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Sample records for care nap sacc

  1. NAP SACC: Implementation of an Obesity Prevention Intervention in an American Indian Head Start Program.

    Science.gov (United States)

    Mattingly, Julie A; Andresen, Pamela A

    2016-01-01

    Low-income American Indian preschoolers are at greatest risk for overweight and obesity among children aged 2-5 years. The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program is an evidence-based intervention that promotes healthy weight development for children enrolled in child care centers. The goal of this continuous quality improvement program is for the child care staff to establish environmental policies and practices that positively influence nutrition and physical activity-related behaviors. A community needs assessment of a Head Start program on an American Indian reservation identified obesity as a priority issue. This project implemented NAP SACC at 15 Head Start sites on the reservation. PMID:27383778

  2. NAP SACC UK: protocol for a feasibility cluster randomised controlled trial in nurseries and at home to increase physical activity and healthy eating in children aged 2–4 years

    Science.gov (United States)

    Kipping, R; Jago, R; Metcalfe, C; White, J; Papadaki, A; Campbell, R; Hollingworth, W; Ward, D; Wells, S; Brockman, R; Nicholson, A; Moore, L

    2016-01-01

    Introduction Systematic reviews have identified the lack of intervention studies with young children to prevent obesity. This feasibility study examines the feasibility and acceptability of adapting the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) intervention in the UK to inform a full-scale trial. Methods and analysis A feasibility cluster randomised controlled trial in 12 nurseries in England, with 6 randomly assigned to the adapted NAP SACC UK intervention: nursery staff will receive training and support from an NAP SACC UK Partner to review the nursery environment (nutrition, physical activity, sedentary behaviours and oral health) and set goals for making changes. Parents will be invited to participate in a digital media-based home component to set goals for making changes in the home. As this is a feasibility study, the sample size was not based on a power calculation but will indicate the likely response rates and intracluster correlations. Measures will be assessed at baseline and 8–10 months later. We will estimate the recruitment rate of nurseries and children and adherence to the intervention and data. Nursery measurements will include the Environmental Policy Assessment and Observation score and the nursery staff's review of the nursery environment. Child measurements will include height and weight to calculate z-score body mass index (zBMI), accelerometer-determined minutes of moderate-to-vigorous physical activity per day and sedentary time, and diet using the Child and Diet Evaluation Tool. Questionnaires with nursery staff and parents will measure mediators. A process evaluation will assess fidelity of intervention delivery and views of participants. Ethics and dissemination Ethical approval for this study was given by Wales 3 NHS Research Ethics Committee. Findings will be made available through publication in peer-reviewed journals, at conferences and to participants via the University of Bristol website. Data

  3. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index.

    OpenAIRE

    Alkon, A; Crowley, AA; Neelon, SE; Hill, S.; Pan, Y.; Nguyen, V.; Rose, R.; Savage, E; Forestieri, N; Shipman, L; Kotch, JB

    2014-01-01

    BACKGROUND: To address the public health crisis of overweight and obese preschool-age children, the Nutrition And Physical Activity Self Assessment for Child Care (NAP SACC) intervention was delivered by nurse child care health consultants with the objective of improving child care provider and parent nutrition and physical activity knowledge, center-level nutrition and physical activity policies and practices, and children's body mass index (BMI). METHODS: A seven-month randomized control tr...

  4. ANP3 & NAP2

    DEFF Research Database (Denmark)

    Lindberg, Erik

    1996-01-01

    Modelling and SimulationANP3 introductionNAP2 introductionThe Exended Node EquationsThe input languages of ANP3 and NAP2The output from ANP3 and NAP2Literature......Modelling and SimulationANP3 introductionNAP2 introductionThe Exended Node EquationsThe input languages of ANP3 and NAP2The output from ANP3 and NAP2Literature...

  5. Napping and the selective consolidation of negative aspects of scenes.

    Science.gov (United States)

    Payne, Jessica D; Kensinger, Elizabeth A; Wamsley, Erin J; Spreng, R Nathan; Alger, Sara E; Gibler, Kyle; Schacter, Daniel L; Stickgold, Robert

    2015-04-01

    After information is encoded into memory, it undergoes an offline period of consolidation that occurs optimally during sleep. The consolidation process not only solidifies memories, but also selectively preserves aspects of experience that are emotionally salient and relevant for future use. Here, we provide evidence that an afternoon nap is sufficient to trigger preferential memory for emotional information contained in complex scenes. Selective memory for negative emotional information was enhanced after a nap compared with wakefulness in 2 control conditions designed to carefully address interference and time-of-day confounds. Although prior evidence has connected negative emotional memory formation to REM sleep physiology, we found that non-REM delta activity and the amount of slow wave sleep (SWS) in the nap were robustly related to the selective consolidation of negative information. These findings suggest that the mechanisms underlying memory consolidation benefits associated with napping and nighttime sleep are not always the same. Finally, we provide preliminary evidence that the magnitude of the emotional memory benefit conferred by sleep is equivalent following a nap and a full night of sleep, suggesting that selective emotional remembering can be economically achieved by taking a nap. PMID:25706830

  6. Documentation for delivery of Star Tracker to SAC-C

    DEFF Research Database (Denmark)

    Kilsgaard, Søren; Thuesen, Gøsta; Riis, Troels;

    1999-01-01

    The documentation EIDP (End Item Data Package) describes all the tests which have been performed on the flight hardware of the Star Tracker for the Argentine, Danish and NASA satellite SAC-C.......The documentation EIDP (End Item Data Package) describes all the tests which have been performed on the flight hardware of the Star Tracker for the Argentine, Danish and NASA satellite SAC-C....

  7. Effect of Crude Leaf Extracts on Colletotrichum gloeosporioides (Penz.) Sacc.

    OpenAIRE

    Prapassorn Bussaman; Piyarat Namsena; Paweena Rattanasena; Angsuman Chandrapatya

    2012-01-01

    Colletotrichum gloeosporioides (Penz.) Sacc. is a fungus that causes anthracnose disease in tropical fruit plants, resulting in damages of the fruit plants and low yield and quality of fruits. The use of chemical fungicides is common for management of this disease, but it also results in the development of fungal resistance to the chemicals. Therefore, this study aims to in vitro evaluate the efficacy of 14 crude leaf extracts against C. gloeosporioides. The results showed that Piper sarmento...

  8. Daytime nap controls toddlers’ nighttime sleep

    Science.gov (United States)

    Nakagawa, Machiko; Ohta, Hidenobu; Nagaoki, Yuko; Shimabukuro, Rinshu; Asaka, Yoko; Takahashi, Noriko; Nakazawa, Takayo; Kaneshi, Yousuke; Morioka, Keita; Oishi, Yoshihisa; Azami, Yuriko; Ikeuchi, Mari; Takahashi, Mari; Hirata, Michio; Ozawa, Miwa; Cho, Kazutoshi; Kusakawa, Isao; Yoda, Hitoshi

    2016-01-01

    Previous studies have demonstrated that afternoon naps can have a negative effect on subsequent nighttime sleep in children. These studies have mainly been based on sleep questionnaires completed by parents. To investigate the effect of napping on such aspects of sleep quality, we performed a study in which child activity and sleep levels were recorded using actigraphy. The parents were asked to attach actigraphy units to their child’s waist by an adjustable elastic belt and complete a sleep diary for 7 consecutive days. 50 healthy young toddlers of approximately 1.5 years of age were recruited. There was a significant negative correlation between nap duration and both nighttime sleep duration and sleep onset time, suggesting that long nap sleep induces short nighttime sleep duration and late sleep onset time. We also found a significant negative correlation between nap timing and nighttime sleep duration and also a significant positive correlation between nap timing and sleep onset time, suggesting that naps in the late afternoon also lead to short nighttime sleep duration and late sleep onset. Our findings suggest that duration-controlled naps starting early in the afternoon can induce a longer nighttime sleep in full-term infants of approximately 1.5 years of age. PMID:27277329

  9. Risperidone and NAP protect cognition and normalize gene expression in a schizophrenia mouse model.

    Science.gov (United States)

    Vaisburd, Sinaya; Shemer, Zeev; Yeheskel, Adva; Giladi, Eliezer; Gozes, Illana

    2015-01-01

    Mutated disrupted in schizophrenia 1 (DISC1), a microtubule regulating protein, leads to schizophrenia and other psychiatric illnesses. It is hypothesized that microtubule stabilization may provide neuroprotection in schizophrenia. The NAP (NAPVSIPQ) sequence of activity-dependent neuroprotective protein (ADNP) contains the SxIP motif, microtubule end binding (EB) protein target, which is critical for microtubule dynamics leading to synaptic plasticity and neuroprotection. Bioinformatics prediction for FDA approved drugs mimicking SxIP-like motif which displace NAP-EB binding identified Risperidone. Risperidone or NAP effectively ameliorated object recognition deficits in the mutated DISC1 mouse model. NAP but not Risperidone, reduced anxiety in the mutated mice. Doxycycline, which blocked the expression of the mutated DISC1, did not reverse the phenotype. Transcripts of Forkhead-BOX P2 (Foxp2), a gene regulating DISC1 and associated with human ability to acquire a spoken language, were increased in the hippocampus of the DISC1 mutated mice and were significantly lowered after treatment with NAP, Risperidone, or the combination of both. Thus, the combination of NAP and standard of care Risperidone in humans may protect against language disturbances associated with negative and cognitive impairments in schizophrenia. PMID:26553741

  10. The association between daytime napping and cognitive functioning in chronic fatigue syndrome.

    Directory of Open Access Journals (Sweden)

    Zoe M Gotts

    Full Text Available The precise relationship between sleep and physical and mental functioning in chronic fatigue syndrome (CFS has not been examined directly, nor has the impact of daytime napping. This study aimed to examine self-reported sleep in patients with CFS and explore whether sleep quality and daytime napping, specific patient characteristics (gender, illness length and levels of anxiety and depression, predicted daytime fatigue severity, levels of daytime sleepiness and cognitive functioning, all key dimensions of the illness experience.118 adults meeting the 1994 CDC case criteria for CFS completed a standardised sleep diary over 14 days. Momentary functional assessments of fatigue, sleepiness, cognition and mood were completed by patients as part of usual care. Levels of daytime functioning and disability were quantified using symptom assessment tools, measuring fatigue (Chalder Fatigue Scale, sleepiness (Epworth Sleepiness Scale, cognitive functioning (Trail Making Test, Cognitive Failures Questionnaire, and mood (Hospital Anxiety and Depression Scale.Hierarchical Regressions demonstrated that a shorter time since diagnosis, higher depression and longer wake time after sleep onset predicted 23.4% of the variance in fatigue severity (p <.001. Being male, higher depression and more afternoon naps predicted 25.6% of the variance in objective cognitive dysfunction (p <.001. Higher anxiety and depression and morning napping predicted 32.2% of the variance in subjective cognitive dysfunction (p <.001. When patients were classified into groups of mild and moderate sleepiness, those with longer daytime naps, those who mainly napped in the afternoon, and those with higher levels of anxiety, were more likely to be in the moderately sleepy group.Napping, particularly in the afternoon is associated with poorer cognitive functioning and more daytime sleepiness in CFS. These findings have clinical implications for symptom management strategies.

  11. [Profile of the elderly who naps].

    Science.gov (United States)

    dos Santos, Ariene Angelini; de Oliveira, Simone Camargo; Freitas, Denise Cuoghi de Carvalho Veríssimo; Ceolim, Maria Filomena; Pavarini, Sofia Cristina Iost; da Rocha, Maria Cecília Pires

    2013-12-01

    This study aimed to characterize the elderly who naps according to sociodemographic characteristics and frailty. A descriptive, cross-sectional study part of the multicenter project Frailty in the Elderly Brazilians. We evaluated 1,866 elderly people using a sociodemographic questionnaire. The frailty was assessed using the phenotype proposed by Fried. The data were analyzed with descriptive statistics. The results showed that the profile of the elderly who naps consists predominantly of women, married, retired, pre-frail, with an average age of 73 years, four years of study, with monthly family income of 3.9 minimum salary, with 4,4 children who were living with them only. The elderly reported napping on average 5.9 days per week, lasting 53.5 minutes per nap. Knowing the profile of the elderly who naps contributes to health professionals in the development of actions in relation to sleep problems of the frail/pre-frail elderly, preventing, minimizing or solving these problems. PMID:24626360

  12. Antimicrobial activity from endophytic fungi Arthrinium state of Apiospora montagnei Sacc. and Papulaspora immersa

    OpenAIRE

    Henrique Pereira Ramos; Glaucia Hollander Braun; Mônica Tallarico Pupo; Suraia Said

    2010-01-01

    Papulaspora immersa and Arthrinium state of Apiospora montagnei Sacc. were isolated from the roots of Smallanthus sonchifolius (yacón). The crude extracts from their cultures inhibited the growth of Staphylococcus aureus, Kocuria rhizophila, Pseudomonas aeruginosa and Escherichia coli. The more relevant results were observed in the ethyl acetate extract from P immersa against P aeruginosa (90 µg/mL) and ethyl acetate extract from Arthrinium state of A montagnei Sacc. against P aeruginosa (160...

  13. Rejoinder to Borer on the NAP

    Directory of Open Access Journals (Sweden)

    Walter E. Block

    2010-11-01

    Full Text Available Borer (2010 launches a spirited attack on my own promulgation and defense of the non aggression principle (NAP as the lynchpin of libertarianism, as adumbrated in several of my published papers (Block, 2009A, 2010. The two of us, Borer and me, in my opinion, achieve real disagreement, a goal not always reached in the libertarian debates. That is, Borer (2010 is succinct, on point, and offers a real challenge to those of us in the Rothbardian tradition, who see the NAP as the very basis of the libertarian philosophy. The present paper is an attempt to refute each and every one of the challenges offered by Borer

  14. Rejoinder to Borer on the NAP

    OpenAIRE

    Walter E. Block

    2010-01-01

    Borer (2010) launches a spirited attack on my own promulgation and defense of the non aggression principle (NAP) as the lynchpin of libertarianism, as adumbrated in several of my published papers (Block, 2009A, 2010). The two of us, Borer and me, in my opinion, achieve real disagreement, a goal not always reached in the libertarian debates. That is, Borer (2010) is succinct, on point, and offers a real challenge to those of us in the Rothbardian tradition, who see the NAP as the very basis of...

  15. Nap-Dependent Learning in Infants

    Science.gov (United States)

    Hupbach, Almut; Gomez, Rebecca L.; Bootzin, Richard R.; Nadel, Lynn

    2009-01-01

    Sleep has been shown to aid a variety of learning and memory processes in adults (Stickgold, 2005 ). Recently, we showed that infants' learning also benefits from subsequent sleep such that infants who nap are able to abstract the general grammatical pattern of a briefly presented artificial language (Gomez, Bootzin & Nadel, 2006 ). In the present…

  16. NAPS: Network Analysis of Protein Structures.

    Science.gov (United States)

    Chakrabarty, Broto; Parekh, Nita

    2016-07-01

    Traditionally, protein structures have been analysed by the secondary structure architecture and fold arrangement. An alternative approach that has shown promise is modelling proteins as a network of non-covalent interactions between amino acid residues. The network representation of proteins provide a systems approach to topological analysis of complex three-dimensional structures irrespective of secondary structure and fold type and provide insights into structure-function relationship. We have developed a web server for network based analysis of protein structures, NAPS, that facilitates quantitative and qualitative (visual) analysis of residue-residue interactions in: single chains, protein complex, modelled protein structures and trajectories (e.g. from molecular dynamics simulations). The user can specify atom type for network construction, distance range (in Å) and minimal amino acid separation along the sequence. NAPS provides users selection of node(s) and its neighbourhood based on centrality measures, physicochemical properties of amino acids or cluster of well-connected residues (k-cliques) for further analysis. Visual analysis of interacting domains and protein chains, and shortest path lengths between pair of residues are additional features that aid in functional analysis. NAPS support various analyses and visualization views for identifying functional residues, provide insight into mechanisms of protein folding, domain-domain and protein-protein interactions for understanding communication within and between proteins. URL:http://bioinf.iiit.ac.in/NAPS/. PMID:27151201

  17. Subjective and Objective Napping and Sleep in Older Adults: Are Evening Naps ‘Bad’ for Nighttime Sleep?

    Science.gov (United States)

    Dautovich, Natalie D.; McCrae, Christina S.; Rowe, Meredeth

    2014-01-01

    Objectives To compare objective and subjective measurements of napping, and to examine the relationship between evening napping and nocturnal sleep in older adults. Design For twelve days, participants wore actigraphs and completed sleep diaries. Setting Community Participants 100 individuals who napped, 60–89 years (including good and poor sleepers with typical age-related medical comorbidities). Measurements Twelve days of sleep diary and actigraphy provided subjective and objective napping and sleep data. Results Evening naps (within 2 hours of bedtime) were characteristic of the sample with peak nap time occurring between 20:30–21:00 (average nap time occurred between 14:30–15:00). Two categories of nappers were identified: 1) day/evening – those who took both daytime and evening naps, and 2) daytime-only. Interestingly, no participants napped during the evening only. Day/evening nappers significantly underreported evening napping and demonstrated lower objectively measured sleep onset latencies (20 vs 26.5 minutes), less wake after sleep onset (51.4 vs 72.8 minutes), and higher sleep efficiencies (76.8 vs 82%) than daytime-only nappers. Conclusion Day/evening napping was prevalent amongst this sample of community-dwelling good/poor sleepers, but was not associated with impaired nocturnal sleep. Although the elimination or restriction of napping is a common element of cognitive-behavioral therapy for insomnia (CBTi), these results suggest that a uniform recommendation to restrict/eliminate napping (particularly evening napping) may not meet the needs of all older individuals with insomnia. PMID:18691289

  18. Effects of the length and timing of nighttime naps on task performance and physiological function

    Directory of Open Access Journals (Sweden)

    Hidemaro Takeyama

    2004-12-01

    Full Text Available OBJECTIVE: To examine the effects of the length and timing of nighttime naps on performance and physiological functions, an experimental study was carried out under simulated night shift schedules. METHODS: Six students were recruited for this study that was composed of 5 experiments. Each experiment involved 3 consecutive days with one night shift (22:00-8:00 followed by daytime sleep and night sleep. The experiments had 5 conditions in which the length and timing of naps were manipulated: 0:00-1:00 (E60, 0:00-2:00 (E120, 4:00-5:00 (L60, 4:00-6:00 (L120, and no nap (No-nap. During the night shifts, participants underwent performance tests. A questionnaire on subjective fatigue and a critical flicker fusion frequency test were administered after the performance tests. Heart rate variability and rectal temperature were recorded continuously during the experiments. Polysomnography was also recorded during the nap. RESULTS: Sleep latency was shorter and sleep efficiency was higher in the nap in L60 and L120 than that in E60 and E120. Slow wave sleep in the naps in E120 and L120 was longer than that in E60 and L60. The mean reaction time in L60 became longer after the nap, and faster in E60 and E120. Earlier naps serve to counteract the decrement in performance and physiological functions during night shifts. Performance was somewhat improved by taking a 2-hour nap later in the shift, but deteriorated after a one-hour nap. CONCLUSIONS: Naps in the latter half of the night shift were superior to earlier naps in terms of sleep quality. However performance declined after a 1-hour nap taken later in the night shift due to sleep inertia. This study suggests that appropriate timing of a short nap must be carefully considered, such as a 60-min nap during the night shift.OBJETIVO: Para investigar os efeitos da duração e horário de cochilos noturnos sobre o desempenho e as funções fisiológicas foi realizado um estudo experimental por meio do trabalho

  19. Daytime napping associated with increased symptom severity in fibromyalgia syndrome

    NARCIS (Netherlands)

    Theadom, Alice; Cropley, Mark; Kantermann, Thomas

    2015-01-01

    Background: Previous qualitative research has revealed that people with fibromyalgia use daytime napping as a coping strategy for managing symptoms against clinical advice. Yet there is no evidence to suggest whether daytime napping is beneficial or detrimental for people with fibromyalgia. The purp

  20. Napping facilitates word learning in early lexical development.

    Science.gov (United States)

    Horváth, Klára; Myers, Kyle; Foster, Russell; Plunkett, Kim

    2015-10-01

    Little is known about the role that night-time sleep and daytime naps play in early cognitive development. Our aim was to investigate how napping affects word learning in 16-month-olds. Thirty-four typically developing infants were assigned randomly to nap and wake groups. After teaching two novel object-word pairs to infants, we tested their initial performance with an intermodal preferential looking task in which infants are expected to increase their target looking time compared to a distracter after hearing its auditory label. A second test session followed after approximately a 2-h delay. The delay contained sleep for the nap group or no sleep for the wake group. Looking behaviour was measured with an automatic eye-tracker. Vocabulary size was assessed using the Oxford Communicative Development Inventory. A significant interaction between group and session was found in preferential looking towards the target picture. The performance of the nap group increased after the nap, whereas that of the wake group did not change. The gain in performance correlated positively with the expressive vocabulary size in the nap group. These results indicate that daytime napping helps consolidate word learning in infancy. PMID:25950233

  1. Morphological characteristic of Cercospora beticola (Sacc.) from infected sugar beet leaves and determination of its growth medium.

    OpenAIRE

    Göktürk, T.; Döken, M.T.

    2008-01-01

    This study was carried out at the sugar beet field in Oltu (Erzurum) about 30-50% of the area was infected by Cercospora beticola  (Sacc.). Isolates were collected from the infected sugar beet leaves. The collected isolates were transferred into the plates, which contain PDA (Potato Decroze Agar) and SBLA (Sugar Beet Leaves Extract Agar). After the germination, Cercospora beticola (Sacc.) showed differences between conidia and conidiophore sizes. Cercospora beticola sporulated in SBLEA...

  2. MECHANISM OF FUSARIUM TRICINCTUM (CORDA) SACC. SPORE INACTIVATION BY CHLORINE DIOXIDE

    OpenAIRE

    Zhao Chen

    2015-01-01

    The mechanism of Fusarium tricinctum (Corda) Sacc. spore inactivation by chlorine dioxide (ClO2) was investigated. During F. tricinctum spore inactivation by ClO2, protein, DNA, and metal ion leakage, enzyme activity, and cell ultrastructure were examined. Protein and DNA leakages were not detected, while there were metal ion leakages of K+, Ca2+, and Mg2+, which were well-correlated with the inactivation rate. The enzyme activities of glucose-6-phosphate dehydrogenase, citrate synthase, and ...

  3. A new variety of Pholiota microspora (Berk. Sacc. (Agaricales from Nepal

    Directory of Open Access Journals (Sweden)

    MAHESH K. ADHIKARI

    2014-10-01

    Full Text Available In the fall of late rainy season 2011, a new Pholiota (Fr. P. Kumm. (Agaricales, Strophariaceae was collected in the Quercus forest of Phulchowki (Kathmandu valley along the trial line, on the dead log at an altitude of 2600m. The specimen gathered was quite small. It was brought to laboratory and cultivated in NARC, Pathology laboratory, Lalitpur. The mushroom has been identified as Pholiota microspora (Berk. Sacc. var. himalensis var. nov..

  4. Electron transport to periplasmic nitrate reductase (NapA) of Wolinella succinogenes is independent of a NapC protein.

    Science.gov (United States)

    Simon, Jörg; Sänger, Monica; Schuster, Stephan C; Gross, Roland

    2003-07-01

    The rumen bacterium Wolinella succinogenes grows by respiratory nitrate ammonification with formate as electron donor. Whereas the enzymology and coupling mechanism of nitrite respiration is well known, nitrate reduction to nitrite has not yet been examined. We report here that intact cells and cell fractions catalyse nitrate and chlorate reduction by reduced viologen dyes with high specific activities. A gene cluster encoding components of a putative periplasmic nitrate reductase system (napA, G, H, B, F, L, D) was sequenced. The napA gene was inactivated by inserting a kanamycin resistance gene cassette. The resulting mutant did not grow by nitrate respiration and did not reduce nitrate during growth by fumarate respiration, in contrast to the wild type. An antigen was detected in wild-type cells using an antiserum raised against the periplasmic nitrate reductase (NapA) from Paracoccus pantotrophus. This antigen was absent in the W. succinogenes napA mutant. It is concluded that the periplasmic nitrate reductase NapA is the only respiratory nitrate reductase in W. succinogenes, although a second nitrate-reducing enzyme is apparently induced in the napA mutant. The nap cluster of W. succinogenes lacks a napC gene whose product is thought to function in quinol oxidation and electron transfer to NapA in other bacteria. The W. succinogenes genome encodes two members of the NapC/NirT family, NrfH and FccC. Characterization of corresponding deletion mutants indicates that neither of these two proteins is required for nitrate respiration. A mutant lacking the genes encoding respiratory nitrite reductase (nrfHA) had wild-type properties with respect to nitrate respiration. A model of the electron transport chain of nitrate respiration is proposed in which one or more of the napF, G, H and L gene products mediate electron transport from menaquinol to the periplasmic NapAB complex. Inspection of the W. succinogenes genome sequence suggests that ammonia formation from

  5. Podpora MS-NAP pro systém AVG

    OpenAIRE

    Kuchta, Ondřej

    2011-01-01

    Tato bakalářská práce se zabývá návrhem a implementací podpory technologie NAP společnosti Microsoft do antivirového produktu AVG společnosti AVG Technologies. Začátek práce obecně popisuje architekturu technologie NAP a možností jejího nasazení. Dále se práce zabývá návrhem a implementací klientské i serverové části podpory NAP pro antivir společnosti AVG. Výsledkem je ucelená práce pojednávající o implementaci a nasazení NAP do produktů třetích stran. This bachelor thesis deals with...

  6. Molecular evolution and species-specific expansion of the NAP members in plants

    Institute of Scientific and Technical Information of China (English)

    Kai Fan,; Hao Shen,; Noreen Bibi,; Feng Li,; Shuna Yuan,; Ming Wang; Xuede Wang

    2015-01-01

    The NAP (NAC-Like, Activated by AP3/PI) subfamily is one of the important plant-specific transcription factors, and controls many vital biological processes in plants. In the current study, 197 NAP proteins were identified from 31 vascular plants, but no NAP members were found in eight non-vascular plants. Al NAP proteins were phylogenetical y classified into two groups (NAP I and NAP II), and the origin time of the NAP I group might be relatively later than that of the NAP II group. Furthermore, species-specific gene duplications, caused by segmental duplication events, resulted in the expansion of the NAP subfamily after species-divergence. Different groups have different expansion rates, and the NAP group preference was found during the expansion in plants. Moreover, the expansion of NAP proteins may be related to the gain and loss of introns. Besides, functional divergence was limited after the gene duplication. Abscisic acid (ABA) might play an important role in leaf senescence, which is regulated by NAP subfamily. These results could lay an important foundation for expansion and evolutionary analysis of NAP subfamily in plants.

  7. Use of NAP gene to manipulate leaf senescence in plants

    Science.gov (United States)

    Gan, Susheng; Guo, Yongfeng

    2013-04-16

    The present invention discloses transgenic plants having an altered level of NAP protein compared to that of a non-transgenic plant, where the transgenic plants display an altered leaf senescence phenotype relative to a non-transgenic plant, as well as mutant plants comprising an inactivated NAP gene, where mutant plants display a delayed leaf senescence phenotype compared to that of a non-mutant plant. The present invention also discloses methods for delaying leaf senescence in a plant, as well as methods of making a mutant plant having a decreased level of NAP protein compared to that of a non-mutant plant, where the mutant plant displays a delayed leaf senescence phenotype relative to a non-mutant plant. Methods for causing precocious leaf senescence or promoting leaf senescence in a plant are also disclosed. Also disclosed are methods of identifying a candidate plant suitable for breeding that displays a delayed leaf senescence and/or enhanced yield phenotype.

  8. Strength and fracture analysis of the in-service equipment of nuclear power plant using programs ANSYS and SACC

    International Nuclear Information System (INIS)

    The paper deals with the problem of the evaluation of workability and longevity of the equipment of Nuclear Power Plants. The finite element system ANSYS and fracture safety evaluation software SACC are used to obtain necessary stressed state information and to evaluate results of numerical analysis. (author)

  9. Napping patterns during the 2nd year of USMA 2007 Class A preliminary analysis

    OpenAIRE

    Miller, Nita; Shattuck, Lawrence G.; Matsangas, Panagiotis

    2007-01-01

    Objectives: In support of a four-year longitudinal study of the Class of 2007, at United States Military Academy (USMA), West Point, NY, this work focuses on: Cadet napping patterns during the second year of their stay at the Academy, napping effect on daily sleep, and frequency of napping versus gender, and seasonality issues.

  10. Electrocatalytic reduction of nitrate and selenate by NapAB.

    Science.gov (United States)

    Gates, Andrew J; Butler, Clive S; Richardson, David J; Butt, Julea N

    2011-01-01

    Bacterial cellular metabolism is renowned for its metabolic diversity and adaptability. However, certain environments present particular challenges. Aerobic metabolism of highly reduced carbon substrates by soil bacteria such as Paracoccus pantotrophus presents one such challenge since it may result in excessive electron delivery to the respiratory redox chain when compared with the availability of terminal oxidant, O2. The level of a periplasmic ubiquinol-dependent nitrate reductase, NAP, is up-regulated in the presence of highly reduced carbon substrates. NAP oxidizes ubiquinol at the periplasmic face of the cytoplasmic membrane and reduces nitrate in the periplasm. Thus its activity counteracts the accumulation of excess reducing equivalents in ubiquinol, thereby maintaining the redox poise of the ubiquinone/ubiquinol pool without contributing to the protonmotive force across the cytoplasmic membrane. Although P. pantotrophus NapAB shows a high level of substrate specificity towards nitrate, the enzyme has also been reported to reduce selenate in spectrophotometric solution assays. This transaction draws on our current knowledge concerning the bacterial respiratory nitrate reductases and extends the application of PFE (protein film electrochemistry) to resolve and quantify the selenate reductase activity of NapAB. PMID:21265780

  11. First report of Clostridium difficile NAP1/027 in a Mexican hospital.

    Directory of Open Access Journals (Sweden)

    Adrián Camacho-Ortiz

    Full Text Available Clostridium difficile NAP1/ribotype 027 is associated with severe disease and high mortality rates. Our aim was to determine the prevalence of NAP1/ribotype 027 among C. difficile isolates in a tertiary care hospital, and review the main clinical data.We included 106 stool samples from 106 patients. Samples were tested for A&B toxins and were cultured on CCFA agar. The genes tcdA, tcdB, tcdC, cdtA, and cdtB were amplified using PCR in clinical isolates. The tcdA 3'-end deletion analysis, PCR-ribotyping, and pulsed-field gel electrophoresis (PFGE were also performed. Stool samples that were positive for culture were tested by the GeneXpert C. difficile assay. Clinical data were collected.Thirty-six patients tested positive for A&B toxins; and 22 patients had positive culture for C. difficile, 14 of which tested positive for the A&B toxins and all 22 patients tested positive by the GeneXpert C. difficile assay. Risk factors included an average hospital stay of 16.1 days prior to toxin detection, average antibiotic use for 16.2 days, and a median of 3 antibiotics used. The 30-day crude mortality rate was 8.4%. Six of the 22 patients died, and 3 of those deaths were directly attributed to C. difficile infection. The majority of isolates, 90.9% (20/22, carried genes tcdB, tcdA, cdtA, and cdtB; and these strains carried the corresponding downregulator gene tcdC, with an 18-bp deletion. PFGE was performed on 17 isolates, and one main pattern was observed. Analysis of the ribotyping data showed similar results.The above findings represent the clonal spread of C. difficile in our institution, which mainly includes the NAP1/027 strain. This is the first report of C. difficile ribotype NAP1/027 in Mexico.

  12. MECHANISM OF FUSARIUM TRICINCTUM (CORDA SACC. SPORE INACTIVATION BY CHLORINE DIOXIDE

    Directory of Open Access Journals (Sweden)

    Zhao Chen

    2015-06-01

    Full Text Available The mechanism of Fusarium tricinctum (Corda Sacc. spore inactivation by chlorine dioxide (ClO2 was investigated. During F. tricinctum spore inactivation by ClO2, protein, DNA, and metal ion leakage, enzyme activity, and cell ultrastructure were examined. Protein and DNA leakages were not detected, while there were metal ion leakages of K+, Ca2+, and Mg2+, which were well-correlated with the inactivation rate. The enzyme activities of glucose-6-phosphate dehydrogenase, citrate synthase, and phosphofructokinase were inhibited and were also well-correlated with the inactivation rate. Electron micrographs showed the ultrastructural modifications of spores and demonstrated that spores were heavily distorted and collapsed from their regular structure. Spore surface damage and disruption in inner components was also severe. The metal ion leakage, the inhibition of enzyme activities, and the damage of spore structure were significant in F. tricinctum spore inactivation by ClO2.

  13. Effectiveness of some microorganisms in the limitation of grapevine cuttings infection by Phomopsis viticola Sacc.

    Directory of Open Access Journals (Sweden)

    Ewa Król

    2013-12-01

    Full Text Available The possibilities of using antagonistic fungi and bacteria in the limitation of grapevine stems infection by Phomopsis viticola Sacc. were studied. Trichodema koningii Oud., T.viride Persoon ex S.F.,T.harzianum Rifai, Gliocladium catenulatum Gilman and Abbott, G.fimbriatum Gilman and Abbott, Bacillus sp., Pseudomonas fluorescens and five unidentified isolates of bacteria i.e.: 22a, 35, 40, 45, 66 were estimated. It was appeared what Trichoderma spp. were the most effective in protection of grapevine stems against the infection by P.viticola. After these antagonistic fungi were used on protected grapevine canes not numerous necrosis were observed and few cultures of pathogen were reisolated from them. Moreover, Trichoderma spp. survived on the grapevine stems during the period of experiment. The abilities of other microorganisms tested to protect grapevine cuttings against P.viticola infection and to exist on the stems were less than Trichoderma spp.

  14. Isolation and fusion of protoplasts from the phytopathogenic fungus Sclerotium rolfsii (Sacc.

    Directory of Open Access Journals (Sweden)

    Sikandar Hayat

    2010-03-01

    Full Text Available Sclerotium rolfsii (Sacc. is a serious plant pathogenic fungus and lacks perfect (basidial stage in production. Protoplast fusion technology was employed to reconstruct fusants from this fungus. Two strains designated as A and R were used. Maximum protoplast yields of 3.8x10(5 /g mycelia and 2.8x10(5 /g mycelia were formed in strains A and R respectively. Osmotic stabilizer sucrose 1M gave maximum yield. Lysing enzyme at the rate of 15mg/ml was found best for yield. Fusion of protoplasts from strains A and R was carried out in fusion media containing PEG 4000 30% (w/v with 0.2mM CaCl2. Four fusants F1, F2, F3 and F4 were recovered. Morphological, physiological and pathogenic characters of fusants were compared with parent strains on carrots, beans and tomato.

  15. Pengaruh Gliocladium virens dan Varietas Terhadap Perkembangan Penyakit Fusarium oxysporum f.sp lycopersici (Sacc) Pada Tanaman Tomat (Lycopersicum esculentum Smith) di Lapangan

    OpenAIRE

    Kirnando, Afriando Flora

    2011-01-01

    Afriando Flora Kirnando, “The Gliocladium virens and variety effect to the development of Fusarium oxysporum f.sp lycopersici (Sacc) disease in tomato plants in the field”, supervisor by Mukhtar Iskandar Pinem and Lahmuddin Lubis. Many control maesures have been done to suppress developing of Fusarium oxysporum f.sp lycopersici (Sacc) but have not succesful, so that one of alternative with biological control. Research aimed to The Gliocladium virens and variety effect to the development of ...

  16. Effects of afternoon "siesta" naps on sleep, alertness, performance, and circadian rhythms in the elderly

    Science.gov (United States)

    Monk, T. H.; Buysse, D. J.; Carrier, J.; Billy, B. D.; Rose, L. R.

    2001-01-01

    STUDY OBJECTIVES: To determine the effects of a 90-minute afternoon nap regimen on nocturnal sleep, circadian rhythms, and evening alertness and performance levels in the healthy elderly. DESIGN AND SETTING: Nine healthy elderly subjects (4m, 5f, age range 74y-87y) each experienced both nap and no-nap conditions in two studies each lasting 17 days (14 at home, 3 in the laboratory). In the nap condition a 90-minute nap was enforced between 13:30 and 15:00 every day, in the no-nap condition daytime napping was prohibited, and activity encouraged in the 13:30-15:00 interval. The order of the two conditions was counterbalanced. PARTICIPANTS: N/A INTERVENTIONS: N/A MEASUREMENTS: Diary measures, pencil and paper alertness tests, and wrist actigraphy were used at home. In the 72 hour laboratory studies, these measures were augmented by polysomnographic sleep recording, continuous rectal temperature measurement, a daily evening single trial of a Multiple Sleep Latency Test (MSLT), and computerized tests of mood, activation and performance efficiency. RESULTS: By the second week in the "at home" study, an average of 58 minutes of sleep was reported per siesta nap; in the laboratory, polysomnography confirmed an average of 57 minutes of sleep per nap. When nap and no-nap conditions were compared, mixed effects on nocturnal sleep were observed. Diary measures indicated no significant difference in nocturnal sleep duration, but a significant increase (of 38 mins.) in 24-hour Total Sleep Time (TST) when nocturnal sleeps and naps were added together (psleep efficiency in the nap condition (pSleep Time (TST) by 48 mins. in the nap condition (peffects on Wake After Sleep Onset (WASO), delta sleep measures, or percent stages 1 & 2. Unlike the diary study, the laboratory study yielded no overall increase in 24-hour TST consequent upon the siesta nap regimen. The only measure of evening alertness or performance to show an improvement was sleep latency in a single-trial evening MSLT

  17. The utility of a 5th nap in multiple sleep latency test

    Science.gov (United States)

    Lykouras, Dimosthenis; Rees, Kate

    2016-01-01

    Background This is the first study that aimed to look specifically at the utility of the 5th nap in the multiple sleep latency test (MSLT), a test used to assist in the diagnosis of narcolepsy. Methods Data was retrospectively collected from the Sleep Disorders Centre of a Tertiary Hospital on patients that had a 5th nap during their MSLT from the 08th November 2011 to 12th November 2014. Results Fifty-three patients had a 5th nap performed out of 378 MSLT studies. In 16% of cases a diagnosis of narcolepsy was given directly due to the inclusion of the 5th nap on the MSLT. Here a 5th nap allowed diagnostic criteria of mean sleep latency 2 SOREMPS to be met. In 53% of cases the mean sleep latency increased due to 5th nap inclusion; the mean sleep latency of the first four naps was 5.6 vs. 6.7 after inclusion of the 5th nap. Conclusions The 5th nap is not often performed within the MSLT studies. Our study shows that only a few patients may benefit from a 5th nap opportunity which also led to increase of the mean sleep latency at the expense of extra time, cost, labour and increased patient anxiety. PMID:26904269

  18. CHAOS-a model of the Earth's magnetic field derived from CHAMP, Orsted, and SAC-C magnetic satellite data

    DEFF Research Database (Denmark)

    Olsen, Nils; Luhr, H.; Sabaka, T.J.;

    2006-01-01

    We have derived a model of the near-Earth magnetic field (up to spherical harmonic degree n= 50 for the static field, and up to n = 18 for the first time derivative) using more than 6.5 yr of high-precision geomagnetic measurements from the three satellites Orsted, CHAMP and SAC-C taken between 1...... 1999 March and 2005 December. Our modelling approach goes in several aspects beyond that used for recent models: (i) we use different data selection criteria and allow for higher geomagnetic activity (index Kp......We have derived a model of the near-Earth magnetic field (up to spherical harmonic degree n= 50 for the static field, and up to n = 18 for the first time derivative) using more than 6.5 yr of high-precision geomagnetic measurements from the three satellites Orsted, CHAMP and SAC-C taken between...

  19. Post-sleep inertia performance benefits of longer naps in simulated nightwork and extended operations.

    Science.gov (United States)

    Mulrine, Hannah M; Signal, T Leigh; van den Berg, Margo J; Gander, Philippa H

    2012-11-01

    Operational settings involving shiftwork or extended operations require periods of prolonged wakefulness, which in conjunction with sleep loss and circadian factors, can have a negative impact on performance, alertness, and workplace safety. Napping has been shown to improve performance and alertness after periods of prolonged wakefulness and sleep loss. Longer naps may not only result in longer-lasting benefits but also increase the risk of sleep inertia immediately upon waking. The time course of performance after naps of differing durations is thus an important consideration in weighing the benefits and risks of napping in workplace settings. The objective of this study was to evaluate the effectiveness of nap opportunities of 20, 40, or 60 min for maintaining alertness and performance 1.5-6 h post-nap in simulated nightwork (P1) or extended operations (P2). Each protocol included 12 participants in a within-subjects design in a controlled laboratory environment. After a baseline 8 h time-in-bed, healthy young males (P1 mean age 25.1 yr; P2 mean age 23.2 yr) underwent either ≈ 20 h (P1) or ≈ 30 h (P2) of sleep deprivation on four separate occasions, followed by nap opportunities of 0, 20, 40, and 60 min. Sleep on the baseline night and during the naps was recorded polysomnographically. During the nap opportunities, sleep onset latency was short and sleep efficiency was high. A greater proportion of slow-wave sleep (SWS) was obtained in nap opportunities of 40 and 60 min compared with 20 min. Rapid eye movement (REM) sleep occurred infrequently. A subjective sleepiness rating (Karolinska Sleepiness Scale, KSS), 2-Back Working Memory Task (WMT), and Psychomotor Vigilance Task (PVT) were completed 1.5, 2, 2.5, 3, 4, 5, and 6 h post-nap. The slowest 10% of PVT responses were significantly faster after 40 and 60 min naps compared with a 20 min (P1) or no (P2) nap. There were significantly fewer PVT lapses after 40 and 60 min naps compared with no nap (P2), and

  20. A global model of mantle conductivity derived from 5 years of CHAMP, Orsted, and SAC-C magnetic data

    DEFF Research Database (Denmark)

    Kuvshinov, A.; Olsen, Nils

    2006-01-01

    We present a global 1-D conductivity model which is obtained by analysis of five years ( 2001 - 2005) of simultaneous magnetic data from the three satellites Orsted, CHAMP and SAC-C. After removal of core and crustal fields as predicted by a recent field model we used non-polar scalar and vector...... model which is rather similar to models derived from ground-based data....

  1. The histone chaperones Vps75 and Nap1 form ring-like, tetrameric structures in solution

    Science.gov (United States)

    Bowman, Andrew; Hammond, Colin M.; Stirling, Andrew; Ward, Richard; Shang, Weifeng; El-Mkami, Hassane; Robinson, David A.; Svergun, Dmitri I.; Norman, David G.; Owen-Hughes, Tom

    2014-01-01

    NAP-1 fold histone chaperones play an important role in escorting histones to and from sites of nucleosome assembly and disassembly. The two NAP-1 fold histone chaperones in budding yeast, Vps75 and Nap1, have previously been crystalized in a characteristic homodimeric conformation. In this study, a combination of small angle X-ray scattering, multi angle light scattering and pulsed electron–electron double resonance approaches were used to show that both Vps75 and Nap1 adopt ring-shaped tetrameric conformations in solution. This suggests that the formation of homotetramers is a common feature of NAP-1 fold histone chaperones. The tetramerisation of NAP-1 fold histone chaperones may act to shield acidic surfaces in the absence of histone cargo thus providing a ‘self-chaperoning’ type mechanism. PMID:24688059

  2. The histone chaperones Vps75 and Nap1 form ring-like, tetrameric structures in solution

    OpenAIRE

    Bowman, A.; Hammond, C. M.; Stirling, A.; Ward, R.; Shang, W.; El-Mkami, H.; Robinson, D A; Svergun, Dmitri; Norman, D. G.; Owen-Hughes, T.

    2014-01-01

    MRC [G1100021]; Wellcome Senior Fellowship [095062]. Source of open access funding: The Wellcome Trust [094090]. NAP-1 fold histone chaperones play an important role in escorting histones to and from sites of nucleosome assembly and disassembly. The two NAP-1 fold histone chaperones in budding yeast, Vps75 and Nap1, have previously been crystalized in a characteristic homodimeric conformation. In this study, a combination of small angle X-ray scattering, multi angle light scattering and pu...

  3. The ADNP derived peptide, NAP modulates the tubulin pool: implication for neurotrophic and neuroprotective activities.

    Directory of Open Access Journals (Sweden)

    Saar Oz

    Full Text Available Microtubules (MTs, key cytoskeletal elements in living cells, are critical for axonal transport, synaptic transmission, and maintenance of neuronal morphology. NAP (NAPVSIPQ is a neuroprotective peptide derived from the essential activity-dependent neuroprotective protein (ADNP. In Alzheimer's disease models, NAP protects against tauopathy and cognitive decline. Here, we show that NAP treatment significantly affected the alpha tubulin tyrosination cycle in the neuronal differentiation model, rat pheochromocytoma (PC12 and in rat cortical astrocytes. The effect on tubulin tyrosination/detyrosination was coupled to increased MT network area (measured in PC12 cells, which is directly related to neurite outgrowth. Tubulin beta3, a marker for neurite outgrowth/neuronal differentiation significantly increased after NAP treatment. In rat cortical neurons, NAP doubled the area of dynamic MT invasion (Tyr-tubulin into the neuronal growth cone periphery. NAP was previously shown to protect against zinc-induced MT/neurite destruction and neuronal death, here, in PC12 cells, NAP treatment reversed zinc-decreased tau-tubulin-MT interaction and protected against death. NAP effects on the MT pool, coupled with increased tau engagement on compromised MTs imply an important role in neuronal plasticity, protecting against free tau accumulation leading to tauopathy. With tauopathy representing a major pathological hallmark in Alzheimer's disease and related disorders, the current findings provide a mechanistic basis for further development. NAP (davunetide is in phase 2/3 clinical trial in progressive supranuclear palsy, a disease presenting MT deficiency and tau pathology.

  4. Hiiumaa kiviajast tänapäevani / Endel Saar

    Index Scriptorium Estoniae

    Saar, Endel

    2001-01-01

    Järg Feb/10;17 Mar/3;10;17;24;31 Apr/7;21;28 May/5;26 Jun/2;9;16;30 Jul/7;14;21;28 Aug/4;11;18;25 Sep/8 ;15;22;29 Oct/6;13;20;27 Nov/3;10;24 Dec/1;8;15;22;29. Biosfääri Kaitseala Keskuse poolt koostatud atlas "Administratiivsete muutuste ülevaatekaart", kus antakse ülevaade Hiiumaa arenguloost kiviajast tänapäevani

  5. Nap-titration : An effective alternative for continuous positive airway pressure titration

    NARCIS (Netherlands)

    Hoekema, A; Stegenga, B; Meinesz, AF; van der Hoeven, JH; Wijkstra, PJ

    2006-01-01

    When treating Obstructive Steep Apnea-Hypopnea Syndrome (OSAHS) several alternatives for standard (manual) continuous positive airway pressure (CPAP) titration are feasible. A practical alternative is titration without polysomnography during an afternoon nap (Nap-titration). The aim of the present s

  6. Control of Colletotrichum gloeosporioides (penz.) Sacc. In yellow passion fruit using Cymbopogon citratus essential oil.

    Science.gov (United States)

    Anaruma, Nina Duarte; Schmidt, Flávio Luís; Duarte, Marta Cristina Teixeira; Figueira, Glyn Mara; Delarmelina, Camila; Benato, Liane Aparecida; Sartoratto, Adilson

    2010-01-01

    The use of antibiotics in agriculture is limited when compared to their applications in human and veterinary medicine. On the other hand, the use of antimicrobials in agriculture contributes to the drug resistance of human pathogens and has stimulated the search for new antibiotics from natural products. Essential oils have been shown to exert several biological activities including antibacterial and antifungal actions. The aim of this study was to determine the activity of 28 essential oils from medicinal plants cultivated at CPMA (Medicinal and Aromatic Plants Collection), CPQBA/UNICAMP, against Colletotrichum gloeosporioides (Penz.) Sacc., the anthracnose agent in yellow passion fruit (Passiflora edulis Sims f. flavicarpa Deg), as well as evaluating their effect in the control of post-harvest decay. The oils were obtained by water-distillation using a Clevenger-type system and their minimal inhibitory concentrations (MIC) determined by the micro-dilution method. According to the results, 15 of the 28 essential oils presented activity against Colletotrichum gloeosporioides, and the following four oils presented MIC values between 0.25 and 0.3 mg/mL: Coriandrum sativum, Cymbopogon citratus, Cymbopogon flexuosus and Lippia alba. The evaluation of Cymbopogon citratus essential oil in the control of post-harvest decay in yellow passion fruit showed that the disease index of the samples treated with the essential oil did not differ (P ≤ 0.05) from that of the samples treated with fungicide. The present study shows the potential of Cymbopogon citratus essential oil in the control of the anthracnose agent in yellow passion fruit. PMID:24031465

  7. Control of Colletotrichum gloeosporioides (penz. Sacc. In yellow passion fruit using Cymbopogon citratus essential oil

    Directory of Open Access Journals (Sweden)

    Nina Duarte Anaruma

    2010-03-01

    Full Text Available The use of antibiotics in agriculture is limited when compared to their applications in human and veterinary medicine. On the other hand, the use of antimicrobials in agriculture contributes to the drug resistance of human pathogens and has stimulated the search for new antibiotics from natural products. Essential oils have been shown to exert several biological activities including antibacterial and antifungal actions. The aim of this study was to determine the activity of 28 essential oils from medicinal plants cultivated at CPMA (Medicinal and Aromatic Plants Collection, CPQBA/UNICAMP, against Colletotrichum gloeosporioides (Penz. Sacc., the anthracnose agent in yellow passion fruit (Passiflora edulis Sims f. flavicarpa Deg, as well as evaluating their effect in the control of post-harvest decay. The oils were obtained by water-distillation using a Clevenger-type system and their minimal inhibitory concentrations (MIC determined by the micro-dilution method. According to the results, 15 of the 28 essential oils presented activity against Colletotrichum gloeosporioides, and the following four oils presented MIC values between 0.25 and 0.3 mg/mL: Coriandrum sativum, Cymbopogon citratus, Cymbopogon flexuosus and Lippia alba. The evaluation of Cymbopogon citratus essential oil in the control of post-harvest decay in yellow passion fruit showed that the disease index of the samples treated with the essential oil did not differ (P < 0.05 from that of the samples treated with fungicide. The present study shows the potential of Cymbopogon citratus essential oil in the control of the anthracnose agent in yellow passion fruit.

  8. Eficiencia biológica de cepas nativas de Trichoderma spp., en el control de Sclerotium rolfsii Sacc., en cacahuate

    OpenAIRE

    A. C. Michel-Aceves; M. A. Otero-Sánchez; R. Ariza-Flores; A. Barrios-Ayala; N. Alarcón-Cruz

    2013-01-01

    En el control de Sclerotium rolfsii Sacc., se evaluó el efecto antagónico de aislados nativos de Trichoderma spp., bajo condiciones in vitro y de invernadero, en la zona Norte del estado de Guerrero. Se obtuvieron doce aislados nativos de Trichoderma spp. (dos de Santa Teresa y diez de Tlaxmalac, Gro.), de los cuales se seleccionaron seis (Tcn-4, Tcn-5, Tcn-6, Tcn-7, Tcn-8 y Tcn-11) mediante el método del papel celofán. En condiciones in vitro, el porcentaje de inhibición varió desde 10 a 94....

  9. Sleep to the beat: A nap favours consolidation of timing.

    Science.gov (United States)

    Verweij, Ilse M; Onuki, Yoshiyuki; Van Someren, Eus J W; Van der Werf, Ysbrand D

    2016-06-01

    Growing evidence suggests that sleep is important for procedural learning, but few studies have investigated the effect of sleep on the temporal aspects of motor skill learning. We assessed the effect of a 90-min day-time nap on learning a motor timing task, using 2 adaptations of a serial interception sequence learning (SISL) task. Forty-two right-handed participants performed the task before and after a 90-min period of sleep or wake. Electroencephalography (EEG) was recorded throughout. The motor task consisted of a sequential spatial pattern and was performed according to 2 different timing conditions, that is, either following a sequential or a random temporal pattern. The increase in accuracy was compared between groups using a mixed linear regression model. Within the sleep group, performance improvement was modeled based on sleep characteristics, including spindle- and slow-wave density. The sleep group, but not the wake group, showed improvement in the random temporal, but especially and significantly more strongly in the sequential temporal condition. None of the sleep characteristics predicted improvement on either general of the timing conditions. In conclusion, a daytime nap improves performance on a timing task. We show that performance on the task with a sequential timing sequence benefits more from sleep than motor timing. More important, the temporal sequence did not benefit initial learning, because differences arose only after an offline period and specifically when this period contained sleep. Sleep appears to aid in the extraction of regularities for optimal subsequent performance. (PsycINFO Database Record PMID:27214501

  10. Mental activity after early afternoon nap awakenings in healthy subjects.

    Science.gov (United States)

    Palagini, Laura; Gemignani, Angelo; Feinberg, Irwin; Guazzelli, Mario; Campbell, Ian G

    2004-06-30

    Despite the common misconception that rapid eye movement (REM) sleep is a unique correlate of dreaming, reports of mental activity can be elicited after awakenings from any stage of nocturnal sleep. We extended the investigation to naps and tried to explore the relationship between recall length and level of sleep stage and depth preceding the awakening. We hypothesized that dream report length would be related to arousal level. In 10 healthy young adults, sleep EEG and EOG were recorded for four non-consecutive early afternoon naps. Dream recalls were recorded following 10 s, 1 min, and 6 min of NREM Stage 2 and after 5 min of first REM period. We measured mental recall with total word count (TWC) method, sleep stages by using EEG visual scoring and Delta and Beta activity by period amplitude (PAA) and power spectral (PSA) analyses. All awakening conditions were followed by a dream report. TWC was significantly greater after REM than after 10 s and 1 min of NREM, and TWC did not differ among the NREM awakenings. Delta activity after REM was significantly lower compared to the NREM 6 and 1 min while Beta activity did not differ across the conditions. Assuming that arousal level decreased with increased NREM duration and increasing Delta EEG activity, the constant TWC across the three NREM awakenings indicates that arousal level cannot be the only factor affecting dream report length. Some other factor such as memory processing may explain the longer dream reports following REM sleep, or it may be that the EEG is an imperfect indicator of arousal level. PMID:15245762

  11. Experiences on condenser cooling water treatment programme at NAPS

    International Nuclear Information System (INIS)

    The Narora Atomic Power Station has twin units of 220 MWe pressurized heavy water reactors, situated at the banks of river Ganges in Bulandshahr District of Uttar Pradesh. The plant cooling water takes the make up water supply from river Ganges after pretreatment using polyelectrolyte at two number of clariflocculators. The condenser cooling water system of the station is of open recirculating type and the clarified raw water used as a cooling medium is having a concentration cycle of cooling about 2.0. The calcium concentration in recirculating water is around 160 mg/litre as CaCO3 at full power of the unit. The Langelier Saturation Index of the recirculating water is observed to be in the range + 1.2 to + 1.8, indicating moderately high tendency, towards scale formation on heat transfer surfaces, such as condenser tubes, Turbine lubricating oil coolers and other associated heat exchangers. The condenser cooling water treatment was not envisaged in the original design. Therefore untreated surface water resulting in scale formation (0.3 to 0.5 mm thickness) due to deposition of calcium carbonate was observed in the condenser tubes of NAPS Unit 1 and 2 during initial period of operation (1989 to 1992). It was observed that the scaling on condenser tube surfaces caused increase in terminal temperature difference (TTD) from a design value of 5.5 degC to 13.0 degC. In addition to this a substantial drop in heat transfer coefficient from a value of about 2000 kcal/hr/m2/degC to 1200 kcal/hr/m2/degC occurred. On thorough review actions were initiated at NAPS to restore the heat transfer through condensers. The present paper highlights the experiences on the treatment of cooling water

  12. Pengaruh Pupuk Organik Cair Dan Agensia Hayati Terhadap Pencegahan Penyakit Antraknosa (Colletotrichum gloeosporioides (Penz.) Sacc.) Pada Pembibitan Tanaman Kakao (Theobroma cacao L.)

    OpenAIRE

    Rani Mahneli

    2009-01-01

    Penelitian dilaksanakan di Rumah Kaca Fakultas Pertanian Universitas Sumatera Utara, Medan dengan ketinggian tempat ± 25 m dari permukaan laut. Penelitian dilakukan dari bulan Juli sampai dengan September 2007. Penelitian ini bertujuan untuk mengetahui Pengaruh Pupuk Organik Cair dan Agensia Hayati Terhadap Pencegahan Penyakit Antraknosa (Colletotrichum gloeosporioides (Penz.) Sacc.) Pada Pembibitan Tanaman Kakao (Theobroma cacao L.) Penelitian ini mengg...

  13. Identification of Peach NAP Transcription Factor Genes and Characterization of their Expression in Vegetative and Reproductive Organs during Development and Senescence.

    Science.gov (United States)

    Li, Fang; Li, Jinjin; Qian, Ming; Han, Mingyu; Cao, Lijun; Liu, Hangkong; Zhang, Dong; Zhao, Caiping

    2016-01-01

    The NAP (NAC-like, activated by AP3/P1) transcription factor belongs to a subfamily of the NAC transcription factor family, and is believed to have an important role in regulating plant growth and development. However, there is very little information about this subfamily in Rosaceous plants. We identified seven NAP genes in the peach genome. PpNAP2 was categorized in the NAP I group, and contained a conserved transcription activation region. The other PpNAP genes belonged to the NAP II group. The expression patterns of the PpNAP genes differed in various organs and developmental stages. PpNAP1 and PpNAP2 were highly expressed in mature and senescing flowers, but not in leaves, fruits, and flower buds. PpNAP3 and PpNAP5 were only expressed in leaves. The PpNAP4 expression level was high in mature and senescing fruits, while PpNAP6 and PpNAP7 expression was up-regulated in mature and senescent leaves and flowers. During the fruit development period, the PpNAP4 and PpNAP6 expression levels rapidly increased during the S1 and S4 stages, which suggests these genes are involved in the first exponential growth phase and fruit ripening. During the fruit ripening and softening period, the PpNAP1, PpNAP4, and PpNAP6 expression levels were high during the early storage period, which was accompanied by a rapid increase in ethylene production. PpNAP1, PpNAP4, and PpNAP6 expression slowly increased during the middle or late storage periods, and peaked at the end of the storage period. Additionally, abscisic acid (ABA)-treated fruits were softer and produced more ethylene than the controls. Furthermore, the PpNAP1, PpNAP4, and PpNAP6 expression levels were higher in ABA-treated fruits. These results suggest that PpNAP1, PpNAP4, and PpNAP6 are responsive to ABA and may regulate peach fruit ripening. PMID:26909092

  14. Spread of epidemic Clostridium difficile NAP1/027 in Latin America: case reports in Panama.

    Science.gov (United States)

    López-Ureña, Diana; Quesada-Gómez, Carlos; Miranda, Erick; Fonseca, Mercedes; Rodríguez-Cavallini, Evelyn

    2014-02-01

    The rate and severity of Clostridium difficile infection (CDI) have been linked to the emergence and spread of the hypervirulent toxigenic strain NAP1/027. This strain has been responsible for large outbreaks in healthcare facilities in North America and Europe and most recently in Latin America. This is the first report of the NAP1 strain in Panama. It suggests that the spread of C. difficile NAP1 throughout Latin America could be a possibility as evidenced in the following case reports. Five isolates typed as NAP1 had tcdA, tcdB, binary toxin gene cdtB and tcdC deletion. All isolates were resistant to clindamycin, fluoroquinolones and rifampicin. Under this scenario, surveillance programmes for CDI should be implemented in public health facilities in Latin America and diagnosis of CDI should be considered, especially in patients with predisposing factors. PMID:24287669

  15. [Insomnia symptoms, daytime naps and physical leisure activities in the elderly: FIBRA Study Campinas].

    Science.gov (United States)

    Monteiro, Natália Tonon; Neri, Anita Liberalesso; Coelim, Maria Filomena

    2014-04-01

    The practice of physical activities contributes to reducing the risk of chronic diseases and improves sleep patterns in the elderly. This research aimed to investigate the association between insomnia symptoms and daytime nap and the participation in physical leisure activities in elderly community residents. Data from the Studies Network of the Fragility in Brazilian Elderly (Campinas site), were used. Information from 689 elderly was analyzed, regarding sociodemographic characterization, physical leisure activity, occurrence of daytime napping and its duration, symptoms of insomnia and use of sleep medication. A significant association was found between the practice of walking and the daytime nap of short duration. Studies indicate that a short nap can benefit the quality of sleep and health of the elderly. Therefore, promoting the practice of walking can be a nursing intervention that favors the sleep patterns of the elderly. PMID:24918882

  16. The Association between Daytime Napping and Cognitive Functioning in Chronic Fatigue Syndrome

    OpenAIRE

    Gotts, Zoe; Ellis, Jason; Deary, Vincent; Barclay, Nicola; Newton, Julia

    2015-01-01

    OBJECTIVES The precise relationship between sleep and physical and mental functioning in chronic fatigue syndrome (CFS) has not been examined directly, nor has the impact of daytime napping. This study aimed to examine self-reported sleep in patients with CFS and explore whether sleep quality and daytime napping, specific patient characteristics (gender, illness length) and levels of anxiety and depression, predicted daytime fatigue severity, levels of daytime sleepiness and cognitive fun...

  17. napäevased liikursuurtükid / Anna Kern

    Index Scriptorium Estoniae

    Kern, Anna

    2013-01-01

    Riigikaitse arengukavas (a. 2013-2022) on ette nähtud võimalused 1. jalaväebrigaadile hankida tänapäevased liikursuurtükid. Ülevaade liikursuurtükkide loomisest, kasutamisest sõdades ja tänapäevase liikursuurtüki iseloomustus. Näiteid erinevtest liikursuurtükkidest: Archer (Rootsi), Panzerhaubitze 2000 (Saksamaa), Caesar (Prantsusmaa), M777 (USA). Lisatud tabel tehniliste andmetega

  18. Reconsidering the sporulation characteristics of hypervirulent Clostridium difficile BI/NAP1/027.

    Directory of Open Access Journals (Sweden)

    David A Burns

    Full Text Available Clostridium difficile is the leading cause of antibiotic-associated diarrhoea and a major burden to healthcare services worldwide. In recent years, C. difficile strains belonging to the BI/NAP1/027 type have become highly represented among clinical isolates. These so-called 'hypervirulent' strains are associated with outbreaks of increased disease severity, higher relapse rates and an expanded repertoire of antibiotic resistance. Spores, formed during sporulation, play a pivotal role in disease transmission and it has been suggested that BI/NAP1/027 strains are more prolific in terms of sporulation in vitro than 'non-epidemic' C. difficile types. Work in our laboratory has since provided credible evidence to the contrary suggesting that the strain-to-strain variation in C. difficile sporulation characteristics is not type-associated. However, the BI/NAP1/027 type is still widely stated to have an increased rate of sporulation. In this study, we analysed the sporulation rates of 53 C. difficile strains, the largest sample size used to-date in such a study, including 28 BI/NAP1/027 isolates. Our data confirm that significant variation exists in the rate at which different C. difficile strains form spores. However, we clearly show that the sporulation rate of the BI/NAP1/027 type was no higher than that of non-BI/NAP1/027 strains. In addition, we observed substantial variation in sporulation characteristics within the BI/NAP1/027 type. This work highlights the danger of assuming that all strains of one type behave similarly without studying adequate sample sizes. Furthermore, we stress the need for more rigorous experimental procedures in order to quantify C. difficile sporulation more accurately in the future.

  19. Associations between longer habitual day napping and non-alcoholic fatty liver disease in an elderly Chinese population.

    Directory of Open Access Journals (Sweden)

    Hua Qu

    Full Text Available Both longer habitual day napping and Non-Alcoholic Fatty Liver Disease (NAFLD are associated with diabetes and inflammation, but the association between day napping and NAFLD remains unexplored.To investigate the association between the duration of habitual day napping and NAFLD in an elderly Chinese population and to gain insight into the role of inflammatory cytokines in this association.We conducted a series of cross-sectional studies of the community population in Chongqing, China, from 2011 to 2012.Among 6998 participants aged 40 to 75 years, 6438 eligible participants were included in the first study and analyzed to observe the association between day napping duration and NAFLD. In a separate study, 80 non-nappers and 90 nappers were selected to identify the role of inflammatory cytokines in this association. Logistic regression models were used to examine the odds ratios (ORs of day nap duration with NAFLD.Day nappers had a significantly higher prevalence of NAFLD (P1 h of day napping compared with individuals who did not take day naps (all P0.05.Longer day napping duration is associated with a higher prevalence of NAFLD, and inflammatory cytokines may be an essential link between day napping and NAFLD.

  20. D-SAL and NAP: Two Peptides Sharing a SIP Domain.

    Science.gov (United States)

    Gozes, Illana; Sragovich, Shlomo; Schirer, Yulie; Idan-Feldman, Anat

    2016-06-01

    NAPVSIPQ (NAP) and all D-amino acid SALLRSIPA (D-SAL) are neuroprotective peptides derived from activity-dependent neuroprotective protein (ADNP) and activity-dependent neurotrophic factor (ADNF), respectively. Both proteins were shown to protect against cognitive impairment, using different animal models and to increase neuronal survival following exposure to neurotoxins. NAP was extensively tested and found to increase microtubule stability, protect axonal transport, and inhibit apoptosis. Here, we aimed to further evaluate and correlate effects at the behavioral level, in a rat model of diabetes. Diabetes is primarily a metabolic disorder which presents secondary neurological manifestations. Diabetes induces peripheral nervous system damage which is translated into impaired sensory perception and is termed diabetic neuropathy. Diabetes-related central nervous system damage causes cognitive decline. The behavioral study aimed to evaluate the effect of NAP and D-SAL on peripheral neuropathy and cognitive decline. Peripheral neuropathy was tested by measuring the response to a thermal stimulus, and cognitive ability was measured by a social memory test and a spatial memory test using long- and short-term dependent tasks and a reference memory task. Results indicated an immediate sensory neuropathy in the diabetic model, which was prevented by both peptides and a later neuropathic phase, prevented only by NAP treatment. Cognitive tests revealed impaired performance in both social and spatial memory tests in the diabetes model. Each of the peptides improved different aspects of cognitive behavior, with NAP being more potent than D-SAL. Mechanistically, both NAP and SAL contain a SIP (SxIP) domain that has been shown to interact with microtubule end-binding proteins (EBs). Specifically, we have previously shown a direct interaction of NAP with EB1 and EB3; we have further shown an interaction of the NAP-derived 4 amino acid SKIP peptide with EB3, stimulating axonal

  1. Sleeping pattern of kindergartners and nursery school children: function of daytime nap.

    Science.gov (United States)

    Fukuda, Kazuhiko; Sakashita, Yukine

    2002-02-01

    With a questionnaire answered by parents this study investigated the sleeping pattern of children attending kindergartens or nursery schools and the function of an afternoon nap. Sleeping pattern was investigated by a questionnaire with 441 young children (229 boys and 212 girls) attending kindergartens or nursery schools at the ages of 3 to 6 years old. Nighttime sleep did not show any significant change, while daytime naps decreased drastically and almost disappeared by the age of 6. Nursery school children went to bed later at night, so nighttime sleep was shorter than that of kindergartners. They also reported having more 'difficulty to fall asleep', more frequent 'staying-up at late night', less 'not getting enough sleep', worse 'mood at rising', and more 'unwillingness to go to their schools'. To investigate whether afternoon naps, which are routine at Japanese nursery schools, can compensate for sleep insufficiency on the previous night and whether they have the effect of delaying the onset of the subsequent nighttime sleep, we compared sleep duration on the previous night and the sleep onset time between the days with and without an afternoon nap. The afternoon nap appeared to cause delayed sleep onset but was not a result of sleep deficiency. PMID:11883566

  2. Motor Performance Is not Enhanced by Daytime Naps in Older Adults

    Science.gov (United States)

    Backhaus, Winifried; Braass, Hanna; Renné, Thomas; Gerloff, Christian; Hummel, Friedhelm C.

    2016-01-01

    The impact of sleep on motor learning in the aging brain was investigated using an experimental diurnal nap setup. As the brain ages several components of learning as well as motor performance change. In addition, aging is also related to sleep architectural changes. This combination of slowed learning processes and impaired sleep behavior raises the question of whether sleep can enhance learning and specifically performance of procedural tasks in healthy, older adults. Previous research was able to show sleep-dependent consolidation overnight for numerous tasks in young adults. Some of these study findings can also be replicated for older adults. This study aims to clarify whether sleep-dependent consolidation can also be found during shorter periods of diurnal sleep. The impact of midday naps on motor consolidation was analyzed by comparing procedural learning using a sequence and a motor adaptation task, in a crossover fashion in healthy, non-sleep deprived, older adults randomly subjected to wake (45 min), short nap (10–20 min sleep) or long nap (50–70 min sleep) conditions. Older adults exhibited learning gains, these were not found to be sleep-dependent in either task. The results suggest that daytime naps do not have an impact on performance and motor learning in an aging population. PMID:27303292

  3. Reactive oxygen species and autophagy associated apoptosis and limitation of clonogenic survival induced by zoledronic acid in salivary adenoid cystic carcinoma cell line SACC-83.

    Directory of Open Access Journals (Sweden)

    Xi-Yuan Ge

    Full Text Available Salivary adenoid cystic carcinoma is an epithelial tumor in the head and neck region. Despite its slow growth, patients with salivary adenoid cystic carcinoma exhibit poor long term survival because of a high rate of distant metastasis. Lung and bone are common distant metastasis sites. Zoledronic acid, a third generation bisphosphonate, has been used for tumor-induced osteolysis due to bone metastasis and has direct antitumor activity in several human neoplasms. Here, we observed that zoledronic acid inhibited salivary adenoid cystic carcinoma cell line SACC-83 xenograft tumor growth in nude mice. In vitro, zoledronic acid induced apoptosis and reduced clonogenic survival in SACC-83. Flow cytometry and western blotting indicated that the cell cycle was arrested at G0/G1. Zoledronic acid treatment upregulated reactive oxygen species as well as the autophagy marker protein LC-3B. Reactive oxygen species scavenger N-acetylcysteine and autophagy antagonist 3-methyladenine decreased zoledronic acid-induced apoptosis and increased clonogenic survival. Silencing of the autophagy related gene Beclin-1 also decreased zoledronic acid-induced apoptosis and inhibition of clonogenic formation. In addition, isobolographic analysis revealed synergistic effects on apoptosis when zoledronic acid and paclitaxel/cisplatin were combined. Taken together, our results suggest that zoledronic acid induced apoptosis and reduced clonogenic survival via upregulation of reactive oxygen species and autophagy in the SACC-83 cell line. Thus, zoledronic acid should be considered a promising drug for the treatment of salivary adenoid cystic carcinoma.

  4. Identification of seed-specific promoter nap300 and its comparison with 7S promoter

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    By fusing seed-specific promoter nap300 with β-glucuronidase gene, it was found that this about 300bp DNA fragment was sufficient to direct seed-specific gene expression. The substitution mutation in both distB and proxB elements had a little effect on the expression efficiency and almost no effect on the organ-specific expression pattern. In the experiment designed to compare nap300 with 7S promoter, the result showed that tissue specificity for nap300 was higher than that for 7S, and its expression level was lower than 7S's. There was no big difference in their expression pattern, and the maximal activity stage for the two promoters was identical, which indicated they could be used simultaneously for expressing different foreign genes in seeds.

  5. Stop and revive? The effectiveness of nap and active rest breaks for reducing driver sleepiness.

    Science.gov (United States)

    Watling, Christopher N; Smith, Simon S; Horswill, Mark S

    2014-11-01

    The purpose of this study was to compare the effects of two commonly utilized sleepiness countermeasures: a nap break and an active rest break. The effects of the countermeasures were evaluated by physiological (EEG), subjective, and driving performance measures. Participants completed 2 h of simulated driving, followed by a 15-min nap break or a 15-min active rest break, then completed the final hour of simulated driving. The nap break reduced EEG and subjective sleepiness. The active rest break did not reduce EEG sleepiness, with sleepiness levels eventually increasing, and resulted in an immediate reduction of subjective sleepiness. No difference was found between the two breaks for the driving performance measure. The immediate reduction of subjective sleepiness after the active rest break could leave drivers with erroneous perceptions of their sleepiness, particularly with increases of physiological sleepiness after the break. PMID:24961384

  6. Rapid-Eye-Movement-Sleep (REM Associated Enhancement of Working Memory Performance after a Daytime Nap.

    Directory of Open Access Journals (Sweden)

    Esther Yuet Ying Lau

    Full Text Available The main objective was to study the impact of a daytime sleep opportunity on working memory and the mechanism behind such impact. This study adopted an experimental design in a sleep research laboratory. Eighty healthy college students (Age:17-23, 36 males were randomized to either have a polysomnography-monitored daytime sleep opportunity (Nap-group, n=40 or stay awake (Wake-group, n=40 between the two assessment sessions. All participants completed a sleep diary and wore an actigraph-watch for 5 days before and one day after the assessment sessions. They completed the state-measurement of sleepiness and affect, in addition to a psychomotor vigilance test and a working memory task before and after the nap/wake sessions. The two groups did not differ in their sleep characteristics prior to and after the lab visit. The Nap-group had higher accuracy on the working memory task, fewer lapses on the psychomotor vigilance test and lower state-sleepiness than the Wake-group. Within the Nap-group, working memory accuracy was positively correlated with duration of rapid eye movement sleep (REM and total sleep time during the nap. Our findings suggested that "sleep gain" during a daytime sleep opportunity had significant positive impact on working memory performance, without affecting subsequent nighttime sleep in young adult, and such impact was associated with the duration of REM. While REM abnormality has long been noted in pathological conditions (e.g. depression, which are also presented with cognitive dysfunctions (e.g. working memory deficits, this was the first evidence showing working memory enhancement associated with REM in daytime napping in college students, who likely had habitual short sleep duration but were otherwise generally healthy.

  7. Performance of flash profile and napping with and without training for describing small sensory differences in a model wine

    DEFF Research Database (Denmark)

    Liu, Jing; Grønbeck, Marlene Schou; Di Monaco, Rosella;

    2016-01-01

    characters and sensory intensities (weak to moderate). Some modifications to the classical Napping and Flash Profile protocols were employed in order to improve discriminability, repeatability and accuracy. The results showed that conducting Napping with a panel training on either the method (training on how...

  8. Inibição do crescimento micelial de Cercospora calendulae Sacc. por extratos de plantas medicinais

    Directory of Open Access Journals (Sweden)

    J.M. Nascimento

    2013-01-01

    Full Text Available O uso de extratos e óleos essenciais de plantas medicinais tem sido amplamente estudado no controle de doenças de plantas. O objetivo da realização do presente trabalho foi avaliar o efeito de extratos de Ruta graveolens L., Mentha x villosa, Calendula officinalis L., Momordica charantia L., Symphytum officinale L., Ageratum conyzoides L. e Ricinus comunis L., nas concentrações de 0, 250, 500, 1000, 2000, 5000 e 10000 mg L-1, sobre a inibição do crescimento micelial de Cercospora calendulae Sacc. in vitro. Os extratos foram obtidos por infusão. O experimento foi desenvolvido no Laboratório de Fitopatologia da FCA/UFGD, estado de Mato Grosso do Sul, em delineamento inteiramente casualizado, esquema fatorial 7 extratos x 7 concentrações, com seis repetições. Foi detectado efeito dos extratos e suas concentrações sobre o crescimento do fungo, sendo a interação significativa. Os extratos de calêndula, arruda, hortelã e melão de São Caetano, nas maiores concentrações resultaram em maiores porcentagens de inibição, próximas de 100%, 30%, 35% e 40%, respectivamente, a 10000 mg L-1.

  9. Análisis de la infección de Colletotrichum gloeosporioides (Penz. Penz. & Sacc. de frutos de aguacatero

    Directory of Open Access Journals (Sweden)

    Édgar Saúl Rodríguez-López

    2013-09-01

    Full Text Available La patogénesis de Colletotrichum gloeosporioides (Penz. Penz. & Sacc. del estado de Michoacán, México se caracterizó en frutos de aguacatero (Persea americana L. cultivar 'Hass'. El hongo causó los síntomas característicos de la enfermedad denominada 'antracnosis' a partir de los diez días después de la inoculación. La tasa de infección del hongo entre tratamientos fue significativamente diferente (p<0.05 a partir del sexto día de la inoculación y el desarrollo de la enfermedad se explicó por un modelo de regresión lineal simple (Y = 1.123 + 0.1133X. No se detectó la formación de apresorios pero sí la síntesis de una capa mucilaginosa asociada con los tubos germinativos. El proceso infectivo del hongo se manifestó con la penetración de las hifas intra e inter-celularmente y con la producción de acérvulos a partir de los 12 días después de la inoculación. Los síntomas de la antracnosis se asociaron con la degradación de polifenoles, plasmólisis, necrosis y desintegración celular.

  10. Scientific Opinion on the safety and efficacy of Yea-Sacc® (Saccharomyces cerevisiae as a feed additive for cattle for fattening, goats for fattening, dairy cows, dairy sheep, dairy goats and buffaloes

    Directory of Open Access Journals (Sweden)

    EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP

    2014-05-01

    Full Text Available Yea-Sacc® is an additive based on a live preparation of a strain of Saccharomyces cerevisiae intended for use as a zootechnical additive. It is produced in a powder (Yea-Sacc® and in a prills (Yea-Sacc® TS form. Saccharomyces cerevisiae is considered by EFSA to be suitable for the qualified presumption of safety approach to safety assessment. As the identity of the production strain has been established, safety for the target species, consumer and the environment is presumed. Both formulations are non-irritant to skin, Yea-Sacc® TS is non-irritant to the eye whilst Yea-Sacc® is a moderate irritant. In the absence of data both formulations should be considered skin sensitisers. As both forms are highly proteinaceous, they should be considered as potential respiratory sensitisers. Yea-Sacc® TS is designed to reduce dustiness and no significant exposure of users is to be expected for this form. In the absence of data on the dusting potential of Yea-Sacc®, it would be prudent to treat it as a respiratory sensitiser. Based on the results of four trials Yea-Sacc® was shown to have the potential to increase milk production in dairy cows when supplied at a minimum dose of 5 x 107 CFU/kg complete feed. As the mechanism of action of the additive can be reasonably assumed to be same, efficacy for minor species used for milk production can be presumed when used at the same minimum dose. Yea-Sacc® was also shown to have a potential to improve the production of cattle raised for fattening at a minimum dose of 1 x 108 CFU/kg complete feed. As the mechanism of action of the additive can be reasonably assumed to be same, efficacy for minor ruminant species reared for meat production can be presumed at a minimum dose of 1 x 108 CFU/kg complete feed.

  11. The Effects of Morning Naps, Car Trips, and Maternal Separation on Adrenocortical Activity in Human Infants.

    Science.gov (United States)

    Larson, Mary C.; And Others

    1991-01-01

    Three studies examined adrenocortical activity in infants. Morning naps were associated with decreases in salivary cortisol. Riding for 40 minutes in a car lowered salivary cortisol concentrations. Thirty minutes of maternal separation in the laboratory resulted in higher salivary cortisol concentrations than did 30 minutes of play with the mother…

  12. Mis on "Tänapäeva apokalüpsis"? / Kalmer Saar

    Index Scriptorium Estoniae

    Saar, Kalmer

    2006-01-01

    Francis Ford Coppola suurfilmi "Tänapäeva apokalüpsis" autoriversioon "Apocalypse Now Redux" (Ameerika Ühendriigid 2001/1979) lõpetab USA kultusfilmide festivali kinos "Sõprus". Lisa : Jaan Ruusi "Apocalypse Now Redux" selgitab autoriversiooni - director's cut - mõistet

  13. napäeva muinasjutt : [lühijutud] / Kris, Moor, pseud.

    Index Scriptorium Estoniae

    Kris Moor, pseud.

    2007-01-01

    Sisu: Imagine an actor saying following ; algus ; korralikud tüdrukud ; Provokatsioon ; absoluutselt täiuslik ; sigaret ; best friends ; probleem ; Tere Kris ; kirjutis ; armastus ; Elluastuja ; oeh ; klishee ; happy neverending story ; tungid ja tungisaatused ; noh ; lohe ; the art of noise ; latentsus ; Lühikokkuvõte tänapäeva muinasjutust: (ilma ilukirjandusliku liialduseta)

  14. Clostridium difficile infection caused by the epidemic BI/NAP1/027 strain.

    Science.gov (United States)

    O'Connor, Jennifer R; Johnson, Stuart; Gerding, Dale N

    2009-05-01

    Rates and severity of Clostridium difficile infection (CDI) in hospitals in North America and Europe have increased since 2000 and correlate with dissemination of an epidemic strain characterized by higher than usual toxin A and B production, the presence of a third toxin, binary toxin, and high-level resistance to fluoroquinolone antibiotics. The strain, which is restriction endonuclease analysis group BI, pulse-field gel electrophoresis type NAP1, and polymerase chain reaction ribotype 027, is designated BI/NAP1/027. How this strain has become so widely distributed geographically and produces such severe CDI is the subject of active investigation. The deletion at position 117 of the tcdC gene, a repressor of toxin A and B production, is one possible contributor to increased levels of the toxins. The role of binary toxin is unknown. Recent isolates of BI/NAP1/027 were found to be resistant to fluoroquinolones, which is likely to contribute to the dissemination of this strain. Other virulence factors such as increased sporulation and surface layer protein adherence are also under investigation. Infections caused by this organism are particularly frequent among elderly hospitalized patients, in whom the attributable 30-day mortality is greater than 5%. Major risk factors for BI/NAP1/027 infection include advanced age, hospitalization, and exposure to specific antimicrobials, especially fluoroquinolones and cephalosporins. When CDI is severe, vancomycin treatment is more effective than metronidazole; for mild disease either agent can be used. Control of hospital outbreaks caused by BI/NAP1/027 is difficult but possible through a combination of barrier precautions, environmental cleaning, and antimicrobial stewardship. PMID:19457419

  15. Napping in older people 'at risk' of dementia: relationships with depression, cognition, medical burden and sleep quality.

    Science.gov (United States)

    Cross, Nathan; Terpening, Zoe; Rogers, Naomi L; Duffy, Shantel L; Hickie, Ian B; Lewis, Simon J G; Naismith, Sharon L

    2015-10-01

    Sleep disturbance is prevalent in older adults, particularly so in those at a greater risk of dementia. However, so far the clinical, medical and neuropsychological correlates of daytime sleep have not been examined. The aims of this study were to investigate the characteristics and effects of napping using actigraphy in older people, particularly in those 'at risk' of dementia. The study used actigraphy and sleep diaries to measure napping habits in 133 older adults 'at risk' of dementia (mean age = 65.5 years, SD = 8.4 years), who also underwent comprehensive medical, psychiatric and neuropsychological assessment. When defined by actigraphy, napping was present in 83.5% (111/133) of participants; however, duration and timing varied significantly among subjects. Nappers had significantly greater medical burden and body mass index, and higher rates of mild cognitive impairment. Longer and more frequent naps were associated with poorer cognitive functioning, as well as higher levels of depressive symptoms, while the timing of naps was associated with poorer nocturnal sleep quality (i.e. sleep latency and wake after sleep onset). This study highlights that in older adults 'at risk' of dementia, napping is associated with underlying neurobiological changes such as depression and cognition. Napping characteristics should be more routinely monitored in older individuals to elucidate their relationship with psychological and cognitive outcomes. PMID:26096839

  16. Control of periplasmic nitrate reductase gene expression (napEDABC) from Paracoccus pantotrophus in response to oxygen and carbon substrates.

    Science.gov (United States)

    Sears, H J; Sawers, G; Berks, B C; Ferguson, S J; Richardson, D J

    2000-11-01

    The napEDABC operon of Paracoccus pantotrophus encodes a periplasmic nitrate reductase (NAP), together with electron-transfer components and proteins required for the synthesis of a fully functional enzyme. Previously, it had been shown that high NAP activity was observed when P. pantotrophus was grown aerobically on highly reduced carbon sources such as butyrate or caproate, but not when cultured on more oxidized substrates such as succinate or malate. The enzyme is not present to any extent when the organism is grown anaerobically under denitrifying conditions, regardless of the carbon source. Transcriptional analyses of the nap operon have now identified two initiation sites which were differentially regulated in response to the carbon source, with expression being maximal when cells were grown aerobically with butyrate. Analysis of a P. pantotrophus mutant (M6) deregulated for NAP activity identified a single C-->A transversion in a heptameric inverted-repeat sequence that partially overlapped the proximal promoter. Transcription analysis of this mutant revealed that expression of nap was completely derepressed under all growth conditions examined. Taken together, these findings indicate that nap transcription is negatively regulated during anaerobiosis, such that expression is restricted to aerobic growth, but only when the carbon source is highly reduced. PMID:11065376

  17. Child Care as Script: Children's Descriptions of Daily Experiences.

    Science.gov (United States)

    Reifel, Stuart; Garza, Margaret

    Children's knowledge of daily events in full-day child care was assessed. Interviews with 14 children produced spontaneous narratives that revealed script-like knowledge of the child care day, including events such as indoor play, outdoor play, breakfast, lunch, nap, and snack. Younger children reported a smaller number of events in their…

  18. Eficiencia biológica de cepas nativas de Trichoderma spp., en el control de Sclerotium rolfsii Sacc., en cacahuate

    Directory of Open Access Journals (Sweden)

    A. C. Michel-Aceves

    2013-01-01

    Full Text Available En el control de Sclerotium rolfsii Sacc., se evaluó el efecto antagónico de aislados nativos de Trichoderma spp., bajo condiciones in vitro y de invernadero, en la zona Norte del estado de Guerrero. Se obtuvieron doce aislados nativos de Trichoderma spp. (dos de Santa Teresa y diez de Tlaxmalac, Gro., de los cuales se seleccionaron seis (Tcn-4, Tcn-5, Tcn-6, Tcn-7, Tcn-8 y Tcn-11 mediante el método del papel celofán. En condiciones in vitro, el porcentaje de inhibición varió desde 10 a 94.40%; registrándose mediante la técnica de cultivos apareados el antagonismo clase dos en el aislado Tcn-11; en estas condiciones, inhibió el crecimiento del fitopatógeno y evitó su desarrollo en el 80% de la superficie del medio en la caja de Petri. En condiciones de invernadero se evaluó la cepa nativa Tcn-11 identificada morfológica y genéticamente como T. harzianum Rifai y se comparó con una cepa de la colección (Thzcf-12 y un fungicida comercial en tres tiempos de inoculación. El fitopatógeno S. rolfsii no fue suficientemente agresivo para ocasionar la muerte de la planta de cacahuate; sin embargo, se observaron efectos negativos en su desarrollo y producción de semillas. Las cepas Tcn-11 y Thzcf-12 fueron capaces de contribuir al desarrollo de la planta de cacahuate y ayudar a protegerla de la infección de S. rolfsii de manera más eficiente que el fungicida pentacloro nitrobenceno (PCNB.

  19. In Vitro Screening of Falcataria moluccana (Miq. with Gall Rust (Uromycladium tepperianum (Sacc. Filtrate as Media Selection

    Directory of Open Access Journals (Sweden)

    Asri Insiana Putri

    2016-02-01

    Full Text Available In vitro screening of Falcataria moluccana (Miq. was conducted by tissue culture method. Seeds fromtwo different site of community forest, 400 m (S1 and 800 m (S2 above sea level, were used as material.Double concentration of MS (Murashige & Skoog, 1962 with 40 mg/l gall rust (Uromycladium tepperianum(Sacc. fi ltrate were used for media selection. The results of this research showed that 66 % axenic plantlets invitro from S1 and 27 % from S2 were still survived after 3 months incubation without subculture. The meanof fresh weight (2. 21 ± 0. 26 g and dry weight (1. 97 ± 0. 12 g from S1 plantlets lower than the mean of freshweight (2. 87 ± 0,18 g and dry weight (2. 16 ± 0. 14 g from S2 plantlets. Qualitative of terpenes, saponins andquantitative of total phenolics were analyzed from those gall rust extract, as source of fi ltrate media, attackedand un-attacked of F. moluccana. They all qualitatively have capability to produce terpenoid and saponin. Itis notice that U. tepperianum, un-cultured pathogen, contain of those compound that may play a role as codeterminantsof pathogenecity. While the highest total phenolic compound were contained in gall rust extract(2. 35 %, followed by attacked F. moluccana branches (1. 18 % and un-attacked F. moluccana branches (0. 44%. This indicated that phenolic compound in gall rust has higher activity as a response of F. moluccana to U.tepperianum pathogen pressures and result of this study suggest the great value of gall rust fi ltrate for use asmedia selection in vitro.

  20. CM5, a pre-Swarm comprehensive geomagnetic field model derived from over 12 yr of CHAMP, Ørsted, SAC-C and observatory data

    DEFF Research Database (Denmark)

    Sabaka, Terence J.; Olsen, Nils; Tyler, Robert H.;

    2015-01-01

    A comprehensive magnetic field model named CM5 has been derived from CHAMP, Orsted and SAC-C satellite and observatory hourly-means data from 2000 August to 2013 January using the Swarm Level-2 Comprehensive Inversion (CI) algorithm. Swarm is a recently launched constellation of three satellites to...... induction. SIVW has allowed for a much improved lithospheric field recovery over CM4 by exploiting CHAMP along-track difference data yielding resolution levels up to spherical harmonic degree 107, and has allowed for the successful extraction of the oceanic M2 tidal magnetic field from quiet, nightside data...

  1. Perspectivas del uso de bacterias rizosféricas en el control de pyricularia grisea (cooke sacc.) en el cultivo del arroz (oryza sativa l.)

    OpenAIRE

    Acebo Guerrero, Yanelis; Hernández-Rodríguez, Annia; Rives Rodríguez, Narovis; Hernández-Lauzardo, Ana Niurka

    2011-01-01

    Prospect of the use of bacteria in the control Pyricularia grisea (Cooke Sacc.) on rice (Oriza sativa L.) Título corto: Bacterias rizosféricas para controlar la piriculariosis ResumenEl arroz es fuente de alimento para una gran parte de la población mundial, con alto promedio de consumo anual. En este cultivo las enfermedades de origen microbiano constituyen uno de los factores que inciden en la obtención de bajos rendimientos y calidad de los granos. La piriculariosis o añublo del arroz, cau...

  2. Perspectivas del uso de bacterias rizosféricas en el control de Pyricularia grisea (Cooke Sacc.) en el cultivo del arroz (Oryza sativa L.)

    OpenAIRE

    Yanelis Acebo Guerrero; Annia Hernández-Rodríguez; Narovis Rives Rodríguez; Ana Niurka Hernández-Lauzardo

    2011-01-01

    Prospect of the use of bacteria in the control Pyricularia grisea (Cooke Sacc.) on rice (Oriza sativa L.) Título corto: Bacterias rizosféricas para controlar la piriculariosis ResumenEl arroz es fuente de alimento para una gran parte de la población mundial, con alto promedio de consumo anual. En este cultivo las enfermedades de origen microbiano constituyen uno de los factores que inciden en la obtención de bajos rendimientos y calidad de los granos. La piriculariosis o añublo del arroz, cau...

  3. Performance of Flash Profile and Napping with and without training for describing small sensory differences in a model wine

    DEFF Research Database (Denmark)

    Liu, Jing; Grønbeck, Marlene Schou; Di Monaco, Rossella;

    2016-01-01

    Rapid sensory methods are a convenient alternative to conventional descriptive analysis suitable for quickly assessing sensory product differences. As these methods gain in popularity, assessments of their discriminability and reproducibility in food applications are increasingly needed. Moreover......, repeatability and accuracy. The results showed that conducting Napping with a panel training on either the method (training on how to arrange samples on the sheet) or the product (familiarisation with the sensory properties of the wines) improved the outcome compared to the classical Napping protocol. The...... classical Flash Profile protocol and its modified version including a Napping with subsequent attributes generation as the word generation step and limiting the number of attributes for ranking gave a similar sample space. The Napping method could best highlight qualitative sample differences, whereas the...

  4. A brief nap is beneficial for human route-learning: The role of navigation experience and EEG spectral power

    OpenAIRE

    Wamsley, Erin J.; Tucker, Matthew A.; Payne, Jessica D.; Stickgold, Robert

    2010-01-01

    Here, we examined the effect of a daytime nap on changes in virtual maze performance across a single day. Participants either took a short nap or remained awake following training on a virtual maze task. Post-training sleep provided a clear performance benefit at later retest, but only for those participants with prior experience navigating in a three-dimensional (3D) environment. Performance improvements in experienced players were correlated with delta-rich stage 2 sleep. Complementing obse...

  5. Integrating nap and night-time sleep into sleep patterns reveals differential links to health-relevant outcomes.

    Science.gov (United States)

    Devine, Jaime K; Wolf, Jutta M

    2016-04-01

    Both night-time sleep and nap behaviour have been linked consistently to health outcomes. Although reasons for napping are usually tied to night-time sleep, the majority of studies assess their effects independently. The current study thus aimed to examine the health relevance of patterns of sleep behaviour that take into account both night-time and daytime sleep habits. Night-time sleep, recorded during 7 days via actigraphy from 313 participants (aged 34-82 years) of the Midlife in the United States II Biomarker study, was assessed. Blood and urine specimens were assayed for noradrenaline, interleukin-6 and C-reactive protein. Participants self-reported nap behaviour, depressive symptoms, perceived chronic stress and the presence of medical symptoms and conditions. Overall, nappers (n = 208) showed elevated waist-hip ratios, C-reactive protein and interleukin-6 levels compared to non-nappers and reported more physiological symptoms and conditions (all P ≤ 0.019). Within nappers, cluster analysis revealed three patterns of sleep behaviour-infrequent nappers with good night-time sleep, frequent nappers with good night-time sleep and nappers with poor night-time sleep. Nappers with poor night-time sleep thereby exhibited elevated noradrenaline levels, depressive symptoms and perceived stress scores compared to other groups (all P ≤ 0.041). These findings support the idea that nap-health relationships are complex, in that frequency of napping and accumulation of nap sleep is not related linearly to health consequences. Assessing nap behaviour in conjunction with night-time sleep behaviour appeared crucial to elucidate further the health relevance of napping, particularly in terms of psychological health outcomes, including chronic stress and depressive symptoms. PMID:26718988

  6. A new crystal lattice structure of Helicobacter pylori neutrophil-activating protein (HP-NAP)

    International Nuclear Information System (INIS)

    A new crystal lattice structure of H. pylori neutrophil-activating protein has been determined. Iron loading causes a series of conformational changes at the ferroxidase centre. A new crystal lattice structure of Helicobacter pylori neutrophil-activating protein (HP-NAP) has been determined in two forms: the native state (Apo) at 2.20 Å resolution and an iron-loaded form (Fe-load) at 2.50 Å resolution. The highly solvated packing of the dodecameric shell is suitable for crystallographic study of the metal ion-uptake pathway. Like other bacterioferritins, HP-NAP forms a spherical dodecamer with 23 symmetry including two kinds of channels. Iron loading causes a series of conformational changes of amino-acid residues (Trp26, Asp52 and Glu56) at the ferroxidase centre

  7. Bateriově napájený analogový datalogger

    OpenAIRE

    Rezek, Petr

    2008-01-01

    Diplomová práce je zaměřena na problematiku napájení baterií, měření analogových fyzikálních veličin pomocí mikrokontroléru a záznamem dat na paměťovou SD kartu. Bibliografická citace mé práce: REZEK, P. Bateriově napájený analogový datalogger . Brno: Vysoké učení technické v Brně, Fakulta elektrotechniky a komunikačních technologií, 2008. 65 s. Vedoucí diplomové práce Ing. Zdeněk Bradáč, Ph.D.

  8. Erotic subset for the Nencki Affective Picture System (NAPS ERO): cross-sexual comparison study.

    Science.gov (United States)

    Wierzba, Małgorzata; Riegel, Monika; Pucz, Anna; Leśniewska, Zuzanna; Dragan, Wojciech Ł; Gola, Mateusz; Jednoróg, Katarzyna; Marchewka, Artur

    2015-01-01

    Research on the processing of sexual stimuli has proved that such material has high priority in human cognition. Yet, although sex differences in response to sexual stimuli were extensively discussed in the literature, sexual orientation was given relatively little consideration, and material suitable for relevant research is difficult to come by. With this in mind, we present a collection of 200 erotic images, accompanied by their self-report ratings of emotional valence and arousal by homo- and heterosexual males and females (n = 80, divided into four equal-sized subsamples). The collection complements the Nencki Affective Picture System (NAPS) and is intended to be used as stimulus material in experimental research. The erotic images are divided into five categories, depending on their content: opposite-sex couple (50), male couple (50), female couple (50), male (25) and female (25). Additional 100 control images from the NAPS depicting people in a non-erotic context were also used in the study. We showed that recipient sex and sexual orientation strongly influenced the evaluation of erotic content. Thus, comparisons of valence and arousal ratings in different subject groups will help researchers select stimuli set for the purpose of various experimental designs. To facilitate the use of the dataset, we provide an on-line tool, which allows the user to browse the images interactively and select proper stimuli on the basis of several parameters. The NAPS ERO image collection together with the data are available to the scientific community for non-commercial use at http://naps.nencki.gov.pl. PMID:26441715

  9. The impact of napping on memory for future-relevant stimuli: Prioritization among multiple salience cues.

    Science.gov (United States)

    Bennion, Kelly A; Payne, Jessica D; Kensinger, Elizabeth A

    2016-06-01

    Prior research has demonstrated that sleep enhances memory for future-relevant information, including memory for information that is salient due to emotion, reward, or knowledge of a later memory test. Although sleep has been shown to prioritize information with any of these characteristics, the present study investigates the novel question of how sleep prioritizes information when multiple salience cues exist. Participants encoded scenes that were future-relevant based on emotion (emotional vs. neutral), reward (rewarded vs. unrewarded), and instructed learning (intentionally vs. incidentally encoded), preceding a delay consisting of a nap, an equivalent time period spent awake, or a nap followed by wakefulness (to control for effects of interference). Recognition testing revealed that when multiple dimensions of future relevance co-occur, sleep prioritizes top-down, goal-directed cues (instructed learning, and to a lesser degree, reward) over bottom-up, stimulus-driven characteristics (emotion). Further, results showed that these factors interact; the effect of a nap on intentionally encoded information was especially strong for neutral (relative to emotional) information, suggesting that once one cue for future relevance is present, there are diminishing returns with additional cues. Sleep may binarize information based on whether it is future-relevant or not, preferentially consolidating memory for the former category. Potential neural mechanisms underlying these selective effects and the implications of this research for educational and vocational domains are discussed. (PsycINFO Database Record PMID:27214500

  10. Tritium surface loading due to contamination of rainwater from atmospheric release at NAPS (2011)

    International Nuclear Information System (INIS)

    Annual tritium (HTO) surface loading has been measured and calculated for the year 2011 within 0.8 km distance from 145 m high stack of Narora Atomic Power Station (NAPS) at eight locations in different directions. The technique for measured values consists of the summation of product of tritium concentration (Bq/l) in daily rainfall samples and daily rainfall (mm). Tritium surface loading studies at NAPS reveal that a fraction 1.01E-03 of total annual tritium released through stack gets deposited on the surface due to washout/rainout of plume within 0.8 km radial distance from stack. The range of deposition velocity, Vw (m.s-1) i.e., the ratio of annual tritium surface loading W (Bq. m-2.s-1) and annual mean tritium concentration in air, c0(Bq.m-3) at three locations for the years 2011 is found to be 6.12E-04 to 2.89E-03. The average value for wet deposition velocity Vw for NAPS site is estimated as 3.17E-03 m.s-1. (author)

  11. Tritium surface loading due to contamination of rainwater from atmospheric release at NAPS

    International Nuclear Information System (INIS)

    Annual tritium (HTO) surface loading has been measured and calculated for the year 1998-99 within 0.8 km distance from 145m high stack of Narora Atomic Power Station (NAPS) at eight locations in different directions. The technique for measured values consists of the summation of product of tritium concentration (Bq/l) in daily rainfall samples and daily rainfall (mm) whereas that for calculated values having the use of prevailing meteorological conditions and average tritium release rate during a year. The ratios of measured and calculated values of tritium surface loading during the years 1998-99 are found to be in the range of 0.18 to 6.97. Tritium surface loading studies at NAPS reveal that a fraction 1.7E-03 of total annual tritium released through stack gets deposited on the surface due to washout / rainout of plume within 0.8 km radial distance from stack. The range of deposition velocity, V w (m.s-1) i.e the ratio of annual tritium surface loading W(Bq.m-2.s-1) and annual mean tritium concentration in air, χo(Bq.m-3) at three locations for the years 1998-99 is found to be 5.59E-04 to 5.99E-03 ms-1. The average value for wet deposition velocity V barw for NAPS site is estimated as 2.92E-03 m.s-1. (author)

  12. Antagonismo in vitro de Trichoderma harzianum Rifai sobre Fusarium solani (Mart. Sacc., asociado a la marchitez en maracuyá

    Directory of Open Access Journals (Sweden)

    Carol Libeth Suárez Meza

    2009-01-01

    Full Text Available Cultivos de maracuyá de la región Caribe colombiana presentan problemas de marchitez y el hongo Fusarium solani (Mart. Sacc., está asociado a esta patología. Plantas de maracuyá de la Estación Experimental (E.E Caribia de Corpoica poseen este problema y por tal razón se determinó el antagonismo in vitro de aislamientos de Trichoderma harzianum Rifai, frente a F. solani, aislado de plantas enfermas de maracuyá (Passiflora edulis. Utilizando la técnica de cultivo dual en platos Petri con Agar Sabouraud, se evaluaron competencia por nutrientes y espacio, micoparasitismo y porcentaje de inhibición del crecimiento radial (PICR, empleando un diseño estadístico factorial 2x6x1 con arreglo completamente aleatorio. Se obtuvieron tres aislamientos nativos de T. harzianum (TCN-009, TCN-010, TCN-014 de suelo de Palma de Aceite (Elaeis guineensis de la E.E Caribia, y se compararon con tres aislamientos comerciales (TCC-001, TCC-005, TCC-006. TCC-001 y TCN-014, reportaron ser más competentes por nutrientes y espacio, con el mayor radio de crecimiento de 7,50 y 7,32 cm el día 10, comparado a FSM-011 en el cual solo fue de 2,30 cm. Aunque, TCN-014 mostró micoparasitismo grado 4 con ambos aislamientos de F. solani y TCC-005 únicamente con FSM-012, el cual fue más susceptible a ser micoparasitado. En cuanto al PICR, los tratamientos con mejores porcentajes de inhibición fueron TA-9, TA-12 y TA-6 con valores de 70,56, 68,52 y 65,32% respectivamente. El aislamiento del patógeno mayormente inhibido fue FSM-011. Todos estos resultados demuestran que hubo antagonismo in vitro al utilizar los aislamientos nativos y comerciales de T. harzianum sobre F. solani.  Palabras clave: Passiflora, competencia, micoparasitismo, inhibición, antagonismo.

  13. Development of decontamination technique for radioactive Cs in soil using composite material of Na-P1 type zeolite and magnetite

    International Nuclear Information System (INIS)

    Na-P1 type zeolite is a porous material with its pore opening size similar to the diameter of Cs+, and has considerably high adsorption selectivity for Cs+. In Fukushima, we conducted experiments to remove radioactive Cs from some soils, by using magnetized Na-P1, a composite of magnetite and Na-P1. By mixing soil with the magnetized Na-P1, with the mass ratio of 10:1, in ammonium oxalate solution for 10 min, more than 80% of radioactive Cs was removed from soil. Important factors for the successful removal of radioactive Cs from soils were preparation of soil composite with no separation of magnetite and Na-P1 during the mixing, optimization of the structure of magnetic separator which separate soil and magnetized Na-P1, and the selection of solution in the mixing procedure. (author)

  14. Predominance and high antibiotic resistance of the emerging Clostridium difficile genotypes NAPCR1 and NAP9 in a Costa Rican hospital over a 2-year period without outbreaks

    Science.gov (United States)

    López-Ureña, Diana; Quesada-Gómez, Carlos; Montoya-Ramírez, Mónica; del Mar Gamboa-Coronado, María; Somogyi, Teresita; Rodríguez, César; Rodríguez-Cavallini, Evelyn

    2016-01-01

    Clostridium difficile is the major causative agent of nosocomial antibiotic-associated diarrhea. In a 2009 outbreak of C. difficile-associated diarrhea that was recorded in a major Costa Rican hospital, the hypervirulent NAP1 strain (45%) predominated together with a local genotype variant (NAPCR1, 31%). Both strains were fluoroquinolone-resistant and the NAPCR1 genotype, in addition, was resistant to clindamycin and rifampicin. We now report on the genotypes and antibiotic susceptibilities of 68 C. difficile isolates from a major Costa Rican hospital over a 2-year period without outbreaks. In contrast to our previous findings, no NAP1 strains were detected, and for the first time in a Costa Rican hospital, a significant fraction of the isolates were NAP9 strains (n=14, 21%). The local NAPCR1 genotype remained prevalent (n=18, 26%) and coexisted with 14 strains (21%) of classic hospital NAP types (NAP2, NAP4, and NAP6), eight new genotypes (12%), four environmental strains classified as NAP10 or NAP11 (6%), three strains without NAP designation (4%) and seven non-toxigenic strains (10%). All 68 strains were resistant to ciprofloxacin, 88% were resistant to clindamycin and 50% were resistant to moxifloxacin and rifampicin. Metronidazole and vancomycin susceptibilities were universal. The NAPCR1 and NAP9 strains, which have been associated with more severe clinical infections, were more resistant to antibiotics than the other strains. Altogether, our results confirm that the epidemiology of C. difficile infection is dynamic and that A−B+ strains from the NAP9 type are on the rise not only in the developed world. Moreover, our results reveal that the local NAPCR1 strains still circulate in the country without causing outbreaks but with equally high antibiotic-resistance rates and levels. PMID:27165560

  15. Work schedule and self-reported hypertension - the potential beneficial role of on-shift naps for night workers.

    Science.gov (United States)

    Rotenberg, Lúcia; Silva-Costa, Aline; Vasconcellos-Silva, Paulo Roberto; Griep, Rosane Härter

    2016-01-01

    Data on the association between shift work and hypertension are controversial. Sleep restriction is hypothesized to be involved in this relationship. Since on-shift nap can partly compensate for sleep deprivation among night workers, this investigation is aimed at (i) comparing the prevalence of hypertension among workers considering both current and former night work, (ii) testing the association between on-shift naps and hypertension among night workers, and (iii) analyzing the influence of sleep complaints in the association between on-shift nap and hypertension. Nap was defined as a sleep episode with duration shorter than the average nighttime sleep. A cross-sectional study was performed at the 18 largest public hospitals in Rio de Janeiro, Brazil, in 2010-2011 (N = 2588 female registered nurses). Nurses were informally allowed to nap for up to three consecutive hours during working nights. Workers completed a multidimensional questionnaire including self-reported information on physician diagnosis of hypertension, napping, and sleep complaints (insomnia, diurnal sleepiness, and non-satisfactory sleep). Epidemiological and statistical treatment of data included binomial logistic regression and interaction tests. Higher chances of hypertension were observed for both current and former night workers compared with workers with no previous experience in night work, i.e. exclusive day workers (OR = 1.68; CI95% 1.22-2.33 and OR = 1.40; CI95% 1.01-1.96, respectively) after adjustment for age, race/ethnicity, physical activity, smoking, alcohol consumption, insomnia, weekly work hours, and BMI. Compared with exclusive day workers, both non-nappers and nappers were at a higher likelihood of reporting hypertension (OR = 1.93 CI95% 1.35-2.79 and OR = 1.41 CI95% 1.08-2.20, respectively). An interaction was observed between napping behavior and insomnia (p = 0.037). In the whole sample of night workers, the lower OR for nappers was confirmed when they were directly

  16. REM-Enriched Naps Are Associated with Memory Consolidation for Sad Stories and Enhance Mood-Related Reactivity

    Directory of Open Access Journals (Sweden)

    Médhi Gilson

    2015-12-01

    Full Text Available Emerging evidence suggests that emotion and affect modulate the relation between sleep and cognition. In the present study, we investigated the role of rapid-eye movement (REM sleep in mood regulation and memory consolidation for sad stories. In a counterbalanced design, participants (n = 24 listened to either a neutral or a sad story during two sessions, spaced one week apart. After listening to the story, half of the participants had a short (45 min morning nap. The other half had a long (90 min morning nap, richer in REM and N2 sleep. Story recall, mood evolution and changes in emotional response to the re-exposure to the story were assessed after the nap. Although recall performance was similar for sad and neutral stories irrespective of nap duration, sleep measures were correlated with recall performance in the sad story condition only. After the long nap, REM sleep density positively correlated with retrieval performance, while re-exposure to the sad story led to diminished mood and increased skin conductance levels. Our results suggest that REM sleep may not only be associated with the consolidation of intrinsically sad material, but also enhances mood reactivity, at least on the short term.

  17. NAP (davunetide) protects primary hippocampus culture by modulating expression profile of antioxidant genes during limiting oxygen conditions.

    Science.gov (United States)

    Arya, A; Meena, R; Sethy, N K; Das, M; Sharma, M; Bhargava, K

    2015-04-01

    Hypoxia is a well-known threat to neuronal cells and triggers the pathophysiological syndromes in extreme environments such as high altitudes and traumatic conditions such as stroke. Among several prophylactic molecules proven suitable for ameliorating free radical damage, NAP (an octapeptide with initial amino acids: asparagine/N, alanine/A, and proline/P) can be considered superlative, primarily due to its high permeability into brain through blood-brain barrier and observed activity at femtomolar concentrations. Several mechanisms of action of NAP have been hypothesized for its protective role during hypoxia, yet any distinct mechanism is unknown. Oxidative stress is advocated as the leading event in hypoxia; we, therefore, investigated the regulation of key antioxidant genes to understand the regulatory role of NAP in providing neuroprotection. Primary neuronal culture of rat was subjected to cellular hypoxia by limiting the oxygen concentration to 0.5% for 72 h and observing the prophylactic efficacies of 15fM NAP by conventional cell death assays using flow cytometry. We performed real-time quantitative polymerase chain reaction to comprehend the regulatory mechanism. Further, we validated the significantly regulated candidates by enzyme assays and immunoblotting. In the present study, we report that NAP regulates a major clad of cellular antioxidants and there is an involvement of more than one route of action in neuroprotection during hypoxia. PMID:25727410

  18. A STUDY ON ETHNOMEDICINAL USES OF YARTSHAGUMBA, CORDYCEPS SINENSIS (BERK. SACC. (CORDYCIPITACEAE, BY THE TRIBAL COMMUNITIES OF NORTH SIKKIM AND ITS CONSERVATION

    Directory of Open Access Journals (Sweden)

    Debabrata Maity

    2013-12-01

    Full Text Available Cordyceps sinensis (Berk. Sacc. is commonly known as ‘Caterpillar Fungus’ as it is parasitic on the larvae of different insects of Dipters and Lepidoptera groups. This fungus is of great medicinal value. The whole range of Himalayas, particularly the eastern region is the native place of this taxon. Sikkim, a tiny beautiful state of India also harbours this fungus in some specific high altitude areas (4000-5500 m. The stromatic part develops from the head of the caterpillar having pungent odour even when dried. The ethnic communities of Sikkim, viz. Lapchas, Nepalese, Bhutias, Sherpas etc. use this organism for the remedy of different physical disorders including sexual impotency. It has also some effect on wild animals like Yak. The traditional uses, of this fungus by different tribal communities of North Sikkim including its other medicinal uses and conservation aspects are described.

  19. Nap environment control considering respiration rate and music tempo by using sensor agent robot

    Science.gov (United States)

    Nakaso, Sayaka; Mita, Akira

    2015-03-01

    We propose a system that controls a nap environment considering respiration rates and music tempo by using a sensor agent robot. The proposed system consists of two sub-systems. The first sub-system measures respiration rates using optical flow. We conducted preparatory experiments to verify the accuracy of this sub-system. The experimental results showed that this sub-system can measure the respiration rates accurately despite several positional relationships. It was also shown that the accuracy could be affected by clothes, movements and light. The second sub-system we constructed was the music play sub-system that chooses music with the certain tempo corresponding to the respiration rates measured by the first sub-system. We conducted verification experiments to verify the effectiveness of this music play sub-system. The experimental results showed the effectiveness of varying music tempo based on the respiration rates in taking a nap. We also demonstrated this system in a real environment; a subject entered into the room being followed by ebioNα. When the subject was considered sleeping, ebioNα started measuring respiration rates, controlling music based on the respiration rates. As a result, we showed that this system could be realized. As a next step, we would like to improve this system to a nap environment control system to be used in offices. To realize this, we need to update the first sub-system measuring respiration rates by removing disturbances. We also need to upgrade music play sub-system considering the numbers of tunes, the kinds of music and time to change music.

  20. Shielding augmentation of roll-on shield from NAPS to Kaiga-2

    International Nuclear Information System (INIS)

    Extensive radiation field surveys were conducted in NAPS and KAPS reactor buildings as a part of commissioning checks on radiation shielding. During such surveys, dose rate higher than the expected values were noticed in fuelling machine service areas. A movable shield, separating high field area fuelling machine vault and low field area fuelling machine service area, known as roll-on shield was identified as one of the causes of high field in fuelling machine service area along with weaker end-shield. This paper discusses systematic approach adopted in bringing down the dose rates in fuelling machine service area by augmentation of roll-on shield. (author)

  1. Cloning, expression and anticoagulant activities of anticoagulant peptide AcaNAP8 from Ancylostoma caninum%犬钩虫抗凝肽AcaNAP8的原核表达及其抗凝活性

    Institute of Scientific and Technical Information of China (English)

    殷环; 邓莉; 王会兰; 吴亚敏; 彭礼飞

    2010-01-01

    目的 在大肠杆菌中重组表达犬钩虫抗凝肽AcaNAP8基因,并检测表达产物抗凝活性.方法 设计引物,将AcaNAP8成熟肽编码序列克隆、连接到原核表达载体pET32a,构建重组表达质粒;成功构建的重组表达质粒转化到大肠杆菌BL21(DE3)中用IPTG诱导表达,SDS-PAGE分析表达情况;诱导表达的重组蛋白用Ni亲和层析进行纯化;用凝血酶原时问(PT)和活化的部分凝血活酶时间(aPTTr)检测重组产物体外抗凝活性.结果 成功构建了pET32a/AcaNAP8原核表达重组质粒,在大肠杆菌中成功表达并获得了重组AcaNAP8,表达产物能明显延长PT及aPTT.结论 在大肠杆菌中成功表达了AcaNAP8融合蛋白,表达产物具有显著抗凝活性.该实验为进一步探讨AcaNAP8的作用机制及应用奠定了基础.

  2. Preparation of composite materials of Na-P1 type zeolite and magnetite for Cs decontamination in soil

    International Nuclear Information System (INIS)

    The reaction time and the concentration of NaOH solution were studied for the preparation of Na-P1 type zeolite using fly-ach. Addition of NaAlO2 is effective for the improvement of cation exchange capacity (CEC) value. A new composite material consisting of the Na-P1 type zeolite and magnetite was synthesized from the waste fly-ash of thermal power stations and iron chlorides for the decontamination of radioactive 134Cs and 137Cs. The magnetic collection was possible using this composite material after Cs+ ion adsorption. The existence of nanosized magnetites in the polycrystalline zeolite (several micrometers) was confirmed by TEM observations. Decontamination test of the radioactive Cs+ ion using the magnetic Na-P1 type zeolite and the soil was succeeded. (author)

  3. [Feeding habitat of red-crowned crane and white-napped crane during their courtship period in Zhalong wetland].

    Science.gov (United States)

    Zou, Hongfei; Wu, Qingming

    2006-03-01

    By the methods of fixed-spot observation, GPS positioning, plot sampling measurement and factor analysis, a comparative study was made on the feeding habitat of red-crowned and white-napped crane during their courtship period (from March to April) in Zhalong Nature Reserve in 2003 and 2004. The results showed that red-crowned crane preferred unique habitat for feed, mostly focused on water field (e. g., reed marsh). During its selection of microhabitat, food factor played a crucial role, followed by concealment factor, water factor, and identification factor. The feeding habitat of white-napped crane was of diversification, and dry field, e. g., Carex marsh, farmland and burned field, was the priority. White-napped crane had a strict requirement in selecting feeding microhabitat, with "valid food" factor as the most important ingredient, and disturbance and water factors as the subordinate one. PMID:16724740

  4. Variación patogénica y fuentes de resistencia a Colletotrichum lindemuthianum Sacc & magn Scrib., patógeno de la antracnosis del frijol, en Colombia Variación patogénica y fuentes de resistencia a Colletotrichum lindemuthianum (Sacc & Magn Scrib., patógeno de la antracnosis del fríjol, en Colombia

    Directory of Open Access Journals (Sweden)

    Cobo S. Felipe

    1987-03-01

    Full Text Available Pathogenic variation studies with colombian isolates of Colletotrichum lindemuthianum (Sacc & Magn Scrib., the anthracnose bean pathogen, were conducted under laboratory and greenhouse conditions at CIAT, Colombia. In addition, bean germplam with cormercial grain color was evaluated with the objective of identifying resistant varieties and sources of resistance to the existing variation. To this purpose, 17 isolates of C. lindemuthianum collected at the principal Colombian bean zones, were inoculated on 21 American and European differential bean varieties.En los laboratorios e invernaderos del programa de fitopatología de fríjol del CIAT, se estudió la variación patogénica de aislamientos colombianos de Colletotrichum lindemuthianum (Sacc& Magn Scrib. También se evaluó germoplasma de frijol con grano de color comercial con el objetivo de identificar líneas resistentes y fuentes de resistencia a la variación existente. Para este fin, 17 aislamientos de C.lindemuthianum, colectados en las principales zonas frijoleras colombianas se inocularon sobre 21 variedades diferenciales.

  5. Characterization of Clostridium difficile Strains in British Columbia, Canada: A Shift from NAP1 Majority (2008) to Novel Strain Types (2013) in One Region

    Science.gov (United States)

    Jassem, Agatha N.; Prystajecky, Natalie; Marra, Fawziah; Kibsey, Pamela; Tan, Kennard; Umlandt, Patricia; Janz, Loretta; Champagne, Sylvie; Gamage, Bruce; Golding, George R.; Mulvey, Michael R.; Henry, Bonnie

    2016-01-01

    Background. Clostridium difficile is a major cause of gastrointestinal illness. Epidemic NAP1 strains contain toxins A and B, a deletion in repressor tcdC, and a binary toxin. Objectives. To determine the molecular epidemiology of C. difficile in British Columbia and compare between two time points in one region. Methods. C. difficile isolates from hospital and community laboratories (2008) and one Island Health hospital laboratory (2013) were characterized by pulsed-field gel electrophoresis, PCR-ribotyping, toxin possession, tcdC genotype, and antimicrobial susceptibility. Results. In 2008, 42.7% of isolates had NAP1 designation. Hospital-collected isolates were associated with older patients and more NAP1 types. Unlike other isolates, most NAP1 isolates possessed binary toxin and a 19 bp loss in tcdC. All isolates were susceptible to metronidazole and vancomycin. A 2013 follow-up revealed a 28.9% decrease in NAP1 isolates and 20.0% increase in isolates without NAP designation in one region. Then, community-associated cases were seen in younger patients, while NAP types were evenly distributed. Isolates without NAP designation did not cluster with a PFGE pattern or ribotype. Conclusions. Evaluation of C. difficile infections within British Columbia revealed demographic associations, epidemiological shifts, and characteristics of strain types. Continuous surveillance of C. difficile will enable detection of emerging strains. PMID:27366181

  6. Synthesis and characterization of zeolite NaP using kaolin waste as a source of silicon and aluminum

    International Nuclear Information System (INIS)

    The synthesis of zeolite NaP using kaolin waste, from the Amazon region, as a predominant source of silicon and aluminum has been studied. The zeolitisation process occurred in hydrothermal conditions using static autoclaving and the effects of time, temperature, and the Si/Al ratio were investigated. The starting material and the phases formed as reaction products were characterized by XRD, SEM and FTIR. The results showed that pure zeolite NaP is hydrothermally synthesized, at 100 °C for 20 hours, using meta kaolin waste material in alkaline medium in presence of additional silica. The XRD and SEM analyses indicate that the synthesized zeolite presents good crystallinity. (author)

  7. Synthesis and characterization of zeolite NaP using kaolin waste as a source of silicon and aluminum

    Energy Technology Data Exchange (ETDEWEB)

    Hildebrando, Edemarino Araujo, E-mail: edemarino@ufpa.br [Universidae Federal do Para (UFPA), Maraba, PA (Brazil). Fac. de Engenharia de Materias. Lab. de Materiais Ceramicos; Andrade, Christiano Gianesi Bastos; Valenzuela-Diaz, Francisco Rolando [Universidade de Sao Paulo (USP), Sao Paulo, SP (Brazil). Dept. de Metalurgia e Engenharia de Materiais; Rocha Junior, Carlos Augusto Ferreira da; Neves, Roberto de Freitas [Universidae Federal do Para (UFPA), Maraba, PA (Brazil). Int. de Tecnologia. Fac. de Engenharia Quimica; Angelica, Romulo Simoes [Universidae Federal do Para (UFPA), Maraba, PA (Brazil). Inst. de Geociencias. Fac. de Geologia

    2014-08-15

    The synthesis of zeolite NaP using kaolin waste, from the Amazon region, as a predominant source of silicon and aluminum has been studied. The zeolitisation process occurred in hydrothermal conditions using static autoclaving and the effects of time, temperature, and the Si/Al ratio were investigated. The starting material and the phases formed as reaction products were characterized by XRD, SEM and FTIR. The results showed that pure zeolite NaP is hydrothermally synthesized, at 100 °C for 20 hours, using meta kaolin waste material in alkaline medium in presence of additional silica. The XRD and SEM analyses indicate that the synthesized zeolite presents good crystallinity. (author)

  8. 十二指肠钩虫抗凝蛋白AduNAP7的原核表达、纯化及抗凝活性鉴定%Prokaryotic expression,purification and anticoagulant activities analysis of AduNAP7,an anticoagulant protein from Ancylostoma duodenale

    Institute of Scientific and Technical Information of China (English)

    彭礼飞; 邓莉; 杨陈; 胡晶晶; 甘伟琼; 吴亚敏; 付汉维

    2007-01-01

    目的 在大肠杆菌中表达十二指肠钩虫抗凝蛋白AduNAP7并鉴定抗凝活性.方法 运用RT-PCR扩增十二指肠钩虫抗凝蛋白AduNAP7成熟蛋白及其组成肽段AduNAP7A、AduNAP7B的编码序列;将编码序列克隆、连接到原核表达载体pET32a及pICET32,构建重组表达质粒;成功构建的重组表达质粒转化到大肠杆菌BL21(DE3)中,用IPTG诱导表达;用镍亲和层析一步纯化融合有硫氧还蛋白(Trx)的目的蛋白;先后用几丁质亲和层析及镍亲和层析两个步骤纯化自切割后带6×his-tag的目的蛋白;用凝血酶原时间(PT)和活化部分凝血活酶时间(aPTT)检测纯化表达产物的体外抗凝活性.结果 获得AduNAP7、AduNAP7A及AduNAP7B的编码序列并成功构建了原核表达重组质粒;AduNAP7、AduNAP7A及AduNAP7B均在大肠中得到了高效可溶表达,纯化产物具有一定抗凝活性,它们延长aPTT比延长PT更有效.AduNAP7B的抗凝活性显著强于AduNAP7及AduNAP7A.结论 AduNAP7具有较强抗凝活性,但显著弱于AcAP5、AcaNAP7及AcAPc2.AduNAP7的抗凝效应可能利于钩虫在人体内的吸血寄生生活,其抗凝作用机制有待进一步研究.

  9. Corpus cavernosum electromyography during morning naps in healthy volunteers: further evidence that corpus cavernosum potentials reflect sympathetically mediated activity.

    NARCIS (Netherlands)

    Jiang, X.; Meuleman, E.J.H.; Wijkstra, H.; Wagner, G.

    2005-01-01

    PURPOSE: We assessed the practicability of corpus cavernosum (CC) electromyography (EMG) in volunteers during morning naps in the laboratory and further validated this method. MATERIALS AND METHODS: A total of 11 healthy volunteers with a mean age of 23.8 years (range 19 to 31) were included. CC-EMG

  10. AWHONN Position Statement. The Role of Unlicensed Assistive Personnel (Nursing Assistive Personnel) in the Care of Women and Newborns.

    Science.gov (United States)

    2016-01-01

    The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) recognizes that unlicensed assistive personnel (UAP) also known as nursing assistive personnel (NAP) can function as supportive members of the health care team under the direction of the professional registered nurse (AWHONN, 2010). The professional registered nurse is ultimately responsible for the coordination and delivery of nursing care to women and newborns. PMID:26815808

  11. Napping-Ultra Flash Profile as a Tool for Category Identification and Subsequent Model System Formulation of Caramel Corn Products.

    Science.gov (United States)

    Mayhew, Emily; Schmidt, Shelly; Lee, Soo-Yeun

    2016-07-01

    In a novel approach to formulation, the flash descriptive profiling technique Napping-Ultra Flash Profile (Napping-UFP) was used to characterize a wide range of commercial caramel corn products. The objectives were to identify product categories, develop model systems based on product categories, and correlate analytical parameters with sensory terms generated through the Napping-UFP exercise. In one 2 h session, 12 panelists participated in 4 Napping-UFP exercises, describing and grouping, on a 43×56 cm paper sheet, 12 commercial caramel corn samples by degree of similarity, globally and in terms of aroma-by-mouth, texture, and taste. The coordinates of each sample's placement on the paper sheet and descriptive terms generated by the panelists were used to conduct Multiple Factor Analysis (MFA) and hierarchical clustering of the samples. Strong trends in the clustering of samples across the 4 Napping-UFP exercises resulted in the determination of 3 overarching types of commercial caramel corn: "small-scale dark" (typified by burnt, rich caramel corn), "large-scale light" (typified by light and buttery caramel corn), and "large-scale dark" (typified by sweet and molasses-like caramel corn). Representative samples that best exemplified the properties of each category were used as guides in the formulation of 3 model systems that represent the spread of commercial caramel corn products. Analytical testing of the commercial products, including aw measurement, moisture content determination, and thermal characterization via differential scanning calorimetry, were conducted and results related to sensory descriptors using Spearman's correlation. PMID:27249670

  12. Experiences with polyelectrolyte treatment vis-a-vis alum treatment at NAPS

    International Nuclear Information System (INIS)

    Narora Atomic Power Station is a pressurized heavy water having two units of 220 MWe each. The station is situated on the banks of river Ganges in District Bulandhsahar of Uttar Pradesh (U.P.). The cooling water after clarification and polymer treatment is used for cooling purpose in various systems at Narora Atomic Power Station. Raw water clarification at NAPS as envisaged in design was with Alum treatment at dose levels ranging 30 ppm to 80 ppm depending upon the turbidity levels (maximum turbidity levels in input water is observed to be about 2000 NTU). The quantities of Alum added per day was about 6 tons during peak monsoon season. The total quantities of alum consumed per year were about 1400 tones/year costing about Rs.38 lakhs. The paper highlights the various operational and practical aspects of raw water clarification with inorganic electronic electrolyte and organic polymers and their comparative study

  13. Long sleep duration and afternoon napping are associated with higher risk of incident diabetes in middle-aged and older Chinese: the Dongfeng-Tongji cohort study.

    Science.gov (United States)

    Han, Xu; Liu, Bing; Wang, Jing; Pan, An; Li, Yaru; Hu, Hua; Li, Xiulou; Yang, Kun; Yuan, Jing; Yao, Ping; Miao, Xiaoping; Wei, Sheng; Wang, Youjie; Liang, Yuan; Zhang, Xiaomin; Guo, Huan; Yang, Handong; Hu, Frank B; Wu, Tangchun; He, Meian

    2016-06-01

    Background In this study, we investigated the independent and combined effects of sleep duration and afternoon napping on the risk of incident diabetes among a cohort of middle-aged and older Chinese adults. Methods Information of sleep and napping was obtained by questionnaires during face-to-face interviews. We categorized sleep duration into  90 min. Cox proportional hazard regression models were used. Results Compared with referential sleeping group, subjects sleeping ≥10 h had a 42% higher risk of developing diabetes. The HR was 1.28 for napping > 90 min when compared with no napping. These associations were more pronounced in individuals without hypertension. Combined effects of long sleep duration and afternoon napping were further identified. Individuals with both sleep duration ≥ 10 h and napping > 60 min had a 72% higher risk of incident diabetes than those with sleeping 7∼sleep duration and afternoon napping were independently and jointly associated with higher risk of incident diabetes. Key messages Sleep duration was associated with diabetes, but whether it is a real cause of incident diabetes especially in Chinese still remains to be elucidated. The association of afternoon napping and diabetes was not consistent and definite, we clarified this association in a large prospective study. Long sleep duration and afternoon napping were independently and jointly associated with higher risk of incident diabetes. PMID:26969344

  14. Stress Physiology and Virulence Characterization of Phomopsis asparagi (Sacc.) Bub6k isolated from Asparagus in Jiangxi Province of China

    Institute of Scientific and Technical Information of China (English)

    Yueping ZHANG; Guangyu CHEN; Shaochun LUO; Huaxiang QU; Yongping TANG; Qixin XIE; Jinsong ZHOU

    2012-01-01

    Abstract Fungal pathogen of asparagus stem blight was isolated. No significant ge- netic difference was detected among the three strains with 492 bp long ITS1-5.8S- ITS2 sequence. It was then identified through colony growth, conidia morphology, and molecular characterization. The physiological response to oxidation and osmosis stress, and virulence to Asparagus officinalis L. were analyzed. The results showed that the pathogen causing asparagus stem blight for A. officinalis L. in Jiangxi Province is Phomopsis asparagri (Sacc.) Bubok. Under pure culture conditions, the conidia were oval-shaped (a-type), with colorless single spore and single nucleus, containing 0-2 oil balls. Its vegetative growth rate was higher when cultured on 0.2 x potato dextrose agar (0.2 x PDA) medium than that on oatmeal agar (OA) medium. However, the pycnidia appeared earlier on OA medium than on 0.2 earlier PDA medium. The vegetative growth rate was depressed under oxidation (H202) or osmo- sis (NaCI) stress conditions, and totally inhibited under 7 mmol/L H202 or 2.4 mol/L NaCI. All the strains caused typical pathogenic symptoms to Asparagus officinalis L. at 7 days-post-inoculation (dpi) with conidia.

  15. Microflora de naranja adaptada al frío y su actividad antagónica frente a Penicillium digitatum (Pers. Sacc

    Directory of Open Access Journals (Sweden)

    Griselda Visintin

    2013-01-01

    Full Text Available Sobre las plantas existen poblaciones de microorganismos donde es posible encontrar antagonistas de patógenos. El presente artículo trata sobre la obtención de microorga- nismos que habitan la superficie de los cítricos y su preselección como potenciales an- tagonistas de patógenos poscosecha. Considera además, obtenerlos desde heridas en las frutas y su adaptación a condiciones de almacenamiento en frío. Diez aislamientos fueron evaluados como antagonistas potenciales de Penicillium digitatum (Pers. Sacc mediante inoculación forzada, registrando su eficacia mediante el porcentaje de heridas que permanecían asintomáticas y calculando el área bajo la curva de progreso de la enfermedad. Las cepas bacterianas S5 y S9 retrasaron 14 días la aparición de síntomas de podredumbres, logrando una eficacia máxima de protección biológica del 47,65%.

  16. Evaluation of the Cepheid Xpert Clostridium difficile Epi assay for diagnosis of Clostridium difficile infection and typing of the NAP1 strain at a cancer hospital.

    Science.gov (United States)

    Babady, N Esther; Stiles, Jeffrey; Ruggiero, Phyllis; Khosa, Perminder; Huang, David; Shuptar, Susan; Kamboj, Mini; Kiehn, Timothy E

    2010-12-01

    Clostridium difficile is the most common cause of health care-associated diarrhea. Accurate and rapid diagnosis is essential to improve patient outcome and prevent disease spread. We compared our two-step diagnostic algorithm, an enzyme immunoassay for glutamate dehydrogenase (GDH) followed by the cytotoxin neutralization test (CYT) with a turnaround time of 24 to 48 h, versus the Cepheid Xpert C. difficile Epi assay, a PCR-based assay with a turnaround time of tcdC gene and PCR ribotyping. In phase 1, the agreement between the GDH-CYT and the GDH-Xpert PCR was 72%. The sensitivities and specificities of GDH-CYT and GDH-Xpert PCR were 57% and 97% and 100% and 97%, respectively. In phase 2, the agreement between GDH-CYT and Xpert PCR alone was 95%. As in phase 1, sensitivity of the Xpert PCR was higher than that of the GDH-CYT. The correlation between PCR-ribotyping, sequencing, and Xpert PCR for detection of NAP1 strains was excellent (>90%). The excellent sensitivity and specificity and the rapid turnaround time of the Xpert PCR assay as well as its strain-typing capability make it an attractive option for diagnosis of C. difficile infection. PMID:20943860

  17. REM-Enriched Naps Are Associated with Memory Consolidation for Sad Stories and Enhance Mood-Related Reactivity

    OpenAIRE

    Médhi Gilson; Gaétane Deliens; Rachel Leproult; Alice Bodart; Antoine Nonclercq; Rudy Ercek; Philippe Peigneux

    2015-01-01

    Emerging evidence suggests that emotion and affect modulate the relation between sleep and cognition. In the present study, we investigated the role of rapid-eye movement (REM) sleep in mood regulation and memory consolidation for sad stories. In a counterbalanced design, participants (n = 24) listened to either a neutral or a sad story during two sessions, spaced one week apart. After listening to the story, half of the participants had a short (45 min) morning nap. The other half had a long...

  18. Synthesis of Zeolites Na-P1 from South African Coal Fly Ash: Effect of Impeller Design and Agitation

    OpenAIRE

    Leslie Petrik; Tunde Victor Ojumu; Dakalo Mainganye

    2013-01-01

    South African fly ash has been shown to be a useful feedstock for the synthesis of some zeolites. The present study focuses on the effect of impeller design and agitation rates on the synthesis of zeolite Na-P1 which are critical to the commercialization of this product. The effects of three impeller designs (4-flat blade, Anchor and Archimedes screw impellers) and three agitation speeds (150, 200 and 300 rpm) were investigated using a modified previously reported synthesis conditions; 48 hou...

  19. Synthesis of Zeolites Na-P1 from South African Coal Fly Ash: Effect of Impeller Design and Agitation

    Directory of Open Access Journals (Sweden)

    Leslie Petrik

    2013-05-01

    Full Text Available South African fly ash has been shown to be a useful feedstock for the synthesis of some zeolites. The present study focuses on the effect of impeller design and agitation rates on the synthesis of zeolite Na-P1 which are critical to the commercialization of this product. The effects of three impeller designs (4-flat blade, Anchor and Archimedes screw impellers and three agitation speeds (150, 200 and 300 rpm were investigated using a modified previously reported synthesis conditions; 48 hours of ageing at 47 °C and static hydrothermal treatment at 140 °C for 48 hours. The experimental results demonstrated that the phase purity of zeolite Na-P1 was strongly affected by the agitation rate and the type of impeller used during the ageing step of the synthesis process. Although zeolite Na-P1 was synthesized with a space time yield (STY of 15 ± 0.4 kg d−1m−3and a product yield of 0.98±0.05 g zeolites/g fly ash for each impeller at different agitation speeds, zeolite formation was assessed to be fairly unsuccessful in some cases due the occurrence of undissolved mullite and/or the formation of impurities such as hydroxysodalite with the zeolitic product. This study also showed that a high crystalline zeolite Na-P1 can be synthesized from South African coal fly ash using a 4-flat blade impeller at an agitation rate of 200 rpm during the ageing step at 47 °C for 48 hours followed by static hydrothermal treatment at 140 °C for 48 hours.

  20. Napájecí zdroj pro pulsní magnetronové naprašování

    OpenAIRE

    Chochola, Ondřej

    2008-01-01

    Předkládaná práce se zabývá teorií depozice velmi tenkých vrstev pomocí pulsního magnetronového naprašování a návrhem, realizací a testováním napájecího zdroje pro pulsní magnetronové naprašování.

  1. Identification of genomic differences between Campylobacter jejuni subsp. jejuni and C. jejuni subsp. doylei at the nap locus leads to the development of a C. jejuni subspeciation multiplex PCR method

    Directory of Open Access Journals (Sweden)

    Heath Sekou

    2007-02-01

    Full Text Available Abstract Background The human bacterial pathogen Campylobacter jejuni contains two subspecies: C. jejuni subsp. jejuni (Cjj and C. jejuni subsp. doylei (Cjd. Although Cjd strains are isolated infrequently in many parts of the world, they are obtained primarily from human clinical samples and result in an unusual clinical symptomatology in that, in addition to gastroenteritis, they are associated often with bacteremia. In this study, we describe a novel multiplex PCR method, based on the nitrate reductase (nap locus, that can be used to unambiguously subspeciate C. jejuni isolates. Results Internal and flanking napA and napB primer sets were designed, based on existing C. jejuni and Campylobacter coli genome sequences to create two multiplex PCR primer sets, nap mpx1 and nap mpx2. Genomic DNA from 161 C. jejuni subsp. jejuni (Cjj and 27 C. jejuni subsp. doylei (Cjd strains were amplified with these multiplex primer sets. The Cjd strains could be distinguished clearly from the Cjj strains using either nap mpx1 or mpx2. In addition, combination of either nap multiplex method with an existing lpxA speciation multiplex method resulted in the unambiguous and simultaneous speciation and subspeciation of the thermophilic Campylobacters. The Cjd nap amplicons were also sequenced: all Cjd strains tested contained identical 2761 bp deletions in napA and several Cjd strains contained deletions in napB. Conclusion The nap multiplex PCR primer sets are robust and give a 100% discrimination of C. jejuni subspecies. The ability to rapidly subspeciate C. jejuni as well as speciate thermophilic Campylobacter species, most of which are pathogenic in humans, in a single amplification will be of value to clinical laboratories in strain identification and the determination of the environmental source of campylobacterioses caused by Cjd. Finally, the sequences of the Cjd napA and napB loci suggest that Cjd strains arose from a common ancestor, providing clues as to

  2. Effects of unconditioned stimulus intensity and fear extinction on subsequent sleep architecture in an afternoon nap.

    Science.gov (United States)

    Sturm, Anna; Czisch, Michael; Spoormaker, Victor I

    2013-12-01

    Impaired fear extinction and disturbed sleep coincide in post-traumatic stress disorder (PTSD), but the nature of this relationship is unclear. Rapid eye movement (REM) sleep deprivation impairs fear extinction recall in rodents and young healthy subjects, and animal models have demonstrated both disrupted sleep after fear conditioning and normalized sleep after extinction learning. As a correlation between unconditioned stimulus (US) responding and subsequent sleep architecture has been observed in healthy subjects, the goal of this study was to test whether US intensity would causally affect subsequent sleep. Twenty-four young healthy subjects underwent a fear conditioning session with skin conductance response measurements before an afternoon session of polysomnographically recorded sleep (up to 120 min) in the sleep laboratory. Two factors were manipulated experimentally in a 2 × 2 design: US (electrical shock) was set at high or low intensity, and subjects did or did not receive an extinction session after fear conditioning. We observed that neither factor affected REM sleep amount, that high US intensity nominally increased sleep fragmentation (more Stage 1 sleep, stage shifts and wake after sleep onset), and that extinction increased Stage 4 amount. Moreover, reduced Stage 1 and increased Stage 4 and REM sleep were associated with subjective sleep quality of the afternoon nap. These results provide evidence for the notion that US intensity and extinction affect subsequent sleep architecture in young healthy subjects, which may provide a translational bridge from findings in animal studies to correlations observed in PTSD patients. PMID:23919462

  3. PENGARUH KONSENTRASI ANTIMIKROORGANISME, MEDIA FERMENTASI, DAN WAKTU INKUBASI TERHADAP PERTUMBUHAN Absidia corymbifera (Cohn Sacc. & Trotter DARI JAMUR ENDOFIT Fusarium nivale (Fr. Ces.

    Directory of Open Access Journals (Sweden)

    Suciatmih Suciatmih

    2012-12-01

    Full Text Available Fusarium nivale (Fr. Ces., an endophytic fungi from Dendrobium crumenatum Sw. (pigeon orchidshowed an antimicroorganism activity against Absidia corymbifera (Cohn Sacc. & Trotter, causing of human zygomycosis. The aim of this study is to find out the effect of concentration of antimicroorganism agent, fermentation medium, and incubation time to control A. corymbifera by F. nivale; and to make curve of F. nivale growth and curve of its antimicrobial production. Five different concentrations of antimicroorganism agent (0, 75, 150, 225, and 300 ul, four different fermentation media (PotatoDextrose Yeast, Tauge Extract Broth , Kedelai Extract Broth , and Jagung Extract Broth, and eight different incubation times (0, 1, 2, 3, 4, 5, 6, and 7 days were chosen for this experiment. Parameters of the study were change of filtrate pH, dry weight of mycelial cell of F. nivale, and percentage inhibition of mycelial growth of A. corymbifera. The results indicated that antimicroorganism agent concentration of 150 ul applied and potato dextrose yeast medium were the most effective to inhibit A.corymbifera. The antimicroorganism agent was produced during growth of the fungi. The production of antimicroorganism agent coinced with the decrease in pH from 6.0 to 4.81; and the increase in pH from4,81 to 7.24-8.01. A optimum activity of antimicroorganism agent (31,23 during growth of fungi occurred on the 2th day of incubation. Keywords: A. corymbifera; aktivitas antimikroorganisme; F. nivale; persentase hambatan pertumbuhan miselium A. corymbifera

  4. Identification of two domains and distal histidine ligands to the four haems in the bacterial c-type cytochrome NapC; the prototype connector between quinol/quinone and periplasmic oxido-reductases.

    Science.gov (United States)

    Cartron, Michaël L; Roldán, M Dolores; Ferguson, Stuart J; Berks, Ben C; Richardson, David J

    2002-12-01

    NapC is a tetra-haem member of a family of bacterial membrane-anchored multi-haem c -type cytochromes implicated in electron transfer between membrane quinols and periplasmic enzymes. The water-soluble tetra-haem fragment of Paracoccus pantotrophus NapC has been expressed as a periplasmic protein (NapC(sol)) in Paracoccus denitrificans, P. pantotrophus and Escherichia coli. Site-specific mutagenesis of NapC(sol), combined with spectroscopic studies, suggests that each haem iron centre has bis -histidinyl co-ordination. Four proximal ligands arise from each of four Cys-Xaa-Xaa-Cys-His haem-binding motifs; candidates for the four distal ligands are His(81), His(99), His(174) and His(194). NapC(H81A), NapC(H99A), NapC(H174A) and NapC(H194A) mutants (with alanine substituted for each of the four candidate residues) have all been purified from E. coli. In each case, one of the haems has become high-spin, as judged by the presence of a broad absorption band between 620 nm and 650 nm for the oxidized cytochrome; this feature is absent for wild-type protein and presumably arises because of the absence of the distal histidine ligand from one of the haems. NapC(H81A) and NapC(H174A) are less well expressed in E. coli than NapC(H99A) and NapC(H194A) and cannot be detected when expressed in P. denitrificans or P. pantotrophus. In vitro and in vivo complementation studies demonstrate that the soluble periplasmic NapC can mediate electron transfer from quinols to the periplasmic nitrate reductase. This capacity was retained in vitro with the NapC(H99A) and NapC(H194A) mutants but was lost in vivo. A model for the structural organization of NapC(sol) into two domains, each containing a di-haem pair, is proposed. In this model, each haem pair obtains one distal haem ligand from its own domain and a second from the other domain. The suggestion of two domains is supported by observations that the 24 kDa NapC(sol) cleaves to yield a 12 kDa haem-staining band. Determination of the

  5. A visual ERP study of impulse inhibition following a zaleplon-induced nap after sleep deprivation.

    Directory of Open Access Journals (Sweden)

    Qianru Zhang

    Full Text Available The side effects of a zaleplon-induced nap as a countermeasure in the reduction of impulse inhibition function decline following 30 h of sleep deprivation (SD were examined by event-related brain potentials. Sixteen adult participants performed a Go/NoGo task at five time points: (1 baseline; (2 after 30 h of SD; (3 upon sudden awakening, also called 2 h post-drug; (4 4 h post-drug; and (5 6 h post-drug. Behavior results show an increase in both reaction time and false alarm rates after SD and sudden awakening, and a marked decrease at 4 h and 6 h post-drug in zaleplon and placebo conditions. However, no difference was observed between the zaleplon condition and the placebo condition. In event-related potential (ERP reults compared with results obtained under control conditions, NoGo-P3 latencies significantly increased, whereas the Nogo-P3 amplitude decreased after 30 h of SD and sudden awakening in both the zaleplon condition and the placebo condition. These results indicate that SD attenuates resource allocation and error monitoring for NoGo stimuli. In addition, NoGo-P3 latencies were longer in the zaleplon condition compared with the placebo condition at sudden awakening. Additionally, the NoGo-P3 latencies were shorter in the zaleplon condition than in the placebo condition at 4 h and 6 h post-drug. These results indicate that zaleplon at a dose of 10 mg/day may help subjects achieve a better recovery or maintain better impulse inhibition function, although the side effects of zaleplon last at least 2 h post-drug.

  6. Solutions Network Formulation Report. Reducing Light Pollution in U.S. Coastal Regions Using the High Sensitivity Cameras on the SAC-C and Aquarius/SAC-D Satellites

    Science.gov (United States)

    Andrews, Jane C.; Knowlton, Kelly

    2007-01-01

    Light pollution has significant adverse biological effects on humans, animals, and plants and has resulted in the loss of our ability to view the stars and planets of the universe. Over half of the U.S. population resides in coastal regions where it is no longer possible to see the stars and planets in the night sky. Forty percent of the entire U.S. population is never exposed to conditions dark enough for their eyes to convert to night vision capabilities. In coastal regions, urban lights shine far out to sea where they are augmented by the output from fishing boat, cruise ship and oil platform floodlights. The proposed candidate solution suggests using HSCs (high sensitivity cameras) onboard the SAC-C and Aquarius/SAC-D satellites to quantitatively evaluate light pollution at high spatial resolution. New products modeled after pre-existing, radiance-calibrated, global nighttime lights products would be integrated into a modified Garstang model where elevation, mountain screening, Rayleigh scattering, Mie scattering by aerosols, and atmospheric extinction along light paths and curvature of the Earth would be taken into account. Because the spatial resolution of the HSCs on SAC-C and the future Aquarius/SAC-D missions is greater than that provided by the DMSP (Defense Meteorological Satellite Program) OLS (Operational Linescan System) or VIIRS (Visible/Infrared Imager/Radiometer Suite), it may be possible to obtain more precise light intensity data for analytical DSSs and the subsequent reduction in coastal light pollution.

  7. Hiina tänapäeva arhitektuur - karmiilmeline, aga põnev / Zhang Ke, Zhang Hong, Xiaodu Liu ; interv. Hanna Läkk ja Ene Läkk

    Index Scriptorium Estoniae

    Zhang Ke

    2006-01-01

    Intervjuu Hiina arhitektuuribüroo Standardarchitecture arhitektide Zhang Ke ja Zhang Hongiga ning arhitektuuribüroo Urbanus arhitekti Xiaodu Liuga Hollandis Hiina tänapäeva tutvustaval näitusel. Hiina arhitektide haridusest, oma arhitektuuribüroode töödest, tänapäeva hiina arhitektuurist, põhiprobleemidest

  8. Spínaný zdroj 12/19V pro napájení notebooku v automobilu

    OpenAIRE

    Škunda, Michal

    2008-01-01

    Daná bakalárska práca sa zaoberá návrhom a realizáciou zvyšujúceho meniča STEP-UP pre napájanie notebooku v automobile. Úvodná časť prezentuje rozdelenie spínaných zdrojov, ďalej nasleduje samotná vožba a návrh spínaného zdroja. V práci sa nachádza konkrétny návrh tlmivky, návrh elektronického zapojenia a návrh plošného spoja. Pri návrhu plošného spoja je využitý program EAGLE. V poslednej časti sú vyobrazené jednotlivé priebehy prúdov a napätí charakterizujúce činnosť zdroja. Práca taktiež o...

  9. Biallelic expression of Tssc4, Nap1l4, Phlda2 and Osbpl5 in adult cattle

    Indian Academy of Sciences (India)

    Mengnan Wang; Dongjie Li; Mingyue Zhang; Wenzhi Yang; Guojiang Wu; Yali Cui; Shijie Li

    2015-09-01

    Genomic imprinting of the Cdkn1c/Kcnq1ot1 region shows lack of conservation between human and mouse. This region has been reported to be associated with Beckwith–Wiedemann syndrome (BWS) and cancer. To increase our understanding of imprinted genes in bovine Cdkn1c/Kcnq1ot1 imprinting cluster, we assessed the imprinting status of four cattle genes (Tssc4, Nap1l4, Phlda2 and Osbpl5) in seven types of tissues: heart, liver, spleen, lung, kidney, skeletal muscle and subcutaneous fat using polymorphism-based sequencing approach. It was found that all the four genes showed biallelic expression in tissues in which transcripts were detected. Nap1l4 and Tssc4 were detected in all examined tissues, while the expression of Phlda2 and Osbpl5 was tissue-specific. Phlda2 was not detected in heart and subcutaneous fat, and Osbpl5 was not detected in spleen and skeletal muscle. In addition, identification of species-specific imprinted genes is necessary to understand the evolution of genomic imprinting and to elucidate mechanisms leading to allele-specific expression.

  10. New insights into alkylammonium-functionalized clinoptilolite and Na-P1 zeolite: Structural and textural features

    Science.gov (United States)

    Muir, Barbara; Matusik, Jakub; Bajda, Tomasz

    2016-01-01

    The area of zeolites' application could be expanded by utilizing their surfaces. Zeolites are frequently modified to increase their hydrophobicity and to generate the negative charge of the surface. The main objective of the study was to investigate and compare the features of natural clinoptilolite and synthetic zeolite Na-P1 modified by selected surfactants involving quaternary ammonium salts. The FTIR study indicates that with increasing carbon chain length in the surfactant attached to the zeolites surface the molecules adopt a more disordered structure. FTIR was also used to determine the efficiency of surface modification. Thermal analysis revealed that the presence of surfactant results in additional exothermic effects associated with the breaking of electrostatic bonds between zeolites and surfactants. The mass losses are in line with ECEC and CHN data. The textural study indicates that the synthetic zeolite Na-P1 has better sorption properties than natural clinoptilolite. The modification process always reduces the SBET and porosity of the material. With an increasing carbon chain length of surfactants all the texture parameters decrease.

  11. Heterodimeric nitrate reductase (NapAB) from Cupriavidus necator H16: purification, crystallization and preliminary X-ray analysis

    International Nuclear Information System (INIS)

    Crystals of the oxidized form of the periplasmic nitrate reductase from Cupriavidus necator were obtained using polyethylene glycol 3350 as precipitant The periplasmic nitrate reductase from Cupriavidus necator (also known as Ralstonia eutropha) is a heterodimer that is able to reduce nitrate to nitrite. It comprises a 91 kDa catalytic subunit (NapA) and a 17 kDa subunit (NapB) that is involved in electron transfer. The larger subunit contains a molybdenum active site with a bis-molybdopterin guanine dinucleotide cofactor as well as one [4Fe–4S] cluster, while the small subunit is a di-haem c-type cytochrome. Crystals of the oxidized form of this enzyme were obtained using polyethylene glycol 3350 as precipitant. A single crystal grown at the High Throughput Crystallization Laboratory of the EMBL in Grenoble diffracted to beyond 1.5 Å at the ESRF (ID14-1), which is the highest resolution reported to date for a nitrate reductase. The unit-cell parameters are a = 142.2, b = 82.4, c = 96.8 Å, β = 100.7°, space group C2, and one heterodimer is present per asymmetric unit

  12. Estudio de las observaciones de tropopausa sobre el cono sur de Sudamérica mediante GPS a bordo de los satélites SAC-C y CHAMP Tropopause observation study over southern South America using GPS data from SAC-C and CHAMP satellites

    Directory of Open Access Journals (Sweden)

    S. Gabriela Lakkis

    2006-12-01

    Full Text Available En este trabajo se analiza la validez de la técnica de radio ocultación satelital (GPS llevada a cabo por los satélites SAC-C y CHAMP en tres estaciones chilenas y cuatro argentinas, como referencia del Cono Sur, durante el período 2001-2003. La validez de la técnica se discute por medio de la comparación de los parámetros atmosféricos obtenidos a partir de los satélites con los valores de radiosondeo. Una vez validada la ocultación para las latitudes estudiadas, en función de los datos satelitales se calcula temperatura, presión y altura de la tropopausa, así como valores de presión de vapor de agua y su comportamiento. De los resultados obtenidos del trabajo surge que las ocultaciones arrojan valores que se ajustan muy bien a los tradicionales radiosondeos, especialmente en la zona atmosférica comprendida entre superficie y los 10 kilómetros. De los registros satelitales se estimó que la tropopausa extratropical entre las longitudes 80° S y 60° S presenta valores de temperatura que fluctúan entre los 204 y los 222 K para el Hemisferio Sur hasta el trópico de Capricornio, con una altura mínima de 9 kilómetros y una máxima de 15.3 kilómetros. Para los valores de presión de vapor de agua se observó un comportamiento fuertemente decreciente a medida que se asciende desde la troposfera, hasta llegar a la estabilización en la estratosfera una vez atravesada la tropopausa, donde la variable presenta un cambio en la tasa de variación.Validation of radio occultation technique by Global Positioning System (GPS, carried out on board the SAC-C and CHAMP satellites, is analyzed over three stations of Chile and four for Argentine, as a reference for South America during 2001-2003. The discussion is based on the statistical comparison of the data of GPS with data from nearby radiosonde measurements. Though the occultation concept for obtaining profiles of atmospheric parameters, data derived from GPS, were used to calculate

  13. Perspectivas del uso de bacterias rizosféricas en el control de Pyricularia grisea (Cooke Sacc. en el cultivo del arroz (Oryza sativa L.

    Directory of Open Access Journals (Sweden)

    Yanelis Acebo Guerrero

    2011-04-01

    Full Text Available Prospect of the use of bacteria in the control Pyricularia grisea (Cooke Sacc. on rice (Oriza sativa L. Título corto: Bacterias rizosféricas para controlar la piriculariosis ResumenEl arroz es fuente de alimento para una gran parte de la población mundial, con alto promedio de consumo anual. En este cultivo las enfermedades de origen microbiano constituyen uno de los factores que inciden en la obtención de bajos rendimientos y calidad de los granos. La piriculariosis o añublo del arroz, causada por Pyricularia grisea, es la enfermedad más importante en este cultivo en América Latina, ya que puede provocar hasta el 100% de reducción de los rendimientos. Como parte de la estrategia de agricultura sostenible, se trata de controlar estos patógenos y lograr altos rendimientos del cultivo mediante una combinación adecuada de fertilizantes químicos y productos biológicos. En este sentido, la aplicación de inoculantes bacterianos constituidos por bacterias promotoras del crecimiento vegetal (Plant Growth- Promoting Bacteria, PGPB, por sus siglas en inglés ha constituido una alternativa ecológica que favorece la conservación del medioambiente y el ecosistema. Este trabajo tiene como objetivo abordar el estado actual y las perspectivas de uso de bacterias rizosféricas en el control de Pyricularia grisea en el cultivo del arroz, tratando algunos temas relevantes, como son las principales enfermedades que afectan al cultivo, los géneros de PGPB más utilizados para el control de las mismas y sus principales mecanismos de acción. Palabras clave: bacterias rizosféricas, arroz, piriculariosis. AbstractRice is an important food supply for a large part of the world population and its consumption rates are very high. Microbial diseases are one of the main causes that provoke low yields and low-quality spotted grains. Although fungi, bacteria and viruses are mostly the responsible for these losses, fungal diseases strike more frequently

  14. Development and application of a microplate method to evaluate the efficacy of essential oils against Penicillium italicum Wehmer, Penicillium digitatum Sacc. and Colletotrichum musea (Berk. & M.A. Curtis Arx, three postharvest fungal pathogens of fruits

    Directory of Open Access Journals (Sweden)

    Bajji, M.

    2012-01-01

    Full Text Available A microbioassay was developed for evaluating the in vitro antifungal activity of 30 preselected essential oils. A template based on 10 serial dilutions with eight replicates per dilution arranged on two 96-well ELISA plates was used as a reproducible and standardized design to identify the in vitro effectiveness of these essential oils against Penicillium italicum Wehmer, Penicillium digitatum Sacc. and Colletotrichum musea (Berk. & M.A. Curtis Arx, three postharvest fungal pathogens, on fruits. Growth of mycelium was monitored by measuring optical density (492 nm. Cinnamomum zeylanicum, Cinnamomum verum and Eugenia caryophyllus were found to be still active against all the three pathogens even at 100 ppm. Compared to other methods, this microbioassay proved to be a rapid, reproducible, and efficient method for testing the efficacy of essential oils that inhibit spore germination in P. italicum, P. digitatum and C. musea. The assay requires relatively small amounts of essential oils.

  15. Combined Effect of Gamma Radiation and Cymbopogon Citratus L. Essential Oil on the Growth and Morphogenesis of Penicillium Digitatum Sacc. The Causal Agent of Green Mold of Citrus Fruits

    International Nuclear Information System (INIS)

    The growth of Penicillium digitatum Sacc. was completely inhibited by using 2.5 l/ml or 3 l/ml of Cymbopogon citratus essential oil applied by fumigation or contact method on Czapek's medium, respectively. Two kGy gamma radiation treatment decreased the severity of infection of green rot caused by P. digitatum from 100% to 9.8% after 2 weeks of storage. Also, pre-treatment of orange fruits by 2.5 l/ml C. citratus before 2 kGy irradiation prevented infection by green rot for 21 days and decreased the severity of infection to 9.5% for 28 days of storage at 20 C. The microscopic observation using scanning electron microscope (SEM) was carried out to study the ultra structure modifications of P. digitatum after treatment. The mycelium of the fungus fumigated with the sub-lethal dose of C. citratus showed large alteration and distortion in hyphal and spores morphology.

  16. 1株拮抗酵母菌对柑橘绿霉病菌的抑制作用%Inhibitive activity of Kluyveromyces marxianus on Penicillium digitatum Sacc.

    Institute of Scientific and Technical Information of China (English)

    罗建军; 耿鹏; 胡美英; 黄慧斯; 贾建文

    2013-01-01

    以柑橘绿霉病菌(Penicillium digitatum Sacc.)为供试材料,研究拮抗酵母菌(Kluyverom yces marxianus)对柑橘采后绿霉病菌的抑制效果,并观察其对采后柑橘果实多酚氧化酶(PPO)、过氧化物酶(POD)和苯丙氨酸解氨酶(PAL)活性的影响.结果表明:拮抗酵母菌的菌株悬浮液和培养原液对柑橘采后绿霉病菌均有较好的抑制作用,但菌株培养上清液和热杀死液对柑橘绿霉病菌的抑制效果较差;与对照相比,接种拮抗菌与病原菌能够诱导柑橘果实PPO、POD和PAL活性的升高;拮抗酵母菌对柑橘绿霉病菌的抑菌机制与营养和空间的竞争以及诱导抗病性相关酶有关.%The inhibitive activity of Kluyveromyces marxianus against citrus green mold caused by Penicillium digitatum Sacc. was investigated, as well as its effect on the activities of polyphenol oxi-dase (PPO), peroxidase (POD) and phenylalanine ammonium-lyase (PAL). The results showed that the treatments of washed cell suspension and living cell suspension have better inhibiting effect, as compared to the control treatment; while the culture filtrate and autoclaved cell suspensions could exacerbate green mold decay. The application of K. marxianus could induce higher PPO, POD and PAL activity as compared to the control. It was suggested that the biocontrol mechanism might be competitive for nutrition and space, and contribute to the secretion of antagonistc substance.

  17. Návrh zdvojovače napětí v technologii ACMOS 0,25 μm

    OpenAIRE

    Synek, Ladislav

    2014-01-01

    Práce se zabývá návrhem částečně integrovaného zdvojovače napětí v technologii ACMOS 0,25 μm založeném na nábojové pumpě. Práce je rozdělena na dvě hlavní části, teoretickou a praktickou. V teoretické části jsou podrobně rozebrány topologie nábojových pump pro generování vyššího výstupního napětí než je vstupní napětí a popsány vybrané metody regulace výstupního napětí nábojových pump. Praktická část se zabývá vlastním návrhem nábojové pumpy, také je zde argumentován výběr topologie a typ reg...

  18. Evaluation of the Efficacy of the H. pylori Protein HP-NAP as a Therapeutic Tool for Treatment of Bladder Cancer in an Orthotopic Murine Model.

    Science.gov (United States)

    Codolo, Gaia; Munari, Fabio; Fassan, Matteo; de Bernard, Marina

    2015-01-01

    Bladder cancer is one of the most common malignancies of the urogenital tract. Intravesical injection of Bacillus Calmette-Guérin (BCG) is the gold standard treatment for the high-grade non-muscle invasive bladder cancer (NMIBC). However, since the treatment-related side effects are relevant, newer biological response modifiers with a better benefit/side effects ratio are needed. The tumour microenvironment can influence both tumour development and therapy efficacy. In order to obtain a good model, it is desirable to implant tumour cells in the organ from which the cancer originates. In this protocol, we describe a method for establishing a tumour in the bladder cavity of female mice and subsequent delivery of therapeutic agents; the latter are exemplified by our use of Helicobacter pylori neutrophil activating protein (HP-NAP). A preliminary chemical burn of the mucosa, followed by the injection of mouse urothelial carcinoma cell line MB49 via urethral catheterization, enables the cells to attach to the bladder mucosa. After a period, required to allow an initial proliferation of the cells, mice are treated with HP-NAP, administrated again via catheterization. The anti-tumour activity of HP-NAP is evaluated comparing the tumour volume, the extent of necrosis and the degree of vascularization between vehicle- and HP-NAP-treated animals. PMID:26068073

  19. Studium povrchového napětí systémů využitelných v ultrasonografii.

    OpenAIRE

    Říkovská, Klára

    2014-01-01

    Cílem práce bylo studium povrchového napětí systémů využitelných v ultrasonografii. Bylo navrženo několik experimentů. Tyto experimenty se týkaly především měření povrchového napětí bublinovým tenziometrem BPA-800P. Bylo provedeno bližší zkoumání vlivu povrchového napětí komerčně dostupné látky SonoVue®, která ve své struktuře obsahuje mimo jiné dva fosfolipidy. Dále bylo zkoumáno několik samostatných fosfolipidů. Všechny látky byly rozpuštěny ve fyziologickém roztoku (0,15 M NaCl). Byl prově...

  20. A Recombinant DNA Plasmid Encoding the sIL-4R-NAP Fusion Protein Suppress Airway Inflammation in an OVA-Induced Mouse Model of Asthma.

    Science.gov (United States)

    Liu, Xin; Fu, Guo; Ji, Zhenyu; Huang, Xiabing; Ding, Cong; Jiang, Hui; Wang, Xiaolong; Du, Mingxuan; Wang, Ting; Kang, Qiaozhen

    2016-08-01

    Asthma is a chronic inflammatory airway disease. It was prevalently perceived that Th2 cells played the crucial role in asthma pathogenesis, which has been identified as the important target for anti-asthma therapy. The soluble IL-4 receptor (sIL-4R), which is the decoy receptor for Th2 cytokine IL-4, has been reported to be effective in treating asthma in phase I/II clinical trail. To develop more efficacious anti-asthma agent, we attempt to test whether the Helicobacter pylori neutrophil-activating protein (HP-NAP), a novel TLR2 agonist, would enhance the efficacy of sIL-4R in anti-asthma therapy. In our work, we constructed a pcDNA3.1-sIL-4R-NAP plasmid, named PSN, encoding fusion protein of murine sIL-4R and HP-NAP. PSN significantly inhibited airway inflammation, decreased the serum OVA-specific IgE levels and remodeled the Th1/Th2 balance. Notably, PSN is more effective on anti-asthma therapy comparing with plasmid only expressing sIL-4R. PMID:27209195

  1. Two measurements of the 22Na+p resonant scattering via thick-target inverse-kinematics method

    Directory of Open Access Journals (Sweden)

    Wang Y.B.

    2016-01-01

    Full Text Available 22Na is an important isotope for the study of extinct radioactivity, meanwhile its sufficiently long half life provides the possibility to observe live 22Na in nearby nova explosions. The 22Na(p,γ 23Mg is one of the key reactions that influence the 22Na abundance in nova ejecta. To study the proton resonant states in 23Mg relevant to the astrophysical 22Na(p,γ 23Mg reaction rates, two measurements have been carried out at the CRIB separator of University of Tokyo, and the RIBLL secondary beamline in Lanzhou, respectively. The 22Na secondary beam was produced via the 1H(22Ne, 22Nan charge exchange reaction. Thick-target inverse-kinematics method is applied to obtain the excitation function of 22Na+p elastic scattering. Extended gas target and solid state polyethylene foil were used in the two measurements, respectively, to map the different excitation energy region of the compound nucleus 23Mg. Several new resonant levels are observed and their contribution to the 22Na(p,γ 23Mg reaction rate is evaluated.

  2. Yagiho anténa napájená vlnovodem integrovaným do substrátu

    OpenAIRE

    Jakubíček, Marek

    2013-01-01

    Tato práce se zabývá návrhem Yagi-Uda antény pro pracovní kmitočet 12 GHz na vhodném substrátu. Dále se zabývá návrhem vlnovodu integrovaného do substrátu, který slouží jako napájení antény. Práce je rozdělena na teoretické poznatky, návrh vlnovodu integrovaného do substrátu, vlastní návrh Yagi antény v planární formě a vzájemné navázání zmíněného vlnovodu na anténu. Dalším krokem je analýza vytvořené struktury pomocí návrhového prostředí CST Microwave Studio®, případné doladění struktury zad...

  3. Měnič pro napájení výkonové diody LED

    OpenAIRE

    Puczok, Václav

    2014-01-01

    Tato práce řeší návrh síťového napájecího zdroje pro výkonovou LED diodu určenou pro osvětlovací účely. Zdroj se skládá ze vstupního síťového vysokofrekvenčního filtru (EMI filtru), tlumícího část elektromagnetického rušení do sítě, dále aktivního usměrňovače (PFC obvodu) pro zlepšení účiníku odběru proudu ze sítě a hlavního jednočinného propustného měniče s impulzním transformátorem řízeného na konstantní výstupní proud. Práce je blíže zaměřena na návrh výkonové části zdroje, kam patří zejmé...

  4. Identification of nucleosome assembly protein 1 (NAP1) as an interacting partner of plant ribosomal protein S6 (RPS6) and a positive regulator of rDNA transcription

    Energy Technology Data Exchange (ETDEWEB)

    Son, Ora [Department of Biological Science, Sookmyung Women' s University, Seoul 140-742 (Korea, Republic of); Kim, Sunghan [Department of Biological Science, Sookmyung Women' s University, Seoul 140-742 (Korea, Republic of); Department of Plant Science, Plant Genomics and Breeding Institute, Research Institute of Agriculture and Life Sciences, Seoul National University, Seoul 151-921 (Korea, Republic of); Shin, Yun-jeong [Department of Biological Science, Sookmyung Women' s University, Seoul 140-742 (Korea, Republic of); Kim, Woo-Young [College of Pharmacy, Sookmyung Women' s University, Seoul 140-742 (Korea, Republic of); Koh, Hee-Jong, E-mail: heejkoh@snu.ac.kr [Department of Plant Science, Plant Genomics and Breeding Institute, Research Institute of Agriculture and Life Sciences, Seoul National University, Seoul 151-921 (Korea, Republic of); Cheon, Choong-Ill, E-mail: ccheon@sookmyung.ac.kr [Department of Biological Science, Sookmyung Women' s University, Seoul 140-742 (Korea, Republic of)

    2015-09-18

    The ribosomal protein S6 (RPS6) is a downstream component of the signaling mediated by the target of rapamycin (TOR) kinase that acts as a central regulator of the key metabolic processes, such as protein translation and ribosome biogenesis, in response to various environmental cues. In our previous study, we identified a novel role of plant RPS6, which negatively regulates rDNA transcription, forming a complex with a plant-specific histone deacetylase, AtHD2B. Here we report that the Arabidopsis RPS6 interacts additionally with a histone chaperone, nucleosome assembly protein 1(AtNAP1;1). The interaction does not appear to preclude the association of RPS6 with AtHD2B, as the AtNAP1 was also able to interact with AtHD2B as well as with an RPS6-AtHD2B fusion protein in the BiFC assay and pulldown experiment. Similar to a positive effect of the ribosomal S6 kinase 1 (AtS6K1) on rDNA transcription observed in this study, overexpression or down regulation of the AtNAP1;1 resulted in concomitant increase and decrease, respectively, in rDNA transcription suggesting a positive regulatory role played by AtNAP1 in plant rDNA transcription, possibly through derepression of the negative effect of the RPS6-AtHD2B complex. - Highlights: • Nucleosome assembly protein 1 (AtNAP1) interacts with RPS6 as well as with AtHD2B. • rDNA transcription is regulated S6K1. • Overexpression or down regulation of AtNAP1 results in concomitant increase or decrease in rDNA transcription.

  5. Identification of nucleosome assembly protein 1 (NAP1) as an interacting partner of plant ribosomal protein S6 (RPS6) and a positive regulator of rDNA transcription

    International Nuclear Information System (INIS)

    The ribosomal protein S6 (RPS6) is a downstream component of the signaling mediated by the target of rapamycin (TOR) kinase that acts as a central regulator of the key metabolic processes, such as protein translation and ribosome biogenesis, in response to various environmental cues. In our previous study, we identified a novel role of plant RPS6, which negatively regulates rDNA transcription, forming a complex with a plant-specific histone deacetylase, AtHD2B. Here we report that the Arabidopsis RPS6 interacts additionally with a histone chaperone, nucleosome assembly protein 1(AtNAP1;1). The interaction does not appear to preclude the association of RPS6 with AtHD2B, as the AtNAP1 was also able to interact with AtHD2B as well as with an RPS6-AtHD2B fusion protein in the BiFC assay and pulldown experiment. Similar to a positive effect of the ribosomal S6 kinase 1 (AtS6K1) on rDNA transcription observed in this study, overexpression or down regulation of the AtNAP1;1 resulted in concomitant increase and decrease, respectively, in rDNA transcription suggesting a positive regulatory role played by AtNAP1 in plant rDNA transcription, possibly through derepression of the negative effect of the RPS6-AtHD2B complex. - Highlights: • Nucleosome assembly protein 1 (AtNAP1) interacts with RPS6 as well as with AtHD2B. • rDNA transcription is regulated S6K1. • Overexpression or down regulation of AtNAP1 results in concomitant increase or decrease in rDNA transcription

  6. Synthesis of Ibuprofen Using Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2) as an Eco-Friendly, Inexpensive, and Efficient Catalyst

    OpenAIRE

    Ali Gharib; Nader Noroozi Pesyan; Leila Vojdani Fard; Mina Roshani

    2014-01-01

    This paper describes an alternative and simple procedure for the synthesis of Ibuprofen using Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2) (SPNPs), as an eco-friendly, inexpensive, and efficient catalyst. High yields, simplicity of operation, and easy work-up procedure are some advantages of this protocol. Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2) (SPNPs) offer the advantages of a higher hydrolytic and thermal stability. The salient features of Preys...

  7. Rapid spread of Clostridium difficile NAP1/027/ST1 in Chile confirms the emergence of the epidemic strain in Latin America.

    Science.gov (United States)

    Aguayo, C; Flores, R; Lévesque, S; Araya, P; Ulloa, S; Lagos, J; Hormazabal, J C; Tognarelli, J; Ibáñez, D; Pidal, P; Duery, O; Olivares, B; Fernández, J

    2015-10-01

    Clostridium difficile infection has gained importance in recent years as a result of the rapid spread of epidemic strains, including hypervirulent strains. This study reports the molecular epidemiology of C. difficile obtained from hospitalized patients in Chile. Seven hundred and nineteen isolates of toxigenic C. difficile from 45 hospitals across the country were characterized through toxin profile, pulsed-field gel electrophoresis (PFGE), and sequencing of the tcdC gene. In addition, polymerase chain reaction (PCR) ribotyping and multilocus sequence typing (MLST) were performed on a subset of selected strains. PFGE typing of 719 isolates of C. difficile produced 60 PFGE patterns (subtypes). Subtype 1 was predominant (79% of isolates) and related to the hypervirulent strain (NAP1). Subtype 1 showed 73% relatedness with nine other subtypes, which had a similar tcdC deletion. Subtype 1 corresponded to ribotype 027 and ST1. This report shows the wide dissemination of the hypervirulent strain NAP1/027/ST1 in Chile. PMID:25687254

  8. Variation in PTCHD2, CRISP3, NAP1L4, FSCB, and AP3B2 associated with spherical equivalent

    Science.gov (United States)

    Chen, Fei; Duggal, Priya; Klein, Barbara E.K.; Lee, Kristine E.; Truitt, Barbara; Klein, Ronald; Iyengar, Sudha K.

    2016-01-01

    Purpose Ocular refraction is measured in spherical equivalent as the power of the external lens required to focus images on the retina. Myopia (nearsightedness) and hyperopia (farsightedness) are the most common refractive errors, and the leading causes of visual impairment and blindness in the world. The goal of this study is to identify rare and low-frequency variants that influence spherical equivalent. Methods We conducted variant-level and gene-level quantitative trait association analyses for mean spherical equivalent, using data from 1,560 individuals in the Beaver Dam Eye Study. Genotyping was conducted using the Illumina exome array. We analyzed 34,976 single nucleotide variants and 11,571 autosomal genes across the genome, using single-variant tests as well as gene-based tests. Results Spherical equivalent was significantly associated with five genes in gene-based analysis: PTCHD2 at 1p36.22 (p = 3.6 × 10−7), CRISP3 at 6p12.3 (p = 4.3 × 10−6), NAP1L4 at 11p15.5 (p = 3.6 × 10−6), FSCB at 14q21.2 (p = 1.5 × 10−7), and AP3B2 at 15q25.2 (p = 1.6 × 10−7). The variant-based tests identified evidence suggestive of association with two novel variants in linkage disequilibrium (pairwise r2 = 0.80) in the TCTE1 gene region at 6p21.1 (rs2297336, minor allele frequency (MAF) = 14.1%, β = –0.62 p = 3.7 × 10−6; rs324146, MAF = 16.9%, β = –0.55, p = 1.4 × 10−5). In addition to these novel findings, we successfully replicated a previously reported association with rs634990 near GJD2 at 15q14 (MAF = 47%, β = –0.29, p=1.8 × 10−3). We also found evidence of association with spherical equivalent on 2q37.1 in PRSS56 at rs1550094 (MAF = 31%, β = –0.33, p = 1.7 × 10−3), a region previously associated with myopia. Conclusions We identified several novel candidate genes that may play a role in the control of spherical equivalent. However, further studies are needed to replicate these findings. In addition, our results contribute to the

  9. Clostridium difficile Infections in a Canadian Tertiary Care Hospital before and during a Regional Epidemic Associated with the BI/NAP1/027 Strain▿

    OpenAIRE

    Labbé, Annie-Claude; Poirier, Louise; MacCannell, Duncan; Louie, Thomas; Savoie, Michel; Béliveau, Claire; Laverdière, Michel; Pépin, Jacques

    2008-01-01

    Since 2002, an epidemic of Clostridium difficile infections has occurred in southern Quebec, Canada. At Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada, the incidence of C. difficile infections increased from 11/1,000 admissions (1999 to 2002) to 27/1,000 admissions (2003 to 2005). We compared the exposures and outcomes for patients infected with strains with different ribopatterns isolated before (n = 55) and during (n = 175) the epidemic, as well as the in vitro activities of antibio...

  10. Kollektiivne töö, rohujuuredemokraatia ja opositsioonikultuuri visuaalsed vormid tänapäeva Eestis = Collective work, grassroots democracy and visual forms of opposition culture in contemporary Estonia / Airi Triisberg

    Index Scriptorium Estoniae

    Triisberg, Airi, 1982-

    2009-01-01

    Kokkupuutepunktidest sotsiaalsete liikumiste ja kaasaegse kunsti vahel tänapäeva Eestis, keskendudes kollektiivse ja sekkuva iseloomuga praktikatele avalikus ruumis. Prussakovi nimelise jalgrattaühingu Vabaduse väljaku aktsioonist Tallinnas, Linnalabori katuseaia jt. projektidest, "vabaduse plakati" aktsioonist, Johnson&Johnson "Paldiski projektist" jm.

  11. Formação de formadoras de professoras de inglês em contexto de formação continuada (Nap-UFPR)

    OpenAIRE

    Halu, Regina Célia

    2012-01-01

    Resumo: Enfocando o formador universitário de professores de língua inglesa, esta pesquisa, de base etnográfica, investiga como se dá sua formação contínua a partir das práticas de ensino, aprendizagem e pesquisa com as quais se envolve. O campo de pesquisa é um núcleo de extensão atuando na formação continuada de formadores e professores de línguas estrangeiras – o Núcleo de Assessoria Pedagógica da Universidade Federal do Paraná (NAP-UFPR). Dentro desse Núcleo, a pesquisa concentra-se sobre...

  12. Soil to rice grain transfer factor and radiological dose of 137Cs and 90Sr around Narora Atomic Power Station (NAPS), Narora, India

    International Nuclear Information System (INIS)

    137Cs and 90Sr concentration in rice grain and corresponding agricultural soils were measured (2009-2011) within 15 km radius of Narora Atomic Power Station (NAPS), Narora, India. 137Cs activity was in the range of BDL (<0.2)-0.65 ± 0.18 Bq kg-1 in rice grains and from BDL (<0.56)-2.06 ± 0.36 Bq kg-1 in soil samples. 90Sr content was BDL (<0.095 Bq kg-1) in all rice grain samples. Transfer factor of 137Cs from soil to rice grain was in the range of 0.10-0.40. Ingestion dose from rice consumption was significantly lesser than the permissible limits of 1.0 mSv year-1, thus posing no radiological health risk. (author)

  13. Prenatal Care

    Science.gov (United States)

    ... am thinking about getting pregnant. How can I take care of myself? You should start taking care of ... What should I do — or not do — to take care of myself and my unborn baby? Follow these ...

  14. Self Care

    Science.gov (United States)

    ... Care Connections Experiences Research Learning Evaluation Print Email Self Care If you are living with a chronic ... help you cope can make a real difference. Self-care techniques are things you can do for ...

  15. Vývoj vysokofrekvenčních zkušebních zdrojů vysokého a velmi vysokého napětí

    OpenAIRE

    Talaš, Pavel

    2012-01-01

    Tato bakalářská práce se zabývá vysokofrekvenčními zdroji vysokého a velmi vysokého napětí. Práce je rozdělena do dvou částí. V první části jsou rozebrány zdroje vysokého napětí po stránce historické, doplněné o základní charakteristiky. Speciální pozornost věnována TC (Tesla Coil). V druhé části je proveden matematický návrh Teslova transformátoru.

  16. Synthesis of Ibuprofen Using Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2 as an Eco-Friendly, Inexpensive, and Efficient Catalyst

    Directory of Open Access Journals (Sweden)

    Ali Gharib

    2014-01-01

    Full Text Available This paper describes an alternative and simple procedure for the synthesis of Ibuprofen using Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2 (SPNPs, as an eco-friendly, inexpensive, and efficient catalyst. High yields, simplicity of operation, and easy work-up procedure are some advantages of this protocol. Silica-Supported Preyssler Nanoparticles (H14[NaP5W30O110]/SiO2 (SPNPs offer the advantages of a higher hydrolytic and thermal stability. The salient features of Preyssler’s anion are availability, nontoxicity and reusability. We believe this methodology can find usefulness in organic synthesis.

  17. Comparative analysis of BI/NAP1/027 hypervirulent strains reveals novel toxin B-encoding gene (tcdB) sequences.

    Science.gov (United States)

    Stabler, Richard A; Dawson, Lisa F; Phua, Leslie T H; Wren, Brendan W

    2008-06-01

    The reported incidence and mortality of Clostridium difficile-associated disease has increased significantly, which in part is likely to be due to the emergence of a new, highly virulent strain in North America and Europe. This epidemic strain, referred to as BI/NAP1/027, has increased virulence, attributed to overexpression of the two toxin-encoding genes, tcdA and tcdB, which may be due to truncation of the negative regulator (tcdC) by a 1 bp deletion. In a previous study of whole-genome comparisons using microarray analysis of 75 C. difficile isolates, it was noted that the 20,027 strains, which formed a hypervirulent clade, possessed a unique hybridization pattern for the 7 toxin B microarray reporters. This unique pattern was conserved in all of these 027 strains. The pattern was different for the 55 non-027 strains tested. These data, along with the knowledge that 027 strains are toxinotype III (i.e. possess a complete tcdB gene of comparable size to toxin reference strain VPI 10463), suggest that the sequence of the N-terminal binding domain of toxin B must be divergent from C. difficile strain 630 (and the other 55 strains tested). Additionally, these 027 strains had comparable hybridization patterns across the whole microarray, as well as for tcdB. Therefore, it was suggested that they share a similar, novel N-terminal binding domain. The aim of this study was to ascertain the sequence variation in tcdB from eight characterized BI/NAP1/027 strains. The study confirmed significant sequence variation of tcdB from the sequenced strain 630 and slight variation in tcdB among the eight 027 strains. These results suggest that toxin B from 027 strains may have a different binding capacity compared with its less-virulent counterparts and may, in addition to the mutated tcdC regulator, be responsible for the increased virulence of 027 strains. PMID:18480336

  18. Návrh a optimalizace senzorických systémů využívajících malovýkonových napájecích generátorů

    OpenAIRE

    Žák, Jaromír

    2015-01-01

    Disertační práce se zabývá problematikou zpracování energie z alternativních zdrojů pomocí tzv. "Energy harvestingu". Řeší aktuální problém s napájením autonomních senzorických sítí, kdy u těžko dostupných zařízení nelze provádět výměnu primárního napájecího zdroje. V takových případech je třeba získávat energii z vnějších zdrojů, např. tepla, světla, pohybu apod. Navrhované řešení nachází uplatnění především v oblasti medicínských aplikací, zvláště u implantovaných zařízení (kochleární impla...

  19. Sedimentological interpretation and stratigraphical position of glacigenic deposits in the Napęków area (Holy Cross Mountains, Poland)

    Science.gov (United States)

    Ludwikowska-Kędzia, Małgorzata; Pawelec, Halina; Adamiec, Grzegorz

    2015-12-01

    The identification of depositional conditions and stratigraphical position of glacigenic deposits in the Napęków area is important for the genetic and stratigraphical interpretation of Quaternary deposits in the central part of the Holy Cross Mountains, as well as for a revision of the course and extent of Middle Polish (Saalian) glaciations. These deposits comprise a series of diamictons which occur between sandy-gravelly deposits. Based on results of macro- and microscopic sedimentological investigations, analysis of heavy mineral composition, roundness and frosting of quartz grains, as well as OSL dating, this complex must have formed during the Odranian Glaciation (Drenthe, Saalian, MIS 6). Sandy-gravelly deposits are of fluvioglacial and melt-out origin. Diamictons represent subglacial traction till. Their facies diversity is a result of variations in time and space, complex processes of deposition and deformation, responsible for their formation at the base of the active ice sheet. This glacigenic depositional complex was transformed by erosion-denudation and aeolian processes in a periglacial environment during the Vistulian (Weichselian, MIS 5d-2).

  20. Rozdělení proudů a napětí při nesouměrných zkratech

    OpenAIRE

    Kakrda, Michal

    2012-01-01

    Cílem této bakalářské práce je seznámení s výpočtem napěťových a proudových poměrů při nesouměrných zkratech. První část práce je zaměřena na přiblížení problematiky zkratů obecně. Popisuje příčiny vzniku zkratů, jejich dělení a průběhy. Další část práce ukazuje způsoby výpočtu jednotlivých druhů zkratů a to především se zaměřením na metodu souměrných složek. Poslední část práce je pak zaměřena na použití zjištěných poznatků k výpočtu poměrů na konkrétní zadané elektrické sítí. Výpočet je pro...

  1. Fully automatic guidance and control for rotorcraft nap-of-the-Earth flight following planned profiles. Volume 1: Real-time piloted simulation

    Science.gov (United States)

    Clement, Warren F.; Gorder, Peter J.; Jewell, Wayne F.

    1991-01-01

    Developing a single-pilot, all-weather nap-of-the-earth (NOE) capability requires fully automatic NOE (ANOE) navigation and flight control. Innovative guidance and control concepts are investigated in a four-fold research effort that: (1) organizes the on-board computer-based storage and real-time updating of NOE terrain profiles and obstacles in course-oriented coordinates indexed to the mission flight plan; (2) defines a class of automatic anticipative pursuit guidance algorithms and necessary data preview requirements to follow the vertical, lateral, and longitudinal guidance commands dictated by the updated flight profiles; (3) automates a decision-making process for unexpected obstacle avoidance; and (4) provides several rapid response maneuvers. Acquired knowledge from the sensed environment is correlated with the forehand knowledge of the recorded environment (terrain, cultural features, threats, and targets), which is then used to determine an appropriate evasive maneuver if a nonconformity of the sensed and recorded environments is observed. This four-fold research effort was evaluated in both fixed-based and moving-based real-time piloted simulations, thereby, providing a practical demonstration for evaluating pilot acceptance of the automated concepts, supervisory override, manual operation, and re-engagement of the automatic system. Volume one describes the major components of the guidance and control laws as well as the results of the piloted simulations. Volume two describes the complete mathematical model of the fully automatic guidance system for rotorcraft NOE flight following planned flight profiles.

  2. Daily Care

    Science.gov (United States)

    ... to Know Online Tools Enhancing Daily Life Daily Plan Activities Communication Food & Eating Music & Art Personal Care Incontinence Bathing ... Tweet Email | Print Create a Daily Routine Daily Plan Activities Communication Food/Eating Get Tips on Personal Care Bathing ...

  3. Hair Care

    Science.gov (United States)

    ... Body Looking and feeling your best Hair care Hair care Short, long, curly, straight, up, down. Hair options can seem endless! Not all of what makes your hair look good comes from the outside, though. Good ...

  4. Continuing Care

    Science.gov (United States)

    ... Care Obesity at Midlife May Speed Alzheimer’s Onset Hello from my mom Easing the Behavior Problems of ... Managers Continuing Care FOR MORE ARTICLES CLICK HERE Hello from my mom Common Estate Planning Errors Alzheimer’s ...

  5. Tracheostomy care

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000076.htm Tracheostomy care To use the sharing features on this ... through your nose and mouth. Caring for Your Tracheostomy Once the hole in your neck is not ...

  6. A national survey (NAP5-Ireland baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in Ireland.

    LENUS (Irish Health Repository)

    Jonker, W R

    2014-06-29

    As part of the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant anaesthetist in each of 46 public hospitals in Ireland, represented by 41 local co-ordinators. The survey ascertained the number of new cases of accidental awareness becoming known to them for patients under their care or supervision for a calendar year, as well as their career experience. Consultants from all hospitals responded, with an individual response rate of 87% (299 anaesthetists). There were eight new cases of accidental awareness that became known to consultants in 2011; an estimated incidence of 1:23 366. Two out of the eight cases (25%) occurred at or after induction of anaesthesia, but before surgery; four cases (50%) occurred during surgery; and two cases (25%) occurred after surgery was complete, but before full emergence. Four cases were associated with pain or distress (50%), one after an experience at induction and three after experiences during surgery. There were no formal complaints or legal actions that arose in 2011 related to awareness. Depth of anaesthesia monitoring was reported to be available in 33 (80%) departments, and was used by 184 consultants (62%), 18 (6%) routinely. None of the 46 hospitals had a policy to prevent or manage awareness. Similar to the results of a larger survey in the UK, the disparity between the incidence of awareness as known to anaesthetists and that reported in trials warrants explanation. Compared with UK practice, there appears to be greater use of depth of anaesthesia monitoring in Ireland, although this is still infrequent.

  7. Two heteronuclear dipolar results at the price of one: Quantifying Na/P contacts in phosphosilicate glasses and biomimetic hydroxy-apatite

    Science.gov (United States)

    Stevensson, Baltzar; Mathew, Renny; Yu, Yang; Edén, Mattias

    2015-02-01

    The analysis of S{I} recoupling experiments applied to amorphous solids yields a heteronuclear second moment M2 (S-I) that represents the effective through-space dipolar interaction between the detected S spins and the neighboring I-spin species. We show that both M2 (S-I) and M2 (I-S) values are readily accessible from a sole S{I} or I{S} experiment, which may involve either S or I detection, and is naturally selected as the most favorable option under the given experimental conditions. For the common case where I has half-integer spin, an I{S} REDOR implementation is preferred to the S{I} REAPDOR counterpart. We verify the procedure by 23Na{31P} REDOR and 31P{23Na} REAPDOR NMR applied to Na2O-CaO-SiO2-P2O5 glasses and biomimetic hydroxyapatite, where the M2 (P-Na) values directly determined by REAPDOR agree very well with those derived from the corresponding M2 (Na-P) results measured by REDOR. Moreover, we show that dipolar second moments are readily extracted from the REAPDOR NMR protocol by a straightforward numerical fitting of the initial dephasing data, in direct analogy with the well-established procedure to determine M2 (S-I) values from REDOR NMR experiments applied to amorphous materials; this avoids the problems with time-consuming numerically exact simulations whose accuracy is limited for describing the dynamics of a priori unknown multi-spin systems in disordered structures.

  8. Supportive Care.

    Science.gov (United States)

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

    This chapter takes its point of departure in psychosocial aspects of supportive care in adolescent and young adult cancer care. The purpose is to describe some of the challenges that these young people face following a cancer diagnosis and guide healthcare professionals in how to provide care that improves the quality of life. In most hospitals and healthcare systems, adolescents and young adults are cared for and treated in settings for children or adults. Accordingly, healthcare professionals may lack attention to and knowledge about what characterize young peoples' life situation, their special needs and how to meet them. The topics we include in the chapter are the following: the youth friendly environment, social support and social network, parents, information during a psychosocial crisis event, the use of HEADSS, peer support, fertility, body image and self-esteem, after treatment and future challenges and palliative and end of life care. PMID:27595353

  9. Careful science?

    DEFF Research Database (Denmark)

    Jespersen, Astrid P; Bønnelycke, Julie; Eriksen, Hanne Hellerup

    2014-01-01

    into different exercise groups. In this article we analyse the scientific work of the trial as representing entangled processes of bodywork, where data are extracted and objectified bodies are manipulated and care practices address the emotional, social and mundane aspects of the participants' everyday...... lives. Care practices are an inherent part of producing scientific facts but they are removed from the recognised results of scientific practice and thus from common public health recommendations. However, knowledge about the strategic use of care practices in lifestyle interventions is important for...

  10. Comprehensive Care

    Science.gov (United States)

    ... Providing emotional support Comprehensive care includes attention to emotional health as well as physical health. Mental health professionals provide support and education, as well as diagnose and treat the depression, ...

  11. Palliative Care

    Science.gov (United States)

    ... Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & Hospitals Q&A ... assess the complex needs of the patient and family, facilitate communication with the care team and within the family, ...

  12. Hospice Care

    Science.gov (United States)

    ... your care. Other team members may include a music therapist, physical therapist, speech therapist or occupational therapist. ... to the Terms and Conditions and Privacy Policy Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium ...

  13. Multidisciplinary Care.

    Science.gov (United States)

    Daly, Megan E; Riess, Jonathan W

    2016-01-01

    Optimal multidisciplinary care of the lung cancer patient at all stages should encompass integration of the key relevant medical specialties, including not only medical, surgical, and radiation oncology, but also pulmonology, interventional and diagnostic radiology, pathology, palliative care, and supportive services such as physical therapy, case management, smoking cessation, and nutrition. Multidisciplinary management starts at staging and tissue diagnosis with pathologic and molecular phenotyping, extends through selection of a treatment modality or modalities, management of treatment and cancer-related symptoms, and to survivorship and end-of-life care. Well-integrated multidisciplinary care may reduce treatment delays, improve cancer-specific outcomes, and enhance quality of life. We address key topics and areas of ongoing investigation in multidisciplinary decision making at each stage of the lung cancer treatment course for early-stage, locally advanced, and metastatic lung cancer patients. PMID:27535399

  14. Caring Encounters

    Science.gov (United States)

    Gunn, Alyson

    2012-01-01

    Children with autism may seem to not care about things or have the same range of emotions as those of us who see them and care for them. But they do have empathy and they can be taught how to communicate it, says the author, a teacher of children with autism. We simply need to listen to them, watch them, and be with them in their moment.

  15. Třífázový asynchronní motor napájený z frekvenčního měniče

    OpenAIRE

    Fiala, Zbyněk

    2014-01-01

    Práce rozebírá ztráty v asynchronním motoru se zaměřením na ztráty v železe motoru. V úvodu práce je nejprve obecně popsán asynchronní motor a ztráty, které vznikají při jeho provozu. Poté je následně proveden analytický výpočet, simulace v programu RMXprt a měření při různých frekvencích (40, 50, 60Hz) a průbězích (sinusový, sinusová PWM o různých modulačních frekvencích) napájecího napětí na vybraném motoru TM90-2S od firmy EMP Slavkov. Závěrem jsou výsledky analytického výpočtu, simulace i...

  16. Wound Care in Primary Health Care

    OpenAIRE

    Nail Ersoz; Ismail Hakki Ozerhan; Fatih Zor

    2008-01-01

    Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000): 71-74

  17. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull. 2008; 7(1: 71-74

  18. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000: 71-74

  19. Wound Care.

    Science.gov (United States)

    Balsa, Ingrid M; Culp, William T N

    2015-09-01

    Wound care requires an understanding of normal wound healing, causes of delays of wound healing, and the management of wounds. Every wound must be treated as an individual with regard to cause, chronicity, location, and level of microbial contamination, as well as patient factors that affect wound healing. Knowledge of wound care products available and when negative pressure wound therapy and drain placement is appropriate can improve outcomes with wound healing. Inappropriate product use can cause delays in healing. As a wound healing progresses, management of a wound and the bandage material used must evolve. PMID:26022525

  20. Entre Hacienda Real y poderes locales: los intentos de reformar las finanzas municipales del reino de Napóles en los siglos XVI y XVII

    Directory of Open Access Journals (Sweden)

    Gaetano SABATINI

    2009-12-01

    Full Text Available RESUMEN: Durante los sesenta años de transición entre los siglos XVI y XVII se concentran los mayores esfuerzos llevados a cabo en la edad de los Austrias para aumentar el control del poder central sobre la gestión de las finanzas municipales del reino de Napóles, con la doble finalidad de garantizar la regularidad del producto fiscal proveniente de las comunidades y, al mismo tiempo, constituir una reserva de capitales a la cual el soberano pudiera acceder con facilidad y con condiciones menos onerosas que las aplicadas habitualmente por los banqueros. Ambas finalidades son la consecuencia de las crecientes exigencias financieras de la Corona que se registran en el mismo período y que llevan a un crecimiento rápido y vertiginoso de los recursos enviados fuera de los límites del reino, principalmente a Lombardía o a Flandes, para asistir a los ejércitos de la Monarquía. A pesar de la determinación demostrada, la Hacienda Real nunca consigue controlar de una forma completa las finanzas urbanas, sobre todo por la oposición de los poderes económicos —tanto de la capital y como de las provincias del reino— que habrían resultado afectados. A partir de los años 30 del siglo XVII los proyectos de reforma se retiran a cambio del compromiso de los patriciados de las ciudades de cobrar los impuestos y enviarlos a la Corte del modo más puntual. Profundizar en las modalidades a través de las cuales estos proyectos de reformas son llevados a cabo,aunque de modo inacabado, permite comprender mejor la índole de las finanzas urbanas como espacio de poder contendido entre élites dirigentes ciudadanas y Hacienda Real.ABSTRACT: The most important efforts to reform the urban finances realized in the Kingdom of Naples at the time of Spanish rule were done between 1570 and 1630. The increasing financial needing, due to an enormous military expense, obliged the Spanish Monarchy to make any attempt in order to insure the regularity of the tax

  1. Home Care

    Science.gov (United States)

    ... care is especially useful for persons who need nursing, therapy, or aide services. You may need help if you are dealing with one or more of the following: You have trouble getting around (for example, after a hospital stay or an accident) You have wounds that need to be cleaned, ...

  2. Enacting Care

    Czech Academy of Sciences Publication Activity Database

    Urban, Petr

    2015-01-01

    Roč. 9, č. 2 (2015), s. 216-222. ISSN 1749-6535 R&D Projects: GA ČR(CZ) GPP401/12/P544 Institutional support: RVO:67985955 Keywords : ethics of care * enactivism * autonomy * social institutions * autism * exclusion Subject RIV: AA - Philosophy ; Religion http://dx.doi.org/10.1080/17496535.2015.1022356

  3. Who cares?

    DEFF Research Database (Denmark)

    Petersen, Morten Krogh

    practices. If that is the case, the great challenge is to “come up with ingenious solutions to the problem of how to become interesting enough for practices to care about” (ibid: 72). Through ethnographic fieldwork encounters with Radicand Design Collaboratory, a collaborative product development...

  4. Evaluation on Anti-inflammatory and Immunoregulatory Activity of Gastrodin Biosynthetized by Armillaria Luteo-virens Sacc%黄绿蜜环菌生物合成的天麻素抗炎及免疫调节活性评价

    Institute of Scientific and Technical Information of China (English)

    冯宇; 章海锋; 傅明亮; 刘晓杰; 董亚晨; 陈启和

    2011-01-01

    The anti-inflammatory and immunomodulatory activity of gastrodin synthesized by Armillaria luteo-virens Sacc were studied in this paper. The results showed that synthesized gastrodin can significantly inhibited mouse ear swelling and granuloma, it suggested that the gastrodin has a good anti-inflammatory effect. In the carbon clearance test, gastrodin can dramatically increase the mouse carbon clearance index and phagocytic index, in mouse lymphocyte trans-formation test, gastrodin promoted the proliferation of mouse lymphocyte, in the experiment on NK cells, gastrodin can distinctly improve the phagocytosis of target cells, these experimental result suggested that the synthesized gastrodin has a good immunoregulatory effect.%对黄绿蜜环菌生物合成的天麻素进行抗炎及免疫调节活性探讨.试验结果表明,生物合成的天麻素对小鼠耳廓肿胀和小鼠肉芽肿有明显的抑制作用,抗炎效果很好.在碳廓清试验中,天麻素能够较显著地提高小鼠碳廓清指数和吞噬指数.在小鼠淋巴细胞转化试验中,天麻素促进了淋巴细胞的增殖.对NK细胞影响试验中,天麻素能够明显提高靶细胞的吞噬能力,具有很好的免疫调节作用.

  5. Theoretical Issues Associated with the Evaluation of the Technical Condition of Avionic Hydraulic Drives on the Basis of Information Received from Means for Unbiased Flight Control of Aircrafts / Teoretyczne Aspekty Oceny Stanu Technicznego Lotniczego Napędu Hydraulicznego Na Podstawie Informacji Ze Środków Obiektywnej Kontroli Lotu

    Directory of Open Access Journals (Sweden)

    Ułanowicz Leszek

    2014-12-01

    Full Text Available Celem pracy jest przedstawienie możliwości wykorzystania do oceny stanu technicznego lotniczego napędu hydraulicznego metody polegającej na wykorzystaniu informacji ze środków obiektywnej kontroli lotu. Największą wiarygodność oraz wartość diagnostyczną mają dwa parametry kontrolne uzyskane ze środków obiektywnej kontroli lotu. Pierwszy to czas spadku ciśnienia w lotniczym napędzie hydraulicznym od górnej wartości pomiarowej do dolnej wartości pomiarowej po wyłączeniu zespołu napędowego. Drugi to czas spadku ciśnienia poniżej określonej wartości i jego powrotu do tej wartości w czasie ruchu silnika hydraulicznego. Proponowana metoda daje możliwość bieżącej oceny stanu technicznego lotniczego napędu hydraulicznego, jest szybka i bezkosztowa.

  6. Maternal care

    OpenAIRE

    2001-01-01

    In June 2000 a distinguished group of obstetricians, midwives, general practitioners, and medical statisticians came together to discuss maternal care. Chaired by Professor James Drife from Leeds, discussion ranged over many topics, including: the changing role of the obstetrician, general practitioners, and the increasing status and responsibility of midwives. Other subjects include the induction of labour, obstetric analgesia and anaesthesia, and debates about the place and kind of delivery...

  7. Cancer treatment, symptom monitoring, and self-care in adults: pilot study.

    Science.gov (United States)

    Williams, Phoebe Dauz; Piamjariyakul, Ubolrat; Ducey, Kathleen; Badura, Jody; Boltz, Kristin D; Olberding, Karmen; Wingate, Anita; Williams, Arthur R

    2006-01-01

    A descriptive study was conducted on self-reported symptoms and self-care by 37 adults receiving chemotherapy primarily for leukemia, lymphomas, or breast cancer or radiation therapy for head and neck or lung cancers. The Therapy-Related Symptom Checklist and demographic and interview forms on self-care for identified symptoms were used. Severe symptoms on the Therapy-Related Symptom Checklist subscales fatigue, eating, nausea, pain, numbness in fingers/toes, hair loss, and constipation were reported by patients on chemotherapy. Those on radiation therapy reported severe symptoms on the eating, fatigue, skin changes, oropharynx, and constipation subscales.Self-care strategies were in the following categories, using complementary medicine as framework: diet/nutrition/lifestyle change (eg, use of nutritional supplements; modifications of food and of eating habits; naps, sleep, and rest); mind/body control (eg, relaxation methods, prayer, music, attending granddaughter's sports events); biologic treatments (vitamins); herbal treatments (green mint tea); and ethnomedicine (lime juice and garlic). The first category was predominantly used by patients in both treatment types. Medications were prescribed also to help control symptoms (eg, pain and nausea). Symptom monitoring and self-care for symptoms identified may be facilitated by the Therapy-Related Symptom Checklist; based on reported symptom severity, care providers may prioritize interventions. A larger study needs to be done on (a) the use of the Therapy-Related Symptom Checklist as a clinical tool to assess symptoms that oncology patients experience during therapy; (b) whether care providers, based on patient-reported symptom severity, can prioritize interventions--and how this influences the efficiency of care; (c) the self-care strategies used by patients on chemotherapy or radiation therapy or both; and (d) how useful these strategies are in alleviating symptoms. PMID:17006107

  8. Caring for Multiples

    Science.gov (United States)

    ... labor & premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & ... Home > Complications & Loss > The newborn intensive care unit (NICU) > Caring for multiples Caring for multiples E-mail ...

  9. Who cares!

    Institute of Scientific and Technical Information of China (English)

    老晃

    2013-01-01

    1有人再三怂恿,希望我能吐槽《富春山居图》,务求鞭辟入里,揭露丑恶真相。我舍不得,舍不得浪费纸。好吧,小吐一下。传说,在《富春山居图》开拍之前有心人提醒导演孙健君,剧本有硬伤,得改,例举一三三四……话没说完,孙勃然大怒,"Who cares!"这位目空一切的君王,他什么都不care,所以他花钱砸的那堆玩意儿,根本也不是电影。这就是真相。值得一说的,是此刻红得发紫,摸都摸不得的《小时代》。

  10. 45 CFR 1306.35 - Family child care program option.

    Science.gov (United States)

    2010-10-01

    ... provider needs to use the bathroom or an infant is napping in one room while toddlers play in another room... alternate providers or the availability of substitute providers. Parents must be informed that they may...

  11. Oral care.

    Science.gov (United States)

    Hitz Lindenmüller, Irène; Lambrecht, J Thomas

    2011-01-01

    Adequate dental and oral hygiene may become a challenge for all users and especially for elderly people and young children because of their limited motor skills. The same holds true for patients undergoing/recovering from chemo-/radiotherapy with accompanying sensitive mucosal conditions. Poor dental hygiene can result in tooth decay, gingivitis, periodontitis, tooth loss, bad breath (halitosis), fungal infection and gum diseases. The use of a toothbrush is the most important measure for oral hygiene. Toothbrushes with soft bristles operated carefully by hand or via an electric device help to remove plaque and to avoid mucosal trauma. A handlebar with a grip cover can be helpful for manually disabled patients or for those with reduced motor skills. In case of oral hygiene at the bedside or of patients during/after chemo-/radiotherapy a gauze pad can be helpful for gently cleaning the teeth, gums and tongue. The use of fluoride toothpaste is imperative for the daily oral hygiene. Detergents such as sodium lauryl sulphate improve the cleaning action but may also dehydrate and irritate the mucous membrane. The use of products containing detergents and flavouring agents (peppermint, menthol, cinnamon) should therefore be avoided by bedridden patients or those with dry mouth and sensitive mucosa. Aids for suitable interdental cleaning, such as dental floss, interdental brushes or dental sticks, are often complicated to operate. Their correct use should be instructed by healthcare professionals. To support dental care, additional fluoridation with a fluoride gel or rinse can be useful. Products further containing antiseptics such as chlorhexidine or triclosan reduce the quantity of bacteria in the mouth. For patients undergoing or having undergone radio-/chemotherapy, a mouthwash that concomitantly moisturizes the oral mucosa is advisable. PMID:21325845

  12. A Preliminary Study on Foraging Habitat of White-napped Crane on Spring in Qixinghe, Heilongjiang Province%黑龙江七星河春季白枕鹤觅食生境初步研究

    Institute of Scientific and Technical Information of China (English)

    徐景海; 赵国辉; 李晓民

    2013-01-01

    White-napped Crane (Grus vipio)is a large wader. Because of habitat loss, its global population is declining and is now endangered. White -napped Crane is listed in CITES Appendix I (which bans all international trade in the species ) is categorized as Endangered in the IUCN Red list, and is also list-ed in the First Category of Protected Birds in China. During April to May 2011, the foraging habitat of White-napped Crane was investigated using GPS and direct observation at Qixinghe National Nature Reserve, Helongjiang Province. 70 plots (1m ×1m) were established for sampling vegetation. Factors of its foraging habitat including vegetation species, height, coverage, density, water depth and human disturbance were measured and analyzed by quadrate sampling and factor analysis methods. Results indicated that Grus vipio mainly foraging in the wetlands which have Carex spp., Calamagrostis angustifolia. The height of these plants was between 40cm to 80cm, the density was higher than 600 plants per square meter, vegetation cover was mainly between 0 and 25%, and the depth of the foraging place water was 5~15cm, the distance of human disturbance was greater than 1500m. Human activity greatly affects Grus vipio foraging. In spring, Grus vipio sometimes foraging in the burns down.%  白枕鹤(Grus vipio)为大型涉禽,由于栖息地丧失,数量减少,已被CITES列为附录I,IUCN红皮书列为全球濒危物种,并被列为国家II级重点保护鸟类;2011年4~5月,笔者在七星河自然保护区对白枕鹤春季觅食地生境进行了调查;采用GPS定位技术和直接观察法对白枕鹤栖息生境进行测定,共获取70个1m×1m的样方,利用样方法和因子测定法测定其春季觅食地植物的类型、高度、盖度、植物密度、水深、人为干扰距离等。结果显示:白枕鹤春季主要在以苔草、小叶章为主的沼泽湿地中觅食;最佳觅食地植被高度为40~80cm,植被密度高于600株/m2,植被盖度为0

  13. Health care operations management

    OpenAIRE

    Carter, M W; Hans, E.W.; Kolisch, R.

    2012-01-01

    Health care operations management has become a major topic for health care service providers and society. Operations research already has and further will make considerable contributions for the effective and efficient delivery of health care services. This special issue collects seven carefully selected papers dealing with optimization and decision analysis problems in the field of health care operations management.

  14. Ustálený chod a zkratové poměry v síti 110 kV E.ON napájené z rozvodny 110 kV Sokolnice v roce 2011

    OpenAIRE

    Jandora, Jiří

    2011-01-01

    Při změně zapojení napájecích transformátorů musíme zjistit, jestli napájená distribuční síť tuto změnu dokáže akceptovat a bude plnit stanovené podmínky. Důležité je dodržet rozmezí dovoleného napětí na jednotlivých rozvodnách této sítě, dále musíme zjistit poměry na jednotlivých vedeních. S tím souvisí zatížení vedení, které nesmí překročit svoji mez (přenosová schopnost). Síť je kontrolována na výpadky vybraných vedení (N-1) a zjišťuje se, jestli ostatní vedení nejsou přetížena při převzet...

  15. Adoption & Foster Care

    Science.gov (United States)

    ... Children > Family Life > Family Dynamics > Adoption & Foster Care Adoption & Foster Care Article Body ​Each year, many children join families through adoption and foster care. These families may face unique ...

  16. Home Care Services

    Science.gov (United States)

    ... ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with bathing, ... your home. Some types of care and community services are free or donated. Many other types you ...

  17. Skin Care and Aging

    Science.gov (United States)

    ... Home » Skin Care and Aging Heath and Aging Skin Care and Aging Dry Skin and Itching Bruises Wrinkles Age Spots ... doctor. For More Information About Skin Care and Aging American Academy of Dermatology 1-866-503-7546 ( ...

  18. About Critical Care Nursing

    Science.gov (United States)

    ... requiring intense and vigilant nursing care. Number of Critical Care Nurses in the United States According to "The Registered ... nurses who work in a hospital setting. Where Critical Care Nurses Work According to "The Registered Nurse Population" study, ...

  19. Enlarged prostate - after care

    Science.gov (United States)

    BPH - self-care; Benign prostatic hypertrophy - self-care; Benign prostatic hyperplasia - self-care ... exercises ( Kegel exercises ) that strengthen the pelvic floor muscles. Doing these exercise may help with leaking or ...

  20. Oncology and palliative care

    OpenAIRE

    Bausewein, Claudia; Hartenstein, R.

    2000-01-01

    Oncology developed as a discipline over the last decades. Treatment is concentrated on cure or palliation of the illness with the help of chemotherapy, radiotherapy or surgery. Palliative care has its origin in the hospice movement that started around 1960 in the UK. Centre of care is the patient and his family. Focus of care has moved from quantity to quality of life. Symptom control, communication, rehabilitation and care for the dying are main areas of palliative care. Palliative care and ...

  1. Critical care during epidemics

    OpenAIRE

    Rubinson, Lewis; O'Toole, Tara

    2005-01-01

    We recommend several actions that could improve hospitals' abilities to deliver critical care during epidemics involving large numbers of victims. In the absence of careful pre-event planning, demand for critical care services may quickly exceed available intensive care unit (ICU) staff, beds and equipment, leaving the bulk of the infected populace without benefit of potentially lifesaving critical care. The toll of death may be inversely proportional to the ability to augment critical care c...

  2. Testování jednotek Merging Unit v sestavě s proudovými a napěťovými převodníky

    OpenAIRE

    Ziegler, Jiří

    2016-01-01

    Diplomová práce je zaměřena na testování a návrh testovací sestavy proudových a napěťových převodníků napojených na slučovací jednotku, která poskytuje digitalizovaný výstup v souladu s IEC 61850-9-2. Parametry a charakteristické vlastnosti testovací sestavy jsou stanoveny na základě principu funkce slučovací jednotky a standardů zabývajících se testováním převodníků. Navržená testovací sestava je založena na modulárním systému PXI Express od společnosti National Instruments. Její návrh je pr...

  3. Izolační systém pro synchronní a asynchronní motory pracující na napěťové hladině 18 kV

    OpenAIRE

    Šporcr, Viktor

    2014-01-01

    Bakalářská práce je rozdělena na dvě samostatné části. První část je zaměřena na izolační systém vysokonapěťových točivých strojů impregnovaných vakuově tlakovou impregnací. Stručně popisuje složení jednotlivých komponentů používaných pro sestavování izolačních systémů vzduchem a vodou chlazených točivých strojů. V druhé praktické části je vyhodnocena dielektrická odolnost sady cívek s izolačním systémem navrženým pro napěťovou hladinu 18 kV. Tato část uvádí stručný popis použitých izolací. D...

  4. Solární článek jako zdroj napájení pro malý stejnosměrný motor RC modelu auta

    OpenAIRE

    Nábělek, Ondřej

    2009-01-01

    Cílem tohoto projektu je seznámit čtenáře s problematikou solárních článků a návrhu soustavy solárních článků pro napájení elektrického stroje nízkého výkonu. Úvodem je pojednání o energii vyrobené Sluncem dopadající na Zemi. Další kapitola obsahuje informace o principiální funkci solárního křemíkového článku a o přeměně sluneční energie na energii elektrickou. Těžiště práce je věnováno jednotlivým typům solárních článků, výrobním materiálům, struktuře článků a solárním panelům. Poslední část...

  5. Nabíječka NiCd, NiMH a Li-ion akumulátorů napájená a řízená pomocí USB

    OpenAIRE

    Nosek, Petr

    2010-01-01

    Práce se zabývá rozborem a nabíjení baterií typu NiCd, NiMH, Li-lon pomocí mikrokontroleru z řady ATMEL AVR ovládaného a napájeného z PC pomocí USB. Část je věnována charakteristice USB rozhraní a jeho možnostem softwarové enumerace do mikrokontroleru AVR. Obsahuje také základní charakteristiky nabíjených baterií včetně známých metod nabíjení. Druhá polovina práce potom obsahuje kompletní návrh a realizaci nabíječy akumulátorů, která se skládá z elektronické části, porgramu pro mikrokontrolér...

  6. Posouzení možnosti připojení nového zdroje z hlediska napěťových poměrů

    OpenAIRE

    Němec, Jan

    2009-01-01

    Připojení nových zdrojů elektrické energie do sítě je důležité pro stávající síť z důvodu její zatížitelnosti a dimenzování. Je třeba zhodnotit, zda možnost připojení nového zdroje do sítě je reálná a neohrožující plynulý chod distribuční soustavy. Tato práce má ukázat jaké podmínky je potřeba splnit pro připojení zdroje do distribuční sítě. A to hlavně z hlediska napěťových poměrů, dále se musí uvažovat působení harmonických proudů a ovlivnění signálu HDO. Na pozadí posuzování připojení zdro...

  7. Metoda napěťového kontrastu při detekci sekundárních elektronů scintilačním detektorem ve VP SEM

    OpenAIRE

    Jabůrek, Ladislav

    2011-01-01

    Tato diplomová práce se zabývá problematikou elektronového rastrovacího mikroskopu pracujícího při vyšším tlaku v komoře vzorku. Hlavním cílem práce bylo sledování napěťového kontrastu na přechodu PN výkonového transistoru za vhodných pracovních podmínek za pomocí environmentální rastrovacího mikroskopu. Pozorování vzorku bylo umožněno pomocí scintilačního detektoru určeného pro pozorování ve vysokém tlaku. This thesis deals with scanning electron microscope working at higher pressure in t...

  8. Pediatric palliative care.

    Science.gov (United States)

    Moody, Karen; Siegel, Linda; Scharbach, Kathryn; Cunningham, Leslie; Cantor, Rabbi Mollie

    2011-06-01

    Progress in pediatric palliative care has gained momentum, but there remain significant barriers to the appropriate provision of palliative care to ill and dying children, including the lack of properly trained health care professionals, resources to finance such care, and scientific research, as well as a continued cultural denial of death in children. This article reviews the epidemiology of pediatric palliative care, special communication concerns, decision making, ethical and legal considerations, symptom assessment and management, psychosocial issues, provision of care across settings, end-of-life care, and bereavement. Educational and supportive resources for health care practitioners and families, respectively, are included. PMID:21628042

  9. Integrating palliative care into comprehensive cancer care.

    Science.gov (United States)

    Abrahm, Janet L

    2012-10-01

    While there are operational, financial, and workforce barriers to integrating oncology with palliative care, part of the problem lies in ourselves, not in our systems. First, there is oncologists' "learned helplessness" from years of practice without effective medications to manage symptoms or training in how to handle the tough communication challenges every oncologist faces. Unless they and the fellows they train have had the opportunity to work with a palliative care team, they are unlikely to be fully aware of what palliative care has to offer to their patients at the time of diagnosis, during active therapy, or after developing advanced disease, or may believe that, "I already do that." The second barrier to better integration is the compassion fatigue many oncologists develop from caring for so many years for patients who, despite the oncologists' best efforts, suffer and die. The cumulative grief oncologists experience may go unnamed and unacknowledged, contributing to this compassion fatigue and burnout, both of which inhibit the integration of oncology and palliative care. Solutions include training fellows and practicing oncologists in palliative care skills (eg, in symptom management, psychological disorders, communication), preventing and treating compassion fatigue, and enhancing collaboration with palliative care specialists in caring for patients with refractory distress at any stage of disease. As more oncologists develop these skills, process their grief, and recognize the breadth of additional expertise offered by their palliative care colleagues, palliative care will become integrated into comprehensive cancer care. PMID:23054873

  10. Phytochemical and antimicrobial activities of Himalayan Cordyceps sinensis (Berk.) Sacc.

    Science.gov (United States)

    Mamta; Mehrotra, Shubhi; Amitabh; Kirar, Vandana; Vats, Praveen; Nandi, Shoma Paul; Negi, P S; Misra, Kshipra

    2015-01-01

    This study evaluated the phytochemical and antimicrobial activities and also quantified bioactive nucleoside using high performance thin layer chromatography (HPTLC) of five extracts of Indian Himalayan Cordyceps sinensis prepared with different solvents employing accelerated solvent extraction (ASE) technique. The phytochemical potential of these extracts was quantified in terms of total phenolic and total flavonoid content while antioxidant activities were determined by 1,1-diphenyl-2-pycryl-hydrazyl (DPPH) and 2,2 -azino-bis(3-ethylbenzothiazoline-6-sulphonic acid) (ABTS) and ferric-reducing antioxidant power (FRAP) assays. Total reducing power (TRP) was determined by converting iron (III) into iron (II) reduction assay. CS(50%Alc) (15.1 ± 0.67mg/g of dry extract) and CS(100%Alc) (19.3 ± 0.33 mg/g of dry extract) showed highest phenolic and flavonoid content, respectively while CS(Aq) extract showed maximum antioxidant activity and the highest concentration of the three nucleosides (adenine 12.8 ± 0.49 mg/g, adenosine 0.36 ± 0.28 mg/g and uracil 0.14 ± 0.36 mg/g of dry extract) determined by HPTLC. The evaluation of extracts for antimicrobial activity against gram-negative and gram-positive bacterial strains showed CS(25%Alc), CS(75%Alc) and CS(100%Alc) extract to be more effective against E. coli, P. aerugenosa and B. subtilis giving 9, 7 and 6.5 mm of zone of inhibition (ZOI) in 93.75, 93.75 and 45 μg concentration, respectively, whereas CS(Aq) extract showed minimal inhibition against these. PMID:25675710

  11. Carotenogenesis and asparagine in leptosphaeria michotii (West) sacc

    International Nuclear Information System (INIS)

    In Leptosphaeria michotii U14C-asparagine was incorporated into the coloured carotenoids, the synthesis of which carried on till day 8. The pigment turnover, obvious from day 6, was not modified by the light conditions used. Nicotine (0.25 to 4.5mM) has been used to study carotenogenesis and sporulation rhythm regulation in L. michotii fed with asparagine 2.6mM control cultures contained in darkness β-carotene only and in continuous light β-carotene 98% and lycopene 2%. The mold receiving nicotine 0.25mM in darkness contained β-carotene 98% and lycopene 2%. For nicotine 0.5mM and upwards β-carotene decreased, lycopene increased and γ-carotene appeared, the balance between these pigments also depending on the light conditions. Whereas period length (tau) of the sporulation rhythm increased from one cycle to the next in control cultures in darkness, it was stabilized either by continuous light (tau27h) or by nicotine 0.25mM (tau30h). For nicotine >= 0.5mM sporulation was uniform in darkness or in light. (author)

  12. The occurrence and biotic activity of Phomopsis diachenii Sacc.

    Directory of Open Access Journals (Sweden)

    Zofia Machowicz-Stefaniak

    2012-12-01

    Full Text Available Phomopsis diachenii was isolated from caraway cultivars Konczewicki, firstly in 2006 and next in 2007. Single cultures were obtained from the roots and the stem base of eight six-week-old seedlings and from the stems of two plants with symptoms of necrosis, in the second year of planting. This fungus was isolated from the plant parts superficially disinfected on malt agar medium with an addition 0.01% of streptomycin. The identification of the species was made on PDA medium. The biotic interactions between P. diachenii and S. carvi and other species of phyllosphere fungi of caraway were studied. Interactions among the fungi, i.e. between P. diachenii and one of the fungi representing the studied community, were examined using the biotic series method. The biotic effects of the fungi in dual cultures were evaluated after 10 and 20 days of common growth and were expressed as the individual biotic effect (IBE. It was shown that P. diachenii is a weak competitor because its growth was limited by numerous species of phyllosphere fungi. The obtained results indicated the dominance of biotic activity of P. diachenii over that of S. carvi. It is possible that P. diachenii has a greater ability to survive in the phyllosphere fungal community than S. carvi, causing septoriosis of caraway.

  13. The anti-sigma factor TcdC modulates hypervirulence in an epidemic BI/NAP1/027 clinical isolate of Clostridium difficile.

    Directory of Open Access Journals (Sweden)

    Glen P Carter

    2011-10-01

    Full Text Available Nosocomial infections are increasingly being recognised as a major patient safety issue. The modern hospital environment and associated health care practices have provided a niche for the rapid evolution of microbial pathogens that are well adapted to surviving and proliferating in this setting, after which they can infect susceptible patients. This is clearly the case for bacterial pathogens such as Methicillin Resistant Staphylococcus aureus (MRSA and Vancomycin Resistant Enterococcus (VRE species, both of which have acquired resistance to antimicrobial agents as well as enhanced survival and virulence properties that present serious therapeutic dilemmas for treating physicians. It has recently become apparent that the spore-forming bacterium Clostridium difficile also falls within this category. Since 2000, there has been a striking increase in C. difficile nosocomial infections worldwide, predominantly due to the emergence of epidemic or hypervirulent isolates that appear to possess extended antibiotic resistance and virulence properties. Various hypotheses have been proposed for the emergence of these strains, and for their persistence and increased virulence, but supportive experimental data are lacking. Here we describe a genetic approach using isogenic strains to identify a factor linked to the development of hypervirulence in C. difficile. This study provides evidence that a naturally occurring mutation in a negative regulator of toxin production, the anti-sigma factor TcdC, is an important factor in the development of hypervirulence in epidemic C. difficile isolates, presumably because the mutation leads to significantly increased toxin production, a contentious hypothesis until now. These results have important implications for C. difficile pathogenesis and virulence since they suggest that strains carrying a similar mutation have the inherent potential to develop a hypervirulent phenotype.

  14. The anti-sigma factor TcdC modulates hypervirulence in an epidemic BI/NAP1/027 clinical isolate of Clostridium difficile.

    Science.gov (United States)

    Carter, Glen P; Douce, Gillian R; Govind, Revathi; Howarth, Pauline M; Mackin, Kate E; Spencer, Janice; Buckley, Anthony M; Antunes, Ana; Kotsanas, Despina; Jenkin, Grant A; Dupuy, Bruno; Rood, Julian I; Lyras, Dena

    2011-10-01

    Nosocomial infections are increasingly being recognised as a major patient safety issue. The modern hospital environment and associated health care practices have provided a niche for the rapid evolution of microbial pathogens that are well adapted to surviving and proliferating in this setting, after which they can infect susceptible patients. This is clearly the case for bacterial pathogens such as Methicillin Resistant Staphylococcus aureus (MRSA) and Vancomycin Resistant Enterococcus (VRE) species, both of which have acquired resistance to antimicrobial agents as well as enhanced survival and virulence properties that present serious therapeutic dilemmas for treating physicians. It has recently become apparent that the spore-forming bacterium Clostridium difficile also falls within this category. Since 2000, there has been a striking increase in C. difficile nosocomial infections worldwide, predominantly due to the emergence of epidemic or hypervirulent isolates that appear to possess extended antibiotic resistance and virulence properties. Various hypotheses have been proposed for the emergence of these strains, and for their persistence and increased virulence, but supportive experimental data are lacking. Here we describe a genetic approach using isogenic strains to identify a factor linked to the development of hypervirulence in C. difficile. This study provides evidence that a naturally occurring mutation in a negative regulator of toxin production, the anti-sigma factor TcdC, is an important factor in the development of hypervirulence in epidemic C. difficile isolates, presumably because the mutation leads to significantly increased toxin production, a contentious hypothesis until now. These results have important implications for C. difficile pathogenesis and virulence since they suggest that strains carrying a similar mutation have the inherent potential to develop a hypervirulent phenotype. PMID:22022270

  15. Pediatric Palliative Care

    OpenAIRE

    Johnston, Donna L.; Hentz, Tracy A.; Friedman, Debra L.

    2005-01-01

    Pediatric palliative care provides benefit to children living with life-threatening or terminal conditions. Palliative care should be available to all seriously ill children. Palliative care includes the treatment of symptoms such as pain, nausea, dyspnea, constipation, anorexia, and sialorrhea. This care can occur in a variety of settings, from home to hospice to hospital, and must include bereavement care and follow up after the death of a child. There are many challenges in pediatric palli...

  16. Measuring Nursing Care Value.

    Science.gov (United States)

    Welton, John M; Harper, Ellen M

    2016-01-01

    The value of nursing care as well as the contribution of individual nurses to clinical outcomes has been difficult to measure and evaluate. Existing health care financial models hide the contribution of nurses; therefore, the link between the cost and quality o nursing care is unknown. New data and methods are needed to articulate the added value of nurses to patient care. The final results and recommendations of an expert workgroup tasked with defining and measuring nursing care value, including a data model to allow extraction of key information from electronic health records to measure nursing care value, are described. A set of new analytic metrics are proposed. PMID:27055306

  17. Research in cardiovascular care

    DEFF Research Database (Denmark)

    Jaarsma, Tiny; Deaton, Christi; Fitzsimmons, Donna;

    2014-01-01

    To deliver optimal patient care, evidence-based care is advocated and research is needed to support health care staff of all disciplines in deciding which options to use in their daily practice. Due to the increasing complexity of cardiac care across the life span of patients combined...... of the body of knowledge that is needed to further improve cardiovascular care. In this paper, knowledge gaps in current research related to cardiovascular patient care are identified, upcoming challenges are explored and recommendations for future research are given....

  18. care about还是care for?

    Institute of Scientific and Technical Information of China (English)

    曾克辉

    2015-01-01

    1问care about和care for可以相互替换使用吗?答:有时可以。但在不同情况下,它们在较确切的含义上还是有区别的。1在表示"喜欢,关心,担心"时,意思一样,常可以互换使用。如:I care about/for your integrity and honesty.我喜欢你的正直和诚实。She doesn’t care about/for politics.她不关心政治。You needn't care about/for his safety.你不必为他的安全担心。2在表示"介意,计较,在乎"等意思时,

  19. National Health Care Survey

    Science.gov (United States)

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  20. Wound Care: Preventing Infection

    Science.gov (United States)

    ... happening, the better you’ll be prepared to take care of yourself once you leave the hospital. You ... skin. If you catch a problem early and take care, you will often be able to continue to ...

  1. Caring for the Caregiver

    Science.gov (United States)

    ... But during this time, it’s important that caregivers take care of themselves too. PDF Kindle ePub This booklet ... cancer This booklet is not about how to take care of a patient. Instead, it mainly provides ways ...

  2. Day Care Centers

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of day care centers for 50 states and Washington D.C. and Puerto Rico. The dataset only includes center based day care locations...

  3. US EPA CARE Grants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This is a provisional dataset that contains point locations for the subset of Community Action for a Renewed Environment (CARE) grants given out by the US EPA. CARE...

  4. Palliative Care in Cancer

    Science.gov (United States)

    ... care that is given to a person when cancer therapies are no longer controlling the disease. It focuses on caring, not curing. When a person has a terminal diagnosis (usually defined as having a life expectancy ...

  5. Critical Care Team

    Science.gov (United States)

    ... of these areas: Surgery Internal medicine Pediatrics Anesthesiology Critical care nurse: A highly skilled nurse who provides all aspects ... and can often uphold the patient's wishes. The critical care nurse becomes an important part of decision-making with ...

  6. Surgical Critical Care Initiative

    Data.gov (United States)

    Federal Laboratory Consortium — The Surgical Critical Care Initiative (SC2i) is a USU research program established in October 2013 to develop, translate, and validate biology-driven critical care....

  7. Preeclampsia - self-care

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000606.htm Preeclampsia - self-care To use the sharing features on this ... have frequent checkups and tests. Bed Rest and Self-care at Home When you are at home, ...

  8. Pet Care: MRSA FAQ

    Science.gov (United States)

    ... AVMA Meeting Dates Meetings & CE Calendar Symposiums & Summits Pet Health Awareness Events About AVMA Who We Are ... 12 Educators You are here: Home | Public Resources | Pet Care Print Share This! Your Veterinarian Pet Care ...

  9. Does Care Matter?

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling; Hogan, Dennis P.

    2014-01-01

    The aim of this study is to introduce the concept of care capital and provide an example of its application in the context of child care and maternal employment using the currently most suitable American data. We define care capital as the nexus of available, accessible, and experienced resources...... for care. The American setting is an ideal context to investigate the linkages between child care capital and maternal employment as the patterns of child care use tend to be more diverse compared to other national context. In the presented application of care capital, we examine mothers’ entry to paid...... employment during the first 36 weeks following a birth, and its association with experienced non-parental child care use before labor force entry. Using data from the Early Childhood Longitudinal Survey – Birth Cohort (N = 10,400 mothers), results from discrete-time hazard models show that use of non...

  10. CareCoor

    DEFF Research Database (Denmark)

    Bossen, Claus; Christensen, Lars Rune; Grönvall, Erik;

    2013-01-01

    Objectives The present study aims to augment the network of home care around elderly. We investigate the nature of cooperative work between relatives and home care workers around elderly persons; present the CareCoor system developed to support that work; and report experiences from two pilot tests...... persons. The design implications led to the development of a prototype, called CareCoor, which is accessible via a tablet PC and on the Internet. CareCoor was subsequently evaluated in two pilot tests. The first lasted a week and included three elderly, their next of kin and the affiliated home care...... workers, while the second test lasted for six weeks and involved five elderly people, their next of kin and relevant home care workers. Results In the paper we make three major points, namely, (1) home care work is highly cooperative in nature and involves substantial coordinative efforts on the part...

  11. Diabetes - eye care

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000078.htm Diabetes - eye care To use the sharing features on this ... enable JavaScript. Diabetic retinopathy - care Diabetes and your eyes Diabetes can harm your eyes. It can damage ...

  12. Parental Care and Investment

    OpenAIRE

    González-Voyer, Alejandro; Kolm, N.

    2010-01-01

    Parental care is common throughout the animal kingdom and among caring species there is a bewildering variation in how parents care for offspring, as well as in the amount of resources parents invest in care. For instance, there is considerable variation in the relative parental investment by the sexes – in some species females invest more, in others males invest more, and in some investment is more or less equally shared. Different hypotheses have been proposed to explain patterns of parenta...

  13. Creonization of health care.

    Science.gov (United States)

    Bulger, R J

    1990-01-01

    As prefigured in the Greek tragedy Antigone, one of the primary conflicts in contemporary health care is that between humane concern for the individual and concern for society at large and administrative rules. The computerization of the health care system and development of large data bases will create new forms of this conflict that will challenge the self-definition of health care and health care professionals. PMID:2394563

  14. Caring for Yourself

    Science.gov (United States)

    Alzheimer ’s Caregiving Tips Caring forYourself Taking care of yourself is one of the most important things you ... are some ways you can take care of yourself: • Ask for help when you need it. • Join ...

  15. Education in palliative care.

    Science.gov (United States)

    Weissman, David E; Blust, Linda

    2005-02-01

    Palliative care education includes the domains of pain and nonpain symptom management, communications skills, ethics and law, psychosocial care, and health systems. Defining key attitudes, knowledge, and skill objectives, and matching these to appropriate learning formats, is essential in educational planning. Abundant educational resource material is available to support classroom and experiential palliative care training. PMID:15639043

  16. Value of care - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — Value of care displays – national data. This data set includes national-level data for the value of care displays associated with a 30-day episode of care for...

  17. Speak Up: Help Prevent Errors in Your Care: Ambulatory Care

    Science.gov (United States)

    ... role in making health care safe. That includes doctors, nurses and other health care professionals. Health care organizations ... embarrassed if you don't understand what your doctor, nurse or other health care professional tells you. • Don’ ...

  18. Benchmarking HIV health care

    DEFF Research Database (Denmark)

    Podlekareva, Daria; Reekie, Joanne; Mocroft, Amanda;

    2012-01-01

    ABSTRACT: BACKGROUND: State-of-the-art care involving the utilisation of multiple health care interventions is the basis for an optimal long-term clinical prognosis for HIV-patients. We evaluated health care for HIV-patients based on four key indicators. METHODS: Four indicators of health care were...... to North, patients from other regions had significantly lower odds of virological response; the difference was most pronounced for East and Argentina (adjusted OR 0.16[95%CI 0.11-0.23, p care utilization...

  19. Neuroeconomics and Integrated Care

    DEFF Research Database (Denmark)

    Larsen, Torben

    2012-01-01

    Background: Fragmented specialized care for the frail elderly as claimed by WHO needs horizontal integration across settings. The home of the patient seems to be a promising place to integrate hospital care, primary care and social services for high-risk discharges where the quality...... of rehabilitation makes a difference. Objective: The study aims to reveal how integrated home care may be organised to improve quality of care as compared to usual hospital care. Method: A qualitative case study of the use of a neuroeconomic model in relation to multidisciplianry collaboration on a RCT...... of integrated home care for stroke patients. Results: (1) The classical understanding of CNS is that of a dual system of ANS and Cortex. The new neuroeconomic understanding is that of a reciprocal balance of Limbic System (LS) and Neocortex (NC). This applies directly in favour of integrated homecare compared...

  20. Timely and Effective Care - State

    Data.gov (United States)

    U.S. Department of Health & Human Services — Timely and Effective Care measures - state data. This data set includes state-level data for measures of heart attack care, heart failure care, pneumonia care,...

  1. Shin splints - self-care

    Science.gov (United States)

    ... care; Anterior tibial pain - self-care; Medial tibial stress syndrome - self-care; MTSS - self-care; Exercise-induced ... these medicines have side effects and can cause ulcers and bleeding. Talk to your doctor about how ...

  2. Ustálený chod a zkratové poměry v síti 110 kV E.ON napájené z rozvodny 110 kV Otrokovice v roce 2011

    OpenAIRE

    Jurča, Ondřej

    2011-01-01

    Distribuční síť 110 kV společnosti E.ON v oblasti napájené z rozvodny 110 kV Otrokovice je provozována ve dvou variantách zapojení. První varianta je zapojení základní bez můstku. Varianta druhá je pak zapojení s můstkem. Cílem této práce je porovnat na základě výpočtu ustáleného chodu sítě a zkratových poměrů v síti tyto dvě varianty zapojení. Práce je rozdělena do dvou částí, teoretické a praktické. Teoretická část sestává z popisu výpočtu ustáleného chodu sítí velmi vysokého napětí a výpoč...

  3. Návrh schématu zajištěného napájení jaderného bloku pro řešení projektových i nadprojektových havárií

    OpenAIRE

    Žák, Tomáš

    2013-01-01

    Tato diplomová práce si dává za cíl navržení evolučního schématu zajištěného napájení u jaderných elektráren s reaktory typu VVER 440 při projektových i nadprojektových haváriích. V úvodních kapitolách se tato práce zaměřuje zejména na vymezení pojmů v oblasti hloubkové ochrany jaderného reaktoru, provozních režimů bloku, stejně jako i typy a možnosti elektrického napájení, elektrická schémata bloku. I když je práce zaměřena obecně na VVER 440, je v ní kladen zvláštní důraz na lokalitu Dukova...

  4. Nap sleep spindle correlates of intelligence

    OpenAIRE

    Ujma, Péter P.; Róbert Bódizs; Ferenc Gombos; Johannes Stintzing; Konrad, Boris N.; Lisa Genzel; Axel Steiger; Martin Dresler

    2015-01-01

    Sleep spindles are thalamocortical oscillations in non-rapid eye movement (NREM) sleep, that play an important role in sleep-related neuroplasticity and offline information processing. Several studies with full-night sleep recordings have reported a positive association between sleep spindles and fluid intelligence scores, however more recently it has been shown that only few sleep spindle measures correlate with intelligence in females, and none in males. Sleep spindle regulation underlies a...

  5. Nap sleep spindle correlates of intelligence

    NARCIS (Netherlands)

    Ujma, P.P.; Bodizs, R.; Gombos, F.; Stintzing, J.; Konrad, B.N.; Genzel, L.; Steiger, A.; Dresler, M.

    2015-01-01

    Sleep spindles are thalamocortical oscillations in non-rapid eye movement (NREM) sleep, that play an important role in sleep-related neuroplasticity and offline information processing. Several studies with full-night sleep recordings have reported a positive association between sleep spindles and fl

  6. Don't be Caught Napping!

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    During the last decade,there has been an increasing number of foreigners coming to China for business,temporary work,study and travel.Most of these visitors are not aware of the so-called“Visitor's Temporary Residence Registration” as required by the municipal Department of Public Safety.The “Visitor's Temporary Residence Registration"”stipulates that either Chinese or foreign citizens must register their temporary residence in a local Department of Public Safety if he or she is only staying temporarily,regardless of the length of saty.

  7. Improvizace napříč kulturami

    Czech Academy of Sciences Publication Activity Database

    Kratochvíl, Matěj

    -, č. 1 (2007), s. 18-19. ISSN 1213-2438 Institutional research plan: CEZ:AV0Z90580513 Keywords : traditional music * improvisation * gamelan * Indian music Subject RIV: AC - Archeology, Anthropology, Ethnology

  8. Malaysia NAP: More Shadows than Lights

    OpenAIRE

    Ferlito, Carmelo

    2015-01-01

    After World War II, and in particular during the 1960s and the 1970s, many developing countries began their industrial revolution path. In particular, most of them followed a path of government-led industrial development, with central planning at the heart of the industrial policy. Such a model is not new in economic history and it is typical of many ‘second-comers’ in the industrialization process. The most famous one is the case of Prussia/Germany: with the Zollverein (1833-34) and af...

  9. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Letsch, Suzanne W.

    1993-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  10. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Cowan, Cathy A.

    1992-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  11. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Sensenig, Arthur L.

    1994-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  12. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Sivarajan, Lekha

    1993-01-01

    This regular feature of the journal includes a discussion of each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avail...

  13. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Sensenig, Arthur L.; Heffler, Stephen K.

    1995-01-01

    This regular feature of the journal includes a discussion of each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avail...

  14. Health Care Indicators

    OpenAIRE

    Maple, Brenda T.; Cowan, Cathy A.; Donham, Carolyn S.; Letsch, Suzanne W.

    1991-01-01

    This regular feature of the journal includes a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of...

  15. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Sensenig, Arthur L.; Heffler, Stephen K.

    1995-01-01

    This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the avai...

  16. Health Care Indicators

    OpenAIRE

    Cowan, Cathy A.; Donham, Carolyn S.; Letsch, Suzanne W.; Maple, Brenda T.; Lazenby, Helen C.

    1992-01-01

    This regular feature of the journal includes a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of...

  17. Italian health care reform

    OpenAIRE

    Livio Garattini

    1992-01-01

    It is remarkable how health care systems, created over decades and influenced by very different cultures exhibit similar problems. Most health care systems are compartmentalised with managers at margins responding to perverse incentives and seeking to shift patients and costs onto rival organisations. Decision makers behave selfishly, considering the welfare of their own organisations rather than those of the health care system as a whole, and in the absence if evidence about the cost-effecti...

  18. Health care delivery systems.

    OpenAIRE

    Stevens, F; Zee, J. van der

    2007-01-01

    A health care delivery system is the organized response of a society to the health problems of its inhabitants. Societies choose from alternative health care delivery models and, in doing so, they organize and set goals and priorities in such a way that the actions of different actors are effective, meaningful, and socially accepted. From a sociological point of view, the analysis of health care delivery systems implies recognition of their distinct history over time, their specific values an...

  19. [Nursing care in prison].

    Science.gov (United States)

    Aujard, Ségolène; de Brisoult, Béatrice; Broussard, Daniel; Petitclerc-Roche, Solenne; Lefort, Hugues

    2016-03-01

    In France, nurses practising in the prison environment work in a health care unit, for somatic care, or in a regional medical-psychological unit for large facilities and psychological care. These units belong to the regional hospitals. Located at the heart of the prison, they cater for prisoner-patients. On the frontline, the nurse has specific autonomy and responsibility in this unique context. PMID:26975674

  20. Lesbian health care needs.

    OpenAIRE

    Moran, N

    1996-01-01

    OBJECTIVE: To define the special health care needs of Canadian lesbians. DESIGN: A questionnaire containing 61 yes-or-no and multiple-choice questions sought information on six areas: demographics; health care use; habits, diet, and exercise; preventive care; mental health; and physical health. SETTING: The organizational meeting of a lesbian softball league in Toronto. PARTICIPANTS: Of 360 women eligible for the meeting, 205 attended and 195 completed the survey. Questionnaires used for anal...

  1. Improving Palliative Cancer Care

    OpenAIRE

    Del Ferraro, Catherine; Ferrell, Betty; Van Zyl, Carin; Freeman, Bonnie; Klein, Linda

    2014-01-01

    Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social,...

  2. Pediatric palliative care

    OpenAIRE

    Trapanotto Manuela; Spizzichino Marco; Benini Franca; Ferrante Anna

    2008-01-01

    Abstract The WHO defines pediatric palliative care as the active total care of the child's body, mind and spirit, which also involves giving support to the family. Its purpose is to improve the quality of life of young patients and their families, and in the vast majority of cases the home is the best place to provide such care, but for cultural, affective, educational and organizational reasons, pediatric patients rarely benefit from such an approach. In daily practice, it is clear that pedi...

  3. Music in child care

    OpenAIRE

    Maria Polikandrioti; Ioannis Koutelekos

    2007-01-01

    Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study i...

  4. Patient-centered Care.

    Science.gov (United States)

    Reynolds, April

    2009-01-01

    Patient-centered care focuses on the patient and the individual's particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, radiologic technologists and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe. For radiologic technologists, patient-centered care encompasses principles such as the as low as reasonably achievable (ALARA) concept and contrast media safety. Patient-centered care is associated with a higher rate of patient satisfaction, adherence to suggested lifestyle changes and prescribed treatment, better outcomes and more cost-effective care. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. According to one theory, most patients judge the quality of their healthcare much like they rate an airplane flight. They assume that the airplane is technically viable and is being piloted by competent people. Criteria for judging a particular airline are personal and include aspects like comfort, friendly service and on-time schedules. Similarly, patients judge the standard of their healthcare on nontechnical aspects, such as a healthcare practitioner's communication and "soft skills." Most are unable to evaluate a practitioner's level of technical skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care.(1). PMID:19901351

  5. [Primary care in France].

    Science.gov (United States)

    Sánchez-Sagrado, T

    2016-01-01

    The poor planning of health care professionals in Spain has led to an exodus of doctors leaving the country. France is one of the chosen countries for Spanish doctors to develop their professional career. The French health care system belongs to the Bismarck model. In this model, health care system is financed jointly by workers and employers through payroll deduction. The right to health care is linked to the job, and provision of services is done by sickness-funds controlled by the Government. Primary care in France is quite different from Spanish primary care. General practitioners are independent workers who have the right to set up a practice anywhere in France. This lack of regulation has generated a great problem of "medical desertification" with problems of health care access and inequalities in health. French doctors do not want to work in rural areas or outside cities because "they are not value for money". Medical salary is linked to professional activity. The role of doctors is to give punctual care. Team work team does not exist, and coordination between primary and secondary care is lacking. Access to diagnostic tests, hospitals and specialists is unlimited. Duplicity of services, adverse events and inefficiencies are the norm. Patients can freely choose their doctor, and they have a co-payment for visits and hospital care settings. Two years training is required to become a general practitioner. After that, continuing medical education is compulsory, but it is not regulated. Although the French medical Health System was named by the WHO in 2000 as the best health care system in the world, is it not that good. While primary care in Spain has room for improvement, there is a long way for France to be like Spain. PMID:26304179

  6. Dare to Care, Care to Perform

    DEFF Research Database (Denmark)

    Giangreco, Antonio; Sebastiano, Antnio; Carugati, Andrea

    2010-01-01

    -driven modernization process of an Italian nursing home. Based on qualitative research methods, our aim is to identify what are the elements of a designing approach of an IT-tool meant to enhance a process of modernization in a health care organization. Our results show that a patient-centered, user-friendly, bottomup...... designed and results-driven tool is more likely to be beneficial for the patients and the users and therefore, for the organization at large. This study contributes to the extant literature on health care management providing the alternative view that, if the tool is designed around and for the individuals...... (patients and users), then it will produce positive results for the organization. In other words, who dares to care, will perform....

  7. Penis care (uncircumcised)

    Science.gov (United States)

    Uncircumcised penis - bathing; Cleaning an uncircumcised penis ... An uncircumcised penis has its foreskin intact. An infant boy with an uncircumcised penis does not need special care. Normal bathing ...

  8. Democracy, caring and competence

    DEFF Research Database (Denmark)

    Broström, Stig; Johannesson, Eva Marianne; Purola, Anna-Maija;

    2015-01-01

    The aim of the study is to explore how Nordic Early Childhood Education and Care policies frame values education in preschools with a special focus on the values of democracy, caring and competence. The study is part of a larger Nordic project, Valueseducation in Nordic preschools: Basis of...... the study. Keywords related with democratic, caring and competence values were selected. The findings reveal different dimensions and meanings of the three value fields, such as democracy as being and/or becoming; care as fulfilment of basic needs and an ethical relationship; and competence values as...

  9. Nursing Care after Death

    OpenAIRE

    Gong, Xi

    2012-01-01

    Nurses care, help and support patients before they are born, when they are alive and after they die. The starting points of this study were how nurses provide physical care for the dead patients and psychological care for the bereaved families. The purpose of this study was to describe the role of a nurse when patients die. The aims of this study were that the results of the study could help the nurses’ clinical work and could be used as part of teaching material in post-mortem care or nu...

  10. Caring for the caregiver.

    Science.gov (United States)

    2008-01-01

    Caring for the Caregiver is information for persons helping to care for people with cancer. The emphasis is on what caregivers can do to help themselves at this stressful time. Topics included are: Who Is a Caregiver, Your Feelings, Asking For Help, Caring for Yourself, Going With Your Loved One to Medical Visits, Talking With Others, Remember, Other Resources for Caregivers. The information is written on a basic level and it is very suitable for health professionals to share with persons helping to care for family members or friends who have cancer. The National Cancer Institute posted this information on its website last June 29. PMID:19062356

  11. Progressive Care of Obese Patients.

    Science.gov (United States)

    Dambaugh, Lori A; Ecklund, Margaret M

    2016-08-01

    Obese patients have complex needs that complicate their care during hospitalization. These patients often have comorbid conditions, including hypertension, heart failure, obstructive sleep apnea, pressure ulcers, and difficulty with mobility. Obese patients may be well served in the progressive care setting because they may require more intensive nursing care than can be delivered in a general care unit. Progressive care nurses have core competencies that enable them to safely and effectively care for obese patients. A plan of care with interdisciplinary collaboration illustrates the integrative care for obese progressive care patients. (Critical Care Nurse 2016; 36[4]:58-63). PMID:27481802

  12. Dementia Care: Intersecting Informal Family Care and Formal Care Systems

    OpenAIRE

    Prabhjot Singh; Rafat Hussain; Adeel Khan; Lyn Irwin; Roslyn Foskey

    2014-01-01

    Dementia is one of the major causes of disability and dependence amongst older people and previous research has highlighted how the well-being of people with dementia is inherently connected to the quality of their relationships with their informal carers. In turn, these carers can experience significant levels of emotional stress and physical burden from the demands of caring for a family member with dementia, yet their uptake of formal services tends to be lower than in other conditions rel...

  13. Effect of Primary Health Care Orientation on Chronic Care Management

    OpenAIRE

    Schmittdiel, Julie A.; Shortell, Stephen M.; Rundall, Thomas G; Bodenheimer, Thomas; SELBY, Joe V.

    2006-01-01

    PURPOSE It has been suggested that the best way to improve chronic illness care is through a redesign of primary care emphasizing comprehensive, coordinated care as espoused by the Chronic Care Model (CCM). This study examined the relationship between primary care orientation and the implementation of the CCM in physician organizations.

  14. Educating to Care

    Science.gov (United States)

    Mortari, Luigina

    2004-01-01

    The root of the ecological crisis lies in an ethic of nature consumption. In order to reconstruct our cultural framework, it is necessary to cultivate another ethical approach, an ethic of care. It is the responsibility of school to encourage students to learn how to care for not only the human world, but also for the natural world. This paper is…

  15. Alliance in Youth Care

    NARCIS (Netherlands)

    Rothman, Linda; Rijsingen, Rinie van; Pijnenburg, Huub

    2015-01-01

    This article introduces the concept of alliance in youth care. The concept of (therapeutic) alliance originates in adult psychotherapy and related research. Alliance refers to the working relationship between youth care workers and their clients. Within this concept, personal (emotional) and task re

  16. Surgical wound care

    Science.gov (United States)

    ... F for more than 4 hours Alternate Names Surgical incision care; Open wound care Images Proper hand washing References Lynn PB. Cleaning a wound and applying a dry, sterile dressing. In: Lynn PB. Taylor’s Handbook of Nursing Skills . Philadelphia, PA: Lippincott Williams and Wilkins, Wolters ...

  17. Prevention IS Care

    Centers for Disease Control (CDC) Podcasts

    2009-03-26

    This podcast provides an overview of the Prevention IS Care campaign, which provides HIV prevention tools for medical care providers to use on a daily basis with patients who are living with HIV.  Created: 3/26/2009 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 3/26/2009.

  18. The Inquiry of Care

    Science.gov (United States)

    Nelsen, Peter

    2013-01-01

    While discussions of the moral dimensions of the caring relation and their implications for teaching and learning are well developed within the literature, there has not been much analysis of the place of inquiry within our understanding of caring and the education inspired by it. Previous discussions offer important insight into what…

  19. Nail care for newborns

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001914.htm Nail care for newborns To use the sharing features on ... finger or toe instead of the nail. Baby's nails grow quickly, so you may have to cut the fingernails at least once a week. You may only need ... SG, Bedwell C, Cork MJ. Neonatal skin care and toxicology. In: Eichenfield LF, Frieden IJ, Mathes ...

  20. Lean health care.

    Science.gov (United States)

    Hawthorne, Henry C; Masterson, David J

    2013-01-01

    Principles of Lean management are being adopted more widely in health care as a way of improving quality and safety while controlling costs. The authors, who are chief executive officers of rural North Carolina hospitals, explain how their organizations are using Lean principles to improve quality and safety of health care delivery. PMID:23802475

  1. Health care delivery systems.

    NARCIS (Netherlands)

    Stevens, F.; Zee, J. van der

    2007-01-01

    A health care delivery system is the organized response of a society to the health problems of its inhabitants. Societies choose from alternative health care delivery models and, in doing so, they organize and set goals and priorities in such a way that the actions of different actors are effective,

  2. Improving Palliative Cancer Care.

    Science.gov (United States)

    Del Ferraro, Catherine; Ferrell, Betty; Van Zyl, Carin; Freeman, Bonnie; Klein, Linda

    2014-01-01

    Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social, and spiritual distress. Furthermore, data show that PC continues to be underutilized and inaccessible, and current innovative models of integrating PC into standard cancer care lack uniformity. The aim of this article is to address the existing barriers in implementing PC into our cancer care delivery system and discuss how the oncology advanced practice nurse plays an essential role in providing high-quality cancer care. We also review the IOM recommendations; highlight the work done by the National Consensus Project in promoting quality PC; and discuss a National Cancer Institute-funded program project currently conducted at a National Comprehensive Cancer Center, "Palliative Care for Quality of Life and Symptoms Concerns in Lung Cancer," which serves as a model to promote high-quality care for patients and their families. PMID:26114013

  3. Child Care Centres.

    Science.gov (United States)

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  4. Child Care at CERN

    CERN Document Server

    CERN, Child Care Initiative

    2008-01-01

    This is a document summarizing a survey of child care needs of CERN staff and users which was performed in February 2008 by the CERN Child Care Initiative. The document presents the analysis of this data. Conclusions on the minimal facilities size are derived and possible funding source at the European Union are discussed.

  5. Health Care Waste Management

    OpenAIRE

    World Bank

    2003-01-01

    Health care waste management (HCWM) is a process to help ensure proper hospital hygiene and safety of health care workers and communities. It includes planning and procurement, construction, staff training and behavior, proper use of tools, machines and pharmaceuticals, proper disposal methods inside and outside the hospital, and evaluation. Its many dimensions require a broader focus than ...

  6. Caring about the young

    NARCIS (Netherlands)

    John Stevens; Evert Pommer; Hetty van Kempen; Elke Zeijl; Isolde Woittiez; Klarita Sadiraj; Rob Gilsing; Saskia Keuzenkamp

    2009-01-01

    Original title: De jeugd een zorg. Youth care services are going through major changes. This has created a need for a better insight into the demand that is likely to be placed on these services in the future at both national and regional level. This report suggests that the use of ambulant care w

  7. Improved wound care product

    DEFF Research Database (Denmark)

    2012-01-01

    The present invention pertains to use of sodium diacetate (NaHAc 2) as an antimicrobial agent against bacteria growing in biofilms. The aspects of the invention include a wound care product comprising sodium diacetate, a kit comprising a wound care product,and a methodof treating an infected wound....

  8. Costs of Emergency Care

    Science.gov (United States)

    ... to care for patients, not fewer, and medical liability reform would help reduce overall costs by reducing ... NewsMediaResources/StatisticsData/Just%202%20booklet.pdf [ii] Report: Accounting for the cost of US health care: A ...

  9. Do We Value Caring?

    Science.gov (United States)

    Weissbourd, Richard; Anderson, Trisha Ross

    2016-01-01

    When asked about their child-rearing priorities, parents in the United States are likely to say it's more important to raise children who are caring than to raise high achievers. Schools, too, typically trumpet values such as caring, honesty, and fairness. These values are posted on walls, reiterated in assemblies, and included in mission…

  10. Net4Care:

    DEFF Research Database (Denmark)

    Christensen, Henrik Bærbak; Hansen, K.M.

    2012-01-01

    propose a software ecosystem approach for telemedicine applications, providing a framework, Net4Care, encapsulating national/global design decisions with respect to standardization while allowing for local innovation. This paper presents an analysis of existing systems, of requirements for a software...... ecosystem for telemedicine, and a summary of initial design decisions for the Net4Care framework....

  11. Caring Experience and Knowledge

    DEFF Research Database (Denmark)

    Dybbroe, Betina

    2005-01-01

    A presentation of a case and a theoretical discussion concerning what characterizes the sozialisation and formation taking place in educations related to care work inside the Danish welfare system presently. The article presents an analysis of the relation between curriculum,didactics and...... clash between competing rationalities, that cause dilemmas in care....

  12. Primary health care quality and diabetes care

    Directory of Open Access Journals (Sweden)

    Marcelo Rodrigues Gonçalves

    2013-09-01

    Full Text Available Objective: To investigate the association between primary health care (PHC quality and diabetes mellitus (DM management in adult patients living within the catchment area of PHC services in Porto Alegre, Brazil. Methods: Cross-sectional, population-based study of adults reporting known diabetes. Quality of PHC was assessed through the Primary Care Assesment Tool (PCATool-Brazil. Statistical analyses were performed with Poisson regression with robust variance. Results: Of the 3,014 adults interviewed, 205 (6.8% reported having diabetes; of these, 64.4% were women and 68.3% were white. Regarding PHC score of the health service attended, people with diabetes that were classified with a high PHC score, presented longer duration of disease (10.9 vs 8.4 anos, p=0.03 and greater frequency of diabetes-related complications (75.3% vs 58.8%, p=0.02. Regarding the proportion of respondents with good glycemic control, no significant difference between groups was found (31.7% vs 38%, p=0.3. In the multivariate analysis, services with a high PHC score presented a better profile of care for the prevention of the main comorbidities – greater blood pressure assessment (PR=1.07; CI95% 1.01-1.14, lipid profile request (PR=1.23; CI95% 1.09-1.39, counseling for physical activity (PR=1.50; CI95% 1.21-1.86, foot examination (PR=2.08; CI95% 1.54-2,81, and counseling for foot care (PR=1.37; CI95% 1.18-1.59. Conclusion: High PHC score services showed better performance in the management of diabetes and care for more complicated patients, but they did not differ significantly from lower PHC score services in terms of patients’ glycemic control.

  13. Orphan Care in China

    Directory of Open Access Journals (Sweden)

    Meng, Liu

    2009-07-01

    Full Text Available Orphan care in China was once provided by the central government as a means of social control. The centralized welfare delivery guaranteed some of the poorest orphans to be protected by the government. Since the economic reform, the central government started to relinquish its control over social welfare delivery, new forms of orphan care were introduced into China, sharing the responsibilities and burdens for caring the orphans. Yet, many issues and problems exist in social delivery due to a lack of finances, professionals, and policy support. In this chapter, we will discuss the background of social welfare changes in China, as pertains to orphan care, focusing on the different types of orphans as a result of social issues, service delivery, barriers and solutions. It is claimed that during the reform, the burden of orphan care in China may not be reduced in the coming future, and we offer suggestions to cope with that.

  14. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner

    2014-01-01

    The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...

  15. Measuring integrated care

    DEFF Research Database (Denmark)

    Strandberg-Larsen, Martin

    2011-01-01

    respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser...... and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine...... of secondary data from the Danish healthcare system and Kaiser Permanente, California were used to compare population characteristics, professional staff, delivery structure, utilisation, quality measures and direct costs. A cross-sectional survey among primary care clinicians in Denmark and in Kaiser...

  16. Becoming Care Helper

    DEFF Research Database (Denmark)

    Jensen, Anne Winther

    The paper discusses the shaping of students´ identity within a vocational education programme for elderly care in Denmark. The focus is on the correlation between identity construction within the theoretical periods and students´ experiences in the traineeships. In the school setting the future...... care helper is being constructed within the overall term ‘professional’, but students may meet differing ways of being care helper in the traineeships, and the paper points to an ongoing struggle about the definition of ‘being care helper’. The analysis of the identity issues mobilises the concepts...... ‘positioning’ and ‘storyline’, c.f. Bronwyn Davies, and the empirical material consists of interviews and observations in the theoretical periods and in the traineeships. The paper suggests that a shift from identity to subjectivity may help students to deal with the diversity of ‘care helpers’ and thereby...

  17. Empowering and caring professionals

    DEFF Research Database (Denmark)

    Hansen, Agnete Meldgaard

    A wave of policies to reform municipal elderly care services is sweeping across Denmark. Under headings such as ‘help for self-help’, ‘everyday rehabilitation’, and ‘re-ablement’, municipalities are working to make their elderly citizens more self-reliant, active and less dependent on municipal...... care services. The reform programs are put in place to counter the demographic challenges faced by the Nordic (and many other) welfare states, known under the pessimistic expression ‘the burden of ageing’. Based on ethnographic case studies in two Danish municipalities, the paper illustrates how care...... workers negotiate professional identities and understandings of meaningful care work, in the new regime of rehabilitative elderly care – how they manage the ambiguities of a simultaneously empowering and interventionist practice. The paper’s analytical framework draws on an understanding of empowerment as...

  18. Attitudes of Nonpalliative Care Nurses towards Palliative Care

    OpenAIRE

    Victoria Tait; Megan Higgs; Linda Magann; Joanne Dixon; Jan Maree Davis; Ritin Fernandez

    2015-01-01

    The quality of palliative care given to terminally ill patients and their family members can be directly impacted by the attitudes that nurses hold towards palliative care. This study aimed to investigate the attitudes of nonpalliative care nurses towards death and dying in the context of palliative care. Nurses working within the medical aged care, cardiology and respiratory wards at two metropolitan teaching hospitals in Sydney completed the Frommelt Attitudes Towards Care of the Dying (FAT...

  19. Advocacy for eye care

    Directory of Open Access Journals (Sweden)

    Thulasiraj D Ravilla

    2012-01-01

    Full Text Available The effectiveness of eye care service delivery is often dependant on how the different stakeholders are aligned. These stakeholders range from the ministries of health who have the capacity to grant government subsidies for eye care, down to the primary healthcare workers who can be enrolled to screen for basic eye diseases. Advocacy is a tool that can help service providers draw the attention of key stakeholders to a particular area of concern. By enlisting the support, endorsement and participation of a wider circle of players, advocacy can help to improve the penetration and effectiveness of the services provided. There are several factors in the external environmental that influence the eye care services - such as the availability of trained manpower, supply of eye care consumables, government rules and regulations. There are several instances where successful advocacy has helped to create an enabling environment for eye care service delivery. Providing eye care services in developing countries requires the support - either for direct patient care or for support services such as producing trained manpower or for research and dissemination. Such support, in the form of financial or other resources, can be garnered through advocacy.

  20. Who cares about care in nursing education?

    Science.gov (United States)

    Stevens, J; Crouch, M

    1995-06-01

    Many sources indicate that nurses have a negative view of work with ageing patients. Wide-spread stereotypes concerning old age no doubt exercise influences in the formation of nurses' attitudes. The research reported here suggests that nurses' negative attitudes towards the elderly are consolidated rather than dissolved in the course of their training. The reasons for this may not, in fact, lie in the nature of the gerontology components (small as they usually are) of the curriculum. Rather, the course (or the "professional socialisation" process) as a whole appears to carry messages that devalue personal care duties--contra the prestige of activities attached to all levels of medical technology. The ageing patient, often requiring much hands-on (the body) care is thus located well outside areas of work which are perceived by nurses to include clearly focused professional pathways. PMID:7665312

  1. Pediatric Palliative Care in the Intensive Care Unit.

    Science.gov (United States)

    Madden, Kevin; Wolfe, Joanne; Collura, Christopher

    2015-09-01

    The chronicity of illness that afflicts children in Pediatric Palliative Care and the medical technology that has improved their lifespan and quality of life make prognostication extremely difficult. The uncertainty of prognostication and the available medical technologies make both the neonatal intensive care unit and the pediatric intensive care unit locations where many children will receive Pediatric Palliative Care. Health care providers in the neonatal intensive care unit and pediatric intensive care unit should integrate fundamental Pediatric Palliative Care principles into their everyday practice. PMID:26333755

  2. Hair care and dyeing.

    Science.gov (United States)

    Draelos, Zoe Diana

    2015-01-01

    Alopecia can be effectively camouflaged or worsened through the use of hair care techniques and dyeing. Proper hair care, involving hair styling and the use of mild shampoos and body-building conditioners, can amplify thinning scalp hair; however, chemical processing, including hair dyeing, permanent waving, and hair straightening, can encourage further hair loss through breakage. Many patients suffering from alopecia attempt to improve their hair through extensive manipulation, which only increases problems. Frequent haircuts to minimize split ends, accompanied by gentle handling of the fragile fibers, is best. This chapter offers the dermatologist insight into hair care recommendations for the alopecia patient. PMID:26370650

  3. Health care utilization

    DEFF Research Database (Denmark)

    Jacobsen, Christian Bøtcher; Andersen, Lotte Bøgh; Serritzlew, Søren

    An important task in governing health services is to control costs. The literatures on both costcontainment and supplier induced demand focus on the effects of economic incentives on health care costs, but insights from these literatures have never been integrated. This paper asks how economic cost...... make health professionals provide more of this service to each patient, but that lower user payment (unexpectedly) does not necessarily mean higher total cost or a stronger association between the number of patients per supplier and the health care utilization. This implies that incentives...... are important, but that economics cannot alone explain the differences in health care utilization....

  4. Society of Critical Care Medicine

    Science.gov (United States)

    ... You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) fifth annual ... the 46th Critical Care Congress Register for the Society of Critical Care Medicine's (SCCM) 46th Critical Care ...

  5. Choosing Your Prenatal Care Provider

    Science.gov (United States)

    ... care provider is. These kinds of providers can take care of you during pregnancy and deliver your baby: ... doctor who has special education and training to take care of pregnant women and deliver babies. About 8 ...

  6. FastStats: Hospice Care

    Science.gov (United States)

    ... Population Sex Men's Health Women's Health State and Territorial Data Reproductive Health Contraceptive Use Infertility Reproductive Health ... Term Care Providers Nursing Home Care Residential Care Communities Centers for Medicare and Medicaid Services Hospice Foundation ...

  7. Care for an Uncircumcised Penis

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Bathing & Skin Care > ...

  8. Chiropractic care for back pain

    Science.gov (United States)

    Chiropractic care is a way to diagnose and treat health problems that affect the nerves, muscles, bones, ... the body. A health care provider who provides chiropractic care is called a chiropractor. Hands-on adjustment ...

  9. Timely and Effective Care - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — Timely and Effective Care measures - national data. This data set includes national-level data for measures of heart attack care, heart failure care, pneumonia...

  10. Timely and Effective Care - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Timely and Effective Care measures - provider data. This data set includes provider-level data for measures of heart attack care, heart failure care, pneumonia...

  11. Infant Care and Infant Health

    Science.gov (United States)

    ... Names Well-baby visit or exam Baby care Pediatric care Newborn care Medical or Scientific ... Life”? NICHD Begins Study in Brazil of Zika Virus Infection during Pregnancy Ebola Outbreak Highlights Needs ...

  12. Community-Based Care

    Science.gov (United States)

    ... respite care, transportation, medication coverage, rehabilitation (including maintenance physical and occupational therapy ), hearing aids, eyeglasses, and a variety of other benefits. The program also has the flexibility to pay ...

  13. Home Health Care

    Science.gov (United States)

    ... top Ensuring Quality Care As with any important purchase, it is wise to talk with friends, neighbors, ... dentures, eyeglasses, canes, walkers, hearing aids, etc. Possible behavior problems and how best to handle them Mobility ...

  14. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.

    1989-01-01

    Contained in this regular feature of the journal is a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators.

  15. Respiratory Home Health Care

    Science.gov (United States)

    ... Health Care Font: Aerosol Delivery Oxygen Resources Immunizations Pollution Nutrition Exercise Coming Of Age Older Adults Allergy ... it is so cold it could hurt your skin. Make sure your electrical system doesn’t overload ...

  16. Dental Care in Pregnancy

    Science.gov (United States)

    ... to other parts of the mouth. However, your dentist can treat periodontal disease even when you are ... the teeth. Is it safe to visit your dentist in pregnancy? Dental care is safe during pregnancy ...

  17. Quotes on Caring

    Science.gov (United States)

    Knowledge Quest, 2012

    2012-01-01

    In this article, school librarians from Henrico County Public Schools in Virginia [the AASL 2011 National School Library Programs of the Year (NSLPY) Award recipient] share some of their experiences caring for students in their libraries.

  18. Dementia - daily care

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000030.htm Dementia - daily care To use the sharing features on ... prevent choking. Tips for Talking with Someone with Dementia Keep distractions and noise down: Turn off the ...

  19. Suprapubic catheter care

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000145.htm Suprapubic catheter care To use the sharing features on this page, please enable JavaScript. A suprapubic catheter (tube) drains urine from your bladder. It is ...

  20. Advance Care Planning

    Science.gov (United States)

    ... put on a breathing machine. Organ and tissue donation allows organs or body parts from a generally healthy person ... to your driver’s license. Some people also include organ donation in their advance care planning documents. At the ...

  1. Vacation health care

    Science.gov (United States)

    Travel health tips ... and help you avoid problems. Talk to your health care provider or visit a travel clinic 4 - ... or booster) vaccinations before you leave. Ask your health insurance carrier what they will cover (including emergency ...

  2. Hospice Care in America

    Science.gov (United States)

    ... than 50 patients per year to large, national corporate chains that care for thousands of patients each ... provided to patients and families? Among its major responsibilities, the ... for a social worker. Table 12. Distribution of Paid Staff FTEs  ...

  3. Palliative care - managing pain

    Science.gov (United States)

    End of life - pain management; Hospice - pain management ... or if you have side effects from your pain treatments. ... Bookbinder M, McHugh ME. Symptom management in palliative care and ... Medicine . 1st ed. Philadelphia, PA: Elsevier Saunders; 2008:chap ...

  4. American Health Care Association

    Science.gov (United States)

    ... Testimony AHCA/NCAL PAC Federal Political Directors Political Events Solutions Facility Operations Affordable Care Act Clinical Emergency Preparedness Finance Health Information Technology Integrity Medicaid Medicare Patient Privacy and ...

  5. Office of Child Care

    Science.gov (United States)

    ... 2014 OCC has a variety of resources and tools related to the law. Visit our Reauthorization site to find webinars, program instructions, and other guidance and information. > What is the Office of Child Care (OCC)? The Office of Child ...

  6. Care workers, care drain, and care chains: reflections on care, migration, and citizenship.

    Science.gov (United States)

    Lutz, Helma; Palenga-Möllenbeck, Ewa

    2012-01-01

    In this article, we discuss a case study that deals with the care chain phenomenon and focuses on the question of how Poland and the Ukraine as sending countries and Poland as a receiving country are affected and deal with female migrant domestic workers. We look at the ways in which these women organize care replacement for their families left behind and at those families’ care strategies. As public discourse in both countries is reacting to the feminization of migration in a form that specifically questions the social citizenship obligations of these women, we also look at the media portrayal of the situation of nonmigrating children. Finally, we explore how different aspects of citizenship matter in transnational care work migration movements. PMID:22611571

  7. Skin Care and Aging

    Science.gov (United States)

    ... page please turn Javascript on. Skin Care and Aging How Aging Affects Skin Your skin changes with age. It ... if they bother you. See additional resources on aging skin, including information on treatment options, specific conditions, ...

  8. Infant dental care (image)

    Science.gov (United States)

    Even though newborns and infants do not have teeth, care of the mouth and gums is important. ... sugar water. As the child grows, establishing proper dental hygiene will promote healthy teeth and gums which ...

  9. Resilient health care

    DEFF Research Database (Denmark)

    Hollnagel, E.; Braithwaite, J.; Wears, R. L.

    Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean...... production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have...... engineering's unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering...

  10. Organizing Rural Health Care

    DEFF Research Database (Denmark)

    Bunkenborg, Mikkel

    2012-01-01

    The liberalization of health care in the course of three decades of ‘reform and opening up’ has given people in rural China access to a diverse range of treatment options, but the health care system has also been marred by accusations of price hikes, fake pharmaceuticals, and medical malpractice....... This chapter offers an ethnographic description of health as an issue in a Hebei township and it focuses on a popular and a statist response to the perceived inadequacy of the rural health care system. The revival of religious practices in rural China is obviously motivated by many factors, but in the township...... roads to healing. The recent introduction of new rural cooperative medicine in the township represents an attempt to bring the state back in and address popular concern with the cost and quality of health care. While superficially reminiscent of the traditional socialist system, this new state attempt...

  11. Affordable Care Act (ACA)

    Data.gov (United States)

    Social Security Administration — The Affordable Care Act (ACA) is a federal statute enacted with a goal of increasing the quality and affordability of health insurance. Through a web service, CMS...

  12. Skin care and incontinence

    Science.gov (United States)

    Incontinence - skin care ... or bowels (called incontinence) are at risk of skin problems around the buttocks, hips, genitals, and the ... rectum (perineum). Excess moisture in these areas makes skin problems such as redness, peeling, irritation, and yeast ...

  13. Acne - self-care

    Science.gov (United States)

    ... can be triggered by: Hormonal changes Use of oily skin or hair care products Certain medicines Sweat Humidity ... from clogging and your skin from becoming too oily: Clean your skin gently with a mild, non-drying soap, such ...

  14. Helping You Choose Quality Hospice Care

    Science.gov (United States)

    ... Accreditation Accreditation Ambulatory Health Care Behavioral Health Care Critical Access Hospitals Home Care (+ Pharmacy) Hospital Laboratory Nursing Care Center International Accreditation Accreditation Top Spots What ...

  15. Health Care Indicators

    OpenAIRE

    Cowan, Cathy A.; Letsch, Suzanne W.; Levit, Katharine R.; Maple, Brenda T.; Stewart, Madie W.

    1991-01-01

    This regular feature of the journal includes a section on each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of more compre...

  16. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Letsch, Suzanne W.; Maple, Brenda T.; Singer, Naphtale; Cowan, Cathy A.

    1991-01-01

    Contained in this regular feature of the journal is a section on each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they provide indicators of the direction and magnitude of health care costs prior to the availability of more ...

  17. Mercury and health care

    OpenAIRE

    Rustagi Neeti; Singh Ritesh

    2010-01-01

    Mercury is toxic heavy metal. It has many characteristic features. Health care organizations have used mercury in many forms since time immemorial. The main uses of mercury are in dental amalgam, sphygmomanometers, and thermometers. The mercury once released into the environment can remain for a longer period. Both acute and chronic poisoning can be caused by it. Half of the mercury found in the atmosphere is human generated and health care contributes the substantial part to it. The world ha...

  18. Instrument care: everyone's responsibility

    OpenAIRE

    Renée du Toit; Konio Szetu; Wanta Aluta; Alumita Ravona

    2011-01-01

    Everyone working in an ophthalmic operating theatre must be competent in the care, handling, storage, and maintenance of instruments. This will help to improve surgical outcomes, maintain an economic and affordable service for patients, and provide a safe environment for the wellbeing of patients and staff.Including instrument care in theatre courses and in-service training is one way of ensuring staff competence.

  19. Science of Human Caring

    OpenAIRE

    Foss-Durant, Anne M.

    2014-01-01

    Background: When state-mandated ratios were enacted, our leadership team began exploring the care delivery model. Increasing the number of nurses on each unit provided an opportunity to refocus care on the relationship with the patient and family. During the initial phases of this transition work, we engaged frontline staff in dialogue. What surfaced were feelings of being overwhelmed, anxiety about being able to complete everything before the end of the shift, feelings of defeat or illness b...

  20. Care in Feminist Economics

    OpenAIRE

    Hara, Nobuko; 原, 伸子

    2006-01-01

    This article reviews the literature in the field of care in terms of theconcept and methodology. This is an area that has been under theorisedin mainstream economics, but that has received considerable attentionover the last few decades by feminist economics. The provisioning ofcaring service is a social as well as an economic issue and it is increasinglydifficult even for conventional economics to consider caringactivities. The integration of caring situation into economic thinkingposes the ...

  1. Teamwork for eye care

    Directory of Open Access Journals (Sweden)

    M Babar Qureshi

    2014-04-01

    Full Text Available Human resource development (HRD – the development of the people who deliver health care – has been identified as one of the key pillars of eye health delivery. HRD is one of the essential building blocks of the World Health Organization (WHO Global Action Plan: ‘Towards universal eye health’. The importance of HRD is also recognised beyond eye care, as can be seen in the WHO Health Systems approach.

  2. Teamwork for eye care

    OpenAIRE

    M Babar Qureshi

    2014-01-01

    Human resource development (HRD) – the development of the people who deliver health care – has been identified as one of the key pillars of eye health delivery. HRD is one of the essential building blocks of the World Health Organization (WHO) Global Action Plan: ‘Towards universal eye health’. The importance of HRD is also recognised beyond eye care, as can be seen in the WHO Health Systems approach.

  3. Caring finance practices

    OpenAIRE

    Staveren, Irene

    2013-01-01

    textabstractThe 2008 financial crisis has demonstrated the failure of both utilitarian and deontological ethics in finance. Alternatives do not need to be created from nothing, because the crisis itself has stimulated the emergence of ethically sound finance practices from within the sector. This article presents two cases of such alternatives, which can be understood as caring finance. Caring finance is built around more personal relationships, responsibility, and risk reduction. The example...

  4. End of life care.

    Science.gov (United States)

    Gallacher, Rose

    2015-03-11

    End of life care is challenging, rewarding and a privileged experience, irrespective of where death occurs - in a hospital, care home, hospice, prison or at home. The CPD article was a reminder that death is a deeply personal and social experience, and one where individuals must be afforded dignity and respect. People who are dying should be referred to as individuals or persons, and not as patients. PMID:25758520

  5. Health Care International

    OpenAIRE

    2006-01-01

    This is an interactive quiz for the team representing the Health Care International (HCI) in an educational game to clarify its role and relationship with other provincial reconstruction teams (PRTs), non-governmental organizations (NGOs), and international organizations (IOs) involved in the broad area of humanitarian assistance, relief operations, development and reconstruction in Afghanistan. The educational game involves the following organizations: Health Care International (HCI), Afghan...

  6. Spirometry in primary care

    OpenAIRE

    Allan L Coates; Brian L Graham; McFadden, Robin G; Colm McParland; Dilshad Moosa; Steeve Provencher; Jeremy Road

    2013-01-01

    Canadian Thoracic Society (CTS) clinical guidelines for asthma and chronic obstructive pulmonary disease (COPD) specify that spirometry should be used to diagnose these diseases. Given the burden of asthma and COPD, most people with these diseases will be diagnosed in the primary care setting. The present CTS position statement was developed to provide guidance on key factors affecting the quality of spirometry testing in the primary care setting. The present statement may also be used to inf...

  7. Shared care and boundaries:

    DEFF Research Database (Denmark)

    Winthereik, Brit Ross

    2008-01-01

    Purpose – The paper seeks to examine how an online maternity record involving pregnant women worked as a means to create shared maternity care. Design/methodology/approach – Ethnographic techniques have been used. The paper adopts a theoretical/methodological framework based on science and techno......Purpose – The paper seeks to examine how an online maternity record involving pregnant women worked as a means to create shared maternity care. Design/methodology/approach – Ethnographic techniques have been used. The paper adopts a theoretical/methodological framework based on science...... and technology studies. Findings – The paper shows how a version of “the responsible patient” emerges from the project which is different from the version envisioned by the project organisation. The emerging one is concerned with the boundary between primary and secondary sector care, and not with the boundary...... of responsibilities entailed in shared care projects. Rather than seeking to connect all actors in an unbounded space, shared care might instead suggest a space for patients and professionals to experiment with new roles and responsibilities. Practical implications – When designing coordination tools for health care...

  8. Intelligent, Energy Saving Power Supply and Control System of Hoisting Mine Machine with Compact and Hybrid Drive System / Inteligentne, Energooszczędne Układy Zasilania I Sterowania Górniczych Maszyn Wyciągowych Z Napędem Zintegrowanym Lub Hybrydowym

    Science.gov (United States)

    Szymański, Zygmunt

    2015-03-01

    In the paper present's an analysis of suitableness an application of compact and hybrid drive system in hoisting machine. In the paper presented the review of constructional solutions of hoisting machines drive system, driving with AC and DC motor. In the paper presented conception of modern, energy sparing hoisting machine supply system, composed with compact motor, an supplied with transistor or thyristor converter supply system, and intelligent control system composed with multilevel microprocessor controller. In the paper present's also analysis of suitableness application an selected method of artificial intelligent in hoisting machine control system, automation system, and modern diagnostic system. In the paper one limited to analysis of: fuzzy logic method, genetic algorithms method, and modern neural net II and III generation. That method enables realization of complex control algorithms of hosting machine with insurance of energy sparing exploitation conditions, monitoring of exploitation parameters, and prediction diagnostic of hoisting machine technical state, minimization a number of failure states. In the paper present's a conception of control and diagnostic system of the hoisting machine based on fuzzy logic neural set control. In the chapter presented also a selected control algorithms and results of computer simulations realized for particular mathematical models of hoisting machine. Results of theoretical investigation were partly verified in laboratory and industrial experiments. Przedstawiono analizę celowości wprowadzania, napędów zintegrowanych oraz napędów hybrydowych, do układów napędowych maszyn wyciągowych. Zamieszczono przegląd rozwiązań konstrukcyjnych wybranych hybrydowych oraz zintegrowanych napędów maszyn wyciągowych z silnikami DC i AC. Opisano koncepcję nowoczesnego, energooszczędnego układu zasilania górniczych maszyny wyciągowej, złożonego z silnika zintegrowanego, (tranzystorowego lub tyrystorowego

  9. Market Model of Care and Transnational Care Practices

    Czech Academy of Sciences Publication Activity Database

    Uhde, Zuzana

    Berlin: Fridrich Ebert Stiftung, 2015 - (Magbunduku, E.), s. 7-15 [Global Care Chains: Why should we care?. Berlin (DE), 22.10.2014-23.10.2014] Institutional support: RVO:68378025 Keywords : care * migration * gender Subject RIV: AO - Sociology, Demography http://www.fes.de/GPol/pdf/Global_Care_Chains_Conference_Reader2015.pdf

  10. Primary care nurses: effects on secondary care referrals for diabetes?

    NARCIS (Netherlands)

    Dijk, C.E. van; Verheij, R.A.; Hansen, J.; Velden, L. van der; Nijpels, G.; Groenewegen, P.P.; Bakker, D.H. de

    2010-01-01

    BACKGROUND: Primary care nurses play an important role in diabetes care, and were introduced in GP-practice partly to shift care from hospital to primary care. The aim of this study was to assess whether the referral rate for hospital treatment for diabetes type II (T2DM) patients has changed with t

  11. The Hidden Cost of Caring: Compensation and Child Care. [Videotape].

    Science.gov (United States)

    Minnesota Child Care Resource and Referral Network, Rochester.

    Intended for audiences with an interest in child care, this video examines the low compensation characteristic of the child care field and the social factors contributing to the low status and wages of caregivers. The video first looks at the social history of child care, noting that the function served by child care differed by social class. The…

  12. Managed care opportunities for improving asthma care.

    Science.gov (United States)

    Campbell, Jonathan D

    2011-04-01

    Uncontrolled asthma is an enormous burden in terms of the propensity to reach asthma control in the future, direct and indirect costs, and health-related quality of life. The complex pathophysiology, treatment, and triggers of asthma warrant a unified, yet targeted, approach to care. No single factor is fully responsible for poor control. Complicating the problem of asthma control is adherence to long-term controller medications. The National Asthma Education and Prevention Program (NAEPP) established several key points for asthma control, and developed classifications for asthma control and recommended actions for treatment. All parties involved in the management of asthma, including physicians, pharmacists, nurses, patients, family members, and insurance companies, need to be aware of the NAEPP guidelines. To determine if the goals of asthma therapy are being met, assessment of asthma outcomes is necessary. Unfortunately, some measures may get overlooked, and patient-reported outcomes (as assessed by the validated control instruments) are not often collected during routine examinations. The Healthcare Effectiveness Data and Information Set measure for asthma may be used to quantify asthma care, but there is evidence that it does not fully capture the goals of asthma management. Most well-designed, education-based interventions are considered good value for money, but it can be difficult to put into practice such policy interventions. An optimal managed care plan will adhere to known evidence-based guidelines, can measure outcomes, is targeted to the patient's risk and impairment, and can adapt to changes in our understanding of asthma and its treatment. PMID:21761959

  13. Pediatric Care Online: A Pediatric Point-of-Care Tool.

    Science.gov (United States)

    Vardell, Emily

    2016-01-01

    Pediatric Care Online is the American Academy of Pediatrics' point-of-care tool designed for health care providers. Pediatric Care Online builds on content from Red Book Online and Pediatric Patient Education and features Quick Reference topic pages for more than 250 pediatric health care topics. The multitude of resources available within Pediatric Care Online will be reviewed in this column, and a sample search will be used to illustrate the type of information available within this point-of-care pediatric resource. PMID:27054536

  14. Mediation and managed care.

    Science.gov (United States)

    Dubler, N N

    1998-03-01

    Managed care has not only intensified existing conflicts between patient and provider, it has, by its very nature, changed the shape and scope of the healthcare enterprise and introduced an entirely new set of disputes. The decision-making dynamics have been altered, and the cast of players has expanded. Traditionally, the therapeutic interaction took place between the physician and the patient although it occasionally included the patient's family. Whatever obligations existed, such as fidelity, confidentiality, and standard of care, they bound only those parties. Now, as the managed care organization has interposed itself between the patient and the physician, the dyad has become a triad. The power balance has shifted, and a new set of rights and responsibilities now flows between and among the players, each of whom has interests that may or may not coincide. This article argues that, because of its cost containment origins and orientation, managed care increases the likelihood that misunderstandings, disagreements and disputes will develop into full-blown conflicts. If managed care is to succeed financially and operate with integrity, it must develop techniques for managing the increasing conflicts that arise inevitably between and among the organizations, physicians, and patients. It is clear that the voice of the patient needs to be strengthened within the new complex decision-making, review, and appeal procedures. Mediation is the most appropriate method of dispute resolution for the managed care setting because it balances the disparities in power endemic to the bureaucratization of medicine and refocuses the interests of the various parties. Using bioethics consultation as a model for dispute mediation provides a set of principles and guideline tasks that can be applied effectively to managed care. PMID:9514387

  15. A personalized care plan in chronic care: implementation and evaluation

    OpenAIRE

    Jeanny Engels; Marjolein Rebel; Doortje Boshuizen

    2012-01-01

    Purpose Implementation and evaluation of a personalized care plan for approximately 350 people with (an increased risk of) cardiovascular disease in ten general practices in the Netherlands. Context The ‘Healthy Vessels’ (‘Vitale Vaten’) care standard of 2009 describes the optimum care for people with (an increased risk of) cardiovascular disease and is based on the Chronic Care Model. New: working with a personalized care plan, with detailed attention for the promotion of self-management and...

  16. Developing Integrated Care: Towards a development model for integrated care

    OpenAIRE

    Minkman, Mirella M.N

    2012-01-01

    textabstractThe thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated care. Based on a systematic approach in which a literature study, a delphi study, a concept mapping study and questionnaire research are combined, a development model for integrated care is created....

  17. Caring as a Managerial Strategy

    Science.gov (United States)

    Kroth, Michael; Keeler, Carolyn

    2009-01-01

    The purpose of this article is to broaden the discourse about caring as a managerial strategy by describing caring from three perspectives: nursing, education, and management. The authors suggest that current organizational models inadequately address the caring connection between manager and employee. Definitions of managerial caring and care…

  18. Primary Medical Care in Chile

    DEFF Research Database (Denmark)

    Scarpaci, Joseph L.

    Primary medical care in Chile: accessibility under military rule [Front Cover] [Front Matter] [Title Page] Contents Tables Figures Preface Chapter 1: Introduction Chapter 2: The Restructuring of Medical Care Financing in Chile Chapter 3: Inflation and Medical Care Accessibility Chapter 4: Help......-Seeking Behavior of the Urban Poor Chapter 5: Spatial Organization and Medical Care Accessibility Chapter 6: Conclusion...

  19. Perspectives on Self-Care

    Science.gov (United States)

    Williams, Isha D.; Richardson, Tenille A.; Moore, Darren D.; Gambrel, Laura Eubanks; Keeling, Margaret L.

    2010-01-01

    Self-care for clinicians is much needed. To discover ways to implement self-care into our lives, we (four therapists) tried different self-care methods over a span of one to two weeks. After using practices that explored self-care through mindfulness meditation, autohypnosis, music, and spirituality, we wrote about the outcome of these experiences…

  20. Multidisciplinary care in haemoglobinopathies

    Directory of Open Access Journals (Sweden)

    Adriana Ceci

    2014-12-01

    Full Text Available While most complications are related to haemoglobinopathies and their treatment, it is also possible to observe substantial differences in comorbidities’ onset and seriousness which depend also to the different HPs genotypes. These differences should be carefully considered when health authorities set up and manage adequate care systems and treatments plans. We describe services organisation in Italy including the availability of multispecialty care and tools, in the HPs units participating to the HTA-THAL Multiregional Registry, with the aim to derive the impact of the services and multispecialty care availability on the management of the disease and on the patients wellbeing. The high dispersion and heterogeneity of services demonstrated, exposes the Italian system to a high risk of: a inappropriate use of economical and medical resources, b limited access to multidisciplinary care of some patients with apparent inequality among different centres, and c low patients satisfaction with the services provided. The identification of a ‘standard for HPs services’ is necessary not only at national but also at interventional level in order to implement collaborative research and the identification and networking of reference’ centres worldwide. Following the big efforts provided in the last years here there is a new challenging mission for the TIF.

  1. Palliative care and spirituality

    Directory of Open Access Journals (Sweden)

    Narayanasamy Aru

    2007-01-01

    Full Text Available Critical junctures in patients′ lives such as chronic illnesses and advanced diseases may leave the persons in a state of imbalance or disharmony of body, mind and spirit. With regard to spirituality and healing, there is a consensus in literature about the influence of spirituality on recovery and the ability to cope with and adjust to the varying and demanding states of health and illness. Empirical evidence suggests that spiritual support may act as an adjunct to the palliative care of those facing advanced diseases and end of life. In this article, the author draws from his empirical work on spirituality and culture to develop a discourse on palliative care and spirituality in both secular and non-secular settings. In doing so, this paper offers some understanding into the concept of spirituality, spiritual needs and spiritual care interventions in palliative care in terms of empirical evidence. Responding to spiritual needs could be challenging, but at the same time it could be rewarding to both healthcare practitioner (HCP and patient in that they may experience spiritual growth and development. Patients may derive great health benefits with improvements in their quality of life, resolutions and meaning and purpose in life. It is hoped that the strategies for spiritual support outlined in this paper serve as practical guidelines to HCPs for development of palliative care in South Asia.

  2. Health care technology assessment

    Science.gov (United States)

    Goodman, Clifford

    1994-12-01

    The role of technology in the cost of health care is a primary issue in current debates concerning national health care reform. The broad scope of studies for understanding technological impacts is known as technology assessment. Technology policy makers can improve their decision making by becoming more aware, and taking greater advantage, of key trends in health care technology assessment (HCTA). HCTA is the systematic evaluation of the properties, impacts, and other attributes of health care technologies, including: technical performance; clinical safety and efficacy/effectiveness; cost-effectiveness and other economic attributes; appropriate circumstances/indications for use; and social, legal, ethical, and political impacts. The main purpose of HCTA is to inform technology-related policy making in health care. Among the important trends in HCTA are: (1) proliferation of HCTA groups in the public and private sectors; (2) higher standards for scientific evidence concerning technologies; (3) methodological development in cost analyses, health-related quality of life measurement, and consolidation of available scientific evidence (e.g., meta-analysis); (4) emphasis on improved data on how well technologies work in routine practice and for traditionally under-represented patient groups; (5) development of priority-setting methods; (6) greater reliance on medical informatics to support and disseminate HCTA findings.

  3. Primary Care: Medicine's Gordian Knot.

    Science.gov (United States)

    Oddone, Eugene Z; Boulware, L Ebony

    2016-01-01

    Primary care is the cornerstone of effective and efficient healthcare systems. Patients prefer a trusted primary care provider to serve as the first contact for all of their healthcare questions, to help them make important health decisions, to help guide them through an expanding amount of medical information and to help coordinate their care with all other providers. Patients also prefer to establish an ongoing, continuous relationship with their primary care provider. However, fewer and fewer physicians are choosing primary care as a career, threatening the foundation of the health system. We explore the central challenges of primary care defined by work-force controversies about who can best deliver primary care. We also explore the current challenging reimbursement model for primary care that often results in fragmenting care for patients and providers. Finally, we explore new models of primary care health delivery that may serve as partial solutions to the current challenges. PMID:26802754

  4. Rabbit care and husbandry.

    Science.gov (United States)

    Bradley, Teresa

    2004-05-01

    This article provides information for the veterinary staff to be better prepared to care for the special needs of rabbit patients as they are presented in increased frequency for veterinary care. Housing, nutrition,restraint, and recognizing illness are covered in detail. Descriptions of techniques for blood collection, oral medication administration, and injection sites are included. Preventive care recommendations for examinations from first visit to geriatric visits are outlined as well as indications for spaying and neutering. Also provided are lists that will aid the veterinary staff in providing instructions when the appointment is made, recommendations for boarding, surgical, and anesthetic considerations and clinical signs that are associated with pain in rabbits. PMID:15145392

  5. Health care reforms

    Directory of Open Access Journals (Sweden)

    Marušič Dorjan

    2016-09-01

    Full Text Available In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

  6. [Quality of health care].

    Science.gov (United States)

    Medina, J L; De Melo, P C

    2000-01-01

    Quality assurance is a relatively recent concern but already plays a major role in health care management and provision. Quality involves the definition of a comprehensive programme tailored by realistic and effective objectives and norms that include the structured review of procedures (namely clinical audits) and the use of up-to-date protocols. The involvement and motivation of health professionals, together with an adequate internal and external communication strategy, play a key role in the planning and application of these programmes. The use of programmed assessment, based on a solid knowledge of current practice, should have practical implications, optimising procedures in order to improve the quality of care. This commitment towards quality in health care should go far beyond governmental policy and should have clear support from health professionals. PMID:11234496

  7. Neurocritical care update.

    Science.gov (United States)

    Kuroda, Yasuhiro

    2016-01-01

    This update comprises six important topics under neurocritical care that require reevaluation. For post-cardiac arrest brain injury, the evaluation of the injury and its corresponding therapy, including temperature modulation, is required. Analgosedation for target temperature management is an essential strategy to prevent shivering and minimizes endogenous stress induced by catecholamine surges. For severe traumatic brain injury, the diverse effects of therapeutic hypothermia depend on the complicated pathophysiology of the condition. Continuous electroencephalogram monitoring is an essential tool for detecting nonconvulsive status epilepticus in the intensive care unit (ICU). Neurocritical care, including advanced hemodynamic monitoring, is a fundamental approach for delayed cerebral ischemia following subarachnoid hemorrhage. We must be mindful of the high percentage of ICU patients who may develop sepsis-associated brain dysfunction. PMID:27239312

  8. Comprehensive care of travelers.

    Science.gov (United States)

    Pust, R E; Peate, W F; Cordes, D H

    1986-12-01

    Travel, especially if it is international, often means major changes for the family. Family physicians should assess the epidemiologic risk and psychosocial significance of travel or relocation in light of the family's life-cycle stage and antecedent health. Using core references, which are kept current in partnership with public health agencies, family physicians are able to provide comprehensive immunization, medications, and patient education for all travel risks. Families are given medical record summaries and recommended sources of care at their destination. Eight weeks after their return patients are reassessed for newly acquired illness and helped to integrate the perspectives gained during the travel into the family's future dynamics. Taking advantage of growing travel medicine opportunities, family medicine educators should base the care of travelers and teaching of residents on defined competence priorities. Travelers' health provides a mutually rewarding model of shared care with public health consultants in the community medicine curriculum. PMID:3537200

  9. Maritime in transit care.

    Science.gov (United States)

    Bott, G; Barnard, J; Prior, K

    2015-01-01

    Operation GRITROCK saw the first operational deployment of the Maritime In Transit Care team from the Role 2 (Enhanced) (R2(E)) Medical Treatment Facility, which is able to provide Damage Control Surgery and the limited holding of patients, situated on board RFA ARGUS. Whilst the Medical Emergency Response Team demonstrated the capability of advanced military Pre-Hospital Emergency Care (PHEC) on Op HERRICK, the need to provide a similar high level of care on contingency operations was recognised. Op GRITROCK allowed for the continued exploration of a maritime capability from an established R2(E) platform whilst providing medical evacuation capability for a significant population at risk distributed over a large Joint Operation Area. Although the patient load during the operation was low, key lessons were learnt and opportunities identified to further develop the newly recognised sub-speciality of PHEC, both medically and logistically, and these will be discussed in this article. PMID:26867404

  10. Critical care in India.

    Science.gov (United States)

    Udwadia, F E; Guntupalli, K K; Vidyasagar, D

    1997-04-01

    India is a vast democracy of nearly one billion people. Before the British rule ended in 1947, the life span of an Indian was a mere 21 years. Within a short span of 50 years, it increased to an impressive 63 years, largely due to public health measures initiated by the government. This created a pool of more than 300 million middle class Indians who could afford the benefits of modern and specialized care when needed. Critical care medicine, as practiced in the West, is still confined to large Metropolitan areas. A large pool of expatriate Indian physicians from all over the world are helping bridge the resource gap between the West and India by transfer of technology and providing appropriate training to physicians and paramedical personnel. This article describes the history and current status of development of critical care medicine in India. PMID:9107510

  11. Health care need

    DEFF Research Database (Denmark)

    Hasman, Andreas; Hope, Tony; Østerdal, Lars Peter

    2006-01-01

    The argument that scarce health care resources should be distributed so that patients in 'need' are given priority for treatment is rarely contested. In this paper, we argue that if need is to play a significant role in distributive decisions it is crucial that what is meant by need can be precis......The argument that scarce health care resources should be distributed so that patients in 'need' are given priority for treatment is rarely contested. In this paper, we argue that if need is to play a significant role in distributive decisions it is crucial that what is meant by need can...... be precisely articulated. Following a discussion of the general features of health care need, we propose three principal interpretations of need, each of which focuses on separate intuitions. Although this account may not be a completely exhaustive reflection of what people mean when they refer to need...

  12. Room for caring

    DEFF Research Database (Denmark)

    Timmermann, Connie; Uhrenfeldt, Lisbeth; Birkelund, Regner

    2015-01-01

    Aim This study explores how seriously ill hospitalized patients' experience and assign meaning to their patient room. Background Modern hospitals and the rational underlying care and treatment of today have their emphasis on diagnosis, cure and treatment. Consequently, aesthetics in the patient...... rooms such as a view of nature or natural light entering the room are often neglected in caring for these patients. Method A phenomenological-hermeneutic study design was applied and data was collected through multiple qualitative interviews combined with observations at a teaching hospital in Denmark......-being, relief and hope for the patients during serious illness. Therefore, these sensory impressions should be thought of as holding palliative potential and should be included as a part of caring for the seriously ill patients....

  13. The Mediatization of Care

    DEFF Research Database (Denmark)

    Dindler, Camilla; Ahlmark, Nanna

    This paper will explore the implications for peer-to-peer health interventions of two developments in modern Western societies; the increasing status of the media as a site for gaining governmental legitimacy (Schillemanns, 2012) and a neoliberal “logic of choice” in health care, focusing on...... citizens’ individual risk and responsibilities in pursuing “factual” health (Mol, 2008). The practice of peer-to-peer health intervention may, as opposed to the logic of choice, be guided by a “logic of care” (Mol, 2008) , defined as a professional way of doing that attunes into the everyday life of the...... in health care defined partly by a democratization of health expertise and the abovementioned logic of care, when – at the same time - there is an experienced need of gaining public legitimacy and status via linking to the agendas of the media and broader culture that promote an individualized, risk...

  14. Integrated care requires integrated supervision

    OpenAIRE

    Ketelaars, Corry

    2011-01-01

    Introduction: Given recent developments in integrated care, it is becoming increasingly important for the Dutch Health Care Inspectorate to direct its supervision in a way that may help speed up the implementation of integrated care.Description of care practice: Since the implementation of integrated care for chronic patients is facing obstacles, alternative methods are required to ensure that the implementation process does not run into any delays. By applying a risk-based approach to integr...

  15. What Is Primary Care Informatics?

    OpenAIRE

    de Lusignan, Simon

    2003-01-01

    Primary care informatics is an emerging academic discipline that remains undefined. The unique nature of primary care necessitates the development of its own informatics discipline. A definition of primary care informatics is proposed, which encompasses the distinctive nature of primary care. The core concepts and theory that should underpin it are described. Primary care informatics is defined as a science and as a subset of health informatics. The proposed definition is intended to focus th...

  16. Concept caring in nursing

    Directory of Open Access Journals (Sweden)

    Lenka Drahošová

    2016-05-01

    Full Text Available Aim: The aim of this literature review was to search for qualitative studies focusing on the concept of caring in nursing, to analyse them and to synthesize knowledge that concerns the definition of the concept of caring in nursing from the point of view of nurses and patients. Design: Review. Methods: Qualitative studies were searched for systematically in the electronic databases Academic Search Complete (EBSCO, CINAHL, Medline, Science Direct, and the Wiley Library Online, according to set criteria and defined key words for the period 1970-2015. Seven selected articles were analysed after selection of documents with the aid of a sorting chart. Results: Nurses understand caring in nursing as a relationship with patients which is characterised on the nurses' part by an individual and empathetic approach, attentiveness, experience and sensitivity. Through caring, active communication takes place, providing information which reduces anxiety and leads to the breaking down of barriers. This relationship helps protect patients' autonomy, dignity and comfort. It requires experience on the part of nurses, and it is influenced by the environment. The nurses' personal qualities (what professional knowledge, attitudes and skills they have and their availability, reliability, and emotional and physical support are important to patients. Conclusion: The concept of caring is a content specific interpersonal process which is characterized by the professional knowledge, skills, personal maturity, and interpersonal sensitivity of nurses, which result in the protection, emotional support, and the meeting of bio-psycho-social needs of patients. The results of the overview study could contribute to an explanation and understanding of the nature of caring as a fundamental feature of the discipline of nursing.

  17. Pediatric palliative care

    Directory of Open Access Journals (Sweden)

    Trapanotto Manuela

    2008-12-01

    Full Text Available Abstract The WHO defines pediatric palliative care as the active total care of the child's body, mind and spirit, which also involves giving support to the family. Its purpose is to improve the quality of life of young patients and their families, and in the vast majority of cases the home is the best place to provide such care, but for cultural, affective, educational and organizational reasons, pediatric patients rarely benefit from such an approach. In daily practice, it is clear that pediatric patients experience all the clinical, psychological, ethical and spiritual problems that severe, irreversible disease and death entail. The international literature indicates a prevalence of incurable disease annually affecting 10/10,000 young people from 0 to 19 years old, with an annual mortality rate of 1/10,000 young people from birth to 17 years old. The needs of this category of patients, recorded in investigations conducted in various parts of the world, reveal much the same picture despite geographical, cultural, organizational and social differences, particularly as concerns their wish to be treated at home and the demand for better communications between the professionals involved in their care and a greater availability of support services. Different patient care models have been tested in Italy and abroad, two of institutional type (with children staying in hospitals for treating acute disease or in pediatric hospices and two based at home (the so-called home-based hospitalization and integrated home-based care programs. Professional expertise, training, research and organization provide the essential foundations for coping with a situation that is all too often underestimated and neglected.

  18. Auditing urinary catheter care.

    Science.gov (United States)

    Dailly, Sue

    Urinary catheters are the main cause of hospital-acquired urinary tract infections among inpatients. Healthcare staff can reduce the risk of patients developing an infection by ensuring they give evidence-based care and by removing the catheter as soon as it is no longer necessary. An audit conducted in a Hampshire hospital demonstrated there was poor documented evidence that best practice was being carried out. Therefore a urinary catheter assessment and monitoring tool was designed to promote best practice and produce clear evidence that care had been provided. PMID:22375340

  19. Psychiatry and primary care.

    Science.gov (United States)

    Goldberg, David

    2003-10-01

    There is now almost universal recognition that primary care is the place where most mentally distressed people first present for help. However, the pace at which the health system has adapted to this reality varies greatly from country to country, depending on the amount of resource devoted to mental illness services, the way in which primary care physicians have organized their practice, and the inertia of the system. Here we present several models from developed and developing countries and address briefly the issue of training of health workers. PMID:16946921

  20. Retaining caregivers, improving care.

    Science.gov (United States)

    Bodwell, Wendy; Dent, Sara; Grant, Tracie; Hammerly, Milt; Mamula, Jeanie

    2006-01-01

    Text Summary In 2004, Centura Health's long-term care centers took part in a pilot project, sponsored by the Centers for Medicare & Medicaid Services, called "Improving Nursing Home Culture through Workforce Retention." A 30-member team comprising Centura leaders and long-term facility staff looked at Centura's eight participating facilities through residents' and employees' eyes. The goal of the team's reflection and subsequent changes was to create a culture in which decisions are focused on resident care and organizational policies are based on respect for employees. At the end of the first year, residents seemed happier and employee satisfaction and involvement increased at all eight Centura facilities. PMID:16519278

  1. Integrating rheumatology care in the community: can shared care work?

    Directory of Open Access Journals (Sweden)

    Anita YN Lim

    2015-08-01

    Full Text Available Introduction: Singapore's rapidly ageing population and chronic disease burden at public hospital specialist clinics herald a silver tsunami. In Singapore, “right siting” aims to manage stable chronic disease in primary care at a lower cost. To improve the quality of rheumatology care, we created shared care between rheumatologist and family physician to reduce hospital visits.Methods: Clinical practice improvement methodology was used to structure shared care of stable patients between hospital rheumatologists and eleven community family physicians; one ran a hospital clinic. A case manager coordinated the workflow.Results: About 220 patients entered shared care over 29 months. Patients without hospital subsidies (private patients and private family physicians independently predicted successful shared care, defined as one cycle of alternating care.Discussion: Our shared care model incorporated a case manager, systematic workflows, patient selection criteria, willing family physician partners and rheumatologists in the absence of organizational integration. Health care affordability impacts successful shared care. Government subsidy hindered right siting to private primary care.Conclusions: Financing systems in Singapore, at health policy level, must allow transfer of hospital subsidies to primary care, both private and public, to make it more affordable than hospital care. Structural integration will create a seamless continuum between hospital and primary care.

  2. Integrating rheumatology care in the community: can shared care work?

    Directory of Open Access Journals (Sweden)

    Anita YN Lim

    2015-08-01

    Full Text Available Introduction: Singapore's rapidly ageing population and chronic disease burden at public hospital specialist clinics herald a silver tsunami. In Singapore, “right siting” aims to manage stable chronic disease in primary care at a lower cost. To improve the quality of rheumatology care, we created shared care between rheumatologist and family physician to reduce hospital visits. Methods: Clinical practice improvement methodology was used to structure shared care of stable patients between hospital rheumatologists and eleven community family physicians; one ran a hospital clinic. A case manager coordinated the workflow. Results: About 220 patients entered shared care over 29 months. Patients without hospital subsidies (private patients and private family physicians independently predicted successful shared care, defined as one cycle of alternating care. Discussion: Our shared care model incorporated a case manager, systematic workflows, patient selection criteria, willing family physician partners and rheumatologists in the absence of organizational integration. Health care affordability impacts successful shared care. Government subsidy hindered right siting to private primary care. Conclusions: Financing systems in Singapore, at health policy level, must allow transfer of hospital subsidies to primary care, both private and public, to make it more affordable than hospital care. Structural integration will create a seamless continuum between hospital and primary care.

  3. Integrating palliative care into the trajectory of cancer care.

    Science.gov (United States)

    Hui, David; Bruera, Eduardo

    2016-03-01

    Over the past five decades, palliative care has evolved from serving patients at the end of life into a highly specialized discipline focused on delivering supportive care to patients with life-limiting illnesses throughout the disease trajectory. A growing body of evidence is now available to inform the key domains in the practice of palliative care, including symptom management, psychosocial care, communication, decision-making, and end-of-life care. Findings from multiple studies indicate that integrating palliative care early in the disease trajectory can result in improvements in quality of life, symptom control, patient and caregiver satisfaction, illness understanding, quality of end-of-life care, survival, and costs of care. In this narrative Review, we discuss various strategies to integrate oncology and palliative care by optimizing clinical infrastructures, processes, education, and research. The goal of integration is to maximize patient access to palliative care and, ultimately, to improve patient outcomes. We provide a conceptual model for the integration of supportive and/or palliative care with primary and oncological care. We also discuss how health-care systems and institutions need to tailor integration based on their resources, size, and the level of primary palliative care available. PMID:26598947

  4. Care platforms: a basic building block for care delivery.

    Science.gov (United States)

    Bohmer, Richard M J; Lawrence, David M

    2008-01-01

    Without significant operational reform within the nation's health care delivery organizations, new financing models, payment systems, or structures are unlikely to realize their promise. Adapting insights from high-performing companies in other high-risk, high-cost, science- and technology-based industries, we propose the "care platform" as an organizing framework for internal operations in diversified provider organizations to increase the quality, reliability, and efficiency of care delivery. A care platform organizes "care production" around similar work, rather than organs or specialties; integrates standard and custom care processes; and surrounds them with specifically configured information and business systems. Such organizational designs imply new roles for physicians. PMID:18780920

  5. Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus

    OpenAIRE

    van Hoof, Sofie Johanna Maria; Kroese, Mariëlle Elisabeth Aafje Lydia; Spreeuwenberg, Marieke Dingena; Elissen, Arianne Mathilda Josephus; Meerlo, Ronald Johan; Hanraets, Monique Margaretha Henriëtte; Ruwaard, Dirk

    2016-01-01

    Objective: To analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation.Methods: A descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex ...

  6. Home-cooked care.

    Science.gov (United States)

    Dean, Erin

    Hospital patients undoubtedly benefit when visitors bring in home-cooked meals. Patients are more likely to be well-nourished if they can eat food they enjoy. But it can present practical difficulties. Banning such food can prevent visitors from showing they care and present nurses with a dilemma. PMID:22880341

  7. Tariffs in emergency care.

    Science.gov (United States)

    Hughes, Thomas; Higginson, Ian; Mann, Clifford

    2014-11-01

    The crisis in emergency medicine in the UK was no surprise to staff in the specialty, but was not expected by the Department of Health. This article explains how chronic, systematic under-resourcing of emergency care has caused emergency departments to decompensate, and discusses actions that are necessary to prevent recurrence. PMID:25383433

  8. Wound care centers

    Science.gov (United States)

    ... different types of dressings, including: Gels Foams Gauze Films Your provider may use one or multiple types ... Care (AAWC). 2010. http://aawconline.org/wp-content/uploads/2011/08/AAWCPressureUlcerGuidelineofGuidelinesAug11.pdf. Accessed June 11, 2014. ...

  9. Health Care Indicators

    OpenAIRE

    Donham, Carolyn S.; Maple, Brenda T.; Lemieux, Jeffrey A.

    1990-01-01

    Contained in this regular feature of the journal is a section on each of the following five topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; hospital skill mix changes: 1980s; and national economic indicators.

  10. CancerCare

    Science.gov (United States)

    ... E-News Blog En Español Facebook Twitter YouTube Instagram LinkedIn Patient Access & Engagement Report Research representing the ... HOPE (4673) info@cancercare.org Facebook Twitter YouTube Instagram LinkedIn © 2016 Cancer Care ® — All Rights Reserved Back ...

  11. New Standard of Care

    Science.gov (United States)

    Murray, Corey

    2011-01-01

    As people live longer, healthier lives and the new health care law extends benefits to millions more Americans, the need for nurses, technicians, and others to staff the nation's hospitals and medical facilities presents an enormous opportunity for workers displaced by the faltering economy. This article features Virtual Career Network that helps…

  12. Training in dementia care.

    Science.gov (United States)

    Alberto, Petra

    2014-10-01

    THE RISING number of people with dementia is making more and more demands on the country's healthcare budget, with the cost of caring for this patient group to the NHS in England, Wales and Northern Ireland being about £23 billion a year ( Alzheimer's Society 2012 ). PMID:25270810

  13. Child Care Aware

    Science.gov (United States)

    ... a stream of our activity across multiple social networks by visiting the Child Care Aware® of America Social Dashboard. Visit Our Social Dashboard Follow and Engage Copyright 2015 CCAoA. All Rights Reserved. Careers Privacy Policy Site Terms Newsroom Contact Us Pin It on ...

  14. [Palliative care in neurology].

    Science.gov (United States)

    Provinciali, Leandro; Tarquini, Daniela; De Falco, Fabrizio A; Carlini, Giulia; Zappia, Mario; Toni, Danilo

    2015-07-01

    Palliative care in neurology is characterized by the need of taking into account some distinguishing features which supplement and often differ from the general palliative approach to cancer or to severe organ failures. Such position is emphasized by a new concept of palliative assistance which is not limited to the "end of life" stage, as it was the traditional one, but is applied along the entire course of progressive, life-limiting, and disabling conditions. There are various reasons accounting for a differentiation of palliative care in neurology and for the development of specific expertise; the long duration of the advanced stages of many neurological diseases and the distinguishing features of some clinical problems (cognitive disorders, psychic disorders, etc.), in addition to the deterioration of some general aspects (nutrition, etc.), make the general criteria adopted for cancer, severe respiratory, hepatic or renal failures and heart failure inadequate. The neurological diseases which could benefit from the development of a specific palliative approach are dementia, cerebrovascular diseases, movement disorders, neuromuscular diseases, severe traumatic brain injury, brain cancers and multiple sclerosis, as well as less frequent conditions. The growing literature on palliative care in neurology provides evidence of the neurological community's increasing interest in taking care of the advanced and terminal stages of nervous system diseases, thus encouraging research, training and updating in such direction. This document aims to underline the specific neurological requirements concerning the palliative assistance. PMID:26228722

  15. Improving palliative care.

    LENUS (Irish Health Repository)

    Moran, Sue

    2009-05-01

    Any service improvement project requires planning, action and evaluation. Using a recognised quality improvement framework can offer a structured approach to implementing and assessing changes to patient care. This article describes how use of the Deming Cycle has helped to identify nurses\\' learning needs.

  16. Diabetic Wound Care

    Science.gov (United States)

    ... RSS Home » Learn About Feet » Foot Health Information Diabetic Wound Care What is a Diabetic Foot Ulcer? A diabetic foot ulcer is an open sore or wound ... key factors in the appropriate treatment of a diabetic foot ulcer: Prevention of infection Taking the pressure ...

  17. Funding Rural Health Care.

    Science.gov (United States)

    Moore, Kim

    This paper provides first-time grant writers with suggestions on how to approach a private funding source. While intended for rural health care advocates, the remarks are equally applicable for educators and others. The rural crisis has produced many heart-rending stories about medically indigent people, but there is a lack of reliable statistics…

  18. Raising Children Who Care.

    Science.gov (United States)

    Kohn, Alfie

    2000-01-01

    Presents excerpt from Kohn's 1990 book, asserting that parents are most important to children and need to project a positive view of life. Argues that caring, the absence of physical punishment, guiding and explaining, cooperating, and taking children seriously are required to offset the pressure and negative values that a competitive culture…

  19. Integrating Care Across Disciplines.

    Science.gov (United States)

    Blachman, Nina L; Blaum, Caroline S

    2016-05-01

    Interdisciplinary care teams are important in managing older patients. Geriatric patients with cardiovascular problems represent a unique paradigm for interdisciplinary teams, and patients benefit from the assistance of physicians, nurses, social workers, pharmacists, and therapists collaborating on treatment plans. Teams work on the inpatient and outpatient sides and at patients' homes to maximize function and prevent readmissions to the hospital. PMID:27113153

  20. Orphan Care in Russia

    Directory of Open Access Journals (Sweden)

    Schmidt, Victoria

    2009-07-01

    Full Text Available Current public opinion about the residential care system in contemporary Russia is extremely negative. A majority of Russians, both citizens and professionals, consider that family placement is the best arrangement for orphaned children. The year 2007 was announced as the Year of the Child in Russia. The majority of officials interpreted it as the year of de-institutionalization of the residential care system for children in Russia. De-institutionalization is mostly identified as reform focused on family placement instead of placement in institutions. Vladimir Fridlyanov, the executive director of the Ministry of Science and Education, announced in May, 2007 that the government is going to transfer 120,000 children from institutions into families every year from 2007 until 2010 and reduce the number of residential care institutions by one-third (Nesterova 2007. But the likelihood of family placement is small, with the exception of the adoption of infants without serious pathologies, and the attempts of precipitant de-institutionalization (when children’s homes are closed and children are distributed among families have failed (children were returned into children homes. According to the opinion of the Ministry, the key obstacle to effective de-institutionalization is the lack of professionals in adoption and foster care (Vazhdaeva 2006.

  1. FROM CASH TO CARING

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Shanghai is reinventing itselfas it prepares for the SpecialOlympics in October Known as China’s city of money, Shanghai is soonto find newfameas the country’s capital of caring. With its high-rise skyline, the modern center of business, a meeting place

  2. Sentiment, Care, and Respect

    Science.gov (United States)

    Darwall, Stephen

    2010-01-01

    Michael Slote proposes a rethinking of moral education from the perspective of a normative ethics of care combined with his distinctive sentimentalist metaethics. I raise questions concerning the role of empathy in Slote's picture and argue that empathy is related to respect and sentiments through which we hold ourselves and one another…

  3. Net4Care platform

    DEFF Research Database (Denmark)

    2012-01-01

    , that in turn enables general practitioners and clinical staff to view observations. Use the menus above to explore the site's information resources. To get started, follow the short Hello, World! tutorial. The Net4Care project is funded by The Central Denmark Region and EU via Caretech Innovation....

  4. Prehospital care in Indonesia

    OpenAIRE

    Pitt, E.; Pusponegoro, A

    2005-01-01

    Current system: Hospitals of varying standards are widespread but have no system of emergency ambulance or patient retrieval. Indonesia's only public emergency ambulance service, 118, is based in five of the biggest cities and is leading the way in paramedic training and prehospital care.

  5. History of Chiropractic Care

    Science.gov (United States)

    ... ACA News Digital Edition Archives: ACA News Articles Advertising Opportunities News Newsroom News Releases Letters to the Editor Facts About Chiropractic Chiropractic in the Media ACA Radio Chiropractic Cares Social Media Facebook Twitter YouTube Instagram LinkedIn Advocacy Regulatory Policy Issue ...

  6. Cancer Care and Control

    OpenAIRE

    Schneidman, Miriam; Jeffers, Joanne; Duncan, Kalina

    2015-01-01

    Worldwide, deaths from cancer exceed those caused by human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), tuberculosis, and malaria combined. Seventy percent of deaths due to cancer occur in low-and middle-income countries, which are often poorly prepared to deal with the growing burden of chronic disease. Over a period of 18 months, the cancer care and control...

  7. BNFL and environmental care

    International Nuclear Information System (INIS)

    British Nuclear Fuel plc (BNFL) acknowledge a duty of care for the environment and aims to reduce the effects of its activities on the environment to as low as reasonably practicable. Its environmental policy statement is presented and its approach, investment policies and activities to implement this policy are outlined. The activities include energy efficiency, recycling, surveillance and research, conservation and open information. (UK)

  8. Accountability in Health Care

    DEFF Research Database (Denmark)

    Vrangbæk, Karsten; Byrkjeflot, Haldor

    2016-01-01

    adjustment of such frameworks. In this article we present a framework for analyzing accountability within health care. The paper makes use of the concept of "accountability regime" to signify the combination of different accountability forms, directions and functions at any given point in time. We show...

  9. Welfare and self care

    DEFF Research Database (Denmark)

    Gulløv, Eva

    2011-01-01

    to take care of people’s basic needs but also to enable them to fare well in accordance with the dominant norms of society. This is particularly evident in the case of children. Children are objects of intense normative attention and are invested in as no other social group in order to ensure...

  10. Shared Care in Diabetes?

    DEFF Research Database (Denmark)

    Bødker, Keld

    2006-01-01

    The Danish National Board of Health has recently released a report that is intended to mark the start of a new project to establish it support for shared care in diabetes. In this paper I raise a number of concerns where lack of attention towards participation from prospective users constitute...

  11. Shared Oral Care

    DEFF Research Database (Denmark)

    Hede, Børge; Elmelund Poulsen,, Johan; Christophersen, Rasmus;

    2014-01-01

    Shared Oral Care - Forebyggelse af orale sygdomme på plejecentre Introduktion og formål: Mangelfuld mundhygiejne hos plejekrævende ældre er et alment og veldokumenteret sundhedsproblem, der kan føre til massiv udvikling af tandsygdomme, og som yderligere kan være medvirkende årsag til alvorlige...

  12. Recognition as care

    DEFF Research Database (Denmark)

    Ahlmark, Nanna; Whyte, Susan Reynolds; Harting, Janneke;

    2014-01-01

    -based and solidarity-based recognition to analyse what was at stake in these experiences, and we engage Annemarie Mol’s concept of a logic of care to show how recognition unfolded practically during the training. We propose that participants’ wider social context and experiences of misrecognition situated the training...

  13. Children and chiropractic care

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Hestbaek, Lise

    2009-01-01

    care profession has convincingly assumed the responsibility of spinal and musculoskeletal health for children. Considering the magnitude of the challenges ahead for both researchers and clinicians, this may be a good opportunity for doctors of chiropractic to take responsibility and engage...

  14. Primary care guidelines

    DEFF Research Database (Denmark)

    Ijäs, Jarja; Alanen, Seija; Kaila, Minna;

    2009-01-01

    OBJECTIVE: To describe the adoption of the national Hypertension Guideline in primary care and to evaluate the consistency of the views of the health centre senior executives on the guideline's impact on clinical practices in the treatment of hypertension in their health centres. DESIGN: A cross...

  15. Circles of Care

    Science.gov (United States)

    Weissbourd, Richard; Jones, Stephanie M.

    2014-01-01

    James is 14 years old. Tall, handsome, funny, athletic, attuned to others, he is one of the popular, high-status students in his large freshman class. He can also be remarkably caring and attentive with his close friends. But James has a dark side. Sometimes he uses his social skills to manipulate others, and he draws a bright line between those…

  16. [Managed care. Its impact on health care in the USA, especially on anesthesia and intensive care].

    Science.gov (United States)

    Bauer, M; Bach, A

    1998-06-01

    Managed care, i.e., the integration of health insurance and delivery of care under the direction of one organization, is gaining importance in the USA health market. The initial effects consisted of a decrease in insurance premiums, a very attractive feature for employers. Managed care promises to contain expenditures for health care. Given the shrinking public resources in Germany, managed care seems attractive for the German health system, too. In this review the development of managed care, the principal elements, forms of organisation and practical tools are outlined. The regulation of the delivery of care by means of controlling and financial incentives threatens the autonomy of physicians: the physician must act as a "double agent", caring for the interest for the individual patient and being restricted by the contract with the managed care organisation. Cost containment by managed care was achieved by reducing the fees for physicians and hospitals (and partly by restricting care for patients). Only a fraction of this cost reduction was handed over to the enrollee or employer, and most of the money was returned with profit to the shareholders of the managed care organisations. The preeminent role of primary care physicians as gatekeepers of the health network led to a reduced demand for specialist services in general and for university hospitals and anesthesiologists in particular. The paradigm of managed care, i.e., to guide the patient and the care giver through the health care system in order to achieve cost-effective and high quality care, seems very attractive. The stress on cost minimization by any means in the daily practice of managed care makes it doubtful if managed care should be an option for the German health system, in particular because there are a number of restrictions on it in German law. PMID:9676303

  17. Outbreaks in Health Care Settings.

    Science.gov (United States)

    Sood, Geeta; Perl, Trish M

    2016-09-01

    Outbreaks and pseudo-outbreaks in health care settings can be complex and should be evaluated systematically using epidemiologic tools. Laboratory testing is an important part of an outbreak evaluation. Health care personnel, equipment, supplies, water, ventilation systems, and the hospital environment have been associated with health care outbreaks. Settings including the neonatal intensive care unit, endoscopy, oncology, and transplant units are areas that have specific issues which impact the approach to outbreak investigation and control. Certain organisms have a predilection for health care settings because of the illnesses of patients, the procedures performed, and the care provided. PMID:27515142

  18. Bereavement Care Provision in Europe

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt; Murphy, Irene; Keegan, Orla;

    2015-01-01

    The Bereavement Care Taskforce of the EAPC has conducted a survey on bereavement care service provision in Europe. Mai-Britt Guldin, Irene Murphy, Orla Keegan, Barbara Monroe, Maria Antonia Lacasta Reverte and Inger Benkel report on the results. One of the key findings is that not all palliative ...... care services seem to prioritise bereavement care as an integral part of their offer.......The Bereavement Care Taskforce of the EAPC has conducted a survey on bereavement care service provision in Europe. Mai-Britt Guldin, Irene Murphy, Orla Keegan, Barbara Monroe, Maria Antonia Lacasta Reverte and Inger Benkel report on the results. One of the key findings is that not all palliative...

  19. Lower Costs, Better Care- Reforming Our Health Care Delivery

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Affordable Care Act includes tools to improve the quality of health care that can also lower costs for taxpayers and patients. This means avoiding costly...

  20. Why do care workers withdraw from elderly care?

    DEFF Research Database (Denmark)

    Liveng, Anne

    2012-01-01

    the same time it illustrates the care workers' commitment to the elderly. A paradoxical "empathy at a distance" is characteristic of the scene. When analyzing my written observations in an interpretation group, my use of language was a point of discussion. What did it mean when I described the...... interactions between care workers and elderly residents in words commonly used to describe mother-child interactions? My use of language became a "hermeneutical key" which enabled a psychoanalytically inspired interpretation. This focuses on the care relationship as activating our earliest memories of our own...... care relations, independently of whether we are in the role of care providers or care receivers. Through collusion theory, the interpretation accepts both the anxiety which the helpless elderly people arouse in the care workers and their motivation for care work as two sides of a subjectively important...

  1. About Skin-to-Skin Care (Kangaroo Care)

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Preemie > About Skin- ...

  2. Managed Care Plans: Getting Good Care for Your Child

    Science.gov (United States)

    ... a Pediatrician Family Life Medical Home Health Insurance Pediatric Specialists Family Dynamics Media Work & Play Getting Involved in Your Community Healthy Children > Family Life > Medical Home > Health Insurance > Managed Care Plans: Getting Good Care for Your Child Family ...

  3. Older patients in transition : From home care towards emergency care

    OpenAIRE

    Kihlgren, Annica

    2005-01-01

    The overall aim of the thesis was to study the praxis of referrals to the emergency department (ED) from different community health care settings and the caring process of older adults in the ED (I-V). With this knowledge, the prerequisites needed to provide older adults with better care can be attained. The thesis focuses on the older adults and the nurses' involvement in the referrals and the caring process. Study I focused on the extent and reasons that 719 patients > 75...

  4. Health care and health care delivery in Greenland

    OpenAIRE

    Niclasen, Birgit; Mulvad, Gert

    2012-01-01

    Objectives. To describe the health care system and health care delivery in Greenland. Study design and method. This was a literature study that included literature and articles searched in PubMed published from 1989 to 2009 about health care in Greenland. Results. The health care system is a publicly financed governmental responsibility. Its major challenges are limited economic resources, Greenland’s demographic structure, rapid epidemiological changes, increased public demand for specialize...

  5. Health Care Reform and the Primary Care Workforce Bottleneck

    OpenAIRE

    Schwartz, Mark D

    2011-01-01

    To establish and sustain the high-performing health care system envisioned in the Affordable Care Act (ACA), current provisions in the law to strengthen the primary care workforce must be funded, implemented, and tested. However, the United States is heading towards a severe primary care workforce bottleneck due to ballooning demand and vanishing supply. Demand will be fueled by the “silver tsunami” of 80 million Americans retiring over the next 20 years and the expanded insurance coverage fo...

  6. Futile Care: Challenges of Applying Futility Concept in Caring Domain

    OpenAIRE

    Maryam Aghabarari; Nahid Dehghan Nayeri

    2015-01-01

    Caring is the most central concept in nursing. This concept distinguishes nursing from other health professions. However, according to some experts’ opinions, caring is not an only-nursing concept; it is defined as the heart of all health professions. Caring is entered in the philosophy, vision and mission of several health organizations (1) and is introduced as the essence of nursing and the fourth complementary concepts of nursing Meta paradigm (2). Caring, as a central concept in nursing, ...

  7. Primary care patient and provider preferences for diabetes care managers

    Directory of Open Access Journals (Sweden)

    Ramona S DeJesus

    2010-06-01

    Full Text Available Ramona S DeJesus1, Kristin S Vickers2, Robert J Stroebel1, Stephen S Cha31Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Department of Psychiatry and Psychology, Mayo Clinic, MN, USA; 3Department of Biostatistics, Mayo Clinic, Rochester, MN, USAPurpose: The collaborative care model, using care managers, has been shown to be effective in achieving sustained treatment outcomes in chronic disease management. Little effort has been made to find out patient preferences for chronic disease care, hence, we conducted a study aimed at identifying these.Methods: A 20-item questionnaire, asking for patients’ and providers’ preferences and perceptions, was mailed out to 1000 randomly selected patients in Olmsted County, Minnesota, identified through a diabetes registry to have type 2 diabetes mellitus, a prototypical prevalent chronic disease. Surveys were also sent to 42 primary care providers.Results: There were 254 (25.4% patient responders and 28 (66% provider responders. The majority of patients (>70% and providers (89% expressed willingness to have various aspects of diabetes care managed by a care manager. Although 75% of providers would be comfortable expanding the care manager role to other chronic diseases, only 39.5% of patient responders would be willing to see a care manager for other chronic problems. Longer length of time from initial diagnosis of diabetes was associated with decreased patient likelihood to work with a care manager.Conclusion: Despite study limitations, such as the lack of validated measures to assess perceptions related to care management, our results suggest that patients and providers are willing to collaborate with a care manager and that both groups have similar role expectations of a care manager.Keywords: care manager, collaborative care, patient preference, diabetes care

  8. Developing Integrated Care: Towards a development model for integrated care

    NARCIS (Netherlands)

    M.M.N. Minkman (Mirella)

    2012-01-01

    textabstractThe thesis adresses the phenomenon of integrated care. The implementation of integrated care for patients with a stroke or dementia is studied. Because a generic quality management model for integrated care is lacking, the study works towards building a development model for integrated c

  9. Watson's theory of transpersonal caring: factors impacting nurses professional caring.

    Science.gov (United States)

    Vandenhouten, Christine; Kubsch, Sylvia; Peterson, Margaret; Murdock, Jennifer; Lehrer, Leslie

    2012-01-01

    This study's purpose was to identify factors impacting nurses' perceived professional caring. The sample of 242 nurses completed a researcher-developed survey based on Watson's theory of transpersonal caring. Results showed that experienced, hospital-based nurses and those demonstrating greater familiarity with Watson's theory had higher caring scores. Implications for education, practice, and research are suggested. PMID:23075749

  10. Financial Health of Child Care Facilities Affects Quality of Care.

    Science.gov (United States)

    Brower, Mary R.; Sull, Theresa M.

    2003-01-01

    Contends that child care facility owners, boards of directors, staff, and parents need to focus on financial management, as poor financial health compromises the quality of care for children. Specifically addresses the issues of: (1) concern for providing high quality child care; (2) the connection between quality and money; and (3) strengthening…

  11. Why Should We Care about Child Care? [Video].

    Science.gov (United States)

    Families and Work Inst., New York, NY.

    Produced as a touchstone for the White House Conference on Child Care, this brief video (5 minutes) presents a collage of voices speaking on the need for quality child care. The voices include those of parents, physicians and child development experts, and child care workers. Among the threads touched upon by these voices are working mothers, the…

  12. Taking Care of Your Vision

    Science.gov (United States)

    ... a Friend Who Cuts? Taking Care of Your Vision KidsHealth > For Teens > Taking Care of Your Vision ... are important parts of keeping your peepers perfect. Vision Basics One of the best things you can ...

  13. Communication in Cancer Care (PDQ)

    Science.gov (United States)

    ... Finished Treatment Questions to Ask About Cancer Research Communication in Cancer Care (PDQ®)–Patient Version Overview Go ... fewer procedures and better quality of life. Good communication between patients, family caregivers, and the health care ...

  14. MCBS Access to Care PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — The MCBS 2013 Access to Care public use file (MCBS PUF) provides the first publically available MCBS file for researchers interested in the health, health care use,...

  15. What is Pediatric Palliative Care?

    Science.gov (United States)

    ... communication and coordination of care. With the close communication that palliative care provides, families are better able to choose options that are in line with their values, traditions and culture. This improves the well-being of the entire ...

  16. Types of health care providers

    Science.gov (United States)

    Physicians; Nurses; Health care providers; Doctors; Pharmacists ... with a Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO). NURSING CARE Registered nurses (RNs) have graduated from a nursing program, have ...

  17. Understanding your health care costs

    Science.gov (United States)

    ... as X-rays or MRIs Rehab, physical or occupational therapy, or chiropractic care Mental health, behavioral health, or substance abuse care Hospice, home health, skilled nursing, or durable medical equipment Prescription drugs Dental and ...

  18. Building the eye care team

    OpenAIRE

    Thulasiraj Ravilla; Gnanasekaran Chinnathambi

    2014-01-01

    Eye care services are people intensive. They require the right people (competence), in the right numbers (capacity), in the right mix (team) with the right resources and processes (enabling conditions) to ensure effective and sustainable delivery of patient care.

  19. Center to Advance Palliative Care

    Science.gov (United States)

    ... Discussion Forum The IPAL Project Palliative Care Leadership Centers (PCLC) Member Resources National Seminar Quick Links Certification ... a Job Manage Job Posts About About The Center to Advance Palliative Care (CAPC) is a national ...

  20. Pediatric cardiac postoperative care

    Directory of Open Access Journals (Sweden)

    Auler Jr. José Otávio Costa

    2002-01-01

    Full Text Available The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.

  1. Elderly Care Centre

    Science.gov (United States)

    Wagiman, Aliani; Haja Bava Mohidin, Hazrina; Ismail, Alice Sabrina

    2016-02-01

    The demand for elderly centre has increased tremendously abreast with the world demographic change as the number of senior citizens rose in the 21st century. This has become one of the most crucial problems of today's era. As the world progress into modernity, more and more people are occupied with daily work causing the senior citizens to lose the care that they actually need. This paper seeks to elucidate the best possible design of an elderly care centre with new approach in order to provide the best service for them by analysing their needs and suitable activities that could elevate their quality of life. All these findings will then be incorporated into design solutions so as to enhance the living environment for the elderly especially in Malaysian context.

  2. Reconfiguring Maternity Care?

    DEFF Research Database (Denmark)

    Johannsen, Nis

    at a hospital and a group of researchers which included me. Both initiatives involved numerous seemingly different interests that were held together and related to reconfiguring maternity care. None of the initiatives can unequivocally be labelled a success, as neither managed to change maternity...... care, at least not in the intended manner. It was, however, an achievement to relate the different interests for a period. In this dissertation I will elucidate the proposed changes in the initiatives as well as expound on the manner in which they were proposed. It is argued that the different...... interests involved in the initiatives were not obstacles which the proposed changes should overcome, but are on the contrary necessary, as it is the alliances between the particular interests and the proposed changes that motor the initiatives. The interests were not invented through the initiatives but are...

  3. Palliative care in home care: perceptions of occupational therapists

    Directory of Open Access Journals (Sweden)

    Séfora Gomez Portela

    2015-03-01

    Full Text Available This research aimed at understanding and reflecting on the perceptions of occupational therapists regarding the implementation of palliative care in home care. This is an exploratory, qualitative study, through semi-structured interviews, conducted in the second semester of 2012 with eight occupational therapists with experience in palliative care in the city of São Paulo. Content analysis identified four themes: characterization and professional trajectory in the field, understanding the concepts of palliative care, home care and palliative care, and occupational therapy and palliative care in home care. The results suggest that the role of the occupational therapist in this field has taken place at different levels of health care, being addressed to people with varying needs. The use of the concept of palliative care by the interviewees exceeds the notion of end of life, following the changes in the epidemiological transition. They understand that professional services follow the trend of national palliative care services with focus on specialized levels, but manifest the importance of its implementation in primary and home care. Among the barriers to practice, they identified the complexity of “being at home “, peculiarities of palliative care with high cost demands, lack of infrastructure and implementation of the current policy. Professional training and scientific roduction in the area were viewed as inadequate, although they identified a call for change. The interviewees recognized palliative care in home care as a strong professional field, but one still requiring study and discussions regarding its limits and conditions of implementation, especially in the Unified Health System.

  4. [DIE TAKING CARE].

    Science.gov (United States)

    Re, Cecilia

    2016-02-01

    Under the paradigm of complex thought, Edgar Morin and the pedagogy of the oppressed by Paulo Freire we describe and explain briefly the reasons of the squalid conditions in which develops the work of caring, which is not only an art and a science. The review of scientific literature, as well as the stories of life, support the need for a pedagogical reference change in vocational training programs. PMID:27101646

  5. Pregnancy and care practices

    OpenAIRE

    ARÉVALO SÁNCHEZ, ELIZABETH

    2010-01-01

    The purposeofthisresearch istovalue thecarepractices that mothers perform on themselves and on the baby to whom she is going to give birth. 150 pregnant women that go to the Centro Operativo Local Engativá medical facility, registered on project 7317: "Preganant Families: healthy and desired babies of the Administrative DepartmentofSocialWellbeing", using a quantitative and descriptive methodology. We applied the "Instrument to value those care practices that are performed on themselves and o...

  6. Child Care Subsidy Programs

    OpenAIRE

    David Blau

    2000-01-01

    Child care and early education subsidies are an important part of government efforts to increase economic independence and improve development of children in low-income families in the United States. This chapter describes the main subsidy programs in the U.S., discusses economic issues that arise in designing such programs and evaluating their effects, and surveys evidence on the effects of the programs. An important theme of the chapter is the tradeoff between the policy goals of increasing...

  7. Care for Dogs

    Institute of Scientific and Technical Information of China (English)

    孙犁

    2015-01-01

    <正>I choose dog issue as the starting point of my paper,for I have seen many stray dogs everywhere and also some domestic dogs have no suitable place to live,enjoy little care and have little rights.As to those stray dogs,there are many stray dogs one can see on the street.These dogs are running across roads,sidewalks even highways.Many stray dogs’dead bodies are seen on the

  8. Ambulatory Care Database

    OpenAIRE

    Misener, Terry R.

    1983-01-01

    A six month project was undertaken to collect outpatient encounter data (demographic, workload, and diagnoses) at a community medical treatment facility. To capture data, the 13,000 patients seen each month, the clerical staff and primary care providers all completed portions of a “mark sense” form. Study results, lessons learned, and a conceptual plan for a future outpatient information system are reviewed.

  9. Nurse led care

    OpenAIRE

    Cullum, N; Spilsbury, K; Richardson, G.

    2005-01-01

    What's the difference between medical and nursing care? The answer is not straightforward, but shortages in the medical workforce mean that nurses are increasingly called on to undertake work that was previously done by doctors (such as undertaking surgery,1 prescribing drugs, performing triage in emergency departments), whereas shortages in the nursing workforce mean that healthcare assistants now do many tasks that nurses are trained to do. This fluidity in professional roles and competenci...

  10. Hotspots critical care evaluation

    OpenAIRE

    D. Humphris; N A Connell; Meyer, E.; Lees, A

    2006-01-01

    This report evaluates a series of critical care education interventions for nurses which took place within Southampton University Hospital Trust (SUHT) and Portsmouth Hospital Trust (PHT) in 2004 and 2005. These interventions were funded by the Hotspots project and commissioned by the Hampshire and Isle of Wight Workforce Development Directorate (WDD). As part of the ongoing commitment to incorporate evidence into practice, the WDD commissioned an independent impact evaluation of these interv...

  11. Acupuncture in Primary Care

    OpenAIRE

    Mao, Jun J; Kapur, Rahul

    2010-01-01

    Acupuncture is an ancient traditional Chinese medical therapy that is used widely around the world. When practiced by a certified provider, it is safe and often perceived as calming and relaxing for patients. Animal and human studies have found a physiological basis for acupuncture needling in that it affects the complex central and peripheral neuro-hormonal network. Although it is unclear whether acupuncture is beneficial over sham/placebo acupuncture, acupuncture care yields clinically rele...

  12. Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade Asociación entre síntomas de insomnio, siesta breve diurna y caídas en ancianos de una comunidad desfavorecida Association between insomnia symptoms, daytime napping, and falls in community-dwelling elderly

    Directory of Open Access Journals (Sweden)

    Anita Liberalesso Neri

    2013-03-01

    Full Text Available Essa pesquisa investigou associações entre sintomas de insônia, cochilo diurno, e quedas em idosos da comunidade. Estudo transversal de base populacional e amostra probabilística envolvendo 689 idosos da comunidade. O protocolo continha variáveis de autorrelato e de desempenho físico. Foi utilizada a análise de regressão logística univariada e multivariada, e o nível de significância estatística adotado foi de p 80 anos (OR = 3,48; IC95%: 1,54-7,85, cochilo diurno (OR = 2,24; IC95%: 1,24-4,05 e sintomas depressivos (OR = 1,98; IC95%: 1,11-3,53. A associação entre cochilo diurno e quedas replicam dados de pesquisa internacional. Identificar fatores de risco modificáveis pode auxiliar programas de prevenção de quedas.Esta investigación se centró en las asociaciones entre síntomas de insomnio, siesta breve diurna, y caídas en ancianos de una comunidad desfavorecida. Estudio transversal de base poblacional y muestreo probabilístico involucrando a 689 ancianos de una comunidad desfavorecida. El protocolo contenía variables de autorrelato y de desempeño físico. Se utilizó un análisis de regresión logística univariada y multivariada, y el nivel de significancia estadística adoptado fue de p 80 años (OR = 3,48; IC95%: 1,54-7,85, siesta breve diurna (OR = 2,24; IC95%: 1,24-4,05 y síntomas depresivos (OR = 1,98; IC95%: 1,11-3,53. La asociación entre siesta breve diurna y caídas replican datos de investigaciones internacionales. Identificar factores de riesgo modificables pueden auxiliar en programas de prevención de caídas.This study focused on associations between insomnia symptoms, daytime napping, and falls in community-dwelling elderly, using a population-based cross-sectional design and probability sample with 689 community-dwelling elders. The protocol consisted of self-reported and physical performance variables. The study used univariate and multivariate logistic regression analysis with statistical significance

  13. "Uberizing" home care in Ontario.

    Science.gov (United States)

    Wojtak, Anne; Stark, Linda

    2016-07-01

    This article looks at home care in Ontario and its role as a foundation for a sustainable healthcare system in the future. Beginning with the history and evolution of the service delivery model, it examines current challenges and opportunities to unleash the potential of home care within a more integrated model for patient-centred care for the future. An in-depth look at how to better coordinate, integrate, and fund care for patients is highlighted. PMID:27269814

  14. Building effective critical care teams

    OpenAIRE

    Manthous, Constantine; Nembhard, Ingrid M; Hollingshead, Andrea B

    2011-01-01

    Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team en...

  15. In Search of Personal Care

    OpenAIRE

    Wellin, Chris

    2016-01-01

    In addition to medical and bodily needs, personal(ized) care involves the biographical and social identity of the recipient. Care-work always requires some adaptation to individual preferences and responses. But typically this is either an implicit or a secondary feature of care. However, with chronic, cognitive illnesses such as Alzheimer’s disease, the very capacity for maintaining self (e.g., memory and language facility) is threatened, and so the extent to which care addresses the person ...

  16. Why nursing care is missed?

    OpenAIRE

    Wiwanitkit V

    2014-01-01

    Nursing care is an important part for success of clinical therapeutics and diagnosis. The problem of nursing care can be seen elsewhere. An important consideration is on missed nursing care. The common elements of missed nursing care usually lie on these scopes: “ambulation, turning, delayed or missed feedings, patient teaching, discharge planning, emotional support, hygiene, intake and output documentation, and surveillance.”

  17. HOSPITAL VARIATION IN MISSED NURSING CARE

    OpenAIRE

    Kalisch, Beatrice J.; Tschannen, Dana; Lee, Hyunhwa; Friese, Christopher R.

    2011-01-01

    Quality of nursing care across hospitals is variable, and this variation can result in poor patient outcomes. One aspect of quality nursing care is the amount of necessary care omitted. This paper reports on the extent and type of nursing care missed and the reasons for missed care. The MISSCARE Survey was administered to nursing staff (n = 4086) who provide direct patient care in ten acute care hospitals. Missed nursing care patterns, as well as reasons for missing care (labor resources, mat...

  18. Telemedicine in wound care.

    Science.gov (United States)

    Chanussot-Deprez, Caroline; Contreras-Ruiz, José

    2008-12-01

    Telemedical wound care is one of the applications of teledermatology. We present our experience using telemedicine in the successful assessment and treatment of three patients with hard-to-heal ulcers. Three patients were seen at the PEMEX General Hospital in Veracruz, Mexico. The first patient was a 53-year-old man with hypertension, morbid obesity, chronic venous insufficiency, recurrent erysipelas, leg ulcers and lymphoedema. There was one ulcer on his left lower leg (20 x 10 cm) and one on his right leg (9 x 7 cm). The second patient was a 73-year-old woman with class III obesity and ulcers in her right leg, secondary to surgical debridement of bullous erysipelas. The third patient was a 51-year-old female with rheumatoid arthritis with one ulcer on each leg and chronic lymphostasis. Photographs with a digital camera were taken and sent weekly via email to a wound care specialist in Mexico City. The photographs allowed the expert to diagnose and evaluate the chronic wounds periodically. In the present cases, telemedicine allowed us to have a rapid evaluation, diagnosis and treatment. The images were of enough quality to be useful and small enough to be sent via regular email to the remote physician who immediately gave his feedback. The expert was confident to give therapeutic recommendations in this way, and we considered this method to be very cost-effective, saving the patient and the health care system, especially in transportation. PMID:18808429

  19. Music in child care

    Directory of Open Access Journals (Sweden)

    Maria Polikandrioti

    2007-07-01

    Full Text Available Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study included bibliography research from both the review and the research internatio nal literature, which was referred to the therapeutic effects of music in Children's Hospital. Results: Most studies focus on the beneficial effects of music to child. The results of the study showed that music is widely used to enhance well‐being and appears to exert direct effects to child, which are mainly related to physiology and psychology, including changes in the vital signs, reductions in anxiety and pain, distraction of attention from unpleasant sensations and better communication with the environment at hospital. Furthermore, music exerts indirect effects to child since is able to cause positive modifications in nurses' behaviour and conduces to better performance in their duties. Conclusions: Music consists a low-cost "therapeutic instrument" for nurses to apply to child-patient and is found to be effective in producing positive outcomes. The nurses' knowledge of music therapy need to be improved and the therapeutic impact of music must be a result from systematic professional application.

  20. [Antenatal care in immigrants].

    Science.gov (United States)

    de la Torre, J; Coll, C; Coloma, M; Martín, J I; Padrón, E; González González, N L

    2006-01-01

    The phenomenon of immigration has had an impact on the health care of the population. The immigrant population in Spain today represents approximately 8% of the total population. The majority of this population proceeds from countries with low income, and its origin and distribution is diverse. The immigrant population is characterised by its being young and healthy, and with a capacity to adapt to changes, but its social, economic and labour conditions are frequently insecure and favour vulnerability to disease. In spite of the number of immigrants of the male sex being globally higher than that of women, the percentage of immigrants of the female sex is growing. This increase of the female immigrant population has resulted in the appearance of specific health care needs, especially with respect to sexual and reproductive health. To which we must add a substantial increase in pathologies prevalent in the countries of origin, such as anaemia, tuberculosis, malnutrition, haemoglobinopathies, consanguinity, hypocalcaemia, hepatitis B and/or C, sexually transmitted infections, infectious diseases transmitted by arthropods, such as Chagas disease and other parasitoses, as well as genital mutilations. The aim of this article is to analyse the factors that make it difficult to control gestation in the immigrant population, as well as to establish guidelines for acting in antenatal care consultations. Insistence is placed on health education and prevention during pregnancy, and consideration is given to the appearance of rare diseases related to some of these groups. PMID:16721417

  1. Access and care issues in urban urgent care clinic patients

    Directory of Open Access Journals (Sweden)

    Adams Jill C

    2009-12-01

    Full Text Available Abstract Background Although primary care should be the cornerstone of medical practice, inappropriate use of urgent care for non-urgent patients is a growing problem that has significant economic and healthcare consequences. The characteristics of patients who choose the urgent care setting, as well as the reasoning behind their decisions, is not well established. The purpose of this study was to determine the motivation behind, and characteristics of, adult patients who choose to access health care in our urgent care clinic. The relevance of understanding the motivation driving this patient population is especially pertinent given recent trends towards universal healthcare and the unclear impact it may have on the demands of urgent care. Methods We conducted a cross-sectional survey of patients seeking care at an urgent care clinic (UCC within a large acute care safety-net urban hospital over a six-week period. Survey data included demographics, social and economic information, reasons that patients chose a UCC, previous primary care exposure, reasons for delaying care, and preventive care needs. Results A total of 1, 006 patients were randomly surveyed. Twenty-five percent of patients identified Spanish as their preferred language. Fifty-four percent of patients reported choosing the UCC due to not having to make an appointment, 51.2% because it was convenient, 43.9% because of same day test results, 42.7% because of ability to get same-day medications and 15.1% because co-payment was not mandatory. Lack of a regular physician was reported by 67.9% of patients and 57.2% lacked a regular source of care. Patients reported delaying access to care for a variety of reasons. Conclusion Despite a common belief that patients seek care in the urgent care setting primarily for economic reasons, this study suggests that patients choose the urgent care setting based largely on convenience and more timely care. This information is especially applicable to

  2. Net4Care Ecosystem Website

    DEFF Research Database (Denmark)

    Christensen, Henrik Bærbak; Hansen, Klaus Marius; Rasmussen, Morten;

    2012-01-01

    tele-monitoring scenario in which Net4Care clients are deployed in a gateway in private homes. Medical devices then connect to these gateways and transmit their observations to a Net4Care server. In turn the Net4Care server creates valid clinical HL7 documents, stores them in a national XDS repository...

  3. Child Care as Welfare Prevention.

    Science.gov (United States)

    Working for Change, 1995

    1995-01-01

    Part of a series from the Child Care Law Center, this issue of "Working for Change" discusses the need for quality, affordable child care as a support for working parents trying to break out of welfare dependency. This report details the current realities of poor parents who struggle to find and pay for child care while they work and those who…

  4. Taking Care of Your Teeth

    Science.gov (United States)

    ... teeth are important in many ways. If you take care of them, they'll help take care of you. Strong, healthy teeth help you chew ... have some baby teeth? If you don't take care of your teeth, cavities and unhealthy gums will ...

  5. Illinois: Child Care Collaboration Program

    Science.gov (United States)

    Center for Law and Social Policy, Inc. (CLASP), 2012

    2012-01-01

    The Illinois Child Care Collaboration Program promotes collaboration between child care and other early care and education providers, including Early Head Start (EHS), by creating policies to ease blending of funds to extend the day or year of existing services. While no funding is provided through the initiative, participating programs may take…

  6. Infant Care Suggestions for Parents

    Science.gov (United States)

    ... and a cure, education, awareness, and mutual support. Nurses who work in neonatal intensive care units and nursery departments have experience caring for very small and fragile infants. They can help parents learn the skills and gain confidence necessary to care for their ...

  7. Infant Care Self-Efficacy.

    Science.gov (United States)

    Froman, Robin D.

    The Infant Care Survey (ICS) was developed to measure new mothers' confidence in their knowledge and skills regarding the care of babies under one year of age. One potential use of this test would be the identification of groups at high risk for health problems or for avoiding medical care. Self-efficacy was an important construct in the…

  8. The Economics of Child Care.

    Science.gov (United States)

    Blau, David M., Ed.

    Economic issues are an important part of the debate over child care policy. This volume presents findings from economic analyses of research on child care issues surrounding recent policy decisions and scholarly debates. The book's introduction discusses four main issues; government involvement in child care policies, its effect on quality of…

  9. Information Sharing for Care Coordination

    OpenAIRE

    Amir, Ofra; Grosz, Barbara J.; Stern, Roni; Sanders, Lee M.

    2013-01-01

    Teamwork and care coordination are of increasing importance to health care delivery and patient safety and health. This paper describes our initial work on developing agents that are able to make intelligent information sharing decisions to support a diverse, evolving team of care providers in constructing and maintaining a shared plan that operates in uncertain environments and over a long time horizon.

  10. Training in critical care echocardiography

    OpenAIRE

    Mayo, Paul H

    2011-01-01

    Echocardiography is useful for the diagnosis and management of hemodynamic failure in the intensive care unit so that competence in some elements of echocardiography is a core skill of the critical care specialist. An important issue is how to provide training to intensivists so that they are competent in the field. This article will review issues related to training in critical care echocardiography.

  11. The care perspective and autonomy

    NARCIS (Netherlands)

    Verkerk, M.A.

    2001-01-01

    In this article I wish to show how care ethics puts forward a fundamental critique on the ideal of independency in human life without thereby discounting autonomy as a moral value altogether. In care ethics, a relational account of autonomy is developed instead. Because care ethics is sometimes crit

  12. Child Care and the Economy

    Science.gov (United States)

    Karolak, Eric

    2009-01-01

    Unemployment has topped 7% nationally and economists predict it will approach 10% by 2010. Child care programs experience a trickle-down effect: when businesses cut back hours or lay people off, parents cut back child care hours or pull children from programs. "We're seeing more and more families lose their child care assistance and have nowhere…

  13. CURRICULUM GUIDE, CHILD CARE CENTERS.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  14. Employment-Related Child Care.

    Science.gov (United States)

    Galpern, Lois; Hills, Tynette W.

    The two major sections of this report discuss issues in employer-sponsored child care, specifically describing four child-care service alternatives. Issues emphasized in the discussion include the advantages of employment-related child care, financial considerations, and implications of various forms of sponsorship. Additional issues discussed are…

  15. Understanding the dimensions of intensive care: transpersonal caring and complexity theories.

    Science.gov (United States)

    do Nascimento, Keyla Cristiane; Erdmann, Alacoque Lorenzini

    2009-01-01

    This is a descriptive, interpretive and qualitative study carried out at the ICU of a Brazilian teaching hospital. It aimed to understand the dimensions of human caring experienced by health care professionals, clients and their family members at an ICU, based on human caring complexity. The Transpersonal Caring and Complexity theories support theory and data analysis. The following dimensions of care emerged from the themes analyzed according to Ricoeur: self-care, care as an individual value, professional vs. informal care, care as supportive relationship, affective care, humanized care, care as act/attitude, care practice; educative care, dialogical relationship, care coupled to technology, loving care, interactive care, non-care, care ambience, the essence of life and profession, and meaning/purpose of care. We believe in care that encompasses several dimensions presented here, based on the relationship with the other, on the empathetic, sensitive, affectionate, creative, dynamic and understanding being in the totality of the human being. PMID:19551275

  16. REVIEW OF FOCUSSED ANTENATAL CARE

    Directory of Open Access Journals (Sweden)

    Sreelatha

    2015-09-01

    Full Text Available INTRODUCTION: Antenatal care is a comprehensive antepartum programme which involves a coordinated approach to medical care , continuous risk assessment , and psychological support that optimally begins before conception and extends throughout the postpartum period and int erconceptional period . [1] One of major responsibility of obstetrician providing antenatal care is to identify high risk factors based on past history, examination and investigation results. The objective of antenatal care therefore is to assure that every wanted pregnancy results in the delivery of a healthy baby without impairing the mothers health . [2] In a 1914 study by Williams antenatal care reduced fetal mortality by 40%

  17. Building effective critical care teams.

    Science.gov (United States)

    Manthous, Constantine; Nembhard, Ingrid M; Hollingshead, Andrea B

    2011-01-01

    Critical care is formulated and delivered by a team. Accordingly, behavioral scientific principles relevant to teams, namely psychological safety, transactive memory and leadership, apply to critical care teams. Two experts in behavioral sciences review the impact of psychological safety, transactive memory and leadership on medical team outcomes. A clinician then applies those principles to two routine critical care paradigms: daily rounds and resuscitations. Since critical care is a team endeavor, methods to maximize teamwork should be learned and mastered by critical care team members, and especially leaders. PMID:21884639

  18. Managing as blended care.

    Science.gov (United States)

    Mintzberg, H

    1994-09-01

    As part of a research project on managerial work based on a new model of the roles, the head nurse of a hospital unit was observed during a working day. Her work is described, with reference especially to the roles of leading, linking, controlling, and doing. Conclusions are drawn about the advantages of a craft style of management as opposed to the more traditional "boss" or professional styles. The author also discusses what those in general management can learn from those in nursing management, which seems best practiced out in the open, on one's feet, as a kind of blended care. PMID:8089715

  19. Vulvovaginal hygiene and care

    OpenAIRE

    Gupte Pushpa; Patil Sharmila; Pawaskar Rupali

    2009-01-01

    Homeostasis of the skin is very important, which is achieved by a thin acid film - the acid mantle. Human skin has an acid mantle of pH 4-6. It prevents invasion by pathogenic organisms, acting as a first-line defence and helping in a disease-free existence. The vaginal mucosa has a similar acid mantle. Here, the natural acidic pH is maintained by lactic acid, an integral part of the vaginal ecosystem. This can be easily lost due to the lack of awareness of local care or various aggressive hy...

  20. Nutritional care accompanying radiotherapy

    International Nuclear Information System (INIS)

    The weight behaviour of 180 patients with different carcinomas and radiation ports was analysed. An indication for an additional nutritional care was seen in all patients treated with large radiation fields such as mantle fields and abdominal bath, in all cases of oat cell and undifferentiated carcinomas of the lung as well as in head- and neck-carcinomas and radiation fields within the abdomen. A group of 53 patients was treated daily with an additional formula diet (Biosorbin MCT) containing 500 kcal. By this measure weight loss during radiation therapy could be stopped. In addition leukocyte and thrombocyte loss during radiation therapy could be diminished. (orig.)

  1. Health care engineering

    CERN Document Server

    Frize, Monique

    2013-01-01

    Part II of Health Care Engineering begins with statistics on the occurrence of medical errors and adverse events, and includes some technological solutions. A chapter on electronic medical records follows. The knowledge management process divided into four steps is described; this includes a discussion on data acquisition, storage, and retrieval. The next two chapters discuss the other three steps of the knowledge management process (knowledge discovery, knowledge translation, knowledge integration and sharing). The last chapter briefly discusses usability studies and clinical trials.This two-

  2. Social Public Care Ahead

    Institute of Scientific and Technical Information of China (English)

    Guo Liqin

    2008-01-01

    @@ China faces toughest after-quake reconstruction since 1976. In contrast with neighbouring Myanmar's lethargic and secre-tive handling of its cyclone ten days earlier, China responded to the earthquake rapidly and with uncharacteristic openness. Within hours Premier Wen Jiabao was on a plane, and appeared in almost all the strategic plac-es in the earthquake-hit areas in the follow-ing days; President Hu Jintao was chairing an emergency meeting of Standing Com-mittee and thousands of soldiers and police were being dispatched. China is moved and moves. For the most impressive time, we read the social care from all works of lives.

  3. Child Health USA 2013: Prenatal Care Utilization

    Science.gov (United States)

    ... Health Services Utilization > Prenatal Care Utilization Prenatal Care Utilization Narrative Early and adequate prenatal care helps to ... 20.3 6.0 Adequacy of Prenatal Care Utilization Upon Initiation, * by Maternal Race/Ethnicity, 2011 Race/ ...

  4. What Is a Pediatric Critical Care Specialist?

    Science.gov (United States)

    ... in a pediatric intensive care unit (PICU). Pediatric critical care specialists coordinate the care of these children which is provided by a team of doctors, nurses, and other health care specialists. They use the ...

  5. American Academy of Home Care Medicine

    Science.gov (United States)

    ... Newsletter Certification/Training Donate Featured Members Home Care Medicine in America The American Academy of Home Care ... Resources with the American Academy of Home Care Medicine. The American Academy of Home Care Medicine understands ...

  6. Oregon's experiment in health care delivery and payment reform: coordinated care organizations replacing managed care.

    Science.gov (United States)

    Howard, Steven W; Bernell, Stephanie L; Yoon, Jangho; Luck, Jeff; Ranit, Claire M

    2015-02-01

    To control Medicaid costs, improve quality, and drive community engagement, the Oregon Health Authority introduced a new system of coordinated care organizations (CCOs). While CCOs resemble traditional Medicaid managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted payments rewarding outcomes and evidence-based practice; increased transparency; and greater community engagement. The CCO model faces several implementation challenges. If successful, it will provide improved health care delivery, better health outcomes, and overall savings. PMID:25480844

  7. Intercultural caring-an abductive model.

    Science.gov (United States)

    Wikberg, Anita; Eriksson, Katie

    2008-09-01

    The aim of this study was to increase the understanding of caring from a transcultural perspective and to develop the first outline of a theory. The theoretical perspective includes Eriksson's theory of caritative caring. Texts on caring by the transcultural theorists, including Campinha-Bacote, Kim-Godwin, Leininger and Ray, are analysed using content analysis. The overall theme that resulted from this analysis was that caring is a complex whole. Three main categories of caring emerged: inner caring, outer caring and the goal of caring. Inner caring consists of caring is a relationship, and caring and culture are seen in different dimensions. Outer caring refers to caring affected by educational, administrative and social and other structures. The goal of caring consists of caring leading to change towards health and well-being. The main categories include categories and subcategories that are compared with Eriksson's theory of caritative caring. A model for intercultural caring is generated abductively. Caring and culture appear in three dimensions: caring as ontology independent of context; caring as a phenomenon emphasised differently in different cultures; caring as nursing care activities is unique. Caring alleviates suffering and leads to health and well-being. This model describes caring from an intercultural perspective as a mutual but asymmetric relationship between the nurse and the patient, including the patient's family and community. The patient's cultural background and acculturation influence caring. The cultural background, cultural competence and organisation of the nurse also influence caring. Caring is seen as a complex whole. This study integrates Campinha-Bacote's, Kim-Godwin's, Leininger's and Ray's views of caring with Eriksson's caritative caring and presents caring from a transcultural perspective in a new way as a model for intercultural caring, which can benefit nursing care, education, research and administration. PMID:18840233

  8. Achieving better health care outcomes for children in foster care.

    Science.gov (United States)

    Mekonnen, Robin; Noonan, Kathleen; Rubin, David

    2009-04-01

    This article reviews the challenges health care systems face as they attempt to improve health care outcomes for children in foster care. It discusses several of the promising health care strategies occurring outside the perimeter of child welfare and identifies some of the key impasses in working alongside efforts in child welfare reform. The authors posit that the greatest impasse in establishing a reasonable quality of health care for these children is placement instability, in which children move frequently among multiple homes and in and out of the child welfare system. The authors propose potential strategies in which efforts to improve placement stability can serve as a vehicle for multidisciplinary reform across the health care system. PMID:19358924

  9. Flourishing in Health Care.

    Science.gov (United States)

    Edgar, Andrew; Pattison, Stephen

    2016-06-01

    The purpose of this paper is to offer an account of 'flourishing' that is relevant to health care provision, both in terms of the flourishing of the individual patient and carer, and in terms of the flourishing of the caring institution. It is argued that, unlike related concepts such as 'happiness', 'well-being' or 'quality of life', 'flourishing' uniquely has the power to capture the importance of the vulnerability of human being. Drawing on the likes of Heidegger and Nussbaum, it is argued that humans are at once beings who are autonomous and thereby capable of making sense of their lives, but also subject to the contingencies of their bodies and environments. To flourish requires that one engages, imaginatively and creatively, with those contingencies. The experience of illness, highlighting the vulnerability of the human being, thereby becomes an important experience, stimulating reflection in order to make sense of one's life as a narrative. To flourish, it is argued, is to tell a story of one's life, realistically engaging with vulnerability and suffering, and thus creating a framework through which one can meaningful and constructively go on with one's life. PMID:26846370

  10. Modern community care program

    International Nuclear Information System (INIS)

    Going into the next millennium do we see nuclear energy? Yes we will see an expanding nuclear sector in the modem community. he modem community that cares for people, health and environment needs nuclear. Energy saves lives. Electricity is efficient use of energy. Energy will be the key to a sustainable society, energy is life. Nuclear energy protects the environment. Nuclear is an integral part of the modern community caring for people, health and environment. The dynamics of the public opinion-forming process and its effects on the nuclear industry are a challenge of the global nuclear industry. Current communications strategy and its consequences are on of the key issues. The nuclear industry must be perceived in certain ways in order to move towards achieving the vision and avoiding the harassment scenario. Each perception goal does not bear the same function within the communications process. As the nuclear industry is oe of the keys to a sustainable society, it must achieve legitimacy in its capacity as an interesting agenda-setter for tackling problems and as an expert. We have to build our communication activities on an open and honest attitude and we have to establish trust and confidence. The nuclear industry must also prove its ability and performance. If this could be achieved there will be an option for the future

  11. Telemedicine in diabetes foot care delivery: health care professionals’ experience

    OpenAIRE

    Kolltveit, Beate-Christin Hope; Gjengedal, Eva; Graue, Marit; Iversen, Marjolein. M.; Thorne, Sally; Kirkevold, Marit

    2016-01-01

    Background Introducing new technology in health care is inevitably a challenge. More knowledge is needed to better plan future telemedicine interventions. Our aim was therefore to explore health care professionals’ experience in the initial phase of introducing telemedicine technology in caring for people with diabetic foot ulcers. Methods Our methodological strategy was Interpretive Description. Data were collected between 2014 and 2015 using focus groups (n = 10). Participants from home-bas...

  12. Primary care patient and provider preferences for diabetes care managers

    OpenAIRE

    DeJesus, Ramona

    2010-01-01

    Ramona S DeJesus1, Kristin S Vickers2, Robert J Stroebel1, Stephen S Cha31Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Department of Psychiatry and Psychology, Mayo Clinic, MN, USA; 3Department of Biostatistics, Mayo Clinic, Rochester, MN, USAPurpose: The collaborative care model, using care managers, has been shown to be effective in achieving sustained treatment outcomes in chronic disease management. Little effort has been made to find out patient preferenc...

  13. Access and care issues in urban urgent care clinic patients

    OpenAIRE

    Adams Jill C; Majeres Sharon; Batal Holly A; Scott David R; Dale Rita; Mehler Philip S

    2009-01-01

    Abstract Background Although primary care should be the cornerstone of medical practice, inappropriate use of urgent care for non-urgent patients is a growing problem that has significant economic and healthcare consequences. The characteristics of patients who choose the urgent care setting, as well as the reasoning behind their decisions, is not well established. The purpose of this study was to determine the motivation behind, and characteristics of, adult patients who choose to access hea...

  14. Care for nutrition and development.

    Science.gov (United States)

    Engle, P L; Pelto, G; Bentley, P

    2000-09-01

    Optimal growth and development depend not only on food quality and availability, on access to health care services and a healthy environment but also on the care provided to the child especially during the first few years of life. Care refers to the actions and practices of caregivers on a day to day basis that translate food, heakh care, and water and sanitation supplies into good growth and development of children. It includes behaviours such as feeding, sanitation and hygiene, home health practices, preparing food for children, and providing psychosocial support for development. Families also are responsible for providing care for girls in the family and women. Care requires resources--both skills and capabilities, as well as economic resources. Some resources are easily recognised, such as education of the caregiver, but others are less often seen, including time of the caregiver, motivation of caregiver and male family members, organisational resources such as child care centres, and the caregiver's ability to influence decisions about child care. It must be noted that the poorer the family, the more risks for children in the environment. Therefore, the poorer the environment, the more important a role care has in children's survival, growth and development. Implications for health care providers include assessing the care practices in the home, and resources for care when making recommendations; supporting positive practices already being performed in order to empower the caregiver; checking the understanding and recall of the caregiver; and finally, recognising that all children, regardless of gender, ethnicity, case, economic level, etc, have a right to good nutrition and health care in order to develop to their fullest potential under the Convention for the Rights of the Child, acceded to by India in 1992. PMID:11291785

  15. Pediatric Palliative Care at a Glance

    Science.gov (United States)

    ® ™ ® Pediatric Palliative Care at a Glance A child’s serious illness affects the entire family. Pediatric palliative (pal-lee-uh-tiv) care can support ... extra support, palliative care can help. What is pediatric palliative care? Pediatric palliative care is supportive care ...

  16. Changes in chemical composition of potato tubers caused by dry rot (Fusarium solani (Mart.) Sacc. var. coeruleum (Sacc.) Booth, Fusarium sulphureum Schlecht.)

    OpenAIRE

    Zdzisław Przeździecki; Danuta Murawa

    2013-01-01

    Investigations on effect of dry root (F. solani var. coeruleum and F. sulphureum) pathogens on three potato cultivares Azalia, Pola, Odra chemical composition were carried out. Content of total nitrogen and protein, total saccharides, reducting and bisaccharides and vit. C was investigated. Significant decrease of total and protein nitrogen content in potatoes affected by Fusarium in relation to intact tubers was found. Moreover increase of reducting saccharides and bisaccharides in potatoes ...

  17. Coordinating Care for Children with Special Health Care Needs

    OpenAIRE

    Stephanie Peterson; Shanna Shulman; Henry Ireys

    2007-01-01

    This brief, the fourth in a series on critical issues involved in caring for children with special health care needs, notes that nearly three-quarters of parents who need professional care coordination services for their child say they do not get enough help—if they get any at all. Moreover, one-third of those who do get help are not fully satisfied with the quality of services they receive. Although many health plans coordinate care for their adult members with chronic conditions and disab...

  18. Oral Health Care in Home Care Service – Personnels’ Perspective

    OpenAIRE

    Lundqvist, Pontus; Mathson, Anton

    2014-01-01

    Elderly nowadays stay longer in their own home. This raises the standards on home care service to contribute to the maintenance of elderly’s general and oral health. Our objective is therefore to explore attitudes about how home care workers view oral health care and the importance of good oral health for elderly clients. 8 subjects (22 to 61 years of age) were selected for the study working in home care service, which all gave their informed consent. Semi-structured interviews were performed...

  19. Standard of care in dentistry

    Directory of Open Access Journals (Sweden)

    Gokul Sridharan

    2012-01-01

    Full Text Available Medical ethics is primarily a field of applied ethics, the study of moral values and judgments as applicable to medicine. Dental practitioners constitute a group of health professionals who deal with human health care on a regular basis. Various ethical principles govern their conduct and their approach toward the patients. Ethical code of conduct prescribes a minimum standard of care which is applicable to all dental professionals. Substandard dental care is unacceptable and mounts to negligence on the part of the professional. Knowledge on what constitutes standard of care is a pre-requisite for dental professionals in providing quality health care. This paper presents a brief overview on standard of care as applicable to dentist and its practical implications with a note on the legal issues pertaining to medical negligence as applicable in India.

  20. Rawlsian Justice and Palliative Care

    DEFF Research Database (Denmark)

    Knight, Carl; Albertsen, Andreas

    2015-01-01

    Palliative care serves both as an integrated part of treatment and as a last effort to care for those we cannot cure. The extent to which palliative care should be provided and our reasons for doing so have been curiously overlooked in the debate about distributive justice in health and healthcare....... We argue that one prominent approach, the Rawlsian approach developed by Norman Daniels, is unable to provide such reasons and such care. This is because of a central feature in Daniels' account, namely that care should be provided to restore people's opportunities. Daniels' view is both unable to...... provide pain relief to those who need it as a supplement to treatment and, without justice-based reasons to provide palliative care to those whose opportunities cannot be restored. We conclude that this makes Daniels' framework much less attractive....