WorldWideScience

Sample records for center comparison study

  1. A COMPARISON OF SOME TRANSLATIONS OF GOOGLE AND THOSE OF TIM KUNCI CULTURAL STUDIES CENTER

    Directory of Open Access Journals (Sweden)

    Asril Marjohan Marjohan

    2015-02-01

    Full Text Available This study was aimed at describing Google translations by comparing them with those which were carried out by humans. The human translations used in this study were done by Tim Kunci Cultural Studies Center. This study used qualitative-descriptive method. The sample was purposively selected and consisted of 24 sentences from Chris Barker, Cultural Studies and their two translated versions. The evaluation was done by using Sical’s approach. The results showed that Google translations contained more errors than those made by Tim Kunci Cultural Studies Center. Google made errors that fell into the category of violations of linguistic and sociocultural rules or norms. This was caused by the design of Google Translate that was not based on linguistic and sociocultural analyses.  Meanwhile   Tim Kunci Cultural Studies Center made errors that indicated reasoning by guessing meanings from context, as what humans are doing in communication. Google translations needed revising in  the forms of translating words which had been left untranslated, retranslating words which had been wrongly translated because of not considering context, retranslating phrases which had been wrongly translated because of  not analyzing them into their constituents and propositions, retranslating words which had been wrongly translated because of not considering sociocultural norms. In doing the revisions the editor had to read the original text because the translations tended not to give clues to the original patterns of the sentences for their highly varied forms.   Meanwhile, the translations of Tim Kunci Cultural Studies Center needed minor editing to make them more effective. There was no need for an intensive reading of the original for their   more systematic characteristics.

  2. Comparison of endoscopic stenting for malignant biliaryobstruction: A single-center study

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    AIM: To evaluate the efficacy and safety of single-stependoscopic placement of self-expandable metallic stents(SEMS) for treatment of obstructive jaundice.METHODS: A retrospective study was performedamong 90 patients who underwent transpapillarybiliary metallic stent placement for malignant biliaryobstruction (MBO) between April 2005 and October2012. The diagnosis of primary disease and MBO wasbased on abdominal ultrasound, computed tomography,magnetic resonance imaging, endoscopic ultrasound,endoscopic retrograde cholangiopancreatography withbrush cytology, biopsy, and/or a combination of thesemodalities. The type of SEMS (covered or non-covered,8 mm or 10 mm in diameter) was determined by theendoscopist. Ninety patients were divided into twogroups: group 1 (49 patients) who underwent a singlestepSEMS placement and group 2 (41 patients) whounderwent a two-step SEMS placement. The technicalsuccess rate, complication rate, stent patency, andpatient survival rate were compared between thegroups. In addition, to identify the clinical prognosticfactors associated with patient survival, the followingvariables were evaluated in Cox-regression analysis:gender, age, etiology of MBO (pancreatic cancer or nonpancreaticcancer), clinical stage (Ⅳb; with distant metastases or Ⅳa 〉; without distant metastases),chemotherapy (with or without), patency of the stent,and the use of single-step or two-step SEMS.RESULTS: Immediate technical success was achievedin 93.9% (46/49) in group 1 and in 95.1% (39/41)in group 2, with no significant difference (P = 1.0).Similarly, there was no difference in the complicationrates between the groups (group 1, 4.1% and group 2,4.9%; P = 0.62). Stent failure was observed in 10 casesin group 1 (20.4%) and in 16 cases in group 2 (39.0%).The patency of stent and patient survival revealed nodifference between the two groups with Kaplan-Meieranalysis, with a mean patency of 111 ± 17

  3. Comparison of Head Center Position and Screw Fixation Options Between a Jumbo Cup and an Offset Center of Rotation Cup in Revision Total Hip Arthroplasty: A Computer Simulation Study.

    Science.gov (United States)

    Faizan, Ahmad; Black, Brandon J; Fay, Brian D; Heffernan, Christopher D; Ries, Michael D

    2016-01-01

    Jumbo acetabular cups are commonly used in revision total hip arthroplasty (THA). A straightforward reaming technique is used which is similar to primary THA. However, jumbo cups may also be associated with hip center elevation, limited screw fixation options, and anterior soft tissue impingement. A partially truncated hemispherical shell was designed with an offset center of rotation, thick superior rim, and beveled anterior and superior rims as an alternative to a conventional jumbo cup. A three dimensional computer simulation was used to assess head center position and safe screw trajectories. Results of this in vitro study indicate that a modified hemispherical implant geometry can reduce head center elevation while permitting favorable screw fixation trajectories into the pelvis in comparison to a conventional jumbo cup.

  4. Community health centers and primary care access and quality for chronically-ill patients – a case-comparison study of urban Guangdong Province, China

    OpenAIRE

    Shi, Leiyu; Lee, De-Chih; Liang, Hailun; Zhang, Luwen; Makinen, Marty; Blanchet, Nathan; Kidane, Ruth; Lindelow, Magnus; Wang, Hong; Wu, Shaolong

    2015-01-01

    Objective Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the ‘gate-keeper’ CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and quality of care for patients with chronic illness. Methods The case-comparison design was used to study nine health care organizations in Guan...

  5. CENTER FOR CYBER SECURITY STUDIES

    Data.gov (United States)

    Federal Laboratory Consortium — The mission of the Center for Cyber Security Studies is to enhance the education of midshipmen in all areas of cyber warfare, to facilitate the sharing of expertise...

  6. Control Systems Security Center Comparison Study of Industrial Control System Standards against the Control Systems Protection Framework Cyber-Security Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Robert P. Evans

    2005-09-01

    Cyber security standards, guidelines, and best practices for control systems are critical requirements that have been delineated and formally recognized by industry and government entities. Cyber security standards provide a common language within the industrial control system community, both national and international, to facilitate understanding of security awareness issues but, ultimately, they are intended to strengthen cyber security for control systems. This study and the preliminary findings outlined in this report are an initial attempt by the Control Systems Security Center (CSSC) Standard Awareness Team to better understand how existing and emerging industry standards, guidelines, and best practices address cyber security for industrial control systems. The Standard Awareness Team comprised subject matter experts in control systems and cyber security technologies and standards from several Department of Energy (DOE) National Laboratories, including Argonne National Laboratory, Idaho National Laboratory, Pacific Northwest National Laboratory, and Sandia National Laboratories. This study was conducted in two parts: a standard identification effort and a comparison analysis effort. During the standard identification effort, the Standard Awareness Team conducted a comprehensive open-source survey of existing control systems security standards, regulations, and guidelines in several of the critical infrastructure (CI) sectors, including the telecommunication, water, chemical, energy (electric power, petroleum and oil, natural gas), and transportation--rail sectors and sub-sectors. During the comparison analysis effort, the team compared the requirements contained in selected, identified, industry standards with the cyber security requirements in ''Cyber Security Protection Framework'', Version 0.9 (hereafter referred to as the ''Framework''). For each of the seven sector/sub-sectors listed above, one standard was

  7. Center for Botanical Interaction Studies

    Data.gov (United States)

    Federal Laboratory Consortium — Research Area: Dietary Supplements, Herbs, Antioxidants Program:Centers for Dietary Supplements Research: Botanicals Description:This center will look at safety and...

  8. Center for Creative Studies, Detroit

    Science.gov (United States)

    AIA Journal, 1976

    1976-01-01

    One of the ten buildings chosen to receive 1976 AIA honor awards, the arts center houses the departments of sculpture, painting, graphics, advertising art, photography, and industrial design. (Author/MLF)

  9. Comparison of laparoscopy-assisted and open radical gastrectomy for advanced gastric cancer: A retrospective study in a single minimally invasive surgery center.

    Science.gov (United States)

    Hao, Yingxue; Yu, Peiwu; Qian, Feng; Zhao, Yongliang; Shi, Yan; Tang, Bo; Zeng, Dongzhu; Zhang, Chao

    2016-06-01

    Laparoscopy-assisted gastrectomy (LAG) has gained international acceptance for the treatment of early gastric cancer (EGC). However, the use of laparoscopic surgery in the management of advanced gastric cancer (AGC) has not attained widespread acceptance. This retrospective large-scale patient study in a single center for minimally invasive surgery assessed the feasibility and safety of LAG for T2 and T3 stage AGC. A total of 628 patients underwent LAG and 579 patients underwent open gastrectomy (OG) from Jan 2004 to Dec 2011. All cases underwent radical lymph node (LN) dissection from D1 to D2+. This study compared short- and long-term results between the 2 groups after stratifying by pTNM stages, including the mean operation time, volume of blood loss, number of harvested LNs, average days of postoperative hospital stay, mean gastrointestinal function recovery time, intra- and post-operative complications, recurrence rate, recurrence site, and 5-year survival curve. Thirty-five patients (5.57%) converted to open procedures in the LAG group. There were no significant differences in retrieved LN number (30.4 ± 13.4 vs 28.1 ± 17.2, P = 0.43), proximal resection margin (PRM) (6.15 ± 1.63 vs 6.09 ± 1.91, P = 0.56), or distal resection margin (DRM) (5.46 ± 1.74 vs 5.40 ± 1.95, P = 0.57) between the LAG and OG groups, respectively. The mean volume of blood loss (154.5 ± 102.6 vs 311.2 ± 118.9 mL, P < 0.001), mean postoperative hospital stay (7.6 ± 2.5 vs 10.7 ± 3.6 days, P < 0.001), mean time for gastrointestinal function recovery (3.3 ± 1.4 vs 3.9 ± 1.5 days, P < 0.001), and postoperative complications rate (6.4% vs 10.5%, P = 0.01) were clearly lower in the LAG group compared to the OG group. However, the recurrence pattern and site were not different between the 2 groups, even they were stratified by the TNM stage. The 5-year overall survival (OS) rates were 85.38%, 79.70%, 57

  10. American Studies Center:An Introduction

    Institute of Scientific and Technical Information of China (English)

    Shu; HONG

    2013-01-01

    <正>The year 2012 was remarkable in the history of American Studies at Sichuan University.First,it marked the 28thAnniversary of the founding of the American Studies Center,which had its official debut in May,1984,coinciding with the establishment of the US Consulate General in Chengdu.U.S.Vice President George Bush was present at the Inauguration Ceremony of the American Studies Center,and

  11. A multi-center study for comparison of planar versus tomographic pulmonary ventilation/perfusion imaging for the diagnosis of pulmonary embolism

    International Nuclear Information System (INIS)

    Objective: To compare between one-day planar and tomographic pulmonary V/Q imaging for the diagnosis of PE using ROC analysis. Methods: From September 2010 to October 2011, 272 patients suspected or confirmed of acute/sub-acute PE with Wells scores ≥ 2 or blood D-Dimer values >500 μg/L were recruited into this study. Patients' data were collected from six hospitals in Beijing. All patients were followed clinically for at least six months after V/Q imaging. Based on the criteria of prospective investigation of pulmonary embolism diagnosis (PIOPED) study Ⅱ, the diagnosis by planar pulmonary V/Q scans was categorized as high-probability (definite PE), moderate or low probability (suspected PE), and very low probability or normal lung perfusion (no PE). The diagnosis by SPECT V/Q scans was also classified as definite PE, suspected PE and no PE. The final diagnosis was decided by doctors in consensus based on the results of multiple imaging modalities, laboratory tests,clinical data and a six-month follow-up. Kappa test was used to analyze the concordance between planar and tomographic V/Q scans. The difference between the two methods was tested using χ2 test. ROC analysis was used to determine the AUCs. Z test was used to calculate the statistical significance of the difference between the AUCs. Results: The uncertain diagnosis rate was 1.8% (5/272) for V/Q SPECT and 9.2% (25/272) for planar imaging. The diagnostic values for SPECT and planar V/Q scans were respectively: Se 83.6% (117/140) and 78.3% (101/129) (χ2=1.217, P>0.05); Sp 89.8%(114/127) and 94.9% (112/118) (χ2=2.269, P>0.05); PPV 90.0% (117/130) and 94.4% (101/107); NPV 83.2% (114/137) and 80.0% (112/140); Ac 86.5% (231/267) and 86.2% (213/247). There were no significant differences in Se and Sp between the two methods. The concordance between the two methods was 84.9% (231/272, Kappa=0.727, P<0.05). The AUC (95% CI) was 0.891 (0.848-0.933) and 0.865 (0.819-0.911) for SPECT and planar V

  12. Symmetry comparison between sacrum and center of mass during walking.

    Science.gov (United States)

    Navvab Motlagh, Fateme; Arshi, Ahmed Reza

    2016-07-01

    Sacrum motion is used extensively in clinical research to represent movement of the entire body by replacing the center of mass. The primary objective of this article was to investigate the effect of this replacement on symmetry determination. The secondary objective was to assess the correlation between the symmetries of trajectories of center of mass and sacrum, and that of spatiotemporal parameters. Three-dimensional trajectories obtained from 37 markers placed on anatomical landmarks of 15 healthy subjects were recorded while walking at three speeds on the treadmill. Trajectory of center of mass was determined using segmental analysis method. The results indicated that two symmetries, one determined using sacrum marker and the other using segmental analysis method, were different and this difference was more pronounced in anterior-posterior direction. In other words, harmonic analysis of sacrum and center of mass trajectories revealed different results. Furthermore, low-to-moderate correlations were observed between spatiotemporal parameters symmetry and symmetries obtained from both center of mass and sacrum. In conclusion, the results indicated that it may not be analytically acceptable to substitute sacrum for center of mass in symmetry determination. PMID:27272201

  13. Matrixed business support comparison study.

    Energy Technology Data Exchange (ETDEWEB)

    Parsons, Josh D.

    2004-11-01

    The Matrixed Business Support Comparison Study reviewed the current matrixed Chief Financial Officer (CFO) division staff models at Sandia National Laboratories. There were two primary drivers of this analysis: (1) the increasing number of financial staff matrixed to mission customers and (2) the desire to further understand the matrix process and the opportunities and challenges it creates.

  14. Assessing Latina/o Undergraduates' Depressive Symptomatology: Comparisons of the Beck Depression Inventory-II, the Center for Epidemiological Studies-Depression Scale, and the Self-Report Depression Scale

    Science.gov (United States)

    Gloria, Alberta M.; Castellanos, Jeanett; Kanagui-Munoz, Marlen; Rico, Melissa A.

    2012-01-01

    The use of depression scales as screening tools at university and college centers is increasing and thus, the question of whether scales are culturally valid for different student groups is increasingly more relevant with increased severity of depression for students and changing student demographics. As such, this study examined the reliability…

  15. A Comparison of Organization-Centered and Agent-Centered Multi-Agent Systems

    DEFF Research Database (Denmark)

    Jensen, Andreas Schmidt; Villadsen, Jørgen

    2013-01-01

    Whereas most classical multi-agent systems have the agent in center, there has recently been a development towards focusing more on the organization of the system, thereby allowing the designer to focus on what the system goals are, without considering how the goals should be fulfilled. We have d...

  16. Studies on soft centered coated snacks.

    Science.gov (United States)

    Pavithra, A S; Chetana, Ramakrishna; Babylatha, R; Archana, S N; Bhat, K K

    2013-04-01

    Roasted groundnut seeds, amaranth and dates pulp formed the center filling which was coated with sugar, breadings, desiccated coconut and roasted Bengalgram flour (BGF) to get 4 coated snacks. Physicochemical characteristics, microbiological profile, sorption behaviour and sensory quality of 4 coated snacks were determined. Centre filling to coating ratio of the products were in the range of 3:2-7:1, the product having BGF coating had the thinnest coating. Center filling had soft texture and the moisture content was 10.2-16.2% coating had lower moisture content (4.4-8.6%) except for Bengal gram coating, which had 11.1% moisture. Sugar coated snack has lowest fat (11.6%) and protein (7.2%) contents. Desiccated coconut coated snack has highest fat (25.4%) and Bengal gram flour coated snack had highest protein content (15.4%). Sorption studies showed that the coated snack had critical moisture content of 11.2-13.5%. The products were moisture sensitive and hence require packaging in films having higher moisture barrier property. In freshly prepared snacks coliforms, yeast and mold were absent. Mesophillic aerobes count did not show significant change during 90 days of storage at 27 °C and 37 °C. Sensory analysis showed that products had a unique texture due to combined effect of fairly hard coating and soft center. Flavour and overall quality of all the products were rated as very good. PMID:24425933

  17. Report on the Center for Spatial Studies

    OpenAIRE

    Hegarty, Mary; GOODCHILD Michael; Janelle, Donald; Doehner, Karen

    2013-01-01

    This report documents the education, research, and outreach activities of the Center for the period beginning in July 2010. In addition, it presents a vision for the center based on plans set forth by the incoming (Dec. 2013) Director of the Center, Dr. Werner Kuhn.

  18. The New Center for Advanced Energy Studies

    Energy Technology Data Exchange (ETDEWEB)

    L.J. Bond; K. Kostelnik; R.A. Wharton; A. Kadak

    2006-06-01

    A secure and affordable energy supply is essential for achieving U.S. national security, in continuing U.S. prosperity and in laying the foundation to enable future economic growth. The next generation energy workforce in the U.S. is a critical element in meeting both national and global energy needs. The Center for Advanced Energy Studies (CAES) was established in 2005 in response to U.S. Department of Energy (DOE) requirements. CAES, located at the new Idaho National Laboratory (INL), will address critical energy education, research, policy study and training needs. CAES is a unique joint partnership between the Battelle Energy Alliance (BEA), the State of Idaho, an Idaho University Consortium (IUC), and a National University Consortium (NUC). CAES will be based in a new facility that will foster collaborative academic and research efforts among participating institutions.

  19. Studying the relationship between the styles of attachment, drug addiction and psychological profile of addicts in comparison with non-addicts (in self-introduced centers of Bushehr Province

    Directory of Open Access Journals (Sweden)

    2004-05-01

    Full Text Available Emphasizing on effective factors in drug dependency and multiple drug relapse, is probably related to formation of personality models. These models are heavily affected by development orientation personality. Various researches show that attachment as a development factor has a decisive role in forming personality models. Hence, in one hand, the present research evaluates the relationship between attachment styles and drug dependency and ,in the other hand, it addresses the relationship between attachment /drug addiction and psychological profile. The statistical community of this research consists of all male referrals to self-introduced centers in Bushehr province in summer 1381. The sample group consists 100 individuals of this community and comparison group cnosists another 100 individuals who had no history of drug abuse. They were controlled by counterpart variables. The tools of this research are MCMI-II and adults’ attachment questionnaire. The satisfaction of validity and reliabilty of research literature are reported. Apllied statistical methods include χ² statistical test and profile analysis. To compare the individual distribution based on attachment style, χ² test is obtained meaningfully in P<0/05 level. Also, the results of profile analysis for evaluating the effect of drug addiction and attachment style on psychological profile is meaningful in P<0/01 level. In summary, the research shows that there is a relationship between attachment style and drug addiction as well as between attachment/addiction and psychological profile.

  20. Center for Advanced Energy Studies Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kevin Kostelnik

    2005-09-01

    The world is facing critical energy-related challenges regarding world and national energy demands, advanced science and energy technology delivery, nuclear engineering educational shortfalls, and adequately trained technical staff. Resolution of these issues is important for the United States to ensure a secure and affordable energy supply, which is essential for maintaining U.S. national security, continued economic prosperity, and future sustainable development. One way that the U.S. Department of Energy (DOE) is addressing these challenges is by tasking the Battelle Energy Alliance, LLC (BEA) with developing the Center for Advanced Energy Studies (CAES) at the Idaho National Laboratory (INL). By 2015, CAES will be a self-sustaining, world-class, academic and research institution where the INL; DOE; Idaho, regional, and other national universities; and the international community will cooperate to conduct critical energy-related research, classroom instruction, technical training, policy conceptualization, public dialogue, and other events.

  1. A comparison of mortality rates in three prospective studies from Copenhagen with mortality rates in the central part of the city, and the entire country. Copenhagen Center for Prospective Population Studies

    DEFF Research Database (Denmark)

    Andersen, L B; Vestbo, J; Juel, K;

    1998-01-01

    Copenhagen City Heart Study, whereas mortality rates in the Glostrup Population Studies were similar to rates for the whole country. The mortality rates among participants were lower than in the whole sample, and differences existed in relation to region and selection criteria of the cohorts. The Copenhagen...... Male Study, where only employed men were included, showed the lowest mortality rates, and higher rates were found in the study from the central part of the City (the Copenhagen City Heart Study) compared to the study from the suburbs (the Glostrup Population Studies). The difference between mortality...... rates in the cohorts and in Copenhagen City decreased with increasing age. The SMR converged towards 1.00 with increasing observation time. In conclusion, high participation rates were found in all three studies, resulting in SMR values for participants only slightly lower than in the source population...

  2. Center for the Study of Traumatic Stress

    Data.gov (United States)

    Federal Laboratory Consortium — As part of the Department of Psychiatry of our federal medical school, the Uniformed Services University of the Health Sciences (USUHS), the Center was established...

  3. Studies on soft centered coated snacks

    OpenAIRE

    Pavithra, A. S.; Chetana, Ramakrishna; Babylatha, R.; Archana, S. N.; Bhat, K. K.

    2011-01-01

    Roasted groundnut seeds, amaranth and dates pulp formed the center filling which was coated with sugar, breadings, desiccated coconut and roasted Bengalgram flour (BGF) to get 4 coated snacks. Physicochemical characteristics, microbiological profile, sorption behaviour and sensory quality of 4 coated snacks were determined. Centre filling to coating ratio of the products were in the range of 3:2–7:1, the product having BGF coating had the thinnest coating. Center filling had soft texture and ...

  4. Optimizing X Center experience : case study: Company X

    OpenAIRE

    Lehtinen, Timo

    2014-01-01

    This Master’s thesis explores customer experience management and customer experience optimization. The aim is to optimize customer experience in the case company’s X Center. The thesis studies customer experience and customer experience management as a core factor in holding successful X Center events. The study is conducted in cooperation with Company X. Company X launched a new concept called X Center in Finland 2011. X Center is a place where custom-ers and company representatives can ...

  5. Finite Element Analysis and Test Results Comparison for the Hybrid Wing Body Center Section Test Article

    Science.gov (United States)

    Przekop, Adam; Jegley, Dawn C.; Rouse, Marshall; Lovejoy, Andrew E.

    2016-01-01

    This report documents the comparison of test measurements and predictive finite element analysis results for a hybrid wing body center section test article. The testing and analysis efforts were part of the Airframe Technology subproject within the NASA Environmentally Responsible Aviation project. Test results include full field displacement measurements obtained from digital image correlation systems and discrete strain measurements obtained using both unidirectional and rosette resistive gauges. Most significant results are presented for the critical five load cases exercised during the test. Final test to failure after inflicting severe damage to the test article is also documented. Overall, good comparison between predicted and actual behavior of the test article is found.

  6. Comparison of Optimal Cardiovascular Risk Factor Management in Patients with Type 2 Diabetes Who Attended Urban Medical Health Center with those Attended a Tertiary Care Center: Experiences from Tehran, Iran

    Science.gov (United States)

    Moradi, Sedighe; Haji Ghanbari, Mohammad Javad; Ebrahimi, Hedyeh

    2016-01-01

    Background: Diabetes is a leading cause of cardiovascular disease (CVD). Moreover, CVD accounts for primary cause of death among diabetic patients. Physicians, especially in the primary care setting, have effective role in the management of cardiovascular risk factors. Therefore, we aimed to compare the prevalence of modifiable cardiovascular risk factors in Type 2 diabetic patients attending to an urban health center as a primary care center with Institute of Endocrinology and Metabolism Diabetes Clinic (IEMDC) as a tertiary center. Methods: This cross-sectional study was performed on 200 adult diabetic patients attending urban health center (Abouzar Health Center) and 201 diabetic patients in a tertiary center. The patients’ cardiovascular risk factors including lipid profile, systolic and diastolic blood pressure (BP), and smoking history were recorded. The number of patients who did not achieve the target according to the American Diabetes Association guidelines was determined and compared. Results: The patients in urban health center were older than those who attending IEMDC (P = 0.004). The duration of diabetes was longer among urban center patients (P glycosylated hemoglobin level, high-density lipoprotein level, and systolic BP. Conclusions: Both centers have failure in target achievement in some risk factors; however, the inability of the primary care center in controlling hyperlipidemia in comparison with the tertiary center is a serious warning to provide training about managing dyslipidemia in these centers. PMID:27761215

  7. Comparison of dynamical decoupling protocols for a nitrogen-vacancy center in diamond

    NARCIS (Netherlands)

    Wang, Z.H.; De Lange, G.; Riste, D.; Hanson, R.; Dobrovitski, V.V.

    2012-01-01

    We perform a detailed theoretical-experimental study of the dynamical decoupling (DD) of the nitrogen-vacancy (NV) center in diamond. We investigate the DD sequences applied to suppress the dephasing of the electron spin of the NV center induced by the coupling to a spin bath composed of the substit

  8. A Brief Study on Autonomous Learning Mode in Self-study Center Based on Web

    Science.gov (United States)

    Tian, Xian Zhi

    In the paper, the author has studied the autonomous learning ability and its reform of linguistic-major students. All of the studies are based on web in self-study center. As for the author, she has used the method of comparison and at the same time, she also used showing examples. In order to show the views clearly, the author has made investigation in English major and law major students. Thus she thinks that teaching reform is necessary for development of students and some effective ways can be used in improving teaching efficiency.

  9. Lujan Center Cold Source Upgrade Studies

    International Nuclear Information System (INIS)

    The Manuel Lujan Jr. Neutron Scattering Center (Lujan Center) at the Los Alamos National Laboratory is the most powerful pulsed neutron scattering facility in North America. It currently produces the highest time-averaged cold source brightness of any pulsed neutron scattering facility in the world, and efforts are underway to increase this even further. The Lujan Center is a part of the Los Alamos Neutron Science Center (LANSCE), a complex centered around an 800-MeV proton linear accelerator capable of accelerating 1 mA beam current. The LANSCE accelerator delivers 125 μA of H¯ beam in 0.65-ms-long pulses at 20 Hz to a proton storage ring, which compresses them to a width of 300 ns, each of which contains 4 x 1013 protons per pulse. These pulses are then transported to a 90° dipole magnet which directs them vertically downward onto the Lujan Center target system. The protons induce spallation reactions in the split tungsten target, producing mostly evaporation neutrons, some of which are reflected by the surrounding Be reflector into one of six moderator. Four (three water and one liquid hydrogen) of these are arranged in flux-trap geometry between the upper and lower portions of the split tungsten target; the other two (one water and one liquid hydrogen) are located above the upper portion of the target in what is known as upstream backscattering geometry. Those arranged around the flux trap are called lower-tier moderators, and the other two are known as upper-tier moderators. The lower-tier moderators serve three flight paths each, while the upper-tier moderators serve two flight paths each, for a total of 16 flight paths. Fourteen of these flight paths have operating instruments on them, one more has an instrument under construction, and one is unassigned. The instruments serve a variety of applications, including materials science, biology, chemistry, nuclear physics, and engineering. The Lujan Center is currently operating on a third generation target

  10. Study of a conceptual nuclear energy center at Green River, Utah: regional considerations

    International Nuclear Information System (INIS)

    This document constitutes one segment of a feasibility study investigating the ramifications of constructing a nuclear energy center in an arid and remote Western region. This phase of the study discusses regional considerations involved in nuclear energy center development at Green River, Utah. Regional support for NEC development is assessed. In addition, possible regulatory constraints to NEC development are identified and analyzed. Possible resource allocation shortages resulting from NEC development are also considered. A comparison with a similar study on NEC development in the Southeastern United States is also included

  11. Engaged or Not? A Comparative Study on Factors Inducing Work Engagement in Call Center and Service Sector Work.

    OpenAIRE

    Mustosmäki, Armi; Anttila, Timo; Oinas, Tomi

    2013-01-01

    The aim of this study was to compare the possibilities of experiencing positive well-being in call centers and other service sector work. The article focuses on the prevalence of working conditions (job demands, autonomy, and social support) in call centers and at other service sector workplaces and how these factors are related to work engagement. In addition, we examine whether the relationships are divergent in call centers in comparison to other service sector work. Analysis i...

  12. Comparison of quality control for trauma management between Western and Eastern European trauma center

    Directory of Open Access Journals (Sweden)

    Gambale Giorgio

    2008-11-01

    Full Text Available Abstract Background Quality control of trauma care is essential to define the effectiveness of trauma center and trauma system. To identify the troublesome issues of the system is the first step for validation of the focused customized solutions. This is a comparative study of two level I trauma centers in Italy and Romania and it has been designed to give an overview of the entire trauma care program adopted in these two countries. This study was aimed to use the results as the basis for recommending and planning changes in the two trauma systems for a better trauma care. Methods We retrospectively reviewed a total of 182 major trauma patients treated in the two hospitals included in the study, between January and June 2002. Every case was analyzed according to the recommended minimal audit filters for trauma quality assurance by The American College of Surgeons Committee on Trauma (ACSCOT. Results Satisfactory yields have been reached in both centers for the management of head and abdominal trauma, airway management, Emergency Department length of stay and early diagnosis and treatment. The main significant differences between the two centers were in the patients' transfers, the leadership of trauma team and the patients' outcome. The main concerns have been in the surgical treatment of fractures, the outcome and the lacking of documentation. Conclusion The analyzed hospitals are classified as Level I trauma center and are within the group of the highest quality level centers in their own countries. Nevertheless, both of them experience major lacks and for few audit filters do not reach the mmum standard requirements of ACS Audit Filters. The differences between the western and the eastern European center were slight. The parameters not reaching the minimum requirements are probably occurring even more often in suburban settings.

  13. Tri-Service Center for Oral Health Studies (TSCOHS)

    Data.gov (United States)

    Federal Laboratory Consortium — The Tri-Service Center for Oral Health Studies (TSCOHS), a service of the Postgraduate Dental College, is chartered by the Department of Defense TRICARE Management...

