelle che coinvolgono prodotti di tipi differenti di polinomi, si dimostra che i metodi operazionali offrono uno strumento potente per derivare queste nuove famiglie di funzioni speciali. Si studiano casi relativi a prodotti di polinomi di Hermite e Laguerre, Hermite e Legendre. Si propongono infine possibili estensioni del metodo.

  2. Bilateral Nasoalveolar Cyst Causing Nasal Obstruction

    Directory of Open Access Journals (Sweden)

    Uzeyir Yildizoglu

    2016-01-01

    Full Text Available Nasoalveolar cysts, which originate from epithelial remnants of nasolacrimal duct, are nonodontogenic soft tissue lesions of the upper jaw. These cysts are thought to be developmental and are presented with fullness in the upper lip and nose, swelling on the palate, and sometimes nasal obstruction. Because of cosmetic problems, they are often diagnosed at an early stage. These lesions are mostly revealed unilaterally but also can be seen on both sides. In this case report, a patient who complained of nasal obstruction and then diagnosed with bilateral nasoalveolar cysts and treated by sublabial excision is presented and clinical features and treatment approaches are discussed with the review of literature.

  3. Bilateral Nasoalveolar Cyst Causing Nasal Obstruction

    Science.gov (United States)

    Yildizoglu, Uzeyir; Polat, Bahtiyar; Durmaz, Abdullah

    2016-01-01

    Nasoalveolar cysts, which originate from epithelial remnants of nasolacrimal duct, are nonodontogenic soft tissue lesions of the upper jaw. These cysts are thought to be developmental and are presented with fullness in the upper lip and nose, swelling on the palate, and sometimes nasal obstruction. Because of cosmetic problems, they are often diagnosed at an early stage. These lesions are mostly revealed unilaterally but also can be seen on both sides. In this case report, a patient who complained of nasal obstruction and then diagnosed with bilateral nasoalveolar cysts and treated by sublabial excision is presented and clinical features and treatment approaches are discussed with the review of literature. PMID:27980871

  4. FBH1 co-operates with MUS81 in inducing DNA double-strand breaks and cell death following replication stress

    DEFF Research Database (Denmark)

    Fugger, Kasper; Chu, Wai Kit; Haahr, Peter;

    2013-01-01

    The molecular events occurring following the disruption of DNA replication forks are poorly characterized, despite extensive use of replication inhibitors such as hydroxyurea in the treatment of malignancies. Here, we identify a key role for the FBH1 helicase in mediating DNA double-strand break...... formation following replication inhibition. We show that FBH1-deficient cells are resistant to killing by hydroxyurea, and exhibit impaired activation of the pro-apoptotic factor p53, consistent with decreased DNA double-strand break formation. Similar findings were obtained in murine ES cells carrying...... disrupted alleles of Fbh1. We also show that FBH1 through its helicase activity co-operates with the MUS81 nuclease in promoting the endonucleolytic DNA cleavage following prolonged replication stress. Accordingly, MUS81 and EME1-depleted cells show increased resistance to the cytotoxic effects...

  5. The co-operative performance of a hydrated salt assisted sponge like P(VDF-HFP) piezoelectric generator: an effective piezoelectric based energy harvester.

    Science.gov (United States)

    Adhikary, Prakriti; Garain, Samiran; Mandal, Dipankar

    2015-03-21

    We have prepared hydrated salt filler assisted sponge like P(VDF-HFP) micro-porous electroactive films to fabricate a high performance flexible piezoelectric generator (FPG). These FPGs deliver up to 8 V of open circuit voltage under external stress and also generate enough power to turn on at least fifteen commercial blue light emitting diodes (LEDs) instantly. Furthermore, capacitors have been successfully charged by repeated finger touches indicating the potential of the FPGs to be used as self-powered devices where different types of mechanical vibrations can be applied. The high performance of FPGs might be attributed to the co-operative contribution from the porous electret structure and electroactive nature of the P(VDF-HFP) film, as they also enhance the dielectric permittivity. This approach is simple, cost-effective, and well-suited for large-scale fabrication of high-performance FPGs.

  6. Theory of sporting technique and «semantics of motions» - in search of co-operation

    Directory of Open Access Journals (Sweden)

    Dmitriev S.V.

    2010-08-01

    Full Text Available Technology of the educational teaching motive actions is examined in a theory and practice of shotput. The biomechanics and psychological semantic mechanisms of organization of motions of pushrod of kernel are investigational. The methods of registration of electric activity of basic muscular groups of sportsmen of different qualification were used. Developed concept-terminology and methodological vehicle of research. It allows to perfect professionally-pedagogical credo of researchers.

  7. Bilateral mastectomy and the retreat from breast-conserving surgery.

    Science.gov (United States)

    Moffat, Frederick L; Yakoub, Danny

    2016-08-01

    The purpose of this study is to assess the consequences for breast cancer patients of the trend away from breast conservation in favor of bilateral and contralateral mastectomy. The methods are followed from the review of the literature from 1991 to 2015. Breast-conserving surgery and sentinel lymph node biopsy, introduced into mainstream practice in the 1980s and 1990s, respectively, are now the standard of care for early-stage breast cancer. Disruptive change has unexpectedly supervened in the guise of bilateral mastectomy for cancer or prophylaxis and contralateral prophylactic mastectomy. These operations are now being resorted to at a rate which cannot be explained by any of the biological imperatives related to breast cancer and related diseases. This phenomenon extends across the Western world and beyond, driven by patients' cancer concern, a misunderstanding of what surgery can and cannot achieve and preserve, and the current popular media/cultural environment. These developments and their consequences for patients are reviewed. Surgical complications, especially those related to reconstruction, are unusually common. Of equal or greater concern are the physical, esthetic, psychosocial, psychosexual morbidities, and other adverse sequelae of these operations.

  8. Prevention of bilateral amputation in a non-concordant patient.

    Science.gov (United States)

    King, Jeanette

    As chronic wounds, venous leg ulcers (VLUs) are costly and impact significantly on a patient's quality of life. This case study focuses on the key considerations for wound management of bilateral venous leg ulcers in a 45-year-old mother who had undergone multiple admissions with sepsis secondary to the ulcers and whose life was considered at risk. The primary concern was to stabilise the patient, and then to determine the aetiology of the leg ulcers and develop a treatment plan. Kerraboot (Crawford Healthcare) was chosen to dress the wound initially as it is relatively quick and easy to apply while being atraumatic, manages exudate and facilitates autolytic debridement (Harvey, 2006). After 12 days debridement was complete and granulation tissue was observed to the skin surface level. At this time, the patient's condition had stabilised and the wound aetiology could then be determined. The ulcers were confirmed as venous and were subsequently managed with compression bandaging. They continued to heal, reducing in size by 60% after a further 3 months. By agreeing a highly individualised wound treatment plan with the patient that was tailored to both her needs and those of the wound, and by continually reviewing and revising this plan, bilateral amputation was avoided in this previously non-concordant patient.

  9. The asymmetric impact of natural disasters on China's bilateral trade

    Science.gov (United States)

    Meng, Y.; Yang, S.; Shi, P.; Jeager, C. C.

    2015-10-01

    Globalization and technological revolutions are making the world more interconnected. International trade is an important approach linking the world. Since the 2011 Tohoku earthquake and tsunami in Japan shocked the global supply chain, more attention has been paid to the global impact of large-scale disasters. China is the second largest trader in the world and faces frequent natural disasters. Therefore, this study proposes a gravity model for China's bilateral trade tailored to national circumstances and estimates the impact of natural disasters in China and trading partner countries on Chinese imports and exports. We analyzed Chinese and trading partner statistical data from 1980 to 2012. Study results show the following: (1) China's natural disasters have a positive impact on exports but have no significant impact on imports; (2) trading partner countries' natural disasters reduce Chinese imports and exports; (3) both development level and land area of the partners are important in determining the intensity of natural disaster impacts on China's bilateral trade. The above findings suggest that the impact of natural disasters on trade is asymmetric and significantly affected by other factors, which demand further study.

  10. Inpatient rehabilitation challenges in a quadrimembral amputee after bilateral hand transplantation.

    Science.gov (United States)

    Lee, Jerome; Garcia, Angela M; Lee, W P Andrew; Munin, Michael C

    2011-08-01

    Bilateral forearm and hand transplantation poses unique challenges especially in the setting of bilateral lower limb amputations. A 57-yr-old man with bilateral transradial amputations and bilateral transtibial amputations after remote streptococcal sepsis was admitted for inpatient rehabilitation because of severe debilitation after forearm/hand transplantations. He required 6 wks of bed rest to allow the healing of the allografts but developed profound deconditioning. Because of weight-bearing precautions and other complications such as femoral neurapraxia, he required the use of body weight-support apparatus to ambulate with lower limb prostheses, keeping weight off the allografts. He progressed to walking 600 ft using a platform-wheeled walker at a modified independent level, to climbing four stairs with minimal assistance, and to being able to toss a small football using his right hand, indicating improved flexor function in this hand. Tacrolimus levels were maintained without clinical evidence of acute rejection. Through an individualized therapy regimen, careful monitoring of the allografts and dedicated support staff, rehabilitation training of a previous quadrimembral amputee after bilateral hand transplantations can be successful.

  11. Bilateral Necrotizing Fasciitis of the Foot Associated with Group B Streptococcus.

    Science.gov (United States)

    Fukuda, Keitaro; Ryujin, Misao; Sakio, Reiko; Fukuzumi, Satoshi; Omae, Takanori; Hayakawa, Kazuhito

    2016-01-01

    Necrotizing fasciitis (NF) is a severe bacterial infection involving fascia and subcutaneous tissue. It generally affects upper or lower extremities unilaterally, and there are few reports of bilateral-extremity NF. Here, we report a case of a 43-year-old male with type 1 diabetes who had NF on the left foot and subsequently developed NF on the other foot 1 week later. The patient survived with antimicrobial therapy and bilateral below-knee amputation. As group B streptococcus (GBS) was isolated by blood culture and culture of excised tissues of both feet, bilateral GBS NF of the foot was diagnosed. GBS is a rare causative pathogen in NF; however, there have been two case reports of bilateral GBS NF of an extremity in which NF appeared on the opposite extremity 1 week after the primary site infection, as in our case. GBS was isolated from cultures of blood and excised tissues of both extremities in both cases. Together, these observations suggest that GBS has a potential to cause secondary NF at remote sites by hematogenous dissemination with approximately 1 week delay and thereby lead to bilateral NF.

  12. Bilateral Necrotizing Fasciitis of the Foot Associated with Group B Streptococcus

    Directory of Open Access Journals (Sweden)

    Keitaro Fukuda

    2016-09-01

    Full Text Available Necrotizing fasciitis (NF is a severe bacterial infection involving fascia and subcutaneous tissue. It generally affects upper or lower extremities unilaterally, and there are few reports of bilateral-extremity NF. Here, we report a case of a 43-year-old male with type 1 diabetes who had NF on the left foot and subsequently developed NF on the other foot 1 week later. The patient survived with antimicrobial therapy and bilateral below-knee amputation. As group B streptococcus (GBS was isolated by blood culture and culture of excised tissues of both feet, bilateral GBS NF of the foot was diagnosed. GBS is a rare causative pathogen in NF; however, there have been two case reports of bilateral GBS NF of an extremity in which NF appeared on the opposite extremity 1 week after the primary site infection, as in our case. GBS was isolated from cultures of blood and excised tissues of both extremities in both cases. Together, these observations suggest that GBS has a potential to cause secondary NF at remote sites by hematogenous dissemination with approximately 1 week delay and thereby lead to bilateral NF.

  13. Unilateral versus bilateral thyroarytenoid Botulinum toxin injections in adductor spasmodic dysphonia: a prospective study

    Directory of Open Access Journals (Sweden)

    Abiola Jesuloba

    2009-10-01

    Full Text Available Abstract Objectives In this preliminary prospective study, we compared unilateral and bilateral thyroarytenoid muscle injections of Botulinum toxin (Dysport in 31 patients with adductor spasmodic dysphonia, who had undergone more than 5 consecutive Dysport injections (either unilateral or bilateral and had completed 5 concomitant self-rated efficacy and complication scores questionnaires related to the previous injections. We also developed a Neurophysiological Scoring (NPS system which has utility in the treatment administration. Method and materials Data were gathered prospectively on voice improvement (self-rated 6 point scale, length of response and duration of complications (breathiness, cough, dysphagia and total voice loss. Injections were performed under electromyography (EMG guidance. NPS scale was used to describe the EMG response. Dose and unilateral/bilateral injections were determined by clinical judgment based on previous response. Time intervals between injections were patient driven. Results Low dose unilateral Dysport injection was associated with no significant difference in the patient's outcome in terms of duration of action, voice score (VS and complication rate when compared to bilateral injections. Unilateral injections were not associated with any post treatment total voice loss unlike the bilateral injections. Conclusion Unilateral low dose Dysport injections are recommended in the treatment of adductor spasmodic dysphonia.

  14. An Approach for Transmission Loss and Cost Allocation by Loss Allocation Index and Co-operative Game Theory

    Science.gov (United States)

    Khan, Baseem; Agnihotri, Ganga; Mishra, Anuprita S.

    2016-03-01

    In the present work authors proposed a novel method for transmission loss and cost allocation to users (generators and loads). In the developed methodology transmission losses are allocated to users based on their usage of the transmission line. After usage allocation, particular loss allocation indices (PLAI) are evaluated for loads and generators. Also Cooperative game theory approach is applied for comparison of results. The proposed method is simple and easy to implement on the practical power system. Sample 6 bus and IEEE 14 bus system is used for showing the effectiveness of proposed method.

  15. Bilateral osteoarthritis of the trapeziometacarpal joint treated by bilateral tendon interposition arthroplasty

    NARCIS (Netherlands)

    Damen, A; vanderLei, B; Robinson, PH

    1997-01-01

    Twenty-four flexor carpi radialis (FCR) tendon interposition arthroplasties of the trapezium for bilateral trapeziometacarpal osteoarthritis were reviewed. Pain was reduced in all cases. Function was improved in all right hands and in 92% of the left hands. FCR tendon interposition arthroplasty for

  16. Bilateral Electrical Cataract: A Case Report

    Directory of Open Access Journals (Sweden)

    Selçuk Sızmaz

    2011-06-01

    Full Text Available To present a rare complication, such as bilateral cataracts, in a man who sustained a high-voltage electrical injury. A 35- year-old man was admitted with a complaint of decrease in visual acuity. He had a history of a contact with a power line carrying 30.000 volts of electricity while working at a construction site. Examination at a burn center revealed second-degree facial, neck and left foot burns. One month later, the patient underwent amputation of fourth and fifth toes of his left foot. During the next 6 months, he noted decreasing vision in both eyes. Ocular examination 1 year after the accident revealed that the patient’s visual acuity had deteriorated to 1/10 in both eyes. The cornea on the left eye showed superficial punctate opacities. The lenses in both eyes had anterior subcapsular cortical lens opacities and posterior subcapsular opacities. Uncomplicated bilateral phacoemulsification surgery with intraocular lens implantation was performed and the patient’s visual acuity returned to 10/10 in both eyes. We noted that the fundus remained normal in both eyes. Electrical cataracts are still a serious potential complication that may occur after electrical injury. Awareness of this by burn team members is important for providing optimal treatment to those who have suffered an electrical injury. (Turk J Ophthalmol 2011; 41: 197-9

  17. Anaesthetic consideration during laparoscopic bilateral simultaneous nephrectomy

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    Manisha P Modi

    2014-01-01

    Full Text Available Study Objective: To assess outcome from anaesthesia during laparoscopic bilateral simultaneous nephrectomy. Design: Retrospective study. Measurements: Preoperative Hb%, serum potassium, coagulation profile electrocardiography (ECG changes, 2D Echography, x-ray chest, haemodynamic changes, end-tidal carbon dioxide (EtCO 2 , fluid management and postoperative analgesia. Results: The mean age was 24.75 ± 14.35 years. The mean duration of surgery was 120 ± 80 minutes. The Hb%, serum creatinine and serum potassium were 9.4 ± 1.04%, 6.79 ± 4.91 meq/L and 3.61 ± 0.51 meq/L, respectively. Pulse rate mean blood pressure and EtCO 2 were recorded after creation of pneumoperitoneum and at 15, 30, 45 and after exsufflation of pneumoperitoneum. After pneumoperitoneum, there was increase in pulse rate, systolic blood pressure, diastolic blood pressure and EtCO 2 . After 30 minutes and throughout the surgery, these variables remained stable. Four patients required nitroglycerine infusion for intraoperative hypertention. Only one patient required packed cell volume (PCV transfusion and total intravenous fluid was 1 ± 0.5 L. At the time of exsufflation, there was decrease in pulse rate, systolic and diastolic blood pressure and EtCO 2 . Conclusion: Because of advancement in anaesthetic agents and muscle relaxant, there is safe outcome from anaesthesia during laparoscopic bilateral simultaneous nephrectomy.

  18. Bilateral high division of sciatic nerve

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    K. Shwetha

    2014-08-01

    Full Text Available Sciatic nerve is the thickest nerve in the body formed by the sacral plexus from L4 to S3 in the lesser pelvis. It emerges through the greater sciatic foramen below the piriformis and enter the gluteal region. Then the nerve passes on the back of the thigh and at the level of superior angle of popliteal fossa it terminates by dividing into tibial and common peroneal nerve. The knowledge of anatomical variations in the division of nerve is important for various surgical and anaesthetic procedures. During routine dissection in the department of anatomy, Mysore Medical College and Research Institute, Mysore, a rare bilateral high division of sciatic nerve was observed in a female cadaver aged about 40 years. In the present case there was bilateral high division of sciatic nerve. The nerve was seen dividing into two branches before it emerges through the greater sciatic foramen. The tibial nerve was entering the gluteal region below the piriformis muscle and common peroneal nerve was entering by piercing the piriformis. The knowledge of this variation is important as the nerve may get compressed with surrounding anatomical structures resulting in non discogenic sciatica. The awareness of variations is important for surgeons during various procedures like fracture, posterior dislocation of hip joint and hip joint replacement. The anatomical variations are important during deep intramuscular injections in gluteal region and also for anaesthetists during sciatic nerve block. [Int J Res Med Sci 2014; 2(4.000: 1785-1787

  19. A RARE CASE OF BILATERAL MICROSPHEREPHAKIA

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    Pandu

    2015-05-01

    Full Text Available Microspherophakia is rare bilateral congenital anamoly of the crystalline lens. The condition may be isolated , familial or it may be associated with systemic affections like Marfan's syndrome , Weil - Marchesani syndrome , hyperlysinemia and congenital rubella. Microspherophakia results in lenticular myopia , lens dislocation , usually inferiorly and inverse glaucoma. We present a case in a 8 year old child who presented with bilateral microspherophakia and anterior dislocation of lens of right eye. visual acuity in right eye was counting fingers close to face and i n left eye 6/60.IOP with perkins applanation tonometer was 30mmHg in right eye 22mmHg in left eye , cornea was hazy due to edema , anterior chamber was shallow in both eye patient was managed with emergency lens extraction of right eye and secondary ACIOL im plantation. Left eye was managed by laser peripheral iridotomy. IOP was within normal limits postoperatively in both eyes without any antiglaucoma medications. Postoperatively best corrected visual acuity in right was 6/18 and 6/9 in left eye.

  20. Unusual Bilateral Rim Fracture in Femoroacetabular Impingement

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    Claudio Rafols

    2015-01-01

    Full Text Available This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI, which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.