  14. Eligibility Comparison of Beach Tourism and Non-Beach Tourism Health Centers in Bali Province (Secundery Analysis of Rifaskes 2011

    Directory of Open Access Journals (Sweden)

    Suharmiati Suharmiati

    2015-03-01

    Province of Bali service tourists. It should be the responsibility of the government. On the other hand the feasibility of health centers (HC based on the availability of coastal tourism facilities and infrastructure, including human resources available to the health service is not clear. This study compared the feasibility of health centers shore excursions and non touristic beach health centers in Bali Province. Methods:Secondary data Healthcare Research Facility (Rifaskes 2011 all health centers in the Province of Bali. The number of samples are 114 health centers. Variabels consisted of facilities, infrastructure, human resources and health programs. The analysis is done by giving the value (weight of each variabel, then performed the scoring of each variabel both in Beach Tourist and Non Tourist Health Centers. Distribution of of the multiplication of the value with a score used to determine the feasibility of each variabel by calculating the mean (x and standart deviation (SD. Comparison of eligibility of Health Centers by differentiating the mean (x of each health center using different test (t test. Result: There is no difference in viability between Tourist and Non Tourist Beach the shore excursions based on the availability of facilities, infrastructure, human resources and health services (p > 0.05. Recomendation: Suggested health centers increase the completeness and appropriate management to be a Health Centers for Tourist, and cooperation with private clinics, the has to monitor the services and the due to cases HC responsibility.Key words: feasibility, Tourist Health Centers, Health Centers Non Tourist, Bali Province

  15. A Gender Comparison of the Cooperation of 4-Year-Old Children in Classroom Activity Centers

    Science.gov (United States)

    Anderson, Genan T.; Hilton, Sterling C.; Wouden-Miller, Melissa

    2003-01-01

    This study examined the proportion of cooperative play in 4-year-old children across centers (housekeeping, block, manipulative, and computer) and gender in a natural classroom setting. Eighty-four white, middle-income children (41 boys and 43 girls, mean age = 55 months) were videotaped during free-play for 30 minutes per day for four weeks in…

  16. STUDY OF PASSIVE DIDACTIC TEACHER CENTERED APPROACH AND AN ACTIVE STUDENT CENTERED APPROACH IN TEACHING ANATOMY

    Directory of Open Access Journals (Sweden)

    Sharadkumar Pralhad Sawant

    2015-09-01

    Full Text Available The importance of Anatomy in undergraduate medical education cannot be adequately emphasised. For doctors, the human body is the focus of investigation and intervention on a daily basis; for this reason, the study of anatomy in some form, will continue to be essential to safe medical practice. It is necessary for core knowledge of anatomy to be assimilated by all doctors in order to practice medicine safely. It may be true that most doctors do not need to dissect a cadaver or study a prosection in order to practice, but if they do, it can improve their understanding and this surely has to be of benefit both for the safety of the patient and satisfaction of the doctor as a professional. Teacher-centered typically refers to learning situations in which the teacher asserts control over the material that students study. In contrast,to teacher centered learning, student-centered typically refers to forms of instruction that, for example, give students opportunities to lead learning activities, participate more actively in discussions, design their own learning projects, explore topics that interest them, and generally contribute to the design of their own course of study. Additionally, student-centered instruction is often associated with classrooms that feature desks arranged in circles or small groups (rather than rows of desks that face the teacher, with “self-guided” or “self-paced” learning, or with learning experiences that occur outside of traditional classroom settings. Anatomy teaching has undergone major changes due to time constraints and the rapid advances in computer technology. Also there has been a shift a teaching methodologies from a passive didactic teacher- centered approach to an active student - centered approach. Conclusion: We should develop and implement an instructional design that focuses on incorporating active-learning and student-centered pedagogy into what is previously a traditional lecture-based course. These

  17. Comparison of total direct cost of conventional single use and mechanical reuse of dialyzers in patients of end-stage renal disease on maintenance hemodialysis: A single center study.

    Science.gov (United States)

    Qureshi, Ruqaya; Dhrolia, Murtaza F; Nasir, Kiran; Imtiaz, Salman; Ahmad, Aasim

    2016-01-01

    Reusing dialyzers is almost universal in developing countries to reduce the cost of hemodialysis (HD). Economic benefits of dialyzer reuse, when estimated only on the basis of the dialyzer and its consumables are very significant and attractive. In this study, we compared the cost of mechanical reuse of dialyzer considering all of the direct costs (medications, dialyzer, and its consumables, disinfection fluid, and hospitalization if any) in HD treatment, which if significantly different between single use and reuse, can nullify the obvious cost benefits. A total of 70 adult patients of any gender on maintenance HD at The Kidney Centre Post Graduate Training Institute for more than three months were included. Equal numbers of patients were on single use (Group A) and reuse of dialyzer (Group B). Both groups were compared for total direct costs of HD over a six months period. Average six monthly total direct cost per patient of Group A was significantly high as compared to Group B, the United States Dollar (USD) 1750.67 ± 135.31$ vs. USD 1488.50 ± 132.23$); difference USD 262.18$ (P <0.001). The total cost saving being 14.97% in Group B. Our study shows that dialyzer reuse provides a significant economic benefit and remains a means of reducing the cost of HD. PMID:27424697

  18. Comparison of patient outcomes in academic medical centers with and without value analysis programs

    Directory of Open Access Journals (Sweden)

    Murray AS

    2012-09-01

    Full Text Available Adrienne S Murray, Michael Griswold, Imran Sunesara, Ed SmithUniversity of Mississippi Health Care, University of Mississippi Medical Center, Jackson, MS, USABackground: Value analysis is the science of balancing the mandate to deliver high-quality clinical outcomes with the necessity to drive down costs in order to thrive in the challenging economics of health care. This study compared average length of stay, direct cost, morbidity, and mortality across the cardiology, cardiovascular, neuroscience, and orthopedic service lines, in academic medical centers with and without value analysis programs (VAPs. The basic question was, “Do academic medical centers with VAPs have lower average length of stay, better morbidity and mortality rates, and lower overall supply costs?”Methods and results: The clinical data base/resource manager (CDB/RM of the University HealthSystem Consortium was utilized as secondary data for this study. Reports from the CDB/RM were generated from 2006 to 2011. Continuous variable differences across VAP status were examined using Wilcoxon two-sample tests. Primary analyses used multilevel linear mixed model methods to estimate the effects of VAPs on primary outcomes (average length of stay, cost, morbidity, mortality. Association components of the linear mixed models incorporated random effects at the hospital level and robust, Huber-White, standard errors were calculated. There was no significant difference for average length of stay, direct cost, morbidity, and mortality between academic medical centers with and without VAPs. However, outcomes were not noted to be substantially worse.Conclusion: Numerous case studies reveal that aggressively active VAPs do decrease hospital cost. Also, this study did not find a negative impact on patient care. Further studies are needed to explore the benefits of value analysis and its effect on patient outcomes.Keywords: value analysis, average length of stay, morbidity, mortality

  19. Quantitative and qualitative assessment of structural magnetic resonance imaging data in a two-center study

    Directory of Open Access Journals (Sweden)

    Chalavi Sima

    2012-08-01

    Full Text Available Abstract Background Multi-center magnetic resonance imaging (MRI studies present an opportunity to advance research by pooling data. However, brain measurements derived from MR-images are susceptible to differences in MR-sequence parameters. It is therefore necessary to determine whether there is an interaction between the sequence parameters and the effect of interest, and to minimise any such interaction by careful choice of acquisition parameters. As an exemplar of the issues involved in multi-center studies, we present data from a study in which we aimed to optimize a set of volumetric MRI-protocols to define a protocol giving data that are consistent and reproducible across two centers and over time. Methods Optimization was achieved based on data quality and quantitative measures, in our case using FreeSurfer and Voxel Based Morphometry approaches. Our approach consisted of a series of five comparisons. Firstly, a single-center dataset was collected, using a range of candidate pulse-sequences and parameters chosen on the basis of previous literature. Based on initial results, a number of minor changes were implemented to optimize the pulse-sequences, and a second single-center dataset was collected. FreeSurfer data quality measures were compared between datasets in order to determine the best performing sequence(s, which were taken forward to the next stage of testing. We subsequently acquired short-term and long-term two-center reproducibility data, and quantitative measures were again assessed to determine the protocol with the highest reproducibility across centers. Effects of a scanner software and hardware upgrade on the reproducibility of the protocols at one of the centers were also evaluated. Results Assessing the quality measures from the first two datasets allowed us to define artefact-free protocols, all with high image quality as assessed by FreeSurfer. Comparing the quantitative test and retest measures, we found high within-center

  20. A feasibility study for a manufacturing technology deployment center

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-31

    The Automation & Robotics Research Institute (ARRI) and the Texas Engineering Extension Service (TEEX) were funded by the U.S. Department of Energy to determine the feasibility of a regional industrial technology institute to be located at the Superconducting Super Collider (SSC) Central Facility in Waxahachie, Texas. In response to this opportunity, ARRI and TEEX teamed with the DOE Kansas City Plant (managed by Allied Signal, Inc.), Los Alamos National Laboratory (managed by the University of California), Vought Aircraft Company, National Center for Manufacturing Sciences (NCMS), SSC Laboratory, KPMG Peat Marwick, Dallas County Community College, Navarro Community College, Texas Department of Commerce (TDOC), Texas Manufacturing Assistance Center (TMAC), Oklahoma Center for the Advancement of Science and Technology, Arkansas Science and Technology Authority, Louisiana Productivity Center, and the NASA Mid-Continent Technology Transfer Center (MCTTC) to develop a series of options, perform the feasibility analysis and secure industrial reviews of the selected concepts. The final report for this study is presented in three sections: Executive Summary, Business Plan, and Technical Plan. The results from the analysis of the proposed concept support the recommendation of creating a regional technology alliance formed by the states of Texas, New Mexico, Oklahoma, Arkansas and Louisiana through the conversion of the SSC Central facility into a Manufacturing Technology Deployment Center (MTDC).

  1. Educational Resources Information Center (ERIC) File Partition Study: Final Report.

    Science.gov (United States)

    Hull, Cynthia C.; Wanger, Judith

    A study to provide the National Center for Educational Communication (NCE) with information that could be useful in making the ERIC data base more relevant to the needs of educators and more efficiently usable by them is discussed. Specific purposes of this project were to use an empirical field-survey study as an armature around which to: (1)…

  2. The Center for Coastal Studies: Sustainable Development Education in Mexico

    Science.gov (United States)

    Ollervides, F.; Farrell, T.

    2007-01-01

    Purpose: The purpose of this paper is to present The School for Field Studies-Center for Coastal Studies (SFS-CCS) as a success story in sustainable development education. This success is based on a unique academic model, which incorporates sustainable development opportunities and challenges faced by the local community into the program…

  3. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    Appendix II of The Woodlands Metro Center Energy Study near Houston consists of the following: Metro Center Program, Conventional Plan Building Prototypes and Detail Parcel Analysis, Energy Plan Building Prototypes, and Energy Plan Detail Parcel Analysis.

  4. Usability Studies and User-Centered Design in Digital Libraries

    Science.gov (United States)

    Comeaux, David J.

    2008-01-01

    Digital libraries continue to flourish. At the same time, the principles of user-centered design and the practice of usability testing have been growing in popularity, spreading their influence into the library sphere. This article explores the confluence of these two trends by surveying the current literature on usability studies of digital…

  5. Fire analog: a comparison between fire plumes and energy center cooling tower plumes

    Energy Technology Data Exchange (ETDEWEB)

    Orgill, M.M.

    1977-10-01

    Thermal plumes or convection columns associated with large fires are compared to thermal plumes from cooling towers and proposed energy centers to evaluate the fire analog concept. Energy release rates of mass fires are generally larger than for single or small groups of cooling towers but are comparable to proposed large energy centers. However, significant physical differences exist between cooling tower plumes and fire plumes. Cooling tower plumes are generally dominated by ambient wind, stability and turbulence conditions. Fire plumes, depending on burning rates and other factors, can transform into convective columns which may cause the fire behavior to become more violent. This transformation can cause strong inflow winds and updrafts, turbulence and concentrated vortices. Intense convective columns may interact with ambient winds to create significant downwind effects such as wakes and Karman vortex streets. These characteristics have not been observed with cooling tower plumes to date. The differences in physical characteristics between cooling tower and fire plumes makes the fire analog concept very questionable even though the approximate energy requirements appear to be satisfied in case of large energy centers. Additional research is suggested in studying the upper-level plume characteristics of small experimental fires so this information can be correlated with similar data from cooling towers. Numerical simulation of fires and proposed multiple cooling tower systems could also provide comparative data.

  6. ORAM and shutdown PRA comparison study

    International Nuclear Information System (INIS)

    A comparison study between results obtained from an Outage Risk Assessment and Management (ORAM) model and a shutdown Probabilistic Risk Analysis (PRA) model was conducted. The purpose of the study was to provide useful risk information for better outage planning by focusing resources and contingency plans on risk significant configurations. The comparison study used selected configurations from the 8th refueling outage of the Hope Creek Generation Station (HCGS), a Boiling Water Reactor (BWR). A total of Eleven configurations were compared. Three configurations were selected to evaluate the impact of the Service Water System during the early stage of a refueling outage. (There are existing studies suggesting that the designed redundancy of Service Water Systems is needed during the early stage of a shutdown.) Four configurations were selected because they were deemed risk significant by the ORAM analysis. (For configurations deemed risk significant by ORAM results, compensatory actions have been taken and contingency plans have been developed to mitigate potential deviations from the configuration. The shutdown PRA was used to evaluate the necessity and effectiveness of these contingency plans and compensatory actions.) To increase the comparison population, an additional four configurations were randomly selected. Thus, a total of 15 configurations were evaluated by the shutdown PRA, and a total of 11 configurations were studied by the ORAM. (author)

  7. Development of the Jackson Heart Study Coordinating Center

    Directory of Open Access Journals (Sweden)

    Gregory Wilson

    2009-05-01

    Full Text Available The public health burden caused by cardiovascular disease (CVD continues to adversely affect individuals in terms of cost, life expectancy, medical, pharmaceutical and hospital care. This burden has been excessive in the case of African Americans. The objective of this paper is to chronicle the procedures and processes that were implemented in the development of the Jackson Heart Study Coordinating Center. The Jackson Heart Study (JHS is a population-based investigation of traditional and emerging risk factors that predict progression to CVD among African Americans. In response to the struggle against CVD, the Jackson Heart Study has convened a professional, technical, and administrative staff with specific competence in the operation of a coordinating center to handle the wide variety of areas related to CVD studies. The Jackson Heart Study Coordinating Center (JHSCC was created to assure validity of the JHS findings and provide the resources necessary to meet comprehensive statistical needs (planning, implementing and monitoring data analysis; data management (designing, implementing and managing data collection and quality control, and administrative support. The JHSCC began with a commitment to support study functions in order to increase participant recruitment, retention and safety, meet regulatory requirements, prepare progress reports, and facilitate effective communication with the community and between all JHS centers. The JHSCC facilitates the efforts of the JHS scientists through the development and implementation of the study protocol. The efforts of the JHSCC have resulted in the successful preparation of scientific reports and manuscripts for publication and presentation of study findings and results. In summary, the JHSCC has emerged as an effective research mechanism that serves as the driving force behind the Jackson Heart Study activities.

  8. Development of the Jackson Heart Study Coordinating Center.

    Science.gov (United States)

    Campbell-Jenkins, Brenda W; Addison, Clifton C; Young, Lavon; Anugu, Pramod; Wilson, Gregory; Sarpong, Daniel

    2009-05-01

    The public health burden caused by cardiovascular disease (CVD) continues to adversely affect individuals in terms of cost, life expectancy, medical, pharmaceutical and hospital care. This burden has been excessive in the case of African Americans. The objective of this paper is to chronicle the procedures and processes that were implemented in the development of the Jackson Heart Study Coordinating Center. The Jackson Heart Study (JHS) is a population-based investigation of traditional and emerging risk factors that predict progression to CVD among African Americans. In response to the struggle against CVD, the Jackson Heart Study has convened a professional, technical, and administrative staff with specific competence in the operation of a coordinating center to handle the wide variety of areas related to CVD studies. The Jackson Heart Study Coordinating Center (JHSCC) was created to assure validity of the JHS findings and provide the resources necessary to meet comprehensive statistical needs (planning, implementing and monitoring data analysis); data management (designing, implementing and managing data collection and quality control), and administrative support. The JHSCC began with a commitment to support study functions in order to increase participant recruitment, retention and safety, meet regulatory requirements, prepare progress reports, and facilitate effective communication with the community and between all JHS centers. The JHSCC facilitates the efforts of the JHS scientists through the development and implementation of the study protocol. The efforts of the JHSCC have resulted in the successful preparation of scientific reports and manuscripts for publication and presentation of study findings and results. In summary, the JHSCC has emerged as an effective research mechanism that serves as the driving force behind the Jackson Heart Study activities. PMID:19543408

  9. Hydraulic fracture model comparison study: Complete results

    Energy Technology Data Exchange (ETDEWEB)

    Warpinski, N.R. [Sandia National Labs., Albuquerque, NM (United States); Abou-Sayed, I.S. [Mobil Exploration and Production Services (United States); Moschovidis, Z. [Amoco Production Co. (US); Parker, C. [CONOCO (US)

    1993-02-01

    Large quantities of natural gas exist in low permeability reservoirs throughout the US. Characteristics of these reservoirs, however, make production difficult and often economic and stimulation is required. Because of the diversity of application, hydraulic fracture design models must be able to account for widely varying rock properties, reservoir properties, in situ stresses, fracturing fluids, and proppant loads. As a result, fracture simulation has emerged as a highly complex endeavor that must be able to describe many different physical processes. The objective of this study was to develop a comparative study of hydraulic-fracture simulators in order to provide stimulation engineers with the necessary information to make rational decisions on the type of models most suited for their needs. This report compares the fracture modeling results of twelve different simulators, some of them run in different modes for eight separate design cases. Comparisons of length, width, height, net pressure, maximum width at the wellbore, average width at the wellbore, and average width in the fracture have been made, both for the final geometry and as a function of time. For the models in this study, differences in fracture length, height and width are often greater than a factor of two. In addition, several comparisons of the same model with different options show a large variability in model output depending upon the options chosen. Two comparisons were made of the same model run by different companies; in both cases the agreement was good. 41 refs., 54 figs., 83 tabs.

  10. Electromyographic comparison of grand battement devant at the barre, in the center, and traveling.

    Science.gov (United States)

    Krasnow, Donna; Ambegaonkar, Jatin P; Wilmerding, M Virginia; Stecyk, Shane; Koutedakis, Yiannis; Wyon, Matthew

    2012-09-01

    This study examined utilization of the trunk and lower extremity muscles during grand battement devant in three conditions: at the barre (supported stationary condition in 1st position), in the center (unsupported stationary condition in 1st position), and traveling through space. Forty dancers (age 30.0 ± 13.0 yrs, height 1.63 ± 0.06 m, weight 59.0 ± 7.4 kg, and 13.9 ± 13.3 yrs of training in ballet and/or modern dance) volunteered and were placed in three skill level groups: beginner (n = 12), intermediate (n = 14), and advanced (n = 14). Dancers executed five grand battement devant in each of the three conditions in randomized order. We examined muscle activation bilaterally in eight muscles (abdominals, abductor hallucis, erector spinae, gastrocnemius, gluteus maximus, hamstrings, quadriceps, and tibialis anterior) using surface electromyography, a three-dimensional video biomechanical tracking system to identify events, and force plates. All data were analyzed in four events: stance, initiation, peak, and end. Analysis was done using a linear mixed effects regression model with condition, event, muscle, level, and side as the fixed effects, and subject as the random effect. There were significant effects for muscle x event x condition (pdance educators consider the importance of allocating sufficient time to each of the three conditions (barre, center, and traveling) to ensure development of a variety of motor strategies and muscle activation levels for dance practice. PMID:22983132

  11. Family-Centered Care in Juvenile Justice Institutions: A Mixed Methods Study Protocol

    Science.gov (United States)

    Mulder, Eva; Rigter, Henk; Breuk, René; van der Vaart, Wander; Vermeiren, Robert

    2016-01-01

    Background Treatment and rehabilitation interventions in juvenile justice institutions aim to prevent criminal reoffending by adolescents and to enhance their prospects of successful social reintegration. There is evidence that these goals are best achieved when the institution adopts a family-centered approach, involving the parents of the adolescents. The Academic Workplace Forensic Care for Youth has developed two programs for family-centered care for youth detained in groups for short-term and long-term stay, respectively. Objective The overall aim of our study is to evaluate the family-centered care program in the first two years after the first steps of its implementation in short-term stay groups of two juvenile justice institutions in the Netherlands. The current paper discusses our study design. Methods Based on a quantitative pilot study, we opted for a study with an explanatory sequential mixed methods design. This pilot is considered the first stage of our study. The second stage of our study includes concurrent quantitative and qualitative approaches. The quantitative part of our study is a pre-post quasi-experimental comparison of family-centered care with usual care in short-term stay groups. The qualitative part of our study involves in-depth interviews with adolescents, parents, and group workers to elaborate on the preceding quantitative pilot study and to help interpret the outcomes of the quasi-experimental quantitative part of the study. Results We believe that our study will result in the following findings. In the quantitative comparison of usual care with family-centered care, we assume that in the latter group, parents will be more involved with their child and with the institution, and that parents and adolescents will be more motivated to take part in therapy. In addition, we expect family-centered care to improve family interactions, to decrease parenting stress, and to reduce problem behavior among the adolescents. Finally, we assume

  12. CENTER FOR PULSED POWER DRIVEN HIGH ENERGY DENSITY PLASMA STUDIES

    Energy Technology Data Exchange (ETDEWEB)

    Professor Bruce R. Kusse; Professor David A. Hammer

    2007-04-18

    This annual report summarizes the activities of the Cornell Center for Pulsed-Power-Driven High-Energy-Density Plasma Studies, for the 12-month period October 1, 2005-September 30, 2006. This period corresponds to the first year of the two-year extension (awarded in October, 2005) to the original 3-year NNSA/DOE Cooperative Agreement with Cornell, DE-FC03-02NA00057. As such, the period covered in this report also corresponds to the fourth year of the (now) 5-year term of the Cooperative Agreement. The participants, in addition to Cornell University, include Imperial College, London (IC), the University of Nevada, Reno (UNR), the University of Rochester (UR), the Weizmann Institute of Science (WSI), and the P.N. Lebedev Physical Institute (LPI), Moscow. A listing of all faculty, technical staff and students, both graduate and undergraduate, who participated in Center research activities during the year in question is given in Appendix A.

  13. Study of color centers induced by PIXE irradiation

    CERN Document Server

    Absil, J; Strivay, D; Oger, C; Weber, G

    2002-01-01

    The particle induced X-ray emission method is perfectly adapted to the study, by external beam, of art objects (like paintings) and allows non-destructive analysis of the atomic composition of the target. However, a strange phenomenon occurs during irradiation on some pigments: dark brownish stains appear, and this could be due to the formation of color centers. In fact, these darkening spots progressively fade out and disappear after a few weeks. Heat and UV light accelerate the decreasing process. The aim of this study is to understand the physical processes of the stain creation and to find a way to make stains disappear, avoiding any damage for the painting.

  14. Vegetation studies, National Training Center, Fort Irwin, California

    Energy Technology Data Exchange (ETDEWEB)

    Brandt, C.A.; Rickard, W.H.; Cadoret, N.A.

    1997-09-01

    During the spring of 1992, the Pacific Northwest National Laboratory (PNNL) conducted surveys of the Avawatz and Granite mountains springs for the National Training Center (NTC) to evaluate the occurrence of sensitive plant species in these areas. PNNL also conducted a survey of the eastern outwash of the Paradise Range for the occurrence of Lane Mountain milk vetch (Astragalus jaegerianus). In spring of 1993, PNNL conducted an additional study of Lane Mountain milk vetch on the NTC to determine habitat characteristics for this plant and to develop a method for predicting its potential occurrence, based on simple habitat attributes. The results of these studies are itemized.

  15. NASA-Langley Research Center's participation in a round-robin comparison between some current crack-propagation prediction methods

    Science.gov (United States)

    Hudson, C. M.; Lewis, P. E.

    1979-01-01

    A round-robin study was conducted which evaluated and compared different methods currently in practice for predicting crack growth in surface-cracked specimens. This report describes the prediction methods used by the Fracture Mechanics Engineering Section, at NASA-Langley Research Center, and presents a comparison between predicted crack growth and crack growth observed in laboratory experiments. For tests at higher stress levels, the correlation between predicted and experimentally determined crack growth was generally quite good. For tests at lower stress levels, the predicted number of cycles to reach a given crack length was consistently higher than the experimentally determined number of cycles. This consistent overestimation of the number of cycles could have resulted from a lack of definition of crack-growth data at low values of the stress intensity range. Generally, the predicted critical flaw sizes were smaller than the experimentally determined critical flaw sizes. This underestimation probably resulted from using plane-strain fracture toughness values to predict failure rather than the more appropriate values based on maximum load.

  16. Service utilization in community health centers in China: a comparison analysis with local hospitals

    Directory of Open Access Journals (Sweden)

    Wang Xiaohang

    2006-08-01

    Full Text Available Abstract Background Being an important part of China's Urban Health Care Reform System, Community Health Centers (CHCs have been established throughout the entire country and are presently undergoing substantial reconstruction. However, the services being delivered by the CHCs are far from reaching their performance targets. In order to assess the role of the CHCs, we examined their performance in six cities located in regions of South-East China. The purpose of this investigation was to identify the utilization and the efficiency of community health resources that are able to provide basic medical and public health services. Methods The study was approved by Peking University Health Science Center Institutional Reviewing Board (NO: IRB00001052-T1. Data were collected from all the local health bureaux and processed using SPSS software. Methods of analysis mainly included: descriptive analysis, paired T-test and one-way ANOVA. Results The six main functions of the CHCs were not fully exploited and the surveys that were collected on their efficiency and utilization of resources indicate that they have a low level of performance and lack the trust of local communities. Furthermore, the CHCs seriously lack funding support and operate under difficult circumstances, and residents have less positive attitudes towards them. Conclusion The community health service must be adjusted according to the requirements of urban medical and health reform, taking into account communities' health needs. More research is required on the living standards and health needs of residents living within the CHC's range, taking into consideration the users' needs in expanding the newly implemented service, and at the same time revising the old service system so as to make the development of CHCs realistic and capable of providing a better service to patients. Several suggestions are put forward for an attainable scheme for developing a community health service.

  17. 40 CFR 761.326 - Conducting the comparison study.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Conducting the comparison study. 761...-liquid PCB Remediation Waste Samples § 761.326 Conducting the comparison study. Extract or analyze the comparison study samples using the alternative method. For an alternative extraction method or...

  18. Comparison of motor and cognitive performance of children attending public and private day care centers

    Directory of Open Access Journals (Sweden)

    Mariana M. Santos

    2013-12-01

    Full Text Available BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of children attending public day care centers (69 children and another of children attending private day care centers (47 children. All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. RESULTS: Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. CONCLUSION: The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers.

  19. Comparison of Capsule Endoscopy Findings to Subsequent Double Balloon Enteroscopy: A Dual Center Experience

    Directory of Open Access Journals (Sweden)

    Amandeep S. Kalra

    2015-01-01

    Full Text Available Background. There has been a growing use of both capsule endoscopy (CE and double balloon enteroscopy (DBE to diagnose and treat patients with obscure gastrointestinal blood loss and suspected small bowel pathology. Aim. To compare and correlate sequential CE and DBE findings in a large series of patients at two tertiary level hospitals in Wisconsin. Methods. An IRB approved retrospective study of patients who underwent sequential CE and DBE, at two separate tertiary care academic centers from May 2007 to December 2011, was performed. Results. 116 patients were included in the study. The mean age ± SD was 66.6 ± 13.2 years. There were 56% males and 43.9% females. Measure of agreement between prior capsule and DBE findings was performed using kappa statistics, which gave kappa value of 0.396 with P<0.001. Also contingency coefficient was calculated and was found to be 0.732 (P<0.001. Conclusions. Our study showed good overall agreement between DBE and CE. Findings of angioectasia had maximum agreement of 69%.

  20. Envisioning a Quantitative Studies Center: A Liberal Arts Perspective

    Directory of Open Access Journals (Sweden)

    Gizem Karaali

    2010-01-01

    Full Text Available Several academic institutions are searching for ways to help students develop their quantitative reasoning abilities and become more adept at higher-level tasks that involve quantitative skills. In this note we study the particular way Pomona College has framed this issue within its own context and what it plans to do about it. To this end we describe our efforts as members of a campus-wide committee that was assigned the duty of investigating the feasibility of founding a quantitative studies center on our campus. These efforts involved analysis of data collected through a faculty questionnaire, discipline-specific input obtained from each departmental representative, and a survey of what some of our peer institutions are doing to tackle these issues. In our studies, we identified three critical needs where quantitative support would be most useful in our case: tutoring and mentoring for entry-level courses; support for various specialized and analytic software tools for upper-level courses; and a uniform basic training for student tutors and mentors. We surmise that our challenges can be mitigated effectively via the formation of a well-focused and -planned quantitative studies center. We believe our process, findings and final proposal will be helpful to others who are looking to resolve similar issues on their own campuses.

  1. New Mexico Center for Particle Physics: Studies of fundamental interactions

    International Nuclear Information System (INIS)

    The New Mexico Center/UNM group research program includes the CDF experiment at Fermilab and the SDC experiment at the SSC. In both experiments the UNM group research focuses on silicon strip tracking systems. The present research goals are to develop and utilize precision silicon tracking to increase significantly the physics reach of the Tevatron, and to make possible the study of high-Pt physics at the SSC. The search for the t-quark in CDF is the primary goal of the upcoming Tevatron runs. This Progress Report summarizes our research accomplishments from the last year

  2. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

    International Nuclear Information System (INIS)

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified

  3. Emergency call centers and large scale incidents: A comparison of the operators' perspective and a resilience model

    OpenAIRE

    2013-01-01

    A key feature of civil safety is the ability to respond to unwanted incidents. The first link in the response chain is usually the emergency call centers, and the purpose of this study was to investigate the work at an emergency call center in connection with large scale incidents. The delivery of the study is two-fold: firstly, a bottom-up analysis was performed in order to outline work at the emergency call center during large scale incidents. This approach resulted in a content model depic...

  4. Blanket comparison and selection study. Volume I

    International Nuclear Information System (INIS)

    The objectives of the Blanket Comparison and Selection Study (BCSS) can be stated as follows: (1) Define a small number (approx. 3) of blanket design concepts that should be the focus of the blanket R and D program. A design concept is defined by the selection of all materials (e.g., breeder, coolant, structure and multiplier) and other major characteristics that significantly influence the R and D requirements. (2) Identify and prioritize the critical issues for the leading blanket concepts. (3) Provide the technical input necessary to develop a blanket R and D program plan. Guidelines for prioritizing the R and D requirements include: (a) critical feasibility issues for the leading blanket concepts will receive the highest priority, and (b) for equally important feasibility issues, higher R and D priority will be given to those that require minimum cost and short time

  5. Comparison of particulate verification techniques study

    Science.gov (United States)

    Rivera, Rachel

    2006-08-01

    The efficacy of five particulate verification techniques on four types of materials was studied. Statistical Analysis Software/JMP 6.0 was used to create a statistically valid design of experiments. In doing so, 35 witness coupons consisting of the four types of materials being studied, were intentionally contaminated with particulate fallout. Image Analysis was used to characterize the extent of particulate fallout on the coupons and was used to establish a baseline, or basis of comparison, against the five techniques that were studied. The five particulate verification techniques were the Tapelift, the Particulate Solvent Rinse, the GelPak lift, an in-line vacuum filtration probe, and the Infinity Focusing Microscope (IFM). The four types of materials consisted of magnesium flouride (MgF II) coated mirrors, composite coated silver aluminum (CCAg), Z93 and NS43G coated aluminum, and silicon (si) wafers. The vacuum probe was determined to be most effective for Z93, the tapelift or vacuum probe for MgF2, and the GelPak Lift for CCAg and si substrates. A margin of error for each technique, based on experimental data from two experiments, for si wafer substrates, yielded the following: Tapelift - 67%, Solvent Rinse - 58%, GelPak- 26%, Vacuum Probe - 93%, IFM-to be determined.

  6. Life Sciences Division and Center for Human Genome Studies 1994

    Energy Technology Data Exchange (ETDEWEB)

    Cram, L.S.; Stafford, C. [comp.

    1995-09-01

    This report summarizes the research and development activities of the Los Alamos National Laboratory`s Life Sciences Division and the biological aspects of the Center for Human Genome Studies for the calendar year 1994. The technical portion of the report is divided into two parts, (1) selected research highlights and (2) research projects and accomplishments. The research highlights provide a more detailed description of a select set of projects. A technical description of all projects is presented in sufficient detail so that the informed reader will be able to assess the scope and significance of each project. Summaries useful to the casual reader desiring general information have been prepared by the group leaders and appear in each group overview. Investigators on the staff of the Life Sciences Division will be pleased to provide further information.

  7. Gnathic osteosarcomas: A 10-year multi-center demographic study

    Directory of Open Access Journals (Sweden)

    T Azizi

    2009-01-01

    Full Text Available Background: Osteosarcomas (OS of the jaws are uncommon lesions representing 6-8% of skeletal OS. We assessed the characteristics, demographics, prevalence clinical and histopathological findings and distribution of gnathic OS relative to non-gnathic OS in four major treatment centers. Materials and Methods: This study assessed 13 gnathic OS patients of 98 OS patients from four major referral centers during 1996-2007. The age distribution, gender, involved site, clinical findings, signs, symptoms, grade and sub-types were assessed. Hematoxylin-eosin, Picrosirius red, Ponceau trichrome, Masson trichrome and osteoid staining methods were used. Results: Of the 98 OS lesions, 85 (86.8% involved the skeleton, the youngest patient was 6 and the oldest 60 years old; 13 lesions (13.2% involved the jaws (seven mandibular and six maxillary and the youngest and oldest patients were 15 and 50 years-old, respectively. Non-gnathic OS was more prevalent between the ages of 11 and 20 years (avg. 15 years and was common in the distal femur and proximal tibia, presenting most frequently with pain and swelling. OS of the jaws, however, presented more than 10 years later than non-gnathic OS, being more prevalent between the ages of 20 and 30 years (avg. 27 years. OS of the jaws most frequently involved the mandibular body and the posterior maxillary alveolar ridge, presenting frequently with pain, swelling and loosening of teeth. Two patients with gnathic OS died during the 10-year follow-up period (15.3%. Conclusion: Prevalence of OS of the jaws was about twice as high as that reported in other studies and presented later than non-gnathic cases. Pain and swelling were common signs and symptoms in this disease. The mixed sub-type was the most common sub-type of gnathic OS.

  8. Comparison of the Quality of Preschoolers' Play in Housekeeping and Thematic Sociodramatic Play Centers.

    Science.gov (United States)

    Bagley, Donna M.; Klass, Patricia H.

    1997-01-01

    Documented differences in the quality of play in thematic and housekeeping organizational patterns of the sociodramatic play center in a preschool classroom. Found the thematic organization resulted in higher quality sociodramatic play in which the children enacted more roles outside the home, utilized more aspects of their roles, demonstrated…

  9. Comparative study of Treponemal and non-Treponemal test for screening of blood donated at a blood center

    OpenAIRE

    Naidu, Narinder Kaur; Bharucha, Z. S.; Sonawane, Vandana; Ahmed, Imran

    2012-01-01

    The non-Treponemal tests such as Rapid Plasma Reagin test (RPR) or the Venereal Disease Reference Laboratory test are the most commonly used test for screening of syphilis in the blood centers in India. Now, with the availability of Enzyme-linked immunosorbent assay (ELISA) and Immunochromatographic assays in the market, we decided to evaluate these assays in comparison with Treponema pallidum Haemagglutination Assay (TPHA) which was considered as a gold standard for this study. A total of 8 ...

  10. Economic feasibility study of regional centers for nuclear fuel reprocessing in the developing countries

    International Nuclear Information System (INIS)

    The fuel cycle costs for the following three different economic alternatives were studied: (1) Reprocessing in an industrialized country (such as the U.S.); (2) Reprocessing in the individual developing country; (3) Reprocessing in a regional center. The nuclear fuel cycle cost for the ''Throw-away'' fuel cycle was evaluated. Among the six regions which were considered in this study, region one (South America including Mexico) was selected for the economic analysis of the nuclear fuel cycle for the above three alternatives. For evaluation of the cases where the fuel is reprocessed in a regional center or in an individual developing country, a unit reprocessing cost equation was developed. An economic evaluation was developed to estimate the least expensive method for transporting radioactive nuclear material by either leased or purchased shipping casks. The necessary equations were also developed for estimating plutonium transportation and the safeguard costs. On the basis of nuclear material and services requirements and unit costs for each component, the levelized nuclear fuel cycle costs for each alternative were estimated. Finally, by a comparison of cost, among these three alternatives plus the ''Throw-away'' case,it was found that it is not at all economical to build individual reprocessing plants inside the developing countries in region one. However, it also was found that the economic advantage of a regional center with respect to the first alternative is less than a 4% difference between their total fuel cycle costs. It is concluded that there is no great economic advantage in any developing countries to seek to process their fuel in one of the advanced countries. Construction of regional reprocessing centers is an economically viable concept

  11. A Market Study for the Center for the Performing Arts.

    Science.gov (United States)

    Rae, John; And Others

    In fall 1983, a telephone survey was conducted by Macomb Community College (MCC) to assess community perceptions of the college's Center for the Performing Arts (CPA) and to aid in developing marketing strategies for the Center. Interviews were conducted with 500 randomly selected Macomb County (Michigan) residents to determine if they had…

  12. Cooperative Research Paired Trawl Sweep Comparison Study

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In the spring of 2009, Northeast Fisheries Science Center (NEFSC) replaced the previous standard bottom trawl gear (Yankee 36) with a new standard survey trawl...

  13. Service utilization in community health centers in China: a comparison analysis with local hospitals

    OpenAIRE

    Wang Xiaohang; Dib Hassan H; Pan Xilong; Zhang Hong

    2006-01-01

    Abstract Background Being an important part of China's Urban Health Care Reform System, Community Health Centers (CHCs) have been established throughout the entire country and are presently undergoing substantial reconstruction. However, the services being delivered by the CHCs are far from reaching their performance targets. In order to assess the role of the CHCs, we examined their performance in six cities located in regions of South-East China. The purpose of this investigation was to ide...

  14. Comparison of the socioeconomic impacts of international fuel service centers versus dispersed nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Braid, Jr., R. B.

    1979-01-01

    The paper investigates a variety of community impacts including: public services, fiscal issues, economic matters, land and water use, political and social cohesion, and legal considerations. Comparisons of socioeconomic impacts of colocated versus dispersed sites are made on the basis of the size of the impacted communities, the size and type of nuclear facility, and the facility's construction time frame. The paper concludes that, under similar circumstances, most of the socioeconomic impacts of colocated nuclear facilities would be somewhat less than the sum of the impacts associated with equivalent dispersed sites. While empirical data is non-existent, the paper contends, however, that because the socioeconomic impacts of colocated facilities are so great and readily identifiable to a public unskilled in making comparisons with the dispersed alternative, the facilities will likely generate so much public opposition that IFSCs will probably prove infeasible.

  15. Comparative Study of Customer Satisfaction for Four Service Center by Using House of Quality (HoQ)

    International Nuclear Information System (INIS)

    The comparative study between four service center was constructed from the development of House of Quality (HoQ). HoQ is a simple and attractive service innovation tool which can be used to directly show a comprehensive information which contained the voice of customer (VOC), technical response, technical correlation and matrix relationship. The indirect information is a report on technical and planning part which shows the comparison between four service center. This study revealed that the information from HoQ with further discussion on planning part which can be used to assist management in knowing the overall detail information of service center achievement and recognizes the solution for unsatisfied customer through priority improvement activity to enhance the customer satisfaction in future. (author)

  16. Penn/VA center for studies of addiction.

    Science.gov (United States)

    O'Brien, Charles P; McLellan, A Thomas; Childress, Anna Rose; Woody, George E

    2009-01-01

    The Penn/VA Center was founded in 1971 because of great concern over the number of Vietnam veterans returning home addicted to heroin. At that time little was known about the science of addiction, so our program from the very beginning was designed to gather data about the nature of addiction and measure the effects of available treatments. In other words, the goals were always a combination of treatment and research. This combination has continued to the present day. A human laboratory for the study of addiction phenomena such as conditioned responses was also founded in 1971. The key clinician investigators in this group have remained in the Center since the 1970s with most of the research staff continuing to work together. Important new investigators have been added over the years. Treatment was empirically based with randomized, controlled clinical trials as the gold standard for determining evidence-based treatment. The patients coming to treatment do not distinguish between abuse of alcohol and other drugs, so the treatment and research programs have always focused on all drugs including ethyl alcohol and the combination of ethyl alcohol with other drugs such as cocaine and opioids. Most of the patients coming for treatment also suffered from additional psychiatric disorders such as depression, anxiety, bipolar disorder or schizophrenia. Thus, the addiction treatment program in 1980 absorbed the rest of the VA Psychiatry Service into the Substance Abuse Program forming a new Behavioral Health Service with responsibility for over 9000 patients. The integration of substance abuse treatment with overall mental health care was the most efficient way to handle patients with complicated combinations of disorders. While this continues to be the best way to treat patients, it has proven difficult in practice. The main reason for this difficulty is that most mental health therapists whether they are psychiatrists, psychologists or social workers feel very inadequate

  17. Data Information for Global Change Studies: NASA's Distributed Active Archive Centers and Cooperating Data Centers

    Science.gov (United States)

    2000-01-01

    The Earth Observing System (EOS) is an integral part of the National Aeronautics and Space Administration's (NASA's) Earth Science Enterprise (ESE). ESE is a long-term global change research program designed to improve our understanding of the Earth's interrelated processes involving the atmosphere, oceans, land surfaces, and polar regions. Data from EOS instruments and other Earth science measurement systems are useful in understanding the causes and processes of global climate change and the consequences of human activities. The EOS Data and Information System (EOSDIS) provides a structure for data management and user services for products derived from EOS satellite instruments and other NASA Earth science data. Within the EOSDIS framework, the Distributed Active Archive Centers (DAACs) have been established to provide expertise in one or more Earth science disciplines. The DAACs and cooperating data centers provide data and information services to support the global change research community. Much of the development of the DAACs has been in anticipation of the enormous amount of data expected from EOS instruments to be launched within the next two decades. Terra, the EOS flagship launched in December 1999, is the first of a series of EOS satellites to carry several instruments with multispectral capabilities. Some data products from these instruments are now available from several of the DAACs. These and other data products can be ordered through the EOS Data Gateway (EDG) and DAAC-specific online ordering systems.

  18. Medication wrong route administration: a poisons center-based study

    OpenAIRE

    Bloch-Teitelbaum, Alexandra; Lüde, Saskia; Rauber-Lüthy, Christine; Kupferschmidt, Hugo; Russmann, Stefan; Kullak-Ublick, Gerd A.; Ceschi, Alessandro

    2013-01-01

    OBJECTIVES: To describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. METHODS: Retrospective single-center consecutive review of parenteral route errors of medications, reported to our center between January 2006 and June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. RE...

  19. Experimental Comparison of 56 Gbit/s PAM-4 and DMT for Data Center Interconnect Applications

    DEFF Research Database (Denmark)

    Eiselt, Nicklas; Dochhan, Annika; Griesser, Helmut;

    2016-01-01

    Four-level pulse amplitude modulation (PAM-4) and discrete multi-tone transmission (DMT) in combination with intensity modulation and direct-detection are two promising approaches for a low-power and low-cost solution for the next generation of data center interconnect applications. We experiment......Four-level pulse amplitude modulation (PAM-4) and discrete multi-tone transmission (DMT) in combination with intensity modulation and direct-detection are two promising approaches for a low-power and low-cost solution for the next generation of data center interconnect applications. We...... experimentally investigate and compare both modulation formats at a data rate of 56 Gb/s and a transmission wavelength of 1544 nm using the same experimental setup. We show that PAM-4 outperforms double sideband DMT and also vestigial sideband DMT for the optical back-to-back (b2b) case and also...... for a transmission distance of 80 km SSMF in terms of required OSNR at a FEC-threshold of 3.8e-3. However, it is also pointed out that both versions of DMT do not require any optical dispersion compensation to transmit over 80 km SSMF while this is essential for PAM-4. Thus, implementation effort and cost may...

  20. Comparison between dispersed nuclear power plants and a nuclear energy center at a hypothetical site on Kentucky Lake, Tennessee. Volume II. Transmission of power

    International Nuclear Information System (INIS)

    A comparison is made among power transmission systems required to serve a single set of load center demands from four modes of siting the generating facilities: a single generation site with an ultimate generation capacity of 48,000 MW; four generation sites each with a generation capacity of 12,000 MW; 10 generation sites each with a generation capacity of 4,800 MW; and a system that resulted when the existing utility plan for future generation was logically expanded. The time period for the study is from the year 1985 to the year 2020, when the full 48,000 MW of new capacity from the single large nuclear energy center is on-line. The load centers served are Huntsville, Alabama; Evansville, Indiana; Paducah, Kentucky; and Chattanooga, Nashville, and Memphis, Tennessee. Generation sites are real locations but are hypothetical in terms of miles of transmission lines, the product of the amount of power transmitted and the distance transmitted (GW-miles), and cost

  1. Fire analog: a comparison between fire plumes and energy center cooling tower plumes

    International Nuclear Information System (INIS)

    Thermal plumes or convection columns associated with large fires have been compared to thermal plumes from cooling tower systems to evaluate the fire analog concept. Energy release rate of mass fires is generally larger than that of single or small groups of cooling towers but may be comparable to proposed large energy centers. However, siginficant physical differences exist between cooling tower and fire plumes. Cooling tower plumes are usually dominated by ambient wind and turbulence conditions. Fire plumes, depending on fire intensity and area, can transform into free convection energy systems resulting in convective columns, strong inflow and updrafts, turbulence and concentrated vortices. Since these characteristics have not been observed with cooling tower plumes to date, the fire analog concept is questionable at this time. Additional research is needed on fire and cooling tower plumes

  2. Comparison of LHC collimator beam-based alignment to BPM-Interpolated centers

    CERN Document Server

    Valentino, G; Assmann, R W; Bruce, R; Muller, G J; Redaelli, S; Rossi, A; Lari, L

    2012-01-01

    The beam centers at the Large Hadron Collider collimators are determined by beam-based alignment, where both jaws of a collimator are moved in separately until a loss spike is detected on a Beam LossMonitor downstream. Orbit drifts of more than a few hundred micrometers cannot be tolerated, as they would compromise the performance of the collimation system. Beam Position Monitors (BPMs) are installed at various locations around the LHC ring, and a linear interpolation of the orbit can be obtained at the collimator positions. In this paper, the results obtained from beam-based alignment are compared with the orbit interpolated from the BPM data throughout the 2011 and 2012 LHC proton runs.

  3. Challenges for Study Centers in an Electronic Age: A Case Study of the Center for Distance Education at the University of Oldenburg, Germany.

    Science.gov (United States)

    Bernath, Ulrich; Kleinschmidt, Axel; Walti, Christine; Zawacki, Olaf

    2003-01-01

    The Center for Distance Education at the University of Oldenburg began offering online tutorials with mentors in the 1990s. Virtual study centers using Lotus Learning Space as the online learning management system were created in 1999. Appropriate technical support, technology training, and preparation of mentors to be online teachers were…

  4. Issues in clustered nuclear siting: a comparison of a hypothetical nuclear energy center in New Jersey with dispersed nuclear siting

    International Nuclear Information System (INIS)

    The report is an analysis of a hypothetical nuclear energy center (NEC) conducted in support of the recently completed study by the Nuclear Regulatory Commission, mandated by the Congress in the Energy Reorganization Act of 1974. The intent of the analysis of the hypothetical, or ''surrogate'', site was to inject a local and regional perspective into the assessment of technical, environmental, institutional, and socioeconomic issues which could be adequately addressed only by reference to a specific site. The hypothetical NEC site in Ocean County, New Jersey, was chosen to illustrate the problems and impacts of potential energy centers in coastal and near-coastal sites in relatively close proximity to large metropolitan areas. Earlier studies of hypothetical energy centers on the Mississippi River at River Bend, La., and on the Columbia River near Hanford, Washington, were also re-examined for their relevance to this new study effort. Neither Ocean County, nor any of the other surrogate sites, have been considered for actual construction of an NEC, nor does their selection for study purposes imply any judgement of desirability. Indeed, the major finding of the report presented is that Ocean County is a relatively poor location for an energy center, and this may well be true of many coastal locations similar to the Jersey shore. The objective in selecting surrogate sites, then, was not to find the best locations, but to select sites that would illustrate the broadest range of potential public policy and siting issues

  5. A Comparison of Innovative Training Techniques at the Defense Language Institute Foreign Language Center. Research Report 1426.

    Science.gov (United States)

    Bush, Brian J.

    A study evaluated the comparative training effectiveness of three language instruction methods: (1) suggestopedia, (2) the standard methodology used at the Defense Language Institute Foreign Language Center, a functional skill-building approach, and (3) a flexible-scheduling version of the standard methodology, with pacing based on group…

  6. HMI/ SCADA standards in the design of data center interfaces: A network operations center case study

    Directory of Open Access Journals (Sweden)

    Said Filali-Yachou

    2015-01-01

    Full Text Available En este artículo se presenta la evaluación de las interfaces de la sala del Centro de Operaciones NOC (Network Operations Cent er del NAP (Network Access Point de Canarias, siguiendo estándares y normativas HMI, así como la guía ergonómica de supervisión GEDI S. En base a los resultados obtenid os, se presenta un prototipo de mejora de la interfaz actual.El Centro de Operaciones NOC del Instituto Tecnológico y de Energías Renovables (ITER se encarga de monit orizar las diversas infraestructuras del Data Center como son l a climatización, suminis tro eléctrico, protec ción contra incendio s, seguridad, centros técnicos, parques eólicos, plantas fotovo ltaicas, así como las distintas infraestructura s desplegadas alrededor del c able submarino perteneciente al consorcio de Cana-Link (el cabl e que une la Península y Canarias, el anillo terrestre y la Red IRIS. Para unificar algunos de estos sistemas y facilitar la tarea diaria de supervisión, se emplea un software SC ADA especializad o en la gestió n de edificios.

  7. Factors Affecting Customer Loyalty of Fitness Centers: An Empirical Study

    Directory of Open Access Journals (Sweden)

    Livia Vania Suwono

    2016-04-01

    Full Text Available Awareness of healthy lifestyle in society is increasing day by day. Therefore, the fitness centers more motivated to focus on these business opportunities. Hence, it is important for companies to understand how to satisfy consumers to obtain consumer loyalty. Main variables were applied to predict customer loyalties areswitching cost, customer value, physical environment, and customer satisfaction. Data was collected through questionnaires distribution to students at private university in Tangerang. Data then was analyzed to by applying multipleregressionswith SPSS software. The results showed that there are three hypotheses are supported. The hypothesis is the relationship between switching cost and customer value, the relationship between customer value and customer satisfaction, and the relationship between customer satisfaction and customer loyalty. There is a hypothesis that is not supported, namely the relationship between the physical environment and customer satisfaction. This study also provides a discussion and offers direction for further research.Kesadaran akan hidup sehat dalam masyarakat semakin meningkat. Oleh karenaitu, perusahaan-perusahaan pusat kebugaran termotivasi untuk focus pada peluang bisnis ini. Dengan demikian, pemahaman akan kepuasan konsumen yang dapat menjadikan konsumen semakin loyal adalah penting bagi perusahaan. Penelitian ini focus pada variable biaya perpindahan, nilai yang diterima konsumen, lingkungan fisik, dan kepuasan konsumen dalam memprediksi loyalitas konsumen. Data dikumpulkan melalui penyebaran kuesioner pada mahasiswa di sebuah universitas swasta. Data kemudian dianalisis dengan menggunakan regresi berganda. Hasil penelitian menunjukkan bahwa terdapat tiga hipotesis yang didukung. Hipotesis tersebut adalah hubungan antara biaya perpindahan dan nilai yang diterima konsumen, hubungan antara nilai yang diterima konsumen dan kepuasan konsumen, dan hubungan antara kepuasan konsumen dan loyalitas konsumen

  8. Famitinib in metastatic renal cell carcinoma: a single center study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wen; ZHOU Ai-ping; QIN Qiong; CHANG Chun-xiao; JIANG Hao-yuan; MA Jian-hui; WANG Jin-wan

    2013-01-01

    Background Famitinib is a novel and potent multitargeting receptor tyrosine kinase inhibitor.The phase I clinical study showed that famitinib was well tolerated and had a broad anti-tumor spectrum.The purpose of this study was to examine the efficacy and safety of famitinib for the treatment of metastatic renal cell carcinoma (mRCC).Methods The data of famitinib in treating patients with mRCC from the single-center phases Ⅰ and Ⅱ clinical trials were analyzed.Famitinib was administered orally at the dose of 13-30 mg once daily until tumor progression,occurrence of intolerable adverse reactions or withdrawal of the informed consent.Results A total of 24 patients with mRCC were treated including 17 patients at a dose of 25 mg once daily,4 patients at a dose of 27 mg and 1 patient each at a dose of 13 mg,20 mg and 30 mg,respectively.Twelve (50.0%) patients achieved partial response (PR) and 9 patients achieved stable disease (SD).Progressive disease was found in 3 (12.5%) patients.The disease control rate was 87.5%.The median follow-up time was 17.6 months; the median progression free survival (PFS) was 10.7 (95% Cl7.0-14.4) months; and the estimated median overall survival (OS) time was 33.0 (95% Cl8.7-57.3) months.The adverse drug reactions mainly included hypertension (54.1%),hand-foot skin reactions (45.8%),diarrhea (33.3%),mucositis (29.2%),neutropenia (45.8%),thrombocytopenia (29.2%),hyperlipidemia (41.7%) and proteinuria (41.7%).The incidence rate of grades 3 and 4 adverse events was low,mainly including hypertension 12.5%,hand-foot skin reactions 4.2%,neutropenia 4.2%,thrombocytopenia 4.2%,hyperlipidemia 4.2% and proteinuria 12.5%.Conclusions Famitinib has significant anti-tumor activity in mRCC.The common adverse reactions are generally manageable.

  9. A Comparison of Patient-Centered Care in Pharmacy Curricula in the United States and Europe

    Science.gov (United States)

    Nunes-da-Cunha, Ines; Arguello, Blanca; Martinez, Fernando Martinez

    2016-01-01

    Objective. To compare United States and European Higher Education Area (EHEA) undergraduate pharmacy curricula in terms of patient-centered care courses. Methods. Websites from all pharmacy colleges or schools in the United States and the 41 countries in the EHEA were retrieved from the FIP Official World List of Pharmacy Schools and investigated. A random sample of schools was selected and, based on analyses of course descriptions from syllabi, each course was classified into the following categories: social/behavioral/administrative pharmacy sciences, clinical sciences, experiential, or other/basic sciences. Results. Of 147 schools of pharmacy, 59 were included (23 in US and 36 in the EHEA). Differences existed in the percentages of credits/hours in all of the four subject area categories. Conclusion. Institutions in EHEA countries maintain a greater focus on basic sciences and a lower load of clinical sciences in pharmacy curricula compared to the United States. These differences may not be in accordance with international recommendations to educate future pharmacists focused on patient care. PMID:27402986

  10. Centers for Catholic Studies and the Public Voice of Religion

    Science.gov (United States)

    Brigham, Erin

    2011-01-01

    This article explores debates about the public role of religion in a secular context. Drawing on the work of critical theorist, Jurgen Habermas, this article claims that the United States requires a viable public sphere in which religious and secular voices can learn from each other. Highlighting the work of the Lane Center for Catholic Studies…

  11. Nuclear energy center site survey: fuel cycle studies

    Energy Technology Data Exchange (ETDEWEB)

    Harty, H.

    1976-05-01

    Background information for the Nuclear Regulatory Commission Nuclear Energy Center Site Survey is presented in the following task areas: economics of integrated vs. dispersed nuclear fuel cycle facilities, plutonium fungibility, fuel cycle industry model, production controls and failure contingencies, environmental impact, waste management, emergency response capability, and feasibility evaluations. (DG)

  12. Comparison and evaluation of two common methods to measure center of mass displacement in three dimensions during gait.

    Science.gov (United States)

    Gutierrez-Farewik, Elena M; Bartonek, Asa; Saraste, Helena

    2006-04-01

    Center of mass displacement during gait has frequently been used as an indicator of gait efficiency or as a complement to standard gait analysis. With technological advances, measuring the center of mass as the centroid of a multi-segment system is practical and feasible, but must first be compared to the well-established Newtonian computation of double-integrating the ground reaction force. This study aims to verify that the kinematic centroid obtained from a commonly-used model (Vicon Peak Plug-In-Gait) provides at least as reliable measurements of center of mass displacement as those obtained from the ground reaction forces. Gait data was collected for able-bodied children and children with myelomeningocele who use larger lateral center of mass excursions during gait. Reasonable agreement between methods was found in fore-aft and vertical directions, where the methods' excursions differed by an average of less than 10 mm in either direction, and the average RMS differences between methods' computed curves were 6 and 13 mm. Particularly good agreement was observed in the lateral direction, where the calculated excursions differed by an average of less than 2 mm and the RMS difference was 5 mm. Error analyses in computing the center of mass displacement from ground reaction forces were performed. A 5% deviation in mass estimation increased the computed vertical excursion twofold, and a 5% deviation in the integration constant of initial velocity increased the computed fore-aft excursions by 10%. The suitability of calculating center of mass displacement using ground reaction forces in a patient population is questioned. The kinematic centroid is susceptible to errors in segment parameters and marker placement, but results in plausible results that are at least within the range of doubt of the better-established ground reaction force integration, and are more useful when interpreting 3-D gait data.

  13. New Mexico center for particle physics: Studies of fundmental interactions

    International Nuclear Information System (INIS)

    This report summarizes the results of the research program in the New Mexico Center during the last year and presents our program of proposed research for the next year. The majority of the New Mexico Center group's research involves the CDF experiment at the Tevatron pp collider at Fermilab. Our group is a leader in all of the SVX vertex detector upgrades for CDF. These vertex detectors are of critical importance to the pursuit of our physics interests at the Tevatron; they are also an imposing instrumentation challenge. Our group is also deeply involved in several CDF B-physics analyses and in an exotics search. Our research also includes important contributions to R ampersand D for the ATLAS experiment at the LHC

  14. Case Study: Sandia National Laboratories Center for Integrated Nanotechnologies (CINT)

    Science.gov (United States)

    Toussaint, Norm; Gerbo, Tom

    2005-08-01

    The Center for Integrated Nanotechnologies (CINT), located at Sandia National Laboratories in Albuquerque, New Mexico, is one of five new Department of Energy Nanoscale Science Research Centers (NSRC). The CINT vision is to become a world leader in nanoscale science by developing the scientific principles that govern the design, performance, and integration of nanoscale materials, with emphasis on exploring the path from scientific discovery to the integration of nanostructures into the micro and macro worlds. The CINT design team faced the challenge of creating a state-of-the art research facility that is functional, flexible, and reflects the local history and environment. Drawing inspiration from Pre-Columbian Chacoan culture, the resulting design integrates scientific spaces with "communal" spaces to encourage the cross-discipline interaction that is essential to scientific research, particularly in the area of nanotechnology. Careful attention to design also produced a facility that conserves resources in the demanding Southwestern climate.

  15. Factors Affecting Customer Loyalty of Fitness Centers: An Empirical Study

    OpenAIRE

    Livia Vania Suwono; Sabrina Oktaria Sihombing

    2016-01-01

    Awareness of healthy lifestyle in society is increasing day by day. Therefore, the fitness centers more motivated to focus on these business opportunities. Hence, it is important for companies to understand how to satisfy consumers to obtain consumer loyalty. Main variables were applied to predict customer loyalties areswitching cost, customer value, physical environment, and customer satisfaction. Data was collected through questionnaires distribution to students at private university in Tan...

  16. The Study of Students-centered English Teaching at Colleges

    Institute of Scientific and Technical Information of China (English)

    王雪竹

    2015-01-01

    The lack of communicative efficiency among students is still an important problem in China’s English teaching circle.Learner-centered language teaching and learning approach proposed by Nunan and Breenin 1980s is the best one to solve the problem.This paper briefly presents the approach and mainly talks about how to apply the approach in the authentic teaching and learning situation.The adoption of this method will definitely promote the English teaching reform in China.

  17. The Study of Students-centered English Teaching at Colleges

    Institute of Scientific and Technical Information of China (English)

    WANG Xue-zhu

    2015-01-01

    The lack of communicative efficiency among students is still an important problem in China ’s English teaching circle. Learner-centered language teaching and learning approach proposed by Nunan and Breenin 1980s is the best one to solve the problem. This paper briefly presents the approach and mainly talks about how to apply the approach in the authentic teaching and learning situation. The adoption of this method will definitely promote the English teaching reform in China.

  18. The Center for Civil-Military Relations / Spanish Case Study

    OpenAIRE

    Thomas C. Bruneau

    2000-01-01

    The Center for Civil-Military Relations at the Naval Post-Graduate School (CCMR, Monterey, CA) is an implementing organization of the U.S. Department of Defense's Expanded-International Military Education and Training Program and has amassed both scholarly and practical expertise educating civilian and military defense professionals from more than 40 countries. CCMR was established in 1994 and is sponsored by the Defense Security Cooperation Agency (DSCA). CCMR conducts civi...

  19. Comparison of CDE data in phacoemulsification between an open hospital-based ambulatory surgical center and a free-standing ambulatory surgical center

    Directory of Open Access Journals (Sweden)

    Ming Chen

    2010-11-01

    Full Text Available Ming Chen1, Mindy Chen21University of Hawaii, Honolulu, HI, USA; 2University of California, Irvine, CA, USAAbstract: Mean CDE (cumulative dissipated energy values were compared for an open hospital-based surgical center and a free-standing surgical center. The same model of phacoemulsifier (Alcon Infiniti Ozil was used. Mean CDE values showed that surgeons (individual private practice at the free-standing surgical center were more efficient than surgeons (individual private practice at the open hospital-based surgical center (mean CDE at the hospital-based surgical center 18.96 seconds [SD = 12.51]; mean CDE at the free-standing surgical center 13.2 seconds [SD = 9.5]. CDE can be used to monitor the efficiency of a cataract surgeon and surgical center in phacoemulsification. The CDE value may be used by institutions as one of the indicators for quality control and audit in phacoemulsification.Keywords: CDE (cumulative dissipated energy, open hospital-based ambulatory surgical center, free-standing surgical center, phacoemulsification 

  20. The Colorado Center for Lunar Dust and Atmospheric Studies

    Science.gov (United States)

    Collette, A.; Gruen, E.; Horanyi, M.; Munsat, T.; Poppe, A. R.; Robertson, S. H.; Srama, R.; Shu, A. J.; Sternovsky, Z.; Wang, X.; Ccldas Team

    2010-12-01

    The Colorado Center for Lunar Dust and Atmospheric Studies (CCLDAS) is a member of the NASA Lunar Science Institute, focused on experimental and theoretical investigations of the lunar surface, including dusty plasma and impact processes, the origins of the lunar atmosphere, and the development of new instrument concepts, with a complementary program of education and community development. The tenuous lunar atmosphere is a surface-bound exosphere (SBE) similar to that found throughout the solar system, for example on Mercury, various icy satellites, over the rings of Saturn, on large asteroids, and on Kuiper Belt objects. Its time-dependent constituents arise from a dynamic balance between sources that may be sporadic (solar wind, sputtering, micrometeoroid impacts, outgassing) and loss mechanisms (escape, ionization), creating a natural dusty plasma laboratory. CCLDAS supports a diverse experimental program, performed in conjunction with theory and simulation, to investigate the near-surface lunar plasma environment, dust charging and mobilization, and the effects of micrometeoroids. The flagship device at CCLDAS is a dust accelerator, currently under construction, which will allow simulation of micrometeoroid impacts at speeds relevant to the lunar environment. The accelerator will be available for direct science investigation as well as instrument calibration; in addition to our own research program, the experimental facilities are open to the lunar and space physics community. One use will be to support the calibration of the Lunar Dust EXperiment (LDEX) instrument, scheduled for launch in 2013 onboard the Lunar Atmosphere and Dust Environment Explorer (LADEE) spacecraft. LDEX will measure the density and temporal variation of micron and submicron sized dust particles released from the lunar surface and elevated to > 30 km altitude by micrometeoroid bombardment and/or electrostatic forces. The new Lunar Environment and Impact Laboratory (LEIL) at CCLDAS

  1. Reference Charts for Height and Weight of School Children from West Malaysia in Comparison with the United States Centers for Disease Control and Prevention

    Directory of Open Access Journals (Sweden)

    AM Majid

    2012-02-01

    Full Text Available Background: Reference charts are widely used in healthcare as a screening tool. This study aimed to produce reference growth charts for school children from West Malaysia in comparison with the United States Centers for Disease Control and Prevention (CDC chart.Methods: A total of 14,360 school children ranging from 7 to 17 years old from six states in West Malaysia were collected. A two-stage stratified random sampling technique was used to recruit the subjects. Curves were adjusted using Cole's LMS method. The LOWESS method was used to smooth the data.Results: The means and standard deviations for height and weight for both genders are presented. The results showed good agreement with growth patterns in other countries, i.e., males tend to be taller and heavier than females for most age groups. Height and weight of females reached a plateau at 17 years of age; however, males were still growing at this age. The growth charts for West Malaysian school children were compared with the CDC 2000 growth charts for school children in the United States.Conclusion: The height and weight for males and females at the start of school-going ages were almost similar. The comparison between the growth charts from this study and the CDC 2000 growth charts indicated that the growth patterns of West Malaysian school children have improved, although the height and weight of American school children were higher than those for West Malaysian school children.

  2. Addressing underutilization of consumer health information resource centers: a formative study*

    Science.gov (United States)

    Kennedy, May G.; Kiken, Laura; Shipman, Jean P.

    2008-01-01

    Problem: Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Method: Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. Results: There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Conclusions: Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted. PMID:18219380

  3. The Teaching of Afro-Asian Literature: A Comparison between the Nonconventional Learner-Centered and the Conventional Teacher-Centered Approaches

    Science.gov (United States)

    Wong Gonzales, Wilkinson Daniel O.

    2014-01-01

    In the past few decades, nonconventional learner-centered (NLC) trends in ELT have emerged amidst the current and probably dominant conventional teacher-centered (CTC) approaches used by majority of private and public schools in the Philippines. With the implementation of the K-12 curriculum, Afro-Asian literature remained the focus of the eighth…

  4. Spatial and temporal dynamics of visual search tasks distinguish subtypes of unilateral spatial neglect: Comparison of two cases with viewer-centered and stimulus-centered neglect.

    Science.gov (United States)

    Mizuno, Katsuhiro; Kato, Kenji; Tsuji, Tetsuya; Shindo, Keiichiro; Kobayashi, Yukiko; Liu, Meigen

    2016-08-01

    We developed a computerised test to evaluate unilateral spatial neglect (USN) using a touchscreen display, and estimated the spatial and temporal patterns of visual search in USN patients. The results between a viewer-centered USN patient and a stimulus-centered USN patient were compared. Two right-brain-damaged patients with USN, a patient without USN, and 16 healthy subjects performed a simple cancellation test, the circle test, a visuomotor search test, and a visual search test. According to the results of the circle test, one USN patient had stimulus-centered neglect and a one had viewer-centered neglect. The spatial and temporal patterns of these two USN patients were compared. The spatial and temporal patterns of cancellation were different in the stimulus-centered USN patient and the viewer-centered USN patient. The viewer-centered USN patient completed the simple cancellation task, but paused when transferring from the right side to the left side of the display. Unexpectedly, this patient did not exhibit rightward attention bias on the visuomotor and visual search tests, but the stimulus-centered USN patient did. The computer-based assessment system provided information on the dynamic visual search strategy of patients with USN. The spatial and temporal pattern of cancellation and visual search were different across the two patients with different subtypes of neglect.

  5. Clinical and functional outcomes of the PCCP study : a multi-center prospective study in Italy

    OpenAIRE

    Antonini, G.; Giancola, R.; D. Berruti; E. Blanchietti; Pecchia, P.; Francione, V.; Greco, P.; T.C. Russo; L. Pietrogrande

    2013-01-01

    The standard surgical management of hip fractures is associated with tissue trauma and bleeding which are added to the fracture injury. The percutaneous compression plate (PCCP) is a minimally invasive device that has been demonstrated in previous studies to reduce postoperative complications and blood loss. This prospective, multi-center, observational study assessed clinical and functional outcomes with PCCP as treatment for trochanteric fractures. Patients with a stable or unstable proxima...

  6. Are Psychotherapeutic Changes Predictable? Comparison of a Chicago Counseling Center Project with a Penn Psychotherapy Project.

    Science.gov (United States)

    Luborsky, Lester; And Others

    1979-01-01

    Compared studies predicting outcomes of psychotherapy. Level of prediction success in both projects was modest. Particularly for the rated benefits score, the profile of variables showed similar levels of success between the projects. Successful predictions were based on adequacy of personality functioning, match on marital status, and length of…

  7. Cholangiocarcinoma Secondary to Primary Sclerosing Cholangitis in Explanted Livers: A Single-Center Study in the South of Iran

    Directory of Open Access Journals (Sweden)

    Geramizadeh

    2015-12-01

    Full Text Available Background Primary sclerosing cholangitis (PSC is a chronic disease, characterized by chronic inflammation and fibrosis of bile duct epithelial cells. This is a significant contributory factor to the development of malignancy, most commonly cholangiocarcinoma (CCA, which is the second most common malignant liver tumor. Objectives For the first time in Iran, we intend to describe our experience with cases of PSC, with and without CCA, in explanted livers, and compare our results with those found in other areas of the world. Patients and Methods The study population comprised 181 individuals with a diagnosis of PSC who had undergone liver transplantation in the main liver transplant center of Iran, the largest center of hepatobiliary surgery in the south of that country, over a 3-year period between 2012 and 2014. All explanted livers, with and without CCA, were evaluated. Results Of the 181 patients, 16 were found to have CCA, two of whom had been diagnosed after pathologic study of the explanted livers. Therefore it appeared that 8.8% of the patients with PSC in our center had developed CCA before liver transplantation. Conclusions A comparison of our results with those obtained from other centers in both Western and Asian countries (which reported CCA in 3.6% - 36.5% of patients with PSC, shows that the incidence of CCA in the patients we studied is intermediate.

  8. Fire analog: a comparison between fire plumes and energy center cooling tower plumes

    International Nuclear Information System (INIS)

    Past studies on the waste heat from thermal power plant cooling towers and proposed energy parks suggest that the dissipation of this waste energy may result in significant meteorological effects. Preliminary calculations have shown that the rate of atmospheric dissipation of the waste energy from groupings of cooling towers is approximately equal to that by geophysical phenomena such as thunderstorms, volcanoes, and large fires. Cumulus clouds and convective vortices often result from these natural energy releases. One of the geophysical analogs, the large fire, is evaluated in terms of how good a physical analog it is to cooling towers or groups of cooling towers. The literature on experimental and wild fires was reviewed in relation to how fire thermal plume characteristics may be typical of a thermal plume from cooling towers

  9. Comparison between peritoneal tuberculosis and primary peritoneal carcinoma: a 16-year, single-center experience

    Institute of Scientific and Technical Information of China (English)

    WANG Dan; ZHANG Jun-ji; HUANG Hui-fang; SHEN Keng; CUI Quan-cai; XIANG Yang

    2012-01-01

    Background Peritoneal tuberculosis and primary peritoneal carcinoma can both present as an abdominal mass and ascites with elevated serum CA125.The purpose of our study was to evaluate the clinical features of peritoneal tuberculosis,compare them with features of primary peritoneal carcinoma,and establish definitive diagnostic procedures.Methods We conducted a retrospective study in patients with peritoneal tuberculosis from January 1995 to October 2010 at Peking Union Medical College Hospital.During this time,the data of 38 patients with primary peritoneal carcinoma were reviewed.Results The median age was 34 years (range,19-80 years).The most common symptoms were abdominal distension (16/30,53.3%) and an abdominal mass (12/30,40.0%).The serum CA125 level was elevated in 25 patients (83.3%).The median level of cancer antigen CA125 was 392.5 U/ml (range,0.64-850.0 U/ml).Abdominal ultrasound revealed a pelvic mass in 25 patients and ascites in 20 patients.Diagnostic laparoscopy was performed in 15 patients (50.0%) and exploratory laparotomy was performed in 12 patients (40.0%),and 3 patients (10.0%) who underwent laparoscopy converted to laparotomy because of severe adhesions.The intraoperative findings were adhesions,multiple white tubercles,and ascites.Frozen tissue sections were obtained in 17 patients,and 14 of whom showed chronic granulomatous reactions.Final pathological examinations confirmed the diagnosis.Conclusions Peritoneal tuberculosis should be considered as a differential diagnosis,especially for young women with an abdominal mass,ascites,and elevated serum CA125 levels.Laparoscopy is a useful diagnostic method for peritoneal tuberculosis,and intraoperative frozen sections are recommended when the diagnosis is in doubt.

  10. Study of Wireless Authentication Center with Mixed Encryption in WSN

    Directory of Open Access Journals (Sweden)

    Yiqin Lu

    2016-01-01

    Full Text Available WSN (wireless sensor network has been used in a wide range of applications nowadays. Sensor networks may often relay critical data; thus, security must be a high priority. However, due to their limited computational, energy, and storage resources, sensor nodes are vulnerable to attack. So how to protect sensor nodes from attacks without raising computational capability and energy consumption is a worthwhile issue. A WAC (wireless authentication center with mixed encryption named “MEWAC” is proposed. MEWAC is based on MCU (Microcontroller Unit and WiFi (Wireless Fidelity module and uses RSA, AES (Advanced Encryption Standard, and SHA-1 (Secure Hash Algorithm 1 to provide high performance authentication and data encryption services for sensor nodes. The experimental results show that MEWAC has the advantages of low cost, low power consumption, good performance, and stability; moreover, the authentication protocol improves the security of WSN and reduces the overhead in node authentication.

  11. Statistical Machines for Trauma Hospital Outcomes Research: Application to the PRospective, Observational, Multi-Center Major Trauma Transfusion (PROMMTT Study.

    Directory of Open Access Journals (Sweden)

    Sara E Moore

    Full Text Available Improving the treatment of trauma, a leading cause of death worldwide, is of great clinical and public health interest. This analysis introduces flexible statistical methods for estimating center-level effects on individual outcomes in the context of highly variable patient populations, such as those of the PRospective, Observational, Multi-center Major Trauma Transfusion study. Ten US level I trauma centers enrolled a total of 1,245 trauma patients who survived at least 30 minutes after admission and received at least one unit of red blood cells. Outcomes included death, multiple organ failure, substantial bleeding, and transfusion of blood products. The centers involved were classified as either large or small-volume based on the number of massive transfusion patients enrolled during the study period. We focused on estimation of parameters inspired by causal inference, specifically estimated impacts on patient outcomes related to the volume of the trauma hospital that treated them. We defined this association as the change in mean outcomes of interest that would be observed if, contrary to fact, subjects from large-volume sites were treated at small-volume sites (the effect of treatment among the treated. We estimated this parameter using three different methods, some of which use data-adaptive machine learning tools to derive the outcome models, minimizing residual confounding by reducing model misspecification. Differences between unadjusted and adjusted estimators sometimes differed dramatically, demonstrating the need to account for differences in patient characteristics in clinic comparisons. In addition, the estimators based on robust adjustment methods showed potential impacts of hospital volume. For instance, we estimated a survival benefit for patients who were treated at large-volume sites, which was not apparent in simpler, unadjusted comparisons. By removing arbitrary modeling decisions from the estimation process and concentrating

  12. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    The Woodlands is a HUD Title VII New Town located near Houston, including 22,000 acres; the plan for the new town consists of 6 residential villages, a town center (Metro), and a Trade Center for larger-scale industrial use. Included within the program for each village are schools and commercial activities, as well as employment activities. The Woodlands is planned to be developed over a 26-year period (commenced in 1972) with an ultimate population of 150,000. Following a summary chapter, Chapter II presents background material on The Woodlands and results of the study are summarized. Chapter III describes the project team and its organizational structure. Chapter IV outlines and documents the methodology that was employed in developing, analyzing, and evaluating the case study. The next chapter describes and analyzes the conventional plan, documents the process by which energy-conserving methods were selected, and evaluates the application of these methods to the Metro Center Study area. Chapter VI discusses constraints to implementation and is followed by a final chapter that presents the general conclusions from the case study and suggests directions for further investigation.

  13. A study on confidential unit exclusion at Shiraz Blood Transfusion Center, Iran

    Science.gov (United States)

    Kasraian, Leila; Karimi, Mohammad Hossein

    2016-01-01

    Background: Confidential unit exclusion (CUE) system has been designed to enhance transfusion safety as an extra additive approach. Aims: This study was designed to survey demographic characteristics, prevalence of serologic markers, and reasons of opting CUE. Materials and Methods: The cross-sectional study was performed at Shiraz Blood Transfusion Center (Southern Iran). CUE is used for all individuals who refer for blood donation, and donors can choose their blood not to be used if they have any doubt about their blood suitability for transfusion. The prevalence rate of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) was compared between the blood donors who opted into and out of CUE. Then, the donors were contacted to give another blood sample and the reasons of deferral. Researchers also determined whether their reasons were logical or not. Data were analyzed using comparison of proportions in MedCalc software 7. Results: Out of all the donors, 2365 ones (2.3%) opted for CUE. CUE was more frequent among men, singles, donors with low education levels, between 18 and 25 years old, and with history of previous donation (P 0.05). Furthermore, 91.5% of the donors had opted for CUE by mistake and only 8% had chosen CUE logically. Conclusion: It is necessary to review the process of CUE, make some changes both in procedure and design, and then survey its effectiveness in blood safety.

  14. The First Study of Patient Safety Culture in Iranian Primary Health Centers

    OpenAIRE

    Mojtaba Sedaghat; Narges Tabrizchi

    2012-01-01

    Although the error in health care has received attention recently, patient safety culture in health centers has been relatively neglected. To measure the patient safety culture in primary health centers. A cross-sectional study, utilizing the modified version of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ) and a demographic questionnaire. Healthcare staffs from health centers were participated in the survey. The pati...

  15. Blanket comparison and selection study. Volume II

    International Nuclear Information System (INIS)

    This volume contains extensive data for the following chapters: (1) solid breeder tritium recovery, (2) solid breeder blanket designs, (3) alternate blanket concept screening, and (4) safety analysis. The following appendices are also included: (1) blanket design guidelines, (2) power conversion systems, (3) helium-cooled, vanadium alloy structure blanket design, (4) high wall loading study, and (5) molten salt safety studies

  16. Blanket comparison and selection study. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    1983-10-01

    This volume contains extensive data for the following chapters: (1) solid breeder tritium recovery, (2) solid breeder blanket designs, (3) alternate blanket concept screening, and (4) safety analysis. The following appendices are also included: (1) blanket design guidelines, (2) power conversion systems, (3) helium-cooled, vanadium alloy structure blanket design, (4) high wall loading study, and (5) molten salt safety studies. (MOW)

  17. Beyond active learning: a case study of teaching practices in an occupation-centered curriculum.

    Science.gov (United States)

    Hooper, Barbara

    2006-01-01

    Although occupation-centered curricula are highly promoted, the teaching processes that convey such designs remain unclear. This case study elucidated occupation-centered teaching practices. Interview and observational data were collected over 8 weeks, and analysis involved coding transcriptions, data matrices, concept maps, journaling, and writing. Participants augmented active learning strategies with strategies that linked course topics to the subject of occupation. The use of linking strategies suggested that: (a) course content was treated as two-tiered; (b) neither content nor instructional processes were inherently occupation-centered; and (c) subject-centered education strengthens social learning theories. Although curricula may appear occupation-centered based on a curriculum description and course content, ultimately "linking opportunities" in the classroom constitute an essential feature that demarcates a program as occupation-centered.

  18. Study of Traces of Tritium at the World Trade Center

    Energy Technology Data Exchange (ETDEWEB)

    Semkow, T M; Hafner, S R; Parekh, P P; Wozniak, G J; Haines, D K; Husain, L; Rabun, R L; Williams, P G

    2002-10-01

    Traces of tritiated water (HTO) were detected at the World Trade Center (WTC) ground zero after the 9/11/01 terrorist attack. A water sample from the WTC sewer, collected on 9/13/01, contained 0.164 {+-} 0.074 (2 {sigma}) nCi/L of HTO. A split water sample, collected on 9/21/01 from the basement of WTC Building 6, contained 3.53 {+-} 0.17 and 2.83 {+-} 0.15 nCi/L, respectively. These results are well below the levels of concern to human exposure. Several water and vegetation samples were analyzed from sites outside ground zero, located in Manhattan, Brooklyn, Queens, and the Kensico and Croton Reservoirs. No HTO above the background was found in those samples. Tritium radioluminescent (RL) devices were investigated as possible sources of the traces of tritium at ground zero. It was determined that the two Boeing 767 aircraft that hit the Twin Towers contained a combined 34 Ci of tritium at the time of impact in their emergency exit signs. There is also evidence that many weapons from law enforcement were present and destroyed at WTC. Such weaponry contains by design tritium sights. The fate and removal of tritium from ground zero were investigated, taking into consideration tritium chemistry and water flow originating from the fire fighting, rain, as well as leaks from the Hudson River and broken mains. A box model was developed to describe the above scenario. The model is consistent with instantaneous oxidation of the airplane tritium in the jet-fuel explosion, deposition of a small fraction of HTO at ground zero, and water-flow controlled removal of HTO from the debris. The model also suggests that tritium from the weapons would be released and oxidized to HTO at a much slower rate in the lingering fires at ground zero.

  19. Stockbridge Munsee Community Health and Wellness Center and the Mohican Family Center Renewable Energy and Energy Efficiency Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    DeRocher, Andy [Stockbridge-Munsee Health and Wellness Center, Bowler, WI (United States); Barrnett, Michael [Stockbridge-Munsee Health and Wellness Center, Bowler, WI (United States)

    2014-03-14

    The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Health and Wellness Center (HWC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the HWC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the HWC’s energy consumption by 30 to 100 percent. Currently the HWC performs in the lowest 8 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with paybacks of less than five years to yield an estimated 25-percent decrease in annual energyconsumption. The ECMs within this payback period are estimated to save $26,800 per year with an implementation cost of just $4,650 (0.2 year payback). For the Mohican Family Center document: The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Mohican Family Center (MFC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the MFC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the MFC’s energy consumption by 30 to 100 percent. Currently the MFC performs better than 80 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with short term paybacks to yield an estimated 13-percent decrease in energy consumption. The ECMs within this payback period are estimated

  20. Survival of living donor renal transplant recipients in Sri Lanka: a single-center study.

    Science.gov (United States)

    Galabada, Dinith Prasanna; Nazar, Abdul L M; Ariyaratne, Prasad

    2014-11-01

    Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44±16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  1. Survival of living donor renal transplant recipients in Sri Lanka: A single-center study

    Directory of Open Access Journals (Sweden)

    Dinith Prasanna Galabada

    2014-01-01

    Full Text Available Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44 ± 16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  2. Data and spatial studies of the USGS Texas Water Science Center

    Science.gov (United States)

    Burley, Thomas E.

    2014-01-01

    Hydrologists, geographers, geophysicists, and geologists with the U.S. Geological Survey (USGS) Texas Water Science Center (TXWSC) work in the USGS Water Mission Area on a diverse range of projects built on a foundation of spatial data. The TXWSC has developed sophisticated data and spatial-studies-related capabilities that are an integral part of the projects undertaken by the Center.

  3. The national Thorotrast studies in comparison

    Energy Technology Data Exchange (ETDEWEB)

    Kaick, G. van; Wesch, H. [Deutsches Krebsforschungszentrum, Heidelberg (Germany)

    2005-07-01

    Thorotrast, a colloidal solution of thorium dioxide was used as an X-ray contrast medium from 1930 to 1950 predominantly for angiography. Thorium-232 is an alpha-emitter (half-life 1,4 x 10{sup 10} y). The thorium dioxide particles are retained in the organs of the reticuloendothelial system causing a cumulative dose especially to liver, spleen and bone marrow. The most important epidemiological studies in Denmark, Germany, Japan, Portugal, Sweden and United States include nearly 5000 exposed persons who survived the thorotrast injection at least 1 year. Similar results in all studies describe high excess rates of primary liver tumours, liver cirrhosis, acute myloid leukemias, including myelodysplastic syndromes. Risk calculations of liver cancer are very similar in the Danish and the German study with 712 and 774 per 10{sup 4} person/Gy. Cumulative risk estimates for haematopoietic malignancies were calculated to be 173 per 10{sup 4} for the Danish and 135 per 10{sup 4} person/Gy for the German group. (orig.)

  4. Monitoring of fungal loads in seabird rehabilitation centers with comparisons to natural seabird environments in northern California.

    Science.gov (United States)

    Burco, Julia D; Massey, J Gregory; Byrne, Barbara A; Tell, Lisa; Clemons, Karl V; Ziccardi, Michael H

    2014-03-01

    Aspergillosis remains a major cause of mortality in captive and rehabilitated seabirds. To date, there has been poor documentation of fungal (particularly Aspergillus spp.) burdens in natural seabird loafing and roosting sites compared with fungal numbers in rehabilitation or captive settings and the various microenvironments that seabirds are exposed to during the rehabilitation process. This study compares fungal, particularly Aspergillus spp., burdens potentially encountered by seabirds in natural and rehabilitation environments. Differences among the various microenvironments in the rehabilitation facility were evaluated to determine the risk of infection when seabirds are experiencing high stress and poor immune function. Aspergillus spp. counts were quantified in three wildlife rehabilitation centers and five natural seabird loafing and roosting sites in northern California using a handheld impact air sampler and a water filtration system. Wildlife rehabilitation centers demonstrated an increase in numbers of conidia of Aspergillus spp. and Aspergillus fumigatus in air and water samples from select aquatic bird rehabilitation centers compared with natural seabird environments in northern California. Various microenvironments in the rehabilitation facility were identified as having higher numbers of conidia of Aspergillus spp. These results suggest that periodic monitoring of multiple local areas, where the birds spend time in a rehabilitation facility, should be done to identify "high risk" sites, where birds should spend minimal time, or sites that should be cleaned more frequently or have improved air flow to reduce exposure to fungal conidia. Overall, these results suggest that seabirds may be more likely to encounter Aspergillus spp. in various microenvironments in captivity, compared with their native habitats, which could increase their risk of developing disease when in a debilitated state. PMID:24712159

  5. Consumer Travel Behaviors and Transport Carbon Emissions: A Comparative Study of Commercial Centers in Shenyang, China

    Directory of Open Access Journals (Sweden)

    Jing Li

    2016-09-01

    Full Text Available Current literature highlights the role of commercial centers in cities in generating shopping trips and transport carbon emissions. However, the influence of the characteristics of commercial centers on consumer travel behavior and transport carbon emissions is not well understood. This study addresses this knowledge gap by examining shopping trips to eight commercial centers in Shenyang, China, and the CO2 emissions of these trips. We found that the locations and types of commercial centers strongly influence CO2 emissions. CO2 emissions per trip to commercial centers in the suburbs of Shenyang were on average 6.94% and 26.92% higher than those to commercial centers in the urban core and the inner city, respectively. CO2 emissions induced by wholesale centers were nearly three times higher than the lowest CO2 emissions of commercial centers in the inner city. These empirical results enhance our understanding of shopping-related transport carbon emissions and highlight the importance of optimizing urban space structure, in particular, the layout of commercial centers.

  6. Regulation of spent sealed sources: Comparison study

    International Nuclear Information System (INIS)

    Sealed sources are used throughout the world for a variety of peaceful purposes. The small size, portability, and potential value of sealed sources make them vulnerable to misuse, improper disposal, and theft. In addition, management schemes and practices implemented in different countries can be somewhat conflicting and create problems for storage and disposal. In view of the importance of the radiological risks associated in management of these sources, most countries have laid down a regulatory framework to control it. In Egypt, the spent sources are generated mainly from medical/hospital industrial and research applications. This study identifies the spent sealed sources stored at Egypt and considers the regulation and management of spent sealed sources in Egypt, Czech Republic, Hungary, Estonia, Poland and Slovenia. Comparing between the existing Egyptian situation, IAEA Code of conduct on the safety and security of radioactive sources and the situation of these countries we can prepare developed regulatory recommendation package to the government of Egypt addressing all aspects of sealed sources management in Egypt. This work is performed through the joint project Integrated Management Program for Radioactive Sealed Sources (IMPRSS) between the government of Egypt and Sandia National Laboratories U.S., funded by the U.S, Agency for International Development and implemented through the U.S. Department of Energy. (author)

  7. NRUSINHWADI AS A RELIGIOUS TOURIST CENTER: A GEOGRAPHICAL STUDY

    OpenAIRE

    Dilip A. Gade; J. P. Jagtap

    2014-01-01

    Religion is historically associated with tourism. Some of our most popular tourist places are found on ancient places of worship. Religious tourism has a big future in the district. Kolhapur district is richly endowed with ancient temples and religious festivals. The purpose of this study is to examine facilities available for tourist. Th

  8. Clustering of Unhealthy Behaviors in the Aerobics Center Longitudinal Study

    OpenAIRE

    Héroux, Mariane; Janssen, Ian; Lee, Duck-chul; Sui, Xuemei; Hebert, James R.; Blair, Steven N.

    2011-01-01

    Background Clustering of unhealthy behaviors has been reported in previous studies; however the link with all-cause mortality and differences between those with and without chronic disease requires further investigation. Objectives To observe the clustering effects of unhealthy diet, fitness, smoking, and excessive alcohol consumption in adults with and without chronic disease and to assess all-cause mortality risk according to the clustering of unhealthy behaviors. Methods Participants were ...

  9. Calciphylaxis in peritoneal dialysis patients: a single center cohort study

    Science.gov (United States)

    Zhang, Yanchen; Corapi, Kristin M; Luongo, Maria; Thadhani, Ravi; Nigwekar, Sagar U

    2016-01-01

    Background Calciphylaxis is a rare but devastating condition in end-stage renal disease (ESRD) patients. Most research in the field of calciphylaxis is focused on hemodialysis (HD) patients; however, data on calciphylaxis incidence, risk factors, and mortality in peritoneal dialysis (PD) patients are limited. Methods In this cohort study, we examined data from adult patients who initiated PD for ESRD management at our institute’s PD unit from January 2001 to December 2015. Associations with the development of calciphylaxis were examined for clinical, laboratory, and medication exposures. Incidence of calciphylaxis and mortality in PD patients who developed calciphylaxis were analyzed. Treatments administered to treat calciphylaxis in PD patients were summarized. Results In this cohort of 63 patients, 7 patients developed calciphylaxis (incidence rate: 9.0 per 1,000 patient-years). Median age of PD patients who developed calciphylaxis was 50 years, 57% were white, 71% females, and 71% were previously on HD. Female sex, obesity, HD as a prior dialysis modality, recurrent hypotension, elevated time-averaged serum phosphorous levels, reduced time-averaged serum albumin levels, and warfarin therapy were associated with increased calciphylaxis risk in univariate logistic regression analyses. Intravenous sodium thiosulfate was administered in 57% of PD patients who developed calciphylaxis. One-year mortality in PD patients who developed calciphylaxis was 71% despite multimodal treatment including sodium thiosulfate, hyperbaric oxygen, cinacalcet, and wound debridement. Conclusion Calciphylaxis is a rare but frequently fatal condition in PD patients. Our study provides critical early insights into calciphylaxis incidence, risk factors, and prognosis in PD patients. Sample size and characteristics of patients included in our study limit generalizability to overall PD population and warrant examination in larger independent studies. PMID:27698566

  10. Highlighting High Performance: Adam Joseph Lewis Center for Environmental Studies, Oberlin College, Oberlin, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-11-01

    Oberlin College’s Adam Joseph Lewis Center for Environmental Studies is a high-performance building featuring an expansive photovoltaic system and a closed-loop groundwater heat pump system. Designers incorporated energy-efficient components and materials

  11. Do environmental influences alter motor abilities acquisition? A comparison among children from day-care centers and private schools

    Directory of Open Access Journals (Sweden)

    Barros Karla Mônica F. T. de

    2003-01-01

    Full Text Available Development occurs in a proper rhythm as result of genetic inheritance and environment factors. This study had the aim to identify some environmental risk factors for the motor development in two groups of healthy children. 100 pre-school aged (five years children from two day-care centers and a private school were evaluated, in Recife-PE. All the children underwent to a motor skills assessment and their parents answered a questionnaire. The children from the public nursery remained behind in fine motor skills. The results showed that the biologically healthy children development can suffer negative influence of the environmental risk factors. In this research these factors were: the father absence, improper toys use to the correct age, the place were the child was kept in the early childhood, the lack of pedagogical guidance and extra-parental socialization and low familiar socioeconomic status.

  12. 1976-77 Internal Revenue Service Comparison Study. Final Report.

    Science.gov (United States)

    Applied Management Sciences, Inc., Silver Spring, MD.

    Application forms for the Basic Educational Opportunity Grant (BEOG) program for 1976-1977 were compared to 1975 tax forms filed with the Internal Revenue Service (IRS). Comparisons were also made to data from a similar 1974-1975 study. Based on a sample of 212,263 applicants, findings include the following: during 1976-1977, 70.7 percent of all…

  13. 1979-80 Internal Revenue Service Comparison Study. Final Report.

    Science.gov (United States)

    Applied Management Sciences, Inc., Silver Spring, MD.

    Application forms for the Basic Educational Opportunity Grant (BEOG) program for 1979-1980 were compared to 1978 tax forms filed with the Internal Revenue Service (IRS). Comparisons were also made to data from similar 1974-1975 and 1976-1977 studies. Based on a sample of 407,596 applicants, findings include the following: between 1976-1977 and…

  14. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    Science.gov (United States)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  15. A Radio Polarimetric Study of the Galactic Center Threads

    CERN Document Server

    Lang, C C; Echevarria, L; Lang, Cornelia C.; Morris, Mark

    1999-01-01

    Multi-frequency, polarimetric VLA observations of the non-thermal filaments (NTF's), G0.08+0.15, and G359.96+0.09, also known as the Northern and Southern Threads are presented at 20, 6, 3.6 and 2 cm, with high enough spatial resolution to be resolved for the first time at 6 and 3.6 cm. The 20 cm image reveals a wealth of new detail in the radio sources lying within the inner 60 pc of the Galaxy. The Southern Thread has a prominent split along its length, similar to splitting at the ends of previously studied NTF's. With resolutions as fine as 2'', the 3.6 and 6 cm images reveal a high degree of continuity and little substructure internal to the filament. The spectral index of the Northern Thread has been determined over a broad range of frequencies. Its flux density falls with frequency, alpha=-0.5 between 90 and 6 cm, and becomes much steeper (alpha=-2.0) between 6 and 2 cm. The spectral index does not vary significantly along the length of the Northern Thread, which implies either that the diffusion timesc...

  16. A Comparison of Student-Centered versus Traditional Methods of Teaching Basic Nursing Skills in a Learning Laboratory.

    Science.gov (United States)

    Jeffries, Pamela R.; Rew, Sandy; Cramer, Joni M.

    2002-01-01

    To learn surgical asepsis content, 70 nursing students used a student-centered interactive lab and 50 used textbooks, videotapes, and lecture-demonstrations. There were no differences in cognitive gains or ability to demonstrate the skills learned. The student-centered group was significantly more satisfied with their learning. (SK)

  17. Home hemodialysis and conventional in-center hemodialysis in Japan: a comparison of health-related quality of life.

    Science.gov (United States)

    Watanabe, Yusuke; Ohno, Yoichi; Inoue, Tsutomu; Takane, Hiroshi; Okada, Hirokazu; Suzuki, Hiromichi

    2014-10-01

    Health-related quality of life (HRQOL) is an important measure of how disease affects patients' daily life. Conventional in-center hemodialysis (CHD) patients have been found to have decreased HRQOL. Recent study reported that at-home hemodialysis (HHD) improved the long-term HRQOL compared with CHD; however, there have been no data from Japanese HHD patients. A sample of 80 Japanese hemodialysis patients (46 HHD and 34 CHD) was matched for age, sex, and cause of end-stage renal disease. Patient HRQOL was measured using two health surveys: Medical Outcomes Study 36 Item Short Form Health Survey-Version 2 and Kidney Disease Quality of Life-Short Form. HHD patients reported better scores on seven out of eight domains (all domains except general heath) of the Medical Outcomes Study 36 Item Short Form Health Survey-Version 2, as well as better Kidney Disease Quality of Life-Short Form scores with respect to symptoms and problems, effect of kidney disease, and work status. No significant differences were observed for burden of kidney disease, cognitive function, quality of social interaction, sexual function, or sleep. More than 65% of HHD patients stated that they were not bothered at all by limitations on food and water intake. Japanese HHD patients demonstrate significantly higher HRQOL scores. However, while their HRQOL and employment rate were high and they were able to enjoy fewer dietary restrictions, kidney disease remained a great burden.

  18. Multiple Comparisons in Genetic Association Studies: A Hierarchical Modeling Approach

    Science.gov (United States)

    Yi, Nengjun; Xu, Shizhong; Lou, Xiang-Yang; Mallick, Himel

    2016-01-01

    Multiple comparisons or multiple testing has been viewed as a thorny issue in genetic association studies aiming to detect disease-associated genetic variants from a large number of genotyped variants. We alleviate the problem of multiple comparisons by proposing a hierarchical modeling approach that is fundamentally different from the existing methods. The proposed hierarchical models simultaneously fit as many variables as possible and shrink unimportant effects towards zero. Thus, the hierarchical models yield more efficient estimates of parameters than the traditional methods that analyze genetic variants separately, and also coherently address the multiple comparisons problem due to largely reducing the effective number of genetic effects and the number of statistically ‘significant’ effects. We develop a method for computing the effective number of genetic effects in hierarchical generalized linear models, and propose a new adjustment for multiple comparisons, the hierarchical Bonferroni correction, based on the effective number of genetic effects. Our approach not only increases the power to detect disease-associated variants but also controls the Type I error. We illustrate and evaluate our method with real and simulated data sets from genetic association studies. The method has been implemented in our freely available R package BhGLM (http://www.ssg.uab.edu/bhglm/). PMID:24259248

  19. Competitive service centers location in the cities with aim to reduce traffic (Case study: Health centers location in the city if Isfahan

    Directory of Open Access Journals (Sweden)

    Hamid Moradi

    2011-03-01

    Full Text Available Abstract   Distribution of goods and services in cities is of utmost importance. Selecting appropriate venues for different service centers in a city not only enables the citizens to access these services much more easily, but also reduces the traffic load caused by trips made to reach them. Unfortunately, the lack of a correct urban planning has led to inappropriate formation of many cities around the world in terms of the locations assumed for different service centers. Since the private sector has been given the responsibility to construct most of these centers, changing their current locations may be restricted due to legal obligations. Therefore, it seems necessary for the government to construct new service centers with high competitive facilities to attract customers and to compete with those built by the private sector. In this paper, the selection of appropriate locations to construct new service centers has been studied. Such locations have been selected in a way to fulfill goals such as rapid and easy accessibility for the customers and reduction of traffic drawbacks caused by the related trips. In this regard, a model for service centers with restricted capacity has been designed and a parallel simulated annealing algorithm has been proposed to solve it. Finally, the proposed algorithm has been utilized to locate the health centers around the city of Isfahan and its efficiency has been investigated. The findings highlight the accuracy and speed of the proposed algorithm in location of the health centers of Isfahan.

  20. The false memory syndrome: Experimental studies and comparison to confabulations

    OpenAIRE

    Mendez, M F; Fras, I.A.

    2010-01-01

    False memories, or recollections that are factually incorrect but strongly believed, remain a source of confusion for both psychiatrists and neurologists. We propose model for false memories based on recent experimental investigations, particularly when analyzed in comparison to confabulations, which are the equivalent of false memories from neurological disease. Studies using the Deese/Roedinger–McDermott experimental paradigm indicate that false memories are associated with the need for com...

  1. Comparison Study of Segmentation Techniques for Brain Tumour Detection

    OpenAIRE

    D. Manju; Dr.M.SEETHA; Dr. K. Venugopala Rao

    2013-01-01

    Image segmentation plays an important role in diagnosis and treatment of diseases. Imagesegmentation locates objects and boundaries with in images and the segmentation process is stopped whenregion of interest is separated from the input image. Based on the application, region of interest may differand hence none of the segmentation algorithm satisfies the global applications. Thus segmentation stillremains a challenging area for researchers. This paper emphasis on comparison study of segment...

  2. Environmental Modeling Center

    Data.gov (United States)

    Federal Laboratory Consortium — The Environmental Modeling Center provides the computational tools to perform geostatistical analysis, to model ground water and atmospheric releases for comparison...

  3. Study of On-Ramp PI Controller Based on Dural Group QPSO with Different Well Centers Algorithm

    Directory of Open Access Journals (Sweden)

    Tao Wu

    2015-01-01

    Full Text Available A novel quantum-behaved particle swarm optimization (QPSO algorithm, dual-group QPSO with different well centers (DWC-QPSO algorithm, is proposed by constructing the master-slave subswarms. The new algorithm was applied in the parameter optimization of on-ramp traffic PI controller combining with nonlinear feedback theory. With the critical information contained in the searching space and results of the basic QPSO algorithm, this algorithm avoids the rapid disappearance of swarm diversity and enhances the global searching ability through collaboration between subswarms. Experiment results on an on-ramp traffic control simulation show that DWC-QPSO can be well applied in the study of on-ramp traffic PI controller and the comparison results illustrate that DWC-QPSO outperforms other evolutionary algorithms with enhancement in both adaptability and stability.

  4. Comparison Study of Thermal Insulation Characteristics from Oil Palm Fibre

    OpenAIRE

    Hassan S.; Tesfamichael Aklilu; Mohd Nor M.F.

    2014-01-01

    In this study, investigation was conducted to study the use of solid biomass from palm oil mill as insulation material. The experimental study concentrates on using oil palm fiber to determine the unidirectional thermal conductivity, k. The experiment was conducted at different temperature ranges and packing density. The values of k obtained were found to be 0.2 W/m.K to 0.069 W/m.K for a packing density between 66 kg/m3 to 110 kg/m3, and at a temperature between 40ºC to 70ºC. Comparisons wer...

  5. Standardization of measuring power output during wheelchair propulsion on a treadmill Pitfalls in a multi-center study

    NARCIS (Netherlands)

    de Groot, S; Zuidgeest, M; van der Woude, L H V

    2006-01-01

    OBJECTIVE: In a multi-center study the power output of wheelchair propulsion, attained by a wheelchair drag test, differed among rehabilitation centers. The purpose of this study was to investigate what causes the differences in drag force among centers. METHODS: A set of standardized drag tests was

  6. A Case Study: An ACT Stress Management Group in a University Counseling Center

    Science.gov (United States)

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  7. Comprehensive Study and Comparison of Information Retrieval Indexing Techniques

    Directory of Open Access Journals (Sweden)

    Zohair Malki

    2016-01-01

    Full Text Available This research is aimed at comparing techniques of indexing that exist in the current information retrieval processes. The techniques being inverted files, suffix trees, and signature files will be critically described and discussed. The differences that occur in their use will be discussed. The performance and stability of each indexing technique will be critically studied and compared with the rest of the techniques. The paper also aims at showing by the end the role that indexing plays in the process of retrieving information. It is a comparison of the three indexing techniques that will be introduced in this paper. However, the details arising from the detailed comparison will also enhance more understanding of the indexing techniques.

  8. IMPLEMENTATION OF DISTRIBUTION CENTERS AS LOGISTICS COMPETITIVE ADVANTAGE: STUDY ON OIL COMPANY DISTRIBUTOR IN SOUTHEAST BRAZIL

    Directory of Open Access Journals (Sweden)

    Henrique Albernaz

    2014-12-01

    Full Text Available This study aims to present how distribution centers implementation in organization is able to provide a competitive advantage over its competitors. The qualitative research was based on multiple case studies. Thus, these cases were focused on lubricants segment national distribution company. It was intended to introduce improvements recognizing distribution centers (DCs importance as competitive advantage. DC Macaé-RJ and Piracicaba-SP were chosen to represent this scenario. Therefore, as results it was found increased sales and operating leverage of results within the market in which it operates.

  9. RESULTS OF THE INTERNATIONAL INTERLABORATORY COMPARISON OF MGMT PROMOTER METHYLATION ANALYSIS INVOLVING TWENTY-THREE ACADEMIC CENTERS IN GERMANY, AUSTRIA AND THE NETHERLANDS

    Science.gov (United States)

    Reifenberger, Guido; Malzkorn, B.; Acker, T.; Bettstetter, M.; Buslei, R.; von Deimling, A.; Dietmaier, W.; Dubbink, H.J.; Eigenbrod, S.; Garvalov, B.K.; Gerstenmaier, U.; Giese, A.; Haase, D.; Hasselblatt, M.; Kirches, E.; Koch, A.; Marienfeld, R.; Mittelbronn, M.; Montesinos-Rongen, M.; Pagenstecher, A.; Riemenschneider, M.J.; Prinz, M.; Romeike, B.; Roos, A.; Spiegl-Kreinecker, S.; Schittenhelm, J.; Schlegel, J.; Thal, D.R.; Tops, B.B.J.; Weis, J.; Westphal, G.; Worm, K.; Felsberg, J.

    2014-01-01

    BACKGROUND: Molecular testing for MGMT promoter methylation has become of clinical importance in the diagnostic assessment of malignant gliomas since test results may guide therapeutic decision making, in particular in elderly patients with glioblastoma. However, the patterns and extent of MGMT promoter methylation may vary from tumor to tumor, and standardized approaches for its routine diagnostic assessment are lacking. Thus, external quality assessment (EQA) measures are required to ensure accuracy and reproducibility of results across different laboratories. METHODS: We performed an interlaboratory comparison of MGMT promoter methylation analysis involving twenty-three academic institutions in Germany, Austria and the Netherlands. Two different test rounds were carried out, the first one using high molecular weight DNA extracted from frozen tissue samples of 20 tumors and the second one using formalin-fixed paraffin-embedded tissue sections of 16 tumors. All samples were centrally retrieved from the CNS tumor tissue bank at Heinrich Heine University Düsseldorf. Each participating center evaluated the same set of samples using the locally established methods. Results were centrally collected, together with information on the individual assays and the number of tests carried out per year. RESULTS: Methylation specific-PCR was the most commonly used method at the participating centers. Other less common techniques included pyrosequencing of bisulfite-modified DNA, MethyQESD (methylation-quantification of endonuclease-resistant DNA), MLPA (Multiplex Ligation-dependent Probe Amplification), and PCR-based fragment analysis. MGMT testing results showed a good overall concordance across the participating laboratories for those tumors that either had strongly methylated or clearly unmethylated MGMT promoter sequences. However, poor concordance was obtained for cases with only weak or partial MGMT promoter methylation. CONCLUSIONS: Our study provides an overview of the

  10. A real case study on transportation scenario comparison

    Directory of Open Access Journals (Sweden)

    Tsoukiás A.

    2002-01-01

    Full Text Available This paper presents a real case study dealing with the comparison of transport scenarios. The study is conducted within a larger project concerning the establishment of the maritime traffic policy in Greece. The paper presents the problem situation and an appropriate problem formulation. Moreover a detailed version of the evaluation model is presented in the paper. The model consists of a complex hierarchy of evaluation models enabling us to take into account the multiple dimensions and points of view of the actors involved in the evaluations.

  11. A Comparison Study of Two 3-UPU Translational Parallel Manipulators

    Directory of Open Access Journals (Sweden)

    Bo Hu

    2013-04-01

    Full Text Available A comparison study of two 3‐UPU translational parallel manipulators (PMs is investigated in this paper. The two 3‐UPU PMs have identical pure translational degree of freedoms (DOFs and an identical actuator arrangement, and thus have identical kinematics. But some differences between the two translational 3‐UPU PMs impliedly exist. The two PMs differ in terms of singularity configuration, constrained forces/torques situations and stiffness. This paper focuses on discussing the differences between the two translational 3‐UPU PMs. This study provides insights into PMs with identical kinematics.

  12. A Study on the Tool Sharing Policy in FMS with Tool Center

    Science.gov (United States)

    Zhang, Xiaoming; Fujii, Susumu; Kaihara, Toshiya

    In this paper we examine the issue of tool management in a Flexible Manufacturing System (FMS). A tool center storing all tools for jobs is introduced and all tools can be shared by the machining centers through tool change between the machining centers and the tool center. Two tool-change methods, “Augmented Magazine Method (AMM)” and “Magazine Carrier Method (MCM)”, are proposed and evaluated using the methods for the allocation of tools and jobs proposed in this study. A job in this study is defined as a sequence of processing operations and is thus processed by a single machining center. We propose a two-stage method to integrate tool planning and the allocation of tools and jobs. The method in the second stage for the allocation of tools and jobs is proposed on the basis of an auction method including a dispatching rule. For the tool planning with AMM at the first stage, we propose a greedy search method to decide the total number of tools. By simulation, we investigate the characteristics and effectiveness of the proposed two-stage method and the tool-change methods together with the effectiveness of several dispatching rules.

  13. A Comparison of Quality of Life and Travel-Related Factors between In-center and Satellite-Based Hemodialysis Patients

    OpenAIRE

    Diamant, Michael J; Harwood, Lori; Movva, Sujana; Wilson, Barbara; Stitt, Larry; Lindsay, Robert M.; Moist, Louise M.

    2010-01-01

    Background and objectives: Shorter travel times and distance to dialysis clinics have been associated with improved patient outcomes and a higher health-related quality of life (HRQOL). The objective of this study was to compare HRQOL between prevalent in-center and satellite dialysis patients, as well as compare travel-related factors that contribute to HRQOL between in-center and satellite-based patients.

  14. A comparison of FBP and BPF reconstruction methods for circular X-ray tomography with off-center detector

    NARCIS (Netherlands)

    Schäfer, D.; Grass, M.; Van de Haar, P.

    2011-01-01

    Circular scanning with an off-center planar detector is an acquisi-tion scheme that allows to save detector area while keeping a largefield of view (FOV). Several filtered back-projection (FBP) algorithmshave been proposed earlier. The purpose of this work is to present twonewly developed back-

  15. Customer Satisfaction: A Comparison of Community College and Employment Security Commission Joblink Career Centers in North Carolina.

    Science.gov (United States)

    Deese, Stephanie

    The Workforce Investment Act of 1998 provided states with a great amount of flexibility in the implementation of a system-wide approach to job training and workforce development. The legislation consolidated employment and training services into a one-stop system that is known as JobLink Career Centers in North Carolina. This document presents…

  16. Comparative study of Treponemal and non-Treponemal test for screening of blood donated at a blood center

    Directory of Open Access Journals (Sweden)

    Narinder Kaur Naidu

    2012-01-01

    Full Text Available The non-Treponemal tests such as Rapid Plasma Reagin test (RPR or the Venereal Disease Reference Laboratory test are the most commonly used test for screening of syphilis in the blood centers in India. Now, with the availability of Enzyme-linked immunosorbent assay (ELISA and Immunochromatographic assays in the market, we decided to evaluate these assays in comparison with Treponema pallidum Haemagglutination Assay (TPHA which was considered as a gold standard for this study. A total of 8 685 samples of voluntary blood donors were tested on Trepolisa 3.0 and then the initially reactive samples were retested in duplicate on the same assay as well as on Omega Pathozyme, RPR, RAPHA (Rapid Anti-Treponema pallidum Assay, and TPHA. Of the 158 initially reactive samples, 104 were repeatedly reactive on the same assay, 85 were reactive with RPR, 77 were reactive with RAPHA, 60 were reactive on Omega, and 53 were confirmed reactive on TPHA. 48 (56.4% of the results on RPR were biological false positive, while 21.9% of results were false negative on RPR. We evaluated that Omega Pathozyme was quite in agreement with TPHA as compared with Trepolisa 3.0, RAPHA, and RPR. We concluded that Omega Pathozyme (ELISA can be considered as a suitable test for screening of syphilis in a blood center.

  17. Technology utilization in a non-urban region: Further impact and technique of the Technology Use Studies Center

    Science.gov (United States)

    1976-01-01

    Updated information is given pertaining to Technology Use Studies Center (TUSC) clients who are those that receive/use information as disseminated by the center. The client information is presented as a continuation of client data as set forth in the center's previous annual report.

  18. Connecting teens to caring adults in a school-based health center: a case study.

    Science.gov (United States)

    Blacksin, Beth A; Kelly, Patricia J

    2015-01-01

    The traditional medical care system is generally unable to provide the broad health and wellness services needed by many adolescents, especially those from low-income and racial/ethnic minority communities. Using a theoretical framework adapted from Bronfenbrenner's ecological model of multiple influencers, this case study examined how a school-based health center was able to provide a network of connections for adolescents to caring adults within the school and the local community. Contributors to this network were the creation of a student-centered community with access to adolescent-friendly services, providers acting as connectors, and care of the whole adolescent.

  19. A-centers in silicon studied with hybrid density functional theory

    KAUST Repository

    Wang, Hao

    2013-07-29

    Density functional theory employing hybrid functional is used to gain fundamental insight into the interaction of vacancies with oxygen interstitials to form defects known as A-centers in silicon. We calculate the formation energy of the defect with respect to the Fermi energy for all possible charge states. It is found that the neutral and doubly negatively charged A-centers dominate. The findings are analyzed in terms of the density of states and discussed in view of previous experimental and theoretical studies.

  20. The Learner-Centered Instructional Design Model: A Modified Delphi Study

    Science.gov (United States)

    Melsom, Duane Allan

    2010-01-01

    The learner-centered instructional design model redefines the standard linear instructional design model to form a circular model where the learner's needs are the first item considered in the development of instruction. The purpose of this modified Delphi study was to have a panel of experts in the instructional design field review the…

  1. Recruitment Challenges: Lessons from Senior Centers and Older African-American Participants in a Literacy Study

    Science.gov (United States)

    Ntiri, Daphne W.; Stewart, Merry

    2010-01-01

    This article reviews the challenges encountered in the recruitment of urban older African-Americans in a study to explore the effects of interactive educational intervention on functional health literacy and diabetes knowledge. Our methods included identification of challenges related to the individual characteristics of seniors' centers that…

  2. The Minnesota Center for Twin and Family Research Genome-Wide Association Study

    DEFF Research Database (Denmark)

    Miller, M. B.; Basu, S.; Cunningham, J.;

    2012-01-01

    As part of the Genes, Environment and Development Initiative, the Minnesota Center for Twin and Family Research (MCTFR) undertook a genome-wide association study, which we describe here. A total of 8,405 research participants, clustered in four-member families, have been successfully genotyped on...

  3. Quantitative and qualitative assessment of structural magnetic resonance imaging data in a two-center study

    NARCIS (Netherlands)

    Chalavi, Sima; Simmons, Andrew; Dijkstra, Hildebrand; Barker, Gareth J.; Reinders, A. A. T. Simone

    2012-01-01

    Background: Multi-center magnetic resonance imaging (MRI) studies present an opportunity to advance research by pooling data. However, brain measurements derived from MR-images are susceptible to differences in MR-sequence parameters. It is therefore necessary to determine whether there is an intera

  4. Highlighting High Performance Buildings: Adam Joseph Lewis Center for Environmental Studies

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-11-01

    Oberlin College's Adam Joseph Lewis Center for Environmental Studies is a high-performance building featuring an expansive photovoltaic system and a closed-loop groundwater heat pump system. Designers incorporated energy-efficient components and materials that are local, non-toxic, and durable.

  5. Validating the Center for Epidemiological Studies Depression Scale for Children in Rwanda

    Science.gov (United States)

    Betancourt, Theresa; Scorza, Pamela; Meyers-Ohki, Sarah; Mushashi, Christina; Kayiteshonga, Yvonne; Binagwaho, Agnes; Stulac, Sara; Beardslee, William R.

    2012-01-01

    Objective: We assessed the validity of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) as a screen for depression in Rwandan children and adolescents. Although the CES-DC is widely used for depression screening in high-income countries, its validity in low-income and culturally diverse settings, including sub-Saharan…

  6. Factorial and Discriminant Validity of the Center for Epidemiological Studies Depression (CES-D) Scale.

    Science.gov (United States)

    Orme, John G.; And Others

    1986-01-01

    Examined the factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale for 116 parents participating in family support programs. Factorial validity was adequate, and results indicated a moderate correlation between the CES-D and self-esteem and state anxiety. However, a high correlation was obtained…

  7. Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

    Science.gov (United States)

    Hernández-Puiggròs, Patricia; Tesedo Nieto, Javier; Acín Lázaro, María Pilar; Carrera González, Alfredo; Soler, Miguel José Arranz; Maldonado Vega, Sergio

    2016-01-01

    Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1–10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.

  8. A Quantitative Study and Comparison of Secure OLSR Routing Protocol

    Directory of Open Access Journals (Sweden)

    S.Tamilarasan

    2012-03-01

    Full Text Available This paper presents the comparison of thesecure OLSR (Optimized Link State RoutingProtocol in mobile ad-hoc network with otherapproach. We compare the security from thedifferent approach and their effect on the existingOLSR. The Main aim of this paper is to study thevarious securities and compare the different attacksin MANET. Different approaches uses differentcryptography security scheme and trying to providethe security to OLSR routing protocols. We alsoconcern the different possible attacks on the OLSRand check that which security scheme is better toprovide the security from the attacks.

  9. Racial Disparities in Colorectal Carcinoma Incidence, Severity and Survival Times Over 10 Years: A Retrospective Single Center Study

    Science.gov (United States)

    Arshad, Hafiz Muhammad Sharjeel; Tetangco, Eula; Shah, Natasha; Kabir, Christopher; Raddawi, Hareth

    2016-01-01

    Background Colorectal cancer (CRC) is the third leading cause of cancer-related deaths in the United States. Although studies have been performed on malignancy behavior in African Americans and Caucasians, scant data are present on other minority racial groups. Methods A retrospective single center study was performed where 1,860 patient charts with a diagnosis of CRC from January 1, 2004 to December 31, 2014 were reviewed. Data collected on each patient included age, gender, ethnicity, primary site and histological stage at the time of diagnosis. Survival time over the course of 5 years was documented for patients from January 1, 2004 to December 31, 2009. Comparisons were made amongst different racial groups for the above mentioned factors. Results Study population consisted of 27.09% African Americans, 65.61% Caucasians, 3.86% Hispanics, 0.54% South Asians, 1.03% Arabs, 0.54% Asians and 0.22% American Indians. Mean age of CRC presentation was found to be significantly different (P < 0.05) between the three largest racial groups: 71 years for Caucasians, 69 years for African Americans, and 61 years for Hispanics. African Americans (27.09%) and Hispanics (28.79%) presented predominantly at stage IV in comparison to other racial groups. Caucasians presented predominantly at stage III (24.84%). The rectum was the most common site of CRC across all racial groups with the exception of Asians, where sigmoid colon was the predominant site (30%). Adenocarcinoma remained the predominant cancer type in all groups. Hispanics had relatively higher incidence rate of carcinoid tumor (12.68%). Survival time analysis showed that Caucasians tend to have better survival probability over 5 years after initial diagnosis as compared to African Americans and Hispanic (P < 0.05). Conclusion There is lack of studies performed on minority racial groups in North America. Our study highlighted some important clinical differences of CRC presentation in different racial groups which are not

  10. Clinical and functional outcomes of the PCCP study: a multi-center prospective study in Italy.

    Science.gov (United States)

    Antonini, G; Giancola, R; Berruti, D; Blanchietti, E; Pecchia, P; Francione, V; Greco, P; Russo, T C; Pietrogrande, L

    2013-04-01

    The standard surgical management of hip fractures is associated with tissue trauma and bleeding which are added to the fracture injury. The percutaneous compression plate (PCCP) is a minimally invasive device that has been demonstrated in previous studies to reduce postoperative complications and blood loss. This prospective, multi-center, observational study assessed clinical and functional outcomes with PCCP as treatment for trochanteric fractures. Patients with a stable or unstable proximal femoral fracture of type AO 31.A1 or 31.A2 were enrolled in eight hospitals in Italy. The primary outcome of interest was the recovery of the pre-fracture functional status at 1-year follow-up; secondary outcomes of interest included blood transfusions, surgical time, complications, and mortality. A total of 273 patients were enrolled. The ASA score was 3 or 4 in 72.5 % of patients. The mean surgical time was 44.1 min; the mean post-surgery blood transfusions was 0.9 units. At 1 year, 48 patients (17.6 %) died, 28 (10.2 %) were lost to follow-up, 4 patients (1.5 %) were excluded, hence 193 patients (70.3 %) were available for final evaluation. At the 1-year follow-up visit, 51.9 % of patients recovered or improved their pre-fracture modified Harris Hip Score, 49.1 % of patients improved or maintained their walking abilities, and 66.6 % of patients residing at home pre-surgery maintained their domicile. The overall mortality rate was 17.6 %. Major complications included two fracture collapses, one excessive sliding of the cephalic screw leading to a partial fracture collapse and one back-out of the diaphyseal screw. This study demonstrates that treatment of trochanteric fractures with PCCP gives good outcomes and significant advantages such as low blood loss, short surgical time, low risk of complications, and good functional recovery in the majority of the patients. PMID:23543403

  11. [Mental health, vulnerability and general practice: a study of non-profit health centers in Grenoble].

    Science.gov (United States)

    Dubois-Fabing, Delphine; Pichon, Philippe; Arnevielhe, Alizée; Suscillon, Marie-Paule; Caron, Bruno; Saillard, Fabienne; François, Patrice

    2011-01-01

    Very little research has been conducted on the role of general practitioners (GPs) in mental health care among socioeconomically disadvantaged populations in France. The non-profit community health care centers in Grenoble provide populations living in sensitive urban zones with high quality primary health care that includes a medico-social and prevention dimension. The aim of this study was to measure the prevalence of mental health issues diagnosed by GPs in health care centers, to identify the factors associated with these issues and to describe treatment characteristics. This cross-sectional study focused on general practice consultations in the AGECSA Grenoble health care centers over the course of one week. At the end of each consultation, the GP collected information about the patient, including personal data, psychological disorders, vulnerability, and patient health management. Among the 451 patients included in the study, GPs found that 45.2% of patients were in vulnerable situations and 43% of patients suffered from a mental disorder, including 29% of cases of anxiety and 20% of cases of depression. 44% of patients suffered from a psychological disorder (mental disorder and/or psychological suffering). For these patients, 52.8% of the consultations lasted more than 20 minutes. Their treatment generally included a mental health care follow-up (in 76% of cases), including psychological support (59%) and treatment of functional somatic disorders (46%). The study shows the high prevalence of psychological disorders diagnosed in the patients treated by GPs working in health care centers in disadvantaged urban areas. Research shows that GPs play an important and specific role in mental health care and prevention. An analysis of the organizational methods used in health care centers is highly relevant.

  12. Nuclear Energy Center study. Phase II. Site suitability analysis. Final report

    International Nuclear Information System (INIS)

    A site screening study was conducted to identify a site or sites for detailed, site-specific study as a nuclear energy center. Using technical criteria of water requirements, geotechnical constraints, and projected load center and transmission considerations as well as environmental and institutional considerations, five potential study sites in the State of South Carolina were identified, evaluated against established criteria, and ranked according to their acceptability as potential nuclear energy center study sites. Consideration of what is ''representative'' of a site as well as the ranking score was factored into site recommendations, since the site deemed easiest to license and permit may not be the most desirable site for future study of the technical and institutional feasibility and practicality of a specific site. The sites near Lake Hartwell and the Savannah River Plant (SRP) of the Department of Energy were selected as potential study sites after consideration of the above criteria. Because the Lake Hartwell site offers the opportunity to consider institutional issues which may be more representative of other possible NEC sites, it is recommended that the Lake Hartwell site be studied to establish the feasibility and practicality of the nuclear energy concept on a site-specific basis

  13. Economic evaluation of the Blanket Comparison and Selection Study

    International Nuclear Information System (INIS)

    The economic impact of employing the highly ranked blankets in the Blanket Comparison and Selection Study (BCSS) was evaluated in the context of both a tokamak and a tandem mirror power reactor (TMR). The economic evaluation criterion was determined to be the cost of electricity. The influencing factors that were considered are the direct cost of the blankets and related systems; the annual cost of blanket replacement; and the performance of the blanket, heat transfer, and energy conversion systems. The technical and cost bases for comparison were those of the STARFIRE and Mirror Advanced Reactor Study conceptual design power plants. The economic evaluation results indicated that the nitrate-salt-cooled blanket concept is an economically attractive concept for either reactor type. The water-cooled, solid breeder blanket is attractive for the tokamak and somewhat less attractive for the TMR. The helium-cooled, liquidlithium breeder blanket is the least economically desirable of higher ranked concepts. The remaining self-cooled liquid-metal and the helium-cooled blanket concepts represent moderately attractive concepts from an economic standpoint. These results are not in concert with those found in the other BCSS evaluation areas (engineering feasibility, safety, and research and development (R and D) requirements). The blankets faring well economically had generally lower cost components, lower pumping power requirements, and good power production capability. On the other hand, helium- and lithium-cooled systems were preferred from the standpoints of safety, engineering feasibility, and R and D requirements

  14. Cardiorespiratory fitness and digestive cancer mortality: findings from the Aerobics Center Longitudinal Study (ACLS)

    OpenAIRE

    Peel, J. Brent; Sui, Xuemei; Matthews, Charles E.; Adams, Swann A; Hébert, James R; Hardin, James W.; Timothy S Church; Blair, Steven N.

    2009-01-01

    Although higher levels of physical activity are inversely associated with risk of colon cancer, few prospective studies have evaluated overall digestive system cancer mortality in relation to cardiorespiratory fitness (CRF). The authors examined this association among 38,801 men aged 20−88 years and who performed a maximal treadmill exercise test at baseline in the Aerobics Center Longitudinal Study (Dallas, Texas) during 1974−2003. Mortality was assessed over 29 years of follow-up (1974−2003...

  15. Study of a conceptual nuclear energy center at Green River, Utah: institutional and licensing issues

    International Nuclear Information System (INIS)

    This document constitutes a segment of a feasibility study investigating the ramification of construcing a nuclear energy center in an arid western region. In this phase of the study, the institutional and licensing issues impacting a NEC were analyzed. The most prominent issue facing such a concept is the ownership form of NEC. In addition, legislation and regulation also have a substantial impact regardless of the ownership format

  16. Readiness for Change: Evidence from a Study of Early Childhood Care and Education Centers

    OpenAIRE

    Doyle, Orla; Logue, Caitriona; McNamara, Kelly

    2009-01-01

    This study examines factors that influence staff members’ readiness for change in early childhood settings in Ireland. The introduction of a new national framework, designed to improve the quality of Early Childhood Care and Education Centers (ECCECs), has been piloted in several communities. This study measures support for this change in organizational practices using the Organizational Change Recipients’ Belief Scale and uses correlation analysis to determine how readiness for change is lin...

  17. BMI changes in children and adolescents attending a specialized childhood obesity center: a cohort study

    OpenAIRE

    Maggio, Albane Bertha; Saunders, Catherine Tamsin; Gal-Duding, Claudine; Beghetti, Maurice; Martin, Xavier; Farpour-Lambert, Nathalie; Chamay-weber, Catherine

    2013-01-01

    Background Multidisciplinary group therapies for obese children and adolescents are effective but difficult to implement. There is a crucial need to evaluate simpler management programs that target the obese child and his family. This study aimed to determine changes in body mass indexes (BMI) after individual family-based obesity intervention with a pediatrician in a specialized obesity center for child and adolescent. Methods This cohort study included 283 patients (3.3 to 17.1 years, mean ...

  18. Medical waste management in Jordan: A study at the King Hussein Medical Center

    International Nuclear Information System (INIS)

    As in many other developing countries, the generation of regulated medical waste (RMW) in Jordan has increased significantly over the last few decades. Despite the serious impacts of RMW on humans and the environment, only minor attention has been directed to its proper handling and disposal. This study was conducted in the form of a case study at one of Jordan's leading medical centers, namely, the King Hussein Medical Center (KHMC). Its purpose was to report on the current status of medical waste management at KHMC and propose possible measures to improve it. In general, it was found that the center's administration was reasonably aware of the importance of medical waste management and practiced some of the measures to adequately handle waste generated at the center. However, it was also found that significant voids were present that need to be addressed in the future including efficient segregation, the use of coded and colored bags, better handling and transfer means, and better monitoring and tracking techniques, as well as the need for training and awareness programs for the personnel

  19. Student-Centered Teaching Meets New Media: Concept and Case Study

    Directory of Open Access Journals (Sweden)

    Andreas Holzinger

    2002-10-01

    Full Text Available There exists empirical evidence proving that students who are given the freedom to explore areas based on their personal interests, and who are accompanied in their learning by a supportive, understanding facilitator, not only achieve superior academic results but also develop socially and grow personally. However, pure Student-Centered Teaching is more demanding in terms of communication, organization, as well as the provision of learning material. Thus, the basic idea underlying our paradigm is to combine Student-Centered Teaching with eLearning in order to exploit the advantages of the two approaches. We refer to this combined style as Student-Centered eLearning (SCeL. Strongly simplified, the computer takes over the task of providing information, while presence phases can be used for giving the content more meaning by means of transparent, open, respectful and empathic interactions within the group. Our case study indicates that Student-Centered eLearning has the potential of reducing the increased demands of Student-Centered Teaching in the long run, while fully retaining all its benefits, such as deeper learning processes, personal growth, social skills, and a higher degree of flexibility. Furthermore, the maturity for life-long learning is cultivated. In this paper we introduce our concept and derive first hypotheses on the conditions under which our paradigm appears most effective. While potential continuations of our studies are manifold, we intend to employ SCeL in the course of the new curriculum of the medical faculty of GrazUniversity where a Virtual Medical Campus (http://vmc.uni-graz.at is currently being developed.

  20. An epidemiological study of Haemophilus influenzae at a Brazilian day care center

    Directory of Open Access Journals (Sweden)

    M.E. Bonifácio da Silva

    2001-10-01

    Full Text Available Day care centers are a relatively new phenomenon in Brazil that bring together large numbers of young children susceptible to contagious diseases. Haemophilus influenzae (Hi is an important infection in the age range of those attending day care centers. In the present study, the carriage rate of Haemophilus influenzae was identified in 38 day care attendees age 6 to 37 months, and 23 staff members, at a day care center in Ribeirão Preto-São Paulo, in 1997. To identify the carriers, two nasopharyngeal swabs were collected; one in July and one in December. The rate of H. influenzae carriers among the children was 77%. Only 2 of 23 staff members (9% had Hi. Among the children, there were 58 isolates in the two sampling periods; 6 of the Hi were serotype b, 1 was serotype e, and 48 isolates were non-typeable. Two were identified as H. parainfluenzae. One adult had a non-typeable Hi and 1 had H. paraphrohaemolyticus. Three of the 6 children with type B had received a conjugate vaccine against H. influenzae type b, but they still carried this bacterium in the nasopharynx (50%. Forty ribotype patterns were found among the isolates, showing a high exchange rate of nontypeable H. influenzae carriers. The results indicate that, because of the high and changing biotype of Hi carriage, day care centers should be carefully monitored as potential point source of HI disease in the community.

  1. Socioeconomic impacts: study of a conceptual nuclear energy center at Green River, Utah

    International Nuclear Information System (INIS)

    This document constitutes a segment of a feasibility study investigating the ramifications of constructing a nuclear energy center (NEC) in an arid western region. In this phase of the study, the impacts on socioeconomic conditions in the surrounding communities and possible ways of financing and mitigating these impacts were examined. The general conclusion reached is that the socioeconomic impacts of a nuclear energy center in the Green River area of Southeastern Utah would not impose an absolute bar to NEC development. The economy of the NEC impact area would be substantially transformed by the NEC. In particular, Green River city itself would change from its current status as a relatively stable rural economy with an agricultural, mining, and recreation base to a major city with over 20,000 permanent relatively high income residents. The NEC, by itself, would provide a tax base more than adequate to finance required expansion of public facilities and public human service provisions

  2. A user-centered study for the improvement of Laurea LibGuides

    OpenAIRE

    Mohamed, Ahmednur

    2015-01-01

    The library of Laurea University of Applied Sciences is launching a new content management service that makes it easier for users to access available resources. This thesis report describes the findings of a user-centered study of the Business Information Technology LibGuide subject guide, the purpose of which is to develop an understanding of the users’ perspectives and expectations, as well as the perceived weaknesses of the service and the improvements the users are expecting to be made. ...

  3. Feminist health care in a hostile environment: a case study of the Womancare Health Center.

    Science.gov (United States)

    Hyde, Cheryl A

    2008-01-01

    This article presents a case study of the Womancare Health Center in order to illustrate the development of and challenges to the feminist health movement in the United States. Specific attention is placed on the legislative, fiscal, and direct actions by the New Right against this organization. Analysis focuses on the means through which Womancare survived. The repercussions of constant intimidation and harassment for women's health programs and for health care policy overall are discussed.

  4. Presentation of 493 Consecutive Girls with Idiopathic Central Precocious Puberty: A Single-Center Study

    OpenAIRE

    Eloïse Giabicani; Slimane Allali; Adélaïde Durand; Julie Sommet; Ana-Claudia Couto-Silva; Raja Brauner

    2013-01-01

    BACKGROUND: Despite the number of reported data concerning idiopathic central precocious puberty (CPP) in girls, major questions remain including its diagnosis, factors, and indications of gonadotropin releasing hormone (GnRH) analog treatment. METHODS: A retrospective, single-center study was carried out on 493 girls with CPP. RESULTS: Eleven girls (2.2%) were aged less than 3 years. Breast development was either isolated (Group 0, n = 99), or associated with one sign, pubic hair development...

  5. The Uses of the Smartphone for Doctors: An Empirical Study from Samsung Medical Center

    OpenAIRE

    Choi, Jong Soo; Yi, Byoungkee; PARK, Jong Hwan; Choi, Kyesook; Jung, Jaegon; Park, Seung Woo; Rhee, Poong-Lyul

    2011-01-01

    Objectives In healthcare, mobile computing made possible by smartphones is becoming an important tool among healthcare professionals. However, currently there is very little research into the effectiveness of such applications of technology. This study aims to present a framework for a smartphone application to give doctors mobile access to patient information, then review the consequences of its use and discuss its future direction. Methods Since 2003 when Samsung Medical Center introduced i...

  6. Pharmacy automation in Navy Medicine: a study of Naval Medical Center San Diego

    OpenAIRE

    Merkl, Abbie J.

    2015-01-01

    Approved for public release; distribution is unlimited In August 2012, Naval Medical Center San Diego implemented a state-of-the-art pharmacy automation system in an effort to reduce cost and improve efficiency. The objective of this study is to quantify the increase in efficiency after installation through a focus on observed post-automation prescription fill times during calendar year 2014 (CY2014) and a simulated pre-automation process. With a response of average daily prescription fill...

  7. Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients.

    Science.gov (United States)

    García García, Juan Antonio; Hernández-Puiggròs, Patricia; Tesedo Nieto, Javier; Acín Lázaro, María Pilar; Carrera González, Alfredo; Soler, Miguel José Arranz; Maldonado Vega, Sergio

    2016-01-01

    Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female) with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF) and visual analog scale (VAS)), quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1-10) on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p < 0.001, and health status (VAS) from 40.6 to 61.9, p < 0.001. Chronic pain patients (90%) are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement. PMID:27516902

  8. Technology Transfer Challenges: A Case Study of User-Centered Design in NASA's Systems Engineering Culture

    Science.gov (United States)

    Quick, Jason

    2009-01-01

    The Upper Stage (US) section of the National Aeronautics and Space Administration's (NASA) Ares I rocket will require internal access platforms for maintenance tasks performed by humans inside the vehicle. Tasks will occur during expensive critical path operations at Kennedy Space Center (KSC) including vehicle stacking and launch preparation activities. Platforms must be translated through a small human access hatch, installed in an enclosed worksite environment, support the weight of ground operators and be removed before flight - and their design must minimize additional vehicle mass at attachment points. This paper describes the application of a user-centered conceptual design process and the unique challenges encountered within NASA's systems engineering culture focused on requirements and "heritage hardware". The NASA design team at Marshall Space Flight Center (MSFC) initiated the user-centered design process by studying heritage internal access kits and proposing new design concepts during brainstorming sessions. Simultaneously, they partnered with the Technology Transfer/Innovative Partnerships Program to research inflatable structures and dynamic scaffolding solutions that could enable ground operator access. While this creative, technology-oriented exploration was encouraged by upper management, some design stakeholders consistently opposed ideas utilizing novel, untested equipment. Subsequent collaboration with an engineering consulting firm improved the technical credibility of several options, however, there was continued resistance from team members focused on meeting system requirements with pre-certified hardware. After a six-month idea-generating phase, an intensive six-week effort produced viable design concepts that justified additional vehicle mass while optimizing the human factors of platform installation and use. Although these selected final concepts closely resemble heritage internal access platforms, challenges from the application of the

  9. Comparison beetwen open and laparoscopic radical cistectomy in a latin american reference center: perioperative and oncological results

    Directory of Open Access Journals (Sweden)

    Marcos Tobias-Machado

    2015-08-01

    Full Text Available ABSTRACTObjectives:To evaluate the differences of peri-operatory and oncological outcomes between Laparoscopic Radical Cystectomy and Open Radical Cystectomy in our center.Materials and Methods:Overall, 50 patients were included in this non randomized match-pair analysis: 25 patients who had undergone Laparoscopic Radical Cystectomy for invasive bladder cancer (Group-1 and 25 patients with similar characteristics who had undergone Open Radical Cystectomy (Group-2. The patients were operated from January 2005 to December 2012 in a single Institution.Results:Mean operative time for groups 1 and 2 were 350 and 280 minutes (p=0.03 respectively. Mean blood loss was 330 mL for group 1 and 580 mL for group 2 (p=0.04. Intraoperative transfusion rate was 0% and 36% for groups 1 and 2 respectively (p=0.005. Perioperative complication rate was similar between groups. Mean time to oral intake was 2 days for group 1 and 3 days for group 2 (p=0.08. Median hospital stay was 7 days for group 1 and 13 for group 2 (p=0.04. There were no differences in positive surgical margins and overall survival, between groups.Conclusions:In a reference center with pelvic laparoscopic expertise, Laparoscopic Radical Cystectomy may be considered a safe procedure with similar complication rate of Open Radical Cystectomy. Laparoscopic Radical Cystectomy is more time consuming, with reduced bleeding and transfusion rate. Hospital stay seems to be shorter. Oncologically no difference was observed in our mid-term follow-up.

  10. LORIS: A web-based data management system for multi-center studies.

    Directory of Open Access Journals (Sweden)

    Samir eDas

    2012-01-01

    Full Text Available LORIS (Longitudinal Online Research and Imaging System is a modular and extensible web-based data management system that integrates all aspects of a multi-center study: from heterogeneous data acquisition (imaging, clinical, behavior, genetics to storage, processing and ultimately dissemination. It provides a secure, user-friendly, and streamlined platform to automate the flow of clinical trials and complex multi-center studies. A subject-centric internal organization allows researchers to capture and subsequently extract all information, longitudinal or cross-sectional, from any subset of the study cohort. Extensive error-checking and quality control procedures, security, data management, data querying and administrative functions provide LORIS with a triple capability (i continuous project coordination and monitoring of data acquisition (ii data storage/cleaning/querying, (iii interface with arbitrary external data processing pipelines. LORIS is a complete solution that has been thoroughly tested through the full life cycle of a multi-center longitudinal project# and is now supporting numerous neurodevelopment and neurodegeneration research projects internationally.

  11. The Lathrop Wells volcanic center: Status of field and geochronology studies

    International Nuclear Information System (INIS)

    The purpose of this paper is to describe the status of field and geochronology studies of the Lathrop Wells volcanic center. Our perspective is that it is critical to assess all possible methods for obtaining cross-checking data to resolve chronology and field problems. It is equally important to consider application of the range of chronology methods available in Quaternary geologic research. Such an approach seeks to increase the confidence in data interpretations through obtaining convergence among separate isotopic, radiogenic, and age-correlated methods. Finally, the assumptions, strengths, and weaknesses of each dating method need to be carefully described to facilitate an impartial evaluation of results. The paper is divided into two parts. The first part describes the status of continuing field studies for the volcanic center for this area south of Yucca Mountain, Nevada. The second part presents an overview of the preliminary results of ongoing chronology studies and their constraints on the age and stratigraphy of the Lathrop Wells volcanic center. Along with the chronology data, the assumptions, strengths, and limitations of each methods are discussed

  12. The comparison study of diagnostics of light filaments in air

    Institute of Scientific and Technical Information of China (English)

    HAO; Zuoqiang; ZHANG; Jie; YU; Jin; ZHENG; Zhiyuan; YUAN; Xiaohui; ZHANG; Zhe; LI; Yutong; WANG; Zhaohua; LING; Weijun; WEI; Zhiyi

    2006-01-01

    Long plasma channels in air induced by femtosecond laser pulses are investigated using three different methods, including the cross-section imaging, resistivity measuring and acoustic diagnostics. These methods are based on different properties of the light filaments. A comparison of the three diagnostics shows that the imaging method is the most precise one in studying the filaments distribution and evolution, that the sonographic method is the most convenient approach to detecting long plasma channels by detecting the acoustic wave generation, and that the resistivity measurement can only be applied for giving a rough estimate. The diagnostics of filaments allow us to choose appropriate detecting methods and provide further insight into the dynamic evolution of the light filaments in air.

  13. Application of the Study Model of \\\\\\"Knowledge Management Infrastructure in Organizations\\\\\\" in Information Centers: The case of the Regional Information Center for Science and Technology (RICeST

    Directory of Open Access Journals (Sweden)

    Abdolhossein Farajpahlou

    2012-02-01

    Full Text Available Information centers are duly obliged to move in line with their parent organizations’ goals and missions in creating knowledge. In the age of information and communication revolution, and in a knowledge-based economy, organizations that are involved in creation of knowledge have an important role in communication and diffusion of knowledge. In the mean time, libraries and information centers change from being mere depository sources to knowledge institutions. The current research aimed to study the present state of knowledge management infrastructures of the Regional Information Center for Science and Technology (RICeST as a national and regional information center. The statistic population of this study was consisted of 87 staff. Data was collected by means of questionnaires, observation and interviews. The results showed the required infrastructure for KM activities were almost there, among different aspects of which, budgeting had a better situation in the institution under study. In regards with establishment of knowledge management, RICeST was paying more attention to information and communication technology and knowledge network via applications such as the Internet and extranets. Another fact was that in the RICeST, emphasis was on learning and on human resources as the substantial sources in creation of knowledge. Among other aspects, “organizational culture” was in a lower state compared with other aspects in the RICeST.

  14. FEASIBILITY STUDY OF ESTABLISHING AN ARTIFICIAL INSEMINATION (AI CENTER FOR CARABAOS IN SAN ILDEFONSO, BULACAN, PHILIPPINES

    Directory of Open Access Journals (Sweden)

    F.Q. Arrienda II

    2014-10-01

    Full Text Available The productivity of the carabao subsector is influenced by several constraints such as social,technical, economic and policy factors. The need to enhance the local production of carabaos will helplocal farmers to increase their income. Thus, producing thorough breeds of carabaos and improving itgenetically is the best response to these constraints. This study was conducted to present the feasibilitystudy of establishing an Artificial Insemination (AI Center and its planned area of operation in Brgy.San Juan, Ildefonso, Bulacan. The market, production, organizational and financial viability of operatingthe business would also be evaluated. This particular study will provide insights in establishing an AICenter. Included in this study is the identification of anticipated problems that could affect the businessand recommendation of specific courses of action to counteract these possible problems. Primary datawere obtained through interviews with key informants from the Philippine. Carabao Center (PCC. Togain insights about the present status of an AI Center, interviews with the technicians of PCC and privatefarm were done to get additional information. Secondary data were acquired from various literatures andfrom San Ildefonso Municipal Office. The proposed area would be 1,500 square meters that would beallotted for the laboratory and bullpen. The AI Center will operate six days a week and will be openedfrom 8 AM until 5 PM. However, customers or farmers can call the technicians beyond the office hoursin case of emergency. The total initial investment of Php 3,825,417.39 is needed in establishing the AICenter. The whole amount will be sourced from the owner’s equity. Financial projection showed an IRRof 30% with a computed NPV of Php 2,415,597.00 and a payback period of 3.97 years. Based on all themarket, technical, organizational, financial factors, projections and data analysis, it is said that thisbusiness endeavor is viable and feasible.

  15. Trap and recombination centers study in sprayed Cu2ZnSnS4 thin films

    International Nuclear Information System (INIS)

    In this work, a study of trap and recombination center properties in polycrystalline Cu2ZnSnS4 thin films is carried out in order to understand the poor performance in Cu2ZnSnS4 thin film solar cells. Thermally stimulated current has been studied in Cu2ZnSnS4 deposited by pneumatic spray pyrolysis method using various heating rates, in order to gain information about trap centers and/or deep levels present within the band-gap of this material. A set of temperature-dependent current curves revealed three levels with activation energy of 126 ± 10, 476 ± 25, and 1100 ± 100 meV. The possible nature of the three levels found is presented, in which the first one is likely to be related to CuZn antisites, while second and third to Sn vacancies and SnCu antisites, respectively. The values of frequency factor, capture cross section, and trap concentration have been determined for each center.

  16. A Comparison of Staggered-Mesh Lagrange Plus Remap and Cell-Centered Direct Eulerian Godunov Schemes for Rulerian Shock Hydrodynamics

    Energy Technology Data Exchange (ETDEWEB)

    Pember, R.B.; Anderson, R.W.

    2000-11-22

    We present a comparison of two algorithms for solving the equations of unsteady inviscid compressible flow in a Eulerian frame. The first algorithm is a staggered grid Lagrange plus remap scheme. The Lagrange step in this method is a time-centered version of the scheme due to Tipton, while the remap step employs a variant of the corner transport upwind scheme due to Colella. The second algorithm is a spatially operator-split version of the higher-order Godunov scheme for gas dynamics due to Colella. They use the two methods to compute solutions to a number of one- and two-dimensional problems. The results show the accuracy and performance of the two schemes to be generally equivalent. In a 1984 survey paper by Woodward and Colella, staggered grid, Lagrange plus remap, artificial viscosity schemes did not compare favorably with cell-centered direct Eulerian higher-order Godunov methods. They examine, therefore, how certain features of the staggered grid scheme discussed here contribute to its improved accuracy. They show in particular that the improved accuracy of the present scheme is due in part to the use of a monotonic artificial viscosity in the Lagrange step and the use of an improved upwind method in the remap step.

  17. Comparison Study of Thermal Insulation Characteristics from Oil Palm Fibre

    Directory of Open Access Journals (Sweden)

    Hassan S.

    2014-07-01

    Full Text Available In this study, investigation was conducted to study the use of solid biomass from palm oil mill as insulation material. The experimental study concentrates on using oil palm fiber to determine the unidirectional thermal conductivity, k. The experiment was conducted at different temperature ranges and packing density. The values of k obtained were found to be 0.2 W/m.K to 0.069 W/m.K for a packing density between 66 kg/m3 to 110 kg/m3, and at a temperature between 40ºC to 70ºC. Comparisons were made with others common insulating materials, and it was found that the experimental k values for oil palm waste insulation was lower by between 4 to 56 times for rockwool and between 7 to 57 times for glass fiber at low temperatures. The value k of oil palm fiber however showed an increase at higher temperatures and was lower at lower packing densities. Although not being able to match the k values of common insulators at higher temperatures, other factors such as cost and environmental benefits of using waste material should be taken into consideration and hence encouraging its use as at least a supplement to existing insulation materials

  18. Differences in Cardiovascular Disease Risk Factors by Weight History: The Aerobics Center Longitudinal Study

    OpenAIRE

    Truesdale, Kimberly P.; Stevens, June; Cai, Jianwen

    2011-01-01

    The objective of this study was to compare cardiovascular disease (CVD) risk factor levels in adults with a history of weight loss to levels in adults who did not lose weight, after both groups subsequently experienced an approximate 1-year interval of weight maintenance. Extant data from the Aerobics Center Longitudinal Study (ACLS) were used to identify 5,151 adults who were weight maintainers (maintained weight within ±3.0% over two consecutive periods of ~1 year) or weight-loss maintainer...

  19. National Aeronautics and Space Administration Manned Spacecraft Center data base requirements study

    Science.gov (United States)

    1971-01-01

    A study was conducted to evaluate the types of data that the Manned Spacecraft Center (MSC) should automate in order to make available essential management and technical information to support MSC's various functions and missions. In addition, the software and hardware capabilities to best handle the storage and retrieval of this data were analyzed. Based on the results of this study, recommendations are presented for a unified data base that provides a cost effective solution to MSC's data automation requirements. The recommendations are projected through a time frame that includes the earth orbit space station.

  20. Fractal pattern growth simulation in electrodeposition and study of the shifting of center of mass

    Energy Technology Data Exchange (ETDEWEB)

    Shaikh, Yusuf H. [Shivaji Arts, Commerce and Science College, Kannad 431103 (India)], E-mail: yusufshaikh123@yahoo.com; Khan, A.R. [Dr. Rafiq Zakaria Centre for Higher Learning, Dr. Rafiq Zakaria marg, Rauza Bagh, Aurangabad 431001 (India); Pathan, J.M. [Dr. Rafiq Zakaria Campus, Dr. Rafiq Zakaria marg, Rauza Bagh, Aurangabad 431001 (India); Patil, Aruna [Viveakanand College, Aurangabad 431001 (India); Behere, S.H. [Departments of Physics, Dr. Babasaheb Ambedkar Marathwada University, Aurangabad 431004 (India)

    2009-12-15

    We presented simulation of fractal pattern in electrodeposition (Diffusion limited aggregation) using concept of off lattice walk. It is seen that the growth patterns are based on a parameter called 'bias'. This parameter 'bias' controls the growth of patterns similar to that of electric field in electrodeposition technique. In present study the fractal patterns are grown for different values of 'bias'. Dendritic patterns grown at lower value of 'bias' comprises open structure and show limited branching. As the bias is increased the growth tends to be dense and show more crowded branching. Box counting was implemented to calculate fractal dimension. The structural and textural complexities and are compared with the experimental observations. It was also noted that in the evolution of DLA patterns, the center of mass of the growth is shifted slightly. We tracked the position of the center of mass of simulated electro deposits under different electric field conditions. The center of mass exhibit random walk like patterns and it wanders around the origin or the starting point of the growth.

  1. Anatomical study of the radius and center of curvature of the distal femoral condyle

    KAUST Repository

    Kosel, Jürgen

    2010-01-01

    In this anatomical study, the anteroposterior curvature of the surface of 16 cadaveric distal femurs was examined in terms of radii and center point. Those two parameters attract high interest due to their significance for total knee arthroplasty. Basically, two different conclusions have been drawn in foregoing studies: (1) The curvature shows a constant radius and (2) the curvature shows a variable radius. The investigations were based on a new method combining three-dimensional laser-scanning and planar geometrical analyses. This method is aimed at providing high accuracy and high local resolution. The high-precision laser scanning enables the exact reproduction of the distal femurs - including their cartilage tissue - as a three-dimensional computer model. The surface curvature was investigated on intersection planes that were oriented perpendicularly to the surgical epicondylar line. Three planes were placed at the central part of each condyle. The intersection of either plane with the femur model was approximated with the help of a b-spline, yielding three b-splines on each condyle. The radii and center points of the circles, approximating the local curvature of the b-splines, were then evaluated. The results from all three b-splines were averaged in order to increase the reliability of the method. The results show the variation in the surface curvatures of the investigated samples of condyles. These variations are expressed in the pattern of the center points and the radii of the curvatures. The standard deviations of the radii for a 90 deg arc on the posterior condyle range from 0.6 mm up to 5.1 mm, with an average of 2.4 mm laterally and 2.2 mm medially. No correlation was found between the curvature of the lateral and medial condyles. Within the range of the investigated 16 samples, the conclusion can be drawn that the condyle surface curvature is not constant and different for all specimens when viewed along the surgical epicondylar axis. For the portion

  2. Comparison of use and role of adrenaline and amiodarone in cardiac arrest:Case of emergency center in Kosovo

    Institute of Scientific and Technical Information of China (English)

    Basri Lenjani; Nehat Baftiu; Ilaz Bunjaku; Kadir Hyseni; Arianit Jakupi

    2013-01-01

    Objective: To investigate application of cardiopulmonary resuscitation (CPR) measures within the golden minutes in Europe. Methods: The collected data belong to the patients with cardiac arrest that have been recorded in patients’ protocol logbook at the Emergency Clinic. During the 2010-2011 in the Emergency Center of the CUCK in Prishtina have been treated a total of 269 patients with cardiac arrest, of whom 159 or 59.1% have been treated in 2010, and 110 patients or 40.9% in 2011. Cardiac arrest cases were present during all days of the week, but most frequently cases have been reported on Monday with 32.0% of cases, and on Friday with 24.5% of cases. All patients with cardiac arrest have been treated with physiological solution. Results: In 245 or 91.1% patients adrenaline has been applied; in 64 or 23.8% amiodarone has been applied; in 12 or 4.5% cases atropine has been applied, 11 or 4.1% of cases were treated with NaHCO3; 7 or 2.6% of cases were treated with lidocaine; and 6 or 2.2% of cases were treated with dopamine. All survivors from cardiac arrest have received appropriate medical assistance within 10 minutes from attack, which implies that if cardiac arrest occurs near an health care institution (with an opportunity to provide the emergent health care) the rate of survival is higher. Conclusions: Anti-arrhythmic drugs as with vasopressors, the evidence that anti-arrhythmic drugs are of benefit in cardiac is limited. No anti-arrhythmic drug given during human cardiac arrest has been shown to increase survival to hospital discharge, although amiodarone has been shown to increase survival to hospital admission after shock-refractory VF/VT. There are no data on the use of amiodarone for shock-refractory VF/VT when single shocks are used. Despite the lack of human long-term outcome data, the balance of evidence is in favour of the use of some anti-arrhythmic drugs for the management of arrhythmias in cardiac arrest.

  3. Comparison of expectations and beliefs about good teaching in an academic day release medical education program: a qualitative study

    NARCIS (Netherlands)

    Roermund, T.A. van; Mokkink, H.G.; Bottema, B.J.; Weel, C. van; Scherpbier, A.J.

    2014-01-01

    BACKGROUND: In a professional learner-centered(ness) educational environment, communication and alignment of expectations about teaching are indispensable. Professional education of residents could benefit from an analysis and comparison of teachers' and residents' educational expectations and belie

  4. Comparison between a pediatric health promotion center and a pediatric obesity clinic in detecting metabolic syndrome and non-alcoholic fatty liver disease in children.

    Science.gov (United States)

    Yang, Hye Ran; Yi, Dae Yong; Choi, Hyoung Soo

    2014-12-01

    This study was done to evaluate the efficacy of health check-ups in children in detecting metabolic syndrome and non-alcoholic fatty liver disease (NAFLD) by comparing the pediatric health promotion center with the pediatric obesity clinic. Children who visited a pediatric health promotion center (n=218) or a pediatric obesity clinic (n=178) were included. Anthropometric data, blood pressure, laboratory tests, and abdominal ultrasonography were evaluated. Two different criteria were applied to diagnose metabolic syndrome. The prevalence of metabolic syndrome in the 2 units was 3.2%-3.7% in a pediatric health promotion center and 23%-33.2% in a pediatric obesity clinic. Significant differences were observed in the prevalence of each component of metabolic syndrome between the 2 units including abdominal adiposity, blood pressure, serum triglycerides, and fasting blood glucose (Pobesity clinic targeting obese children than that among patients visiting the health promotion center offering routine check-ups. An obesity-oriented approach is required to prevent obesity-related health problems in children.

  5. The QUASAR reproducibility study, Part II: Results from a multi center Arterial Spin Labeling test-retest Study

    OpenAIRE

    Petersen, Esben Thade; Mouridsen, Kim; Golay, Xavier

    2009-01-01

    Arterial Spin Labeling (ASL) is a method to measure perfusion using magnetically labeled blood water as an endogenous tracer. Being fully non-invasive, this technique is attractive for longitudinal studies of cerebral blood flow in healthy and diseased individuals, or as a surrogate marker of metabolism. So far, ASL has been restricted mostly to specialist centers due to a generally low SNR of the method and potential issues with user-dependent analysis needed to obtain quantitative measureme...

  6. A study of shame from sexual abuse within the context of a Norwegian incest center.

    Science.gov (United States)

    Pettersen, Kaare Torgny

    2013-01-01

    Working with those who have experienced sexual abuse is a complicated matter because such abuse not only involves the violation of the victim's body, but it often generates shame in those involved. This article is based on empirical data from 26 hours of videotaped focus group interviews with 19 adult men and women in a Norwegian incest center who spoke openly of the shame they experienced from sexual abuse as children, parents, and employees. Findings from this study show that shame from sexual abuse can be grouped into seven major categories: (a) family, (b) emotions, (c) body, (d) food, (e) self-image, (f) sex, and (g) therapy.

  7. Report on the feasibility study for improving electric motor service centers in Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Hsu, J.S.; Jallouk, P.A.; Staunton, R.H.

    1999-12-10

    On March 3 and 4, 1998, a visit was made to Oak Ridge National Laboratory (ORNL) by two officials from Ghana: Mr. I.K. Mintah, Acting Executive Director, Technical Wing, Ministry of Mines and Energy (MOME) and Dr. A.K. Ofosu-Ahenkorah, Coordinator, Energy Efficiency and Conservation Program, MOME. As a result of this visit, Dr. John S. Hsu of ORNL was invited by MOME to visit the Republic of Ghana in order to study the feasibility of improving electric motor service centers in Ghana.

  8. Technology Transfer and Knowledge Management in Technological Innovation Center: A Case Study in Brazil

    OpenAIRE

    Luan Carlos Santos Silva; Joao Luiz Kovaleski; Silvia Gaia; Manon Garcia; Pedro Paulo de Andrade Junior

    2013-01-01

    The purpose of this paper was to analyze the knowledge management in the process of technology transfer in a technological innovation center, known in Brazil as NIT. The used methodology included a qualitative approach. It was a case study of a Nucleus which is in a State University located in the south of Bahia state, Brazil. The results showed that this specific Nucleus presents a fine infrastructure regarding the legal regulation, based on the Federal Law of Innovation no 10.973 and on the...

  9. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for NASA Glenn Research Center

    Energy Technology Data Exchange (ETDEWEB)

    Schey, Stephen [Idaho National Lab. (INL), Idaho Falls, ID (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-10-01

    The Advanced Vehicle Testing Activity’s study seeks to collect and evaluate data to validate the utilization of advanced plug-in electric vehicle (PEV) transportation. This report focuses on the NASA Glenn Research Center (GRC) fleet to identify daily operational characteristics of select vehicles and report findings on vehicle and mission characterizations to support the successful introduction of PEVs into the agencies’ fleets. Individual observations of these selected vehicles provide the basis for recommendations related to electric vehicle adoption and whether a battery electric vehicle or plug-in hybrid electric vehicle (collectively referred to as PEVs) can fulfill the mission requirements.

  10. An Analysis of Factors that Inhibit Business Use of User-Centered Design Principles: A Delphi Study

    Science.gov (United States)

    Hilton, Tod M.

    2010-01-01

    The use of user-centered design (UCD) principles has a positive impact on the use of web-based interactive systems in customer-centric organizations. User-centered design methodologies are not widely adopted in organizations due to intraorganizational factors. A qualitative study using a modified Delphi technique was used to identify the factors…

  11. Metabolic outcomes in young children with type 1 diabetes differ between treatment centers : the Hvidoere Study in Young Children 2009

    NARCIS (Netherlands)

    de Beaufort, Carine E.; Lange, Karin; Swift, Peter G. F.; Aman, Jan; Cameron, Fergus; Castano, Luis; Dorchy, Harry; Fisher, Lynda K.; Hoey, Hilary; Kaprio, Eero; Kocova, Mirjana; Neu, Andreas; Njolstad, Pal R.; Phillip, Moshe; Schoenle, Eugen; Robert, Jean J.; Urukami, Tatsuhiko; Vanelli, Maurizio; Danne, Thomas; Barrett, Tim; Chiarelli, Franco; Aanstoot, Henk J.; Mortensen, Henrik B.

    2013-01-01

    Objective: To investigate whether center differences in glycemic control are present in prepubertal children Research Design and Methods: This cross-sectional study involved 18 pediatric centers worldwide. All children, Results: A total of 1133 children participated (mean age: 8.0 +/- 2.1 y; females

  12. Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly

    Directory of Open Access Journals (Sweden)

    Samila Sather Tavares Batistoni

    2007-08-01

    Full Text Available OBJETIVO: Obter validade interna, de construto e de critério para a escala Center for Epidemiological Studies - Depression, em idosos. MÉTODOS: O instrumento foi aplicado a 903 idosos residentes em Juiz de Fora, Estado de Minas Gerais, entre os anos de 2002-2003. Os resultados foram comparados com a versão brasileira da Geriatric Depression Scale, aplicado a uma subamostra de 446 respondentes. A consistência interna das duas escalas foi aferida pelo coeficiente alfa de Cronbach, calculado para os itens em sua totalidade e para os itens de cada fator obtido para o instrumento avaliado. Para avaliar a validade de construto, seus 20 itens foram submetidos à análise fatorial exploratória a fim de conhecer o padrão de variação conjunta dos itens e a variância explicada por cada fator. RESULTADOS: O instrumento revelou índices satisfatórios de validade interna (alfa=0,860, sensibilidade (74,6% e especificidade (73,6%, para nota de corte >11. Entretanto, apontou freqüência relativamente alta de falsos positivos em comparação à Geriatric Depression Scale: de 33,8% vs. 15%. A análise fatorial exploratória do instrumento gerou estrutura fatorial com três fatores: afetos negativos, dificuldades de iniciar comportamentos e afetos positivos. CONCLUSÕES: O instrumento mostrou-se psicometricamente adequado para uso entre idosos. Entretanto, estudos adicionais de natureza longitudinal e transversal, desenvolvidos em diferentes contextos, poderão esclarecer os efeitos de variáveis somáticas e situacionais sobre os resultados desse instrumento em pessoas idosas.OBJECTIVE: To obtain internal construct and criteria validity for the Center of Epidemiological Studies - Depression scale in elderly people. METHODS: The instrument was applied to 903 elderly living in a city in southeastern Brazil, between 2002 and 2003. Results were compared with the Brazilian version of the CES-D applied to a sub-sample of 446 participants. Internal consistency

  13. Executive summary. Conceptual studies nuclear energy center Lake Hartwell, S.C., Phase III

    International Nuclear Information System (INIS)

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a specific site in the SSEB region. The site selected for this conceptual study is at Lake Hartwell, South Carolina. The conceptual NEC at Lake Hartwell consists of twelve 1250-MW(e) LWRs arranged on the site in four cluster of three units each, know as triads. The nominal distance between triads was selected as 2-1/2 miles. The total electric output of 15,000 MWe to be generated by the NEC would be transmitted to five major utilities in South Carolina, North Carolina, and Georgia. Objective of the study was to assess the technical, socioeconomic, environmental, and institutional issues relating to the NEC at the conceptual study site. The basic finding was that the concept of a NEC on the Lake Hartwell site is feasible, but further analysis of institutional issues and possible legislation would be required

  14. Variable-Centered and Person-Centered Approaches to Studying Mexican-Origin Mother-Daughter Cultural Orientation Dissonance

    Science.gov (United States)

    Bamaca-Colbert, Mayra Y.; Gayles, Jochebed G.

    2010-01-01

    The overall aim of the current study was to identify the methodological approach and corresponding analytic procedure that best elucidated the associations among Mexican-origin mother-daughter cultural orientation dissonance, family functioning, and adolescent adjustment. To do so, we employed, and compared, two methodological approaches (i.e.,…

  15. Laser Welding and Syncristallization Techniques Comparison: In Vitro Study

    Directory of Open Access Journals (Sweden)

    C. Fornaini

    2012-01-01

    Full Text Available Background. Laser welding was first reported in 1967 and for many years it has been used in dental laboratories with several advantages versus the conventional technique. Authors described, in previous works, the possibility of using also chair-side Nd : YAG laser device (Fotona Fidelis III, =1064 nm for welding metallic parts of prosthetic appliances directly in the dental office, extra- and also intra-orally. Syncristallisation is a soldering technique based on the creation of an electric arc between two electrodes and used to connect implants to bars intra-orally. Aim. The aim of this study was to compare two different laser welding devices with a soldering machine, all of these used in prosthetic dentistry. Material and Methods. In-lab Nd : YAG laser welding (group A = 12 samples, chair-side Nd : YAG laser welding (group B = 12 samples, and electrowelder (group C = 12 samples were used. The tests were performed on 36 CrCoMo plates and the analysis consisted in evaluation, by microscopic observation, of the number of fissures in welded areas of groups A and B and in measurement of the welding strength in all the groups. The results were statistically analysed by means of one-way ANOVA and Tukey-Kramer multiple comparison tests. Results. The means and standard deviations for the number of fissures in welded areas were 8.12±2.59 for group A and 5.20±1.38 for group B. The difference was statistical significant (=0.0023 at the level 95%. On the other hand, the means and standard deviations for the traction tests were 1185.50±288.56 N for group A, 896.41±120.84 N for group B, and 283.58±84.98 N for group C. The difference was statistical significant (=0.01 at the level 95%. Conclusion. The joint obtained by welding devices had a significant higher strength compared with that obtained by the electrowelder, and the comparison between the two laser devices used demonstrated that the chair-side Nd : YAG, even giving a

  16. Laser welding and syncristallization techniques comparison: in vitro study.

    Science.gov (United States)

    Fornaini, C; Merigo, E; Vescovi, P; Meleti, M; Nammour, S

    2012-01-01

    Background. Laser welding was first reported in 1967 and for many years it has been used in dental laboratories with several advantages versus the conventional technique. Authors described, in previous works, the possibility of using also chair-side Nd : YAG laser device (Fotona Fidelis III, λ = 1064 nm) for welding metallic parts of prosthetic appliances directly in the dental office, extra- and also intra-orally. Syncristallisation is a soldering technique based on the creation of an electric arc between two electrodes and used to connect implants to bars intra-orally. Aim. The aim of this study was to compare two different laser welding devices with a soldering machine, all of these used in prosthetic dentistry. Material and Methods. In-lab Nd : YAG laser welding (group A = 12 samples), chair-side Nd : YAG laser welding (group B = 12 samples), and electrowelder (group C = 12 samples) were used. The tests were performed on 36 CrCoMo plates and the analysis consisted in evaluation, by microscopic observation, of the number of fissures in welded areas of groups A and B and in measurement of the welding strength in all the groups. The results were statistically analysed by means of one-way ANOVA and Tukey-Kramer multiple comparison tests. Results. The means and standard deviations for the number of fissures in welded areas were 8.12 ± 2.59 for group A and 5.20 ± 1.38 for group B. The difference was statistical significant (P = 0.0023 at the level 95%). On the other hand, the means and standard deviations for the traction tests were 1185.50 ± 288.56 N for group A, 896.41 ± 120.84 N for group B, and 283.58 ± 84.98 N for group C. The difference was statistical significant (P = 0.01 at the level 95%). Conclusion. The joint obtained by welding devices had a significant higher strength compared with that obtained by the electrowelder, and the comparison between the two laser devices used demonstrated that the chair-side Nd : YAG, even giving

  17. A study of densitometry comparison among three radiographic processing solutions

    International Nuclear Information System (INIS)

    The radiographic image accuracy depends on the X-ray film information visibility. Good visibility is found by good contrast. Radiation exposure parameters (kVp, mAs) and film processing conditions have impact on contrast. In dentistry radiography machines, exposure time and processing procedure are set by radiographer. No optimized exposure time and processing conditions may lead to incorrect diagnosis and re-exposure of the patient. Therefore, we studied the performance of the three different available processing solutions with dental X-ray film. Materials and Methods: Dental intraoral E-speed films, size 2 (Kodak company, USA) were used in this study. These films were developed in a manual processor using three different brands of processing solution: 1) Taifsaz (Iran), 2) Darutasvir (Iran) and 3) Agfa (Germany) for temperatures of 25digC, 28digC and 30digC at the three different exposure times, 0.2 s, 0.25 s and 0.35 s. Performance was evaluated with respect to base plus fog, relative contrast and relative speed. Results: Darutasvir processing solution as the cheapest one showed higher base plus fog density at 25digC and 30digC than that of Taifsaz and Agfa solutions. Also, Darutasvir solution was found to have better relative contrast than that of the others, except for 30digC at 0.25 s. Relative speed was higher in Darutsavir solution than Agfa for 25digC at three exposure times used in this study, for 28digC at 0.2 s and for 30digC at 0.35 s. Taifsaz Processing solution was in the second order with respect to tested conditions. Conclusion: Comparison among available X-ray film processing solutions for different temperatures at different exposure times can help to maintain image quality while patient exposure and film cost are kept considerably low

  18. Validity of Center for Epidemiologic Studies Depression (CES-D scale in a sample of Iraq and Afghanistan Veterans

    Directory of Open Access Journals (Sweden)

    Ana R Quiñones

    2016-04-01

    Full Text Available Objectives: Optimal depression screening necessitates measurement tools that are valid across varied populations and in the presence of comorbidities. Methods: This study assessed the test properties of two versions of the Center for Epidemiologic Studies Depression scale against psychiatric diagnoses established by the Mini International Neuropsychiatric Interview among a clinical sample of US Veterans deployed during Operations Enduring Freedom, Iraqi Freedom, and New Dawn. Participants (N = 359 recruited from two Department of Veterans Affairs hospitals completed a clinical interview, structured diagnostic interview, and self-reported measures. Results: Based on diagnostic interview and the Diagnostic and Statistical Manual of Mental Disorders 4th Edition criteria, 29.5% of the sample met diagnostic criteria for major depressive disorder and 26.5% met diagnostic criteria for post-traumatic stress disorder. Both Center for Epidemiologic Studies Depression-20 and Center for Epidemiologic Studies Depression-10 scales performed well and almost identically against the Mini International Neuropsychiatric Interview-major depressive disorder in identifying Veterans with major depressive disorder (Center for Epidemiologic Studies Depression-20 area under the Receiver Operating Characteristic curve 91%; Center for Epidemiologic Studies Depression-10 area under the ROC curve 90%. Overall, higher cut points for the Center for Epidemiologic Studies Depression scales performed better in correctly identifying true positives and true negatives for major depressive disorder (Center for Epidemiologic Studies Depression-20 cut point 18+ sensitivity 92% specificity 72%; Center for Epidemiologic Studies Depression-10 cut point 10+ sensitivity 92% specificity 69%. Conclusions: The specificity of the Center for Epidemiologic Studies Depression scales was poor among Veterans with co-occurring post-traumatic stress disorder (13% and 16%. Veterans with post

  19. Gender and Women Development Initiatives in Bangladesh: A Study of Rural Mother Center.

    Science.gov (United States)

    Karim, K M Rabiul; Emmelin, Maria; Lindberg, Line; Wamala, Sarah

    2016-01-01

    Women-focused development initiatives have become a controversial issue connected with women's health and welfare. Previous studies indicated that development initiatives might increase women's workload, family conflict, and marital violence. This study explored the gendered characteristics of a development initiative Rural Mother Center in Bangladesh. Data incorporated policy document and interviews of social workers working with the mother centers in two northwest subdistricts. The qualitative content analysis of data emerged a general theme of expanding women's responsibility while maintaining male privilege explaining gendered design and practice of the development initiative. The theme was supported by two gendered categories related to the design: (a) essentializing women's participation; (b) maintaining traditional gender, and four categories related to the practice; (c) inadequate gender knowledge and skills; (d) reinforcing traditional gender; (e) using women for improving office performance; and (f) upholding male privilege. The study suggests that though women-focused development initiatives need to be embraced with gender-redistributive policies, the social workers should be trained for attaining gender-transformative motivation and competencies. PMID:27149647

  20. Prediction of attendance at fitness center : a comparison between the theory of planned behavior, the social cognitive theory, and the physical activity maintenance theory

    OpenAIRE

    Jekauc, Darko; Völkle, Manuel; Wagner, Matthias O.; Mess, Filip; Reiner, Miriam; Renner, Britta

    2015-01-01

    In the processes of physical activity (PA) maintenance specific predictors are effective, which differ from other stages of PA development. Recently, Physical Activity Maintenance Theory (PAMT) was specifically developed for prediction of PA maintenance. The aim of the present study was to evaluate the predictability of the future behavior by the PAMT and compare it with the Theory of Planned Behavior (TPB) and Social Cognitive Theory (SCT). Participation rate in a fitness center was observed...

  1. Structure and content of radiology reports, a quantitative and qualitative study in eight medical centers

    Energy Technology Data Exchange (ETDEWEB)

    Bosmans, Jan M.L. [Department of Radiology, Antwerp University Hospital (Belgium); Faculty of Medicine, Antwerp University (Belgium)], E-mail: jan.bosmans@uza.be; Weyler, Joost J. [Department of Epidemiology and Social Medicine, Antwerp University (Belgium); Parizel, Paul M. [Department of Radiology, Antwerp University Hospital (Belgium); Faculty of Medicine, Antwerp University (Belgium)

    2009-11-15

    Rationale and objectives: In order to determine how the quality of the radiology report can be improved, the variation in content, form and length of the report needs to be examined. The purpose of the present study was to investigate and compare the length and structure of radiology reports (reports of abdominal CT examinations) in eight hospitals in the Netherlands and Flanders, the Dutch speaking part of Belgium. Materials and methods: Eight hundred reports - 100 from each collaborating center - were collected. After exclusion of the reports that did not fulfill the criteria for a standard CT examination of the abdomen, 525 were retained for further study. The structure of each report was analyzed and the constituting parts (technical information, description of the findings, conclusion, advice, remark, note) were determined. The character and word count of the report and its constituting parts were measured and the results were grouped according to the country (Netherlands vs. Belgium/Flanders), the qualification of the radiologist (staff members vs. residents.) and the nature of the hospital (university medical centers vs. community hospitals). Results: Statistically significant differences were found between the Netherlands and Flanders, and between staff members and residents. The authors also found a wide variety in the lay-out and the overall content of the radiology report. Conclusion: While most of the differences we found are probably rooted in local tradition, a standard model for the radiology report in centers sharing the same language may be a means to avoid interpretation mistakes by referring physicians, and to promote better care.

  2. Structure and content of radiology reports, a quantitative and qualitative study in eight medical centers

    International Nuclear Information System (INIS)

    Rationale and objectives: In order to determine how the quality of the radiology report can be improved, the variation in content, form and length of the report needs to be examined. The purpose of the present study was to investigate and compare the length and structure of radiology reports (reports of abdominal CT examinations) in eight hospitals in the Netherlands and Flanders, the Dutch speaking part of Belgium. Materials and methods: Eight hundred reports - 100 from each collaborating center - were collected. After exclusion of the reports that did not fulfill the criteria for a standard CT examination of the abdomen, 525 were retained for further study. The structure of each report was analyzed and the constituting parts (technical information, description of the findings, conclusion, advice, remark, note) were determined. The character and word count of the report and its constituting parts were measured and the results were grouped according to the country (Netherlands vs. Belgium/Flanders), the qualification of the radiologist (staff members vs. residents.) and the nature of the hospital (university medical centers vs. community hospitals). Results: Statistically significant differences were found between the Netherlands and Flanders, and between staff members and residents. The authors also found a wide variety in the lay-out and the overall content of the radiology report. Conclusion: While most of the differences we found are probably rooted in local tradition, a standard model for the radiology report in centers sharing the same language may be a means to avoid interpretation mistakes by referring physicians, and to promote better care.

  3. Occupational dose measurement in interventional cardiology, dosimetry comparison study

    International Nuclear Information System (INIS)

    The number of cardiology interventional procedures has significantly increased recently. This is due to the reliability of the diagnostic equipment to diagnose many heart disease. In the procedures the x-ray used results in increasing radiation doses to the staff. The cardiologists and other staff members in interventional cardiology are usually working close to the area under examination and receive the dose primarily from scattered radiation from the patient. Therefore workers in interventional cardiology are expected to receive high doses. This study overviews the status of occupational exposure at the three cardiology centers at three different hospitals in Khartoum compared with that received by workers at other medical practices (radiotherapy, nuclear medicine and diagnostic radiology) in the Institute of Nuclear and Technology (INMO) at El Gezira. The TLD Harshaw 6600 reader was used in the assessment of effective dose for Hp (10). Two TLDs were used by each worker at the three cardiology centres, one worn under a protective apron and the other worn outside and above the apron as specified by the ICRP. Each worker at the other sections was facilitated with one dosimeter to be worn on the chest. The annual doses received by 14 cardiologists, 13 nurses and 9 technologists at the three cardiology centres were in the range: (0.84-4.77), (0.15-2.08), (0.32-1.10) mSv respectively. In the INMO the annual doses received by 7 doctors, 5 nurses and 14 technologists were in the range: (0.12-0.51), (0.11-0.65), (0.03-1.39) mSv respectively. The results showed that the annual doses received by the workers do not exceed 20 mSv. The study also indicated that doses received by workers in interventional cardiology, in particular the cardiologists are high compared to that received at the other medical sections.(Author)

  4. X-ray absorption spectroscopic studies of the dinuclear iron center in methane monooxygenase and the sulfure and chlorine centers in photographic materials

    Energy Technology Data Exchange (ETDEWEB)

    DeWitt, J.G.

    1992-12-01

    The dinuclear iron center of the hydroxylase component of soluble methane monooxygenase (MMO) from Methylococcus capsulatus and Methylosinus trichosporiwn has been studied by X-ray absorption spectroscopy. Analysis of the Fe K-edge EXAFS revealed that the first shell coordination of the Fe(HI)Fe(IH) oxidized state of the hydroxylase from M. capsulatus consists of approximately 6 N and 0 atoms at an average distance of 2.04 {Angstrom}. The Fe-Fe distance was determined to be 3.4 {Angstrom}. No evidence for the presence of a short oxo bridge in the iron center of the oxidized hydroxylase was found, suggesting that the active site of MMO is significantly different from the active sites of the dinuclear iron proteins hemery and ribonucleotide reductase. In addition, the results of the first shell fits suggest that there are more oxygen than nitrogen donor ligands.

  5. X-ray absorption spectroscopic studies of the dinuclear iron center in methane monooxygenase and the sulfure and chlorine centers in photographic materials

    Energy Technology Data Exchange (ETDEWEB)

    DeWitt, J.G.

    1992-12-01

    The dinuclear iron center of the hydroxylase component of soluble methane monooxygenase (MMO) from Methylococcus capsulatus and Methylosinus trichosporiwn has been studied by X-ray absorption spectroscopy. Analysis of the Fe K-edge EXAFS revealed that the first shell coordination of the Fe(HI)Fe(IH) oxidized state of the hydroxylase from M. capsulatus consists of approximately 6 N and 0 atoms at an average distance of 2.04 [Angstrom]. The Fe-Fe distance was determined to be 3.4 [Angstrom]. No evidence for the presence of a short oxo bridge in the iron center of the oxidized hydroxylase was found, suggesting that the active site of MMO is significantly different from the active sites of the dinuclear iron proteins hemery and ribonucleotide reductase. In addition, the results of the first shell fits suggest that there are more oxygen than nitrogen donor ligands.

  6. Blanket comparison and selection study. Final report. Volume 2

    International Nuclear Information System (INIS)

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li2O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N2) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concepts are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li2O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concept are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue

  7. Blanket comparison and selection study. Final report. Volume 1

    International Nuclear Information System (INIS)

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li2O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N2) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concept are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li2O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concept are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue

  8. Blanket comparison and selection study. Final report. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    1984-09-01

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li/sub 2/O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N/sub 2/) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concepts are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li/sub 2/O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concept are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue.

  9. Blanket comparison and selection study. Final report. Volume 3

    Energy Technology Data Exchange (ETDEWEB)

    1984-09-01

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li/sub 2/O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N/sub 2/) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concept are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li/sub 2/O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concepts are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue.

  10. Blanket comparison and selection study. Final report. Volume 3

    International Nuclear Information System (INIS)

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li2O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N2) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concept are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li2O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concepts are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue

  11. Blanket comparison and selection study. Final report. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    1984-09-01

    The study focused on: (1) Development of reference design guidelines, evaluation criteria, and a methodology for evaluating and ranking candidate blanket concepts. (2) Compilation of the required data base and development of a uniform systems analysis for comparison. (3) Development of conceptual designs for the comparative evaluation. (4) Evaluation of leading concepts for engineering feasibility, economic performance, and safety. (5) Identification and prioritization of R and D requirements for the leading blanket concepts. Sixteen concepts (nine TMR and seven tokamak) which were identified as leading candidates in the early phases of the study, were evaluated in detail. The overall evaluation concluded that the following concepts should provide the focus for the blanket R and D program: (Breeder/Coolant/Structure), Lithium/Lithium/Vanadium Alloy, Li/sub 2/O/Helium/Ferritic Steel, LiPb Alloy/LiPb Alloy/Vanadium Alloy, and Lithium/Helium/Ferritic Steel. The primary R and D issues for the Li/Li/V concept are the development of an advanced structural alloy, resolution of MHD and corrosion problems, provision for an inert atmosphere (e.g., N/sub 2/) in the reactor building, and the development of non-water cooled near-plasma components, particularly for the tokamak. The main issues for the LiPb/LiPb/V concept are similar to the Li/Li/V blanket with the addition of resolving the tritium recovery issue. The R and D issues for Li/sub 2/O/He/FS concept include resolution of the tritium recovery/containment issue, achieving adequate tritium breeding and resolving other solid breeder issues such as swelling and fabrication concerns. Major concerns for the Li/He/FS concept are related to its rather poor economic performance. Improvement of its economic performance will be somewhat concept-dependent and will be more of a systems engineering issue.

  12. Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

    Directory of Open Access Journals (Sweden)

    Giessauf Christian

    2012-10-01

    Full Text Available Abstract Background Intramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly been based on objective measures. The purpose of the present study is to correlate patients’ health-related quality of life results after intramedullary nailing of pertrochanteric fractures with objective outcome measures. Methods We conducted a single-center study including 62 patients (mean age 80 ± 10 years with pertrochanteric fractures treated with a Gamma 3 Nail. Health related quality of life was measured using the Short Form-36. These results were compared to both US and Austrian age and sex-adjusted population norms. The objective outcome measures studied at one year postoperatively included Harris Hip Score, range of motion, leg length, body mass index, neck-shaft angle and grade of osteoarthritis. Results According to the Harris Hip Score 43 patients (67% had excellent or good results. There was no significant difference in the average neck-shaft angle comparing affected hip to non-affected hip at 12 months postoperatively. The average osteoarthritis score, for both the injured and uninjured hip, did not differ significantly. We found significant differences between the bodily pain, social functioning and mental health subscales and two summary scores of the Short-Form 36 in comparison to Austrian population norms. Complication rate was 8%. Conclusions The results of this study confirm that intramedullary nailing with the use of a Gamma Nail is a safe treatment option for stable and unstable pertrochanteric fractures. Despite good functional and radiographic results we noticed a substantial fall off in patients’ quality of life up to 12 months after operation.

  13. Sex expression and floral diversity in Jatropha curcas: a population study in its center of origin.

    Science.gov (United States)

    Adriano-Anaya, María de Lourdes; Pérez-Castillo, Edilma; Salvador-Figueroa, Miguel; Ruiz-González, Sonia; Vázquez-Ovando, Alfredo; Grajales-Conesa, Julieta; Ovando-Medina, Isidro

    2016-01-01

    Sex expression and floral morphology studies are central to understand breeding behavior and to define the productive potential of plant genotypes. In particular, the new bioenergy crop Jatropha curcas L. has been classified as a monoecious species. Nonetheless, there is no information about its reproductive diversity in the Mesoamerican region, which is considered its center of origin and diversification. Thus, we determined sex expression and floral morphology in J. curcas populations from southern Mexico and Guatemala. Our results showed that most of J. curcas specimens had typical inflorescences with separate sexes (monoecious); meanwhile, the rest were atypical (gynoecious, androecious, andromonoecious, androgynomonoecious). The most important variables to group these populations, based on a discriminant analysis, were: male flower diameter, female petal length and male nectary length. From southern Mexico "Guerrero" was the most diverse population, and "Centro" had the highest variability among the populations from Chiapas. A cluster analysis showed that the accessions from southern Mexico were grouped without showing any correlation with the geographical origin, while those accessions with atypical sexuality were grouped together. To answer the question of how informative are floral morphological traits compared to molecular markers, we perform a Mantel correlation test between the distance matrix generated in this study and the genetic distance matrix (AFLP) previously reported for the same accessions. We found significant correlation between data at the level of accessions. Our results contribute to design genetic improvement programs by using sexually and morphologically contrasting plants from the center of origin. PMID:27257548

  14. R&D Characteristics and Organizational Structure: Case Studies of University-Industry Research Centers

    Science.gov (United States)

    Hart, Maureen McArthur

    2013-01-01

    Within the past few decades, university-industry research centers have been developed in large numbers and emphasized as a valuable policy tool for innovation. Yet little is known about the heterogeneity of organizational structure within these centers, which has implications regarding policy for and management of these centers. This dissertation…

  15. Building a Student-Centered Culture in Times of Natural Disaster: A Case Study

    Science.gov (United States)

    Hlinka, Karen Ramey

    2013-01-01

    Increased rates of student success and persistence have been positively linked to community colleges with student-centered cultures. A student-centered culture is one in which policies and practices promote a consistent message of concern and respect while expecting high standards of academic accomplishment. Developing a student-centered culture…

  16. Data-driven Ontology Development: A Case Study at NASA's Atmospheric Science Data Center

    Science.gov (United States)

    Hertz, J.; Huffer, E.; Kusterer, J.

    2012-12-01

    Well-founded ontologies are key to enabling transformative semantic technologies and accelerating scientific research. One example is semantically enabled search and discovery, making scientific data accessible and more understandable by accurately modeling a complex domain. The ontology creation process remains a challenge for many anxious to pursue semantic technologies. The key may be that the creation process -- whether formal, community-based, automated or semi-automated -- should encompass not only a foundational core and supplemental resources but also a focus on the purpose or mission the ontology is created to support. Are there tools or processes to de-mystify, assess or enhance the resulting ontology? We suggest that comparison and analysis of a domain-focused ontology can be made using text engineering tools for information extraction, tokenizers, named entity transducers and others. The results are analyzed to ensure the ontology reflects the core purpose of the domain's mission and that the ontology integrates and describes the supporting data in the language of the domain - how the science is analyzed and discussed among all users of the data. Commonalities and relationships among domain resources describing the Clouds and Earth's Radiant Energy (CERES) Bi-Directional Scan (BDS) datasets from NASA's Atmospheric Science Data Center are compared. The domain resources include: a formal ontology created for CERES; scientific works such as papers, conference proceedings and notes; information extracted from the datasets (i.e., header metadata); and BDS scientific documentation (Algorithm Theoretical Basis Documents, collection guides, data quality summaries and others). These resources are analyzed using the open source software General Architecture for Text Engineering, a mature framework for computational tasks involving human language.

  17. Audit of a Scientific Data Center for Certification as a Trustworthy Digital Repository: A Case Study

    Science.gov (United States)

    Downs, R. R.; Chen, R. S.

    2011-12-01

    Services that preserve and enable future access to scientific data are necessary to ensure that the data that are being collected today will be available for use by future generations of scientists. Many data centers, archives, and other digital repositories are working to improve their ability to serve as long-term stewards of scientific data. Trust in sustainable data management and preservation capabilities of digital repositories can influence decisions to use these services to deposit or obtain scientific data. Building on the Open Archival Information System (OAIS) Reference Model developed by the Consultative Committee for Space Data Systems (CCSDS) and adopted by the International Organization for Standardization as ISO 14721:2003, new standards are being developed to improve long-term data management processes and documentation. The Draft Information Standard ISO/DIS 16363, "Space data and information transfer systems - Audit and certification of trustworthy digital repositories" offers the potential to evaluate digital repositories objectively in terms of their trustworthiness as long-term stewards of digital resources. In conjunction with this, the CCSDS and ISO are developing another draft standard for the auditing and certification process, ISO/DIS 16919, "Space data and information transfer systems - Requirements for bodies providing audit and certification of candidate trustworthy digital repositories". Six test audits were conducted of scientific data centers and archives in Europe and the United States to test the use of these draft standards and identify potential improvements for the standards and for the participating digital repositories. We present a case study of the test audit conducted on the NASA Socioeconomic Data and Applications Center (SEDAC) and describe the preparation, the audit process, recommendations received, and next steps to obtain certification as a trustworthy digital repository, after approval of the ISO/DIS standards.

  18. Renal denervation: Results of a single-center cohort study; Renale Denervation. Ergebnisse einer Single-Center Kohortenstudie

    Energy Technology Data Exchange (ETDEWEB)

    Luetkens, J.A.; Thomas, D.; Doerner, J.; Schild, H.H.; Naehle, C.P. [Bonn Univ. (Germany). Dept. of Radiology; Wilhelm, K. [Johanniter Hospital, Bonn (Germany). Dept. of Radiology; Duesing, R. [Hypertension Center, Bonn (Germany); Woitas, R.P.; Hundt, F. [Bonn Univ. (Germany). Dept. of Internal Medicine I

    2015-01-15

    To investigate the effect of renal denervation on office-based and 24-h ambulatory blood pressure measurements (ABPM) in a highly selective patient population with drug-resistant hypertension. Patients with drug resistant hypertension eligible for renal denervation were included in the study population. Office blood pressure and ABPM were assessed prior to and after renal denervation. To detect procedure related renal or renal artery damage, magnetic resonance imaging (MRI) and angiography (MRA) were performed pre-interventional, one day post-interventional, and one month after renal denervation. Mean follow-up time between renal denervation and blood pressure re-assessment was 9.5 ± 3.9 months. Between August 2011 and March 2013, 17 patients prospectively underwent renal denervation. Pre-interventional mean office blood pressure and ABPM were 177.3 ± 20.3/103.8 ± 20.4 mmHg and 155.2 ± 20.5/93.7 ± 14.5 mmHg, respectively. Post-interventional, office blood pressure was significantly reduced to 144.7 ± 14.9/89.5 ± 12.1 (p < 0.05). ABPM values remained unchanged (147.9 ± 20.3/90.3 ± 15.6, p > 0.05). The number of prescribed antihypertensive drugs was unchanged after renal denervation (4.7 ± 2.0 vs. 4.2 ± 1.2, p = 0.18). No renovascular complications were detected in follow-up MRI. After renal denervation, no significant decrease in ABPM was observed. These results may indicate a limited impact of renal denervation for drug resistant hypertension.

  19. Comparison of the centering ability of Wave·One and Reciproc nickel-titanium instruments in simulated curved canals

    OpenAIRE

    Lim, Young-Jun; Park, Su-Jung; Kim, Hyeon-Cheol; Min, Kyung-San

    2013-01-01

    Objectives The aim of this study was to evaluate the shaping ability of newly marketed single-file instruments, Wave·One (Dentsply-Maillefer) and Reciproc (VDW GmbH), in terms of maintaining the original root canal configuration and curvature, with or without a glide-path. Materials and Methods According to the instruments used, the blocks were divided into 4 groups (n = 10): Group 1, no glide-path / Wave·One; Group 2, no glide-path / Reciproc; Group 3, #15 K-file / Wave·One; Group 4, #15 K-f...

  20. NASA Langley Research Center Systems Analysis & Concepts Directorate Participation in the Exploration Systems Architecture Study

    Science.gov (United States)

    Keyes, Jennifer; Troutman, Patrick A.; Saucillo, Rudolph; Cirillo, William M.; Cavanaugh, Steve; Stromgren, Chel

    2006-01-01

    The NASA Langley Research Center (LaRC) Systems Analysis & Concepts Directorate (SACD) began studying human exploration missions beyond low Earth orbit (LEO) in the year 1999. This included participation in NASA s Decadal Planning Team (DPT), the NASA Exploration Team (NExT), Space Architect studies and Revolutionary Aerospace Systems Concepts (RASC) architecture studies that were used in formulating the new Vision for Space Exploration. In May of 2005, NASA initiated the Exploration Systems Architecture Study (ESAS). The primary outputs of the ESAS activity were concepts and functional requirements for the Crewed Exploration Vehicle (CEV), its supporting launch vehicle infrastructure and identification of supporting technology requirements and investments. An exploration systems analysis capability has evolved to support these functions in the past and continues to evolve to support anticipated future needs. SACD had significant roles in supporting the ESAS study team. SACD personnel performed the liaison function between the ESAS team and the Shuttle/Station Configuration Options Team (S/SCOT), an agency-wide team charged with using the Space Shuttle to complete the International Space Station (ISS) by the end of Fiscal Year (FY) 2010. The most significant of the identified issues involved the ability of the Space Shuttle system to achieve the desired number of flights in the proposed time frame. SACD with support from the Kennedy Space Center performed analysis showing that, without significant investments in improving the shuttle processing flow, that there was almost no possibility of completing the 28-flight sequence by the end of 2010. SACD performed numerous Lunar Surface Access Module (LSAM) trades to define top level element requirements and establish architecture propellant needs. Configuration trades were conducted to determine the impact of varying degrees of segmentation of the living capabilities of the combined descent stage, ascent stage, and other

  1. [The utilization of parenteral nutrition at Hospital de Jerez (Cádiz): a description and comparison with other hospital centers].

    Science.gov (United States)

    Gómez Henry, J C; Méndez Martínez, C; Blanco Rodríguez, D; Rodríguez Quirós, M

    1996-01-01

    This retrospective study aims to analyze, and compare with other Spanish hospitals, the use of parenteral nutrition, its characteristics and complications, in a general hospital with 610 beds, during 1992. To conduct this study, we have used clinical histories and follow up sheets made up by the Department of Pharmacy for each patient, as well as the results of the sample processing in the microbiology laboratory. Between 1992 and 1993 we have seen an increase in the use of parenteral nutrition, with the number of bags increasing from 2134 to 2575. The departments which have used parenteral nutrition most, were Surgery (57.3%), and ICU (24.8%), with the mean duration being 10.4 days 8SD = +/- 9.3 days). The most frequently used access route in the hospital was the drum, but there are significant differences between the departments. Gastroenterological pathology was, with 71.4% the most frequent indication for its use, and within this, the neoplasias stand out with 26.3% of the total of parenteral nutrition. The complications which affected most patients are: increases of the liver enzymes, hypokalemias, hyponatremias, and hyperglycemias.

  2. Comparison of biofilm formation in clinical isolates of Candida species in a tertiary care center, North India

    Directory of Open Access Journals (Sweden)

    Vivek Agwan

    2015-01-01

    Full Text Available Background and Objectives: Biofilms are colonies of microbial cells encased in a self-produced organic polymeric matrix. The biofilm production is more important for nonalbicans Candida (NAC; as C. albicans possess many other mechanisms to establish infections. Correct identification of Candida species has gained importance due to persistent rise in infections caused by NAC. We sought to isolate, identify Candida species in clinical isolates and study biofilm formation. Materials and Methods: Modified microtiter plate method was performed to study biofilm formation by isolates in Sabouraud's dextrose broth. It was then quantitatively assessed using a spectrophotometer. Biofilm formation was graded as negative, +1, +2, +3 and + 4 on the basis of percentage absorbance. Results: Biofilm formation was observed in 16 of 40 (40.0% isolates of C. albicans as compared to 39 of 78 (50.0% of isolates of NAC. Strong (+4 biofilm production was seen in maximum biofilm producers in C. tropicalis (12 of 27 followed by C. albicans (8 of 16. Total biofilm producers were significantly more among high vaginal swab isolates 63.2% (12 of 19 and urine isolates 59.2% (29 of 49, when compared to blood isolates 34.2% (13 of 38 as well as other isolates 27.5% (11 of 40. Interpretation and Conclusions: NAC species are qualitatively and quantitatively superior biofilm producers than C. albicans. Biofilm production is the most important virulence factor of NAC species and compared to other lesions, it is more significantly associated with luminal infections.

  3. Comparison of two LES codes for wind turbine wake studies

    International Nuclear Information System (INIS)

    For the third time a blind test comparison in Norway 2013, was conducted comparing numerical simulations for the rotor Cp and Ct and wake profiles with the experimental results. As the only large eddy simulation study among participants, results of the Technical University of Denmark (DTU) using their in-house CFD solver, EllipSys3D, proved to be more reliable among the other models for capturing the wake profiles and the turbulence intensities downstream the turbine. It was therefore remarked in the workshop to investigate other LES codes to compare their performance with EllipSys3D. The aim of this paper is to investigate on two CFD solvers, the DTU's in-house code, EllipSys3D and the open-sourse toolbox, OpenFoam, for a set of actuator line based LES computations. Two types of simulations are performed: the wake behind a signle rotor and the wake behind a cluster of three inline rotors. Results are compared in terms of velocity deficit, turbulence kinetic energy and eddy viscosity. It is seen that both codes predict similar near-wake flow structures with the exception of OpenFoam's simulations without the subgrid-scale model. The differences begin to increase with increasing the distance from the upstream rotor. From the single rotor simulations, EllipSys3D is found to predict a slower wake recovery in the case of uniform laminar flow. From the 3-rotor computations, it is seen that the difference between the codes is smaller as the disturbance created by the downstream rotors causes break down of the wake structures and more homogenuous flow structures. It is finally observed that OpenFoam computations are more sensitive to the SGS models

  4. Study of radiation-induced paramagnetic centers in quartz and its possible use in radiation dosimetry

    International Nuclear Information System (INIS)

    A new EPR dosimetry system has been developed based on the radiation-formed stable paramagnetic centers in quartz. The first part of the thesis includes the preparation of quartz rods (diameter = 3 mm, length = 10 mm) where quartz powder was mixed with molten mixture of paraffin wax and ethylene vinyl acetate copolymer (EVA). The binding-mixture EVA / paraffin do not present interference or noise in the EPR signal before or after irradiation to high doses. The quartz rods were prepared by different concentrations (5, 10, 20, 30 and 50 %). The rods (30 %) show good mechanical properties for safe and multi-use handling. The second part is concerned with studying the dosimetric characteristics of gamma irradiation sensitive rods where the radiation-formed stable free radicals (E-center, peroxy radical and non-bridging oxygen hole center) which analyzed by using electron paramagnetic resonance (EPR) spectrometer. Unirradiated rods have no EPR signals. The useful dose range of these rods was found to range from 0.1 to 80 kGy depending on concentration of quartz powder, indicating their suitability for low and high dose gamma radiation applications. Also it was found that quartz rod exhibits a linear dose response in the dose regions 0.1-2.34 and 2.34-26 kGy at optimum EPR parameters. The dosimeter response was assessed using the peak-to-peak amplitude of the first-derivatives EPR spectrum. Its EPR signal was found unchanged in shape with different doses and different concentrations. A signal line spectrum attributed to the E-center was observed after irradiation, and this radical is insensitive to temperature, light independence as well as it have a very low decay (4.768 % per year). The overall uncertainty for quartz rod dosimeters at 2σ (σ is standard deviation) was found to be 3.8436 %. The dosimetric parameters, e. g. dose response, effect of temperature during irradiation on response as well as pre- and post-irradiation stability at different storage conditions

  5. Student-centered Role-based Case Study Model to Improve Learning in Decision Support Systems

    Directory of Open Access Journals (Sweden)

    Farrukh Nadeem

    2014-10-01

    Full Text Available One of the important learning objectives of our bachelor course on "Techniques in Decision Support Systems" is to develop understanding of core decision making process in real-life business situations. The conventional teaching methods are unable to explain complexities of real-life business. Although the classroom discussions can be effective to understand general factors, such as opportunity cost, return on investment, etc. affecting business decisions, the effects of factors like dynamic business environment, incomplete information, time pressure etc. can not be truly explained through such simple discussions. In this paper, we describe our experience of adopting student-centered, role-based, case study to deal with this situation. The interactive case-based study not only provided students with experiential learning, but also gave them liberty to test their thoughts. As a result, we observed improved students' learning as well as improved grades. In addition, this approach made classes more dynamic and interesting.

  6. Center for Volcanic and Tectonic Studies: 1992--1993 annual report

    International Nuclear Information System (INIS)

    The annual report of the Center for Volcanic Studies (CVTS) contains a series of papers, reprints and a Master of Science thesis that review the progress made by the CVTS between October 1, 1992 and February 1, 1994. During this period CVTS staff focused on several topics that have direct relevance to volcanic hazards related to the proposed high-level nuclear waste repository at Yucca Mountain, Nevada. These topics include: (1) polygenetic/polycyclic volcanism in Crater Flat, Nevada; (2) the role of the mantle during crustal extension; (3) the detailed geology of Crater Flat, Nevada; (4) Pliocene volcanoes in the Reveille Range, south-central Nevada; (5) estimating the probability of disruption of the proposed repository by volcanic eruptions. This topic is being studied by Dr. C.H. Ho at UNLV. The report contains copies of these individual papers as they were presented in various conference proceedings

  7. Final report. Conceptual studies nuclear energy center Lake Hartwell, S.C., Phase III

    International Nuclear Information System (INIS)

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a specific site in the SSEB region. The site selected for this conceptual study is at Lake Hartwell, South Carolina. The conceptual NEC at Lake Hartwell consists of twelve nuclear electric generating units, arranged on the site in four clusters of three units each, known as triads. The nominal distance between triads was selected as 2-1/2 miles. Each unit was assumed to be a 1250 MW(e). The total electric output of 15,000 MWe would be transmitted to five major utilities in South Carolina, North Carolina, and Georgia. The basic finding was that the concept of a NEC on the Lake Hartwell site is feasible, but further analysis of institutional issues and possible legislation would be required

  8. Increasing access--a qualitative study of homelessness and palliative care in a major urban center.

    Science.gov (United States)

    Krakowsky, Yonah; Gofine, Mirriam; Brown, Pnina; Danziger, Jana; Knowles, Holly

    2013-05-01

    Rates of morbidity and mortality are significantly higher in homeless populations. Homeless people experience many barriers to receive adequate palliative care. This qualitative study examines how a major urban city's palliative care resources can be improved to increase access and better serve the homeless. Audiotaped interviews were preformed with 7 homeless care providers in Toronto, Canada, and their transcripts were analyzed using thematic analysis. The findings of the study suggest that in order to increase access and to serve the city's terminally ill homeless better, the following 4 areas must be addressed: (1) increasing positive interaction between the health care system and the homeless, (2) training staff to deal with the unique issues confronting the homeless, (3) providing patient-centered care, and (4) diversifying the methods of delivery.

  9. Center for Volcanic and Tectonic Studies: 1992--1993 annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    The annual report of the Center for Volcanic Studies (CVTS) contains a series of papers, reprints and a Master of Science thesis that review the progress made by the CVTS between October 1, 1992 and February 1, 1994. During this period CVTS staff focused on several topics that have direct relevance to volcanic hazards related to the proposed high-level nuclear waste repository at Yucca Mountain, Nevada. These topics include: (1) polygenetic/polycyclic volcanism in Crater Flat, Nevada; (2) the role of the mantle during crustal extension; (3) the detailed geology of Crater Flat, Nevada; (4) Pliocene volcanoes in the Reveille Range, south-central Nevada; (5) estimating the probability of disruption of the proposed repository by volcanic eruptions. This topic is being studied by Dr. C.H. Ho at UNLV. The report contains copies of these individual papers as they were presented in various conference proceedings.

  10. A simple statistical method for catch comparison studies

    DEFF Research Database (Denmark)

    Holst, René; Revill, Andrew

    2009-01-01

    For analysing catch comparison data, we propose a simple method based on Generalised Linear Mixed Models (GLMM) and use polynomial approximations to fit the proportions caught in the test codend. The method provides comparisons of fish catch at length by the two gears through a continuous curve...... with a realistic confidence band. We demonstrate the versatility of this method, on field data obtained from the first known testing in European waters of the Rhode Island (USA) 'Eliminator' trawl. These data are interesting as they include a range of species with different selective patterns. Crown Copyright (C...

  11. Epidemiological, Clinical and Paraclinical Study of Hydatid Cysts in Three Educational Medical Centers in 10 Years

    Directory of Open Access Journals (Sweden)

    Simindokht Shoaee

    2016-01-01

    Full Text Available Background: Echinococcosis or hydatidosis, caused by the larval stage of Echinococcus granulosus (E. granulosus, is an important public health problem in many areas of the world  and  Iran is a country of endemic situation for hydatidosis In the present study, we evaluated epidemiological, complications and clinical characteristics of hydatidosis at three University Medical Centers in Tehran over a 10-year period.Materials and Methods: This is a descriptive cross-sectional study performed in patients with hydatid cysts. Information about age, gender, number of cysts, organ involvement, morbidity and mortality and relapse were collected from medical records of hydatid patients. Paraclinic information such as CT Scan, MRI, ultrasound, complete blood count, pathological diagnosis and complication of disease were collected.Results: Overall, 81 patients, 35 (43.2% male and 46 (56.8% female, who were diagnosed as having hydatid cyst by clinical and radiological findings, with pathologic documentation were studied in three university medical center registries over a 10-year period (2003- 2012 in Tehran. Fourteen patients (17% of cases had complications resulting from this disease. Patients' age ranged from 5 to 86 years, and the peak prevalence of the disease was between 20 and 40 (34% of cases.Conclusion: Iran  is a country of endemic situation for hydatidosis. Prevalence rate of hydatidosis in Iran was reported to be 0.61-2 in 100000 populations. The highest  rate of infection and complications were in patients of 20-40 years age. Clinical examination revealed that abdominal pain was the most common complaint and was present in 51.7% of the cases. Other most common complain were cough, abdominal mass, dyspnea, icterus, chest pain, dyspepsia, back pain and seizure; and it was result of occupying effect of cysts in organs. This is similar with previous studies in Iran

  12. Identifying elements of patient-centered care in underserved populations: a qualitative study of patient perspectives.

    Directory of Open Access Journals (Sweden)

    Sheela Raja

    Full Text Available Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes.

  13. A comparative study to analyze the cost of curative care at primary health center in Ahmedabad

    Directory of Open Access Journals (Sweden)

    Mathur Neeta

    2010-01-01

    Full Text Available Objectives: To determine the unit cost of curative care provided at Primary Health Centers (PHCs and to examine the variation in unit cost in different PHCs. Materials and Methods: The present study was carried out in three PHCs of Ahmedabad district namely Sanathal, Nandej, and Uperdal, between 1 April, 2006 and 31 March, 2007. For estimating the cost of a health program, information on all the physical and human resources that were basic inputs to the PHC services were collected and grouped into two categories, non-recurrent (capital resources vehicles, buildings, etc. and recurrent resources (salaries, drugs, vaccines, contraceptives, maintenance, etc.. To generate the required data, two types of schedules were developed, daily time schedule and PHC/SC (Subcenter information schedule. Results: The unit cost of curative care was lowest (Rs. 29.43 for the Sanathal PHC and highest (Rs. 88.26 for the Uperdal PHC, followed by the Nandej PHC with Rs. 40.88, implying severe underutilization of curative care at the Uperdal PHC. Conclusions: Location of health facilities is a problem at many places. As relocation is not possible or even feasible, strengthening of infrastructure and facilities at these centers can be taken up immediately.

  14. Factors associated with drug abuse relapse: A study on the clients of rehabilitation centers

    Directory of Open Access Journals (Sweden)

    Samir Bhandari

    2015-10-01

    Full Text Available Background and Objectives: Drug addiction is a chronic relapsing behavioral disorder characterized by compulsive substance seeking and use, despite of harmful consequences. Any substance that affects our nervous through intoxication produced by it’s repeated of chronic use which changes our mood, perception and sensation. The main purpose of this study was to explore the factors associated with drugs relapse. Methods: The research was carried out among 114 using semi structured questionnaires on the basis of primary data collection in rehabilitation centers of Lalitpur and Chitwan districts through the census technique for the drug user enrolled in the rehabilitation centers for the treatment. Results: Most of the respondents (94.7 percent were relapsed in drugs after abstinence. The average number of times relapse in drugs is 3.29 times per person According to the respondents the main causes for the drugs relapse were peer pressure and the family relations. The age of the respondents is associated with the drugs relapse (P<0.029. Educational level of the respondents is associated with the drug relapse (P<0.004. Conclusions: Medium and higher economic background, type of family, job holder, lower education level have more chance to be relapsed. Relapsed can be prevented by providing support, care, positive attitude and rehabilitation for the behavioral treatment of the drug users.

  15. 5-year Mortality in Hemodialysis Patients: A Single Center Study in Tripoli

    Directory of Open Access Journals (Sweden)

    Buargub Mahdia

    2008-01-01

    Full Text Available To investigate the 5-year mortality of patients undergoing maintenance hemo-dialysis (HD at Al-Shat center Tripoli, we reviewed during June 2007 the records of all the HD patients initiated on HD from Jun 2000 and Jan 2002.There were 124 patients in the study, 77 males (63.6% and 47 (36.4% females, with a mean age of 49 ± 14 years. Diabetic nephropathy (DN was the underlying kidney disease in 34 (27.4% patients. After 5 years; 3 patients were transferred to other centers, 18 (14.9% patients underwent kidney transplan-tation. Out of the 103 patients who continued on hemodialysis, 53 (51.4% expired during the 5-year follow-up. Mortality was associated with older age (p< 0.001 and odd ratio (OR of 4.2 for age > 50 years and DN (p< 0.002 and OR of 3.9. Mortality rate in diabetics was 74.1% and significantly associated with male sex (p< 0.0067 and OR of 2.4, older age (p< 0.004, presence of hypertension (p< 0.003 and OR of 3.9, type 1 diabetes (OR 1.6, and elevated mean body weight (p< 0.046. Mortality was also relatively higher in black patients (OR of 2.0 and smokers (OR of 1.39. In conclusion, the overall 5- year mortality for dialysis patients was elevated and higher in the diabetics.

  16. Structural Transformation of the Peptide Fragments from the Reactive Center Loops of Serpins: Circular Dichroic Studies

    Institute of Scientific and Technical Information of China (English)

    胡红雨; 陈韵能; 徐松琴; 许根俊

    2001-01-01

    Two peptides, derived from the reactive center of ovalbumin (OVARC) and plasminogen activator inihitor-1 (PAIRC)respectively were chemically synthesized and investigated by circular dichroic spectr oscopy. The secondary structural transformation in solution and in solid state was studied.OVARC shows a nascent helical structure in aqueous solution,and its helical content increases under acidic conditions. There is no obvious structural conversion from solution to solid state. PAIRC, however, undergoes a structural transformation from random coil in aqueous solution to a typical β-sheet structure in the solid state. Hexafluoroisopropanol (HFIP)prompts helical structures of the two peptides in solution, but it seems to trigger the structural formation of β-sheets in solid state. The novel structural transformation from random coil or nascent helical structure in aqueous solution to the α-helix in HFIP and to the β-sheet structure in solid state may reflect the conformational polymorphism of the serpin reactive centers and is implicated in the structural features of the amyloid aggregates.

  17. Identifying elements of patient-centered care in underserved populations: a qualitative study of patient perspectives.

    Science.gov (United States)

    Raja, Sheela; Hasnain, Memoona; Vadakumchery, Tracy; Hamad, Judy; Shah, Raveena; Hoersch, Michelle

    2015-01-01

    Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes. PMID:25993110

  18. The proton therapy nozzles at Samsung Medical Center: A Monte Carlo simulation study using TOPAS

    Science.gov (United States)

    Chung, Kwangzoo; Kim, Jinsung; Kim, Dae-Hyun; Ahn, Sunghwan; Han, Youngyih

    2015-07-01

    To expedite the commissioning process of the proton therapy system at Samsung Medical Center (SMC), we have developed a Monte Carlo simulation model of the proton therapy nozzles by using TOol for PArticle Simulation (TOPAS). At SMC proton therapy center, we have two gantry rooms with different types of nozzles: a multi-purpose nozzle and a dedicated scanning nozzle. Each nozzle has been modeled in detail following the geometry information provided by the manufacturer, Sumitomo Heavy Industries, Ltd. For this purpose, the novel features of TOPAS, such as the time feature or the ridge filter class, have been used, and the appropriate physics models for proton nozzle simulation have been defined. Dosimetric properties, like percent depth dose curve, spreadout Bragg peak (SOBP), and beam spot size, have been simulated and verified against measured beam data. Beyond the Monte Carlo nozzle modeling, we have developed an interface between TOPAS and the treatment planning system (TPS), RayStation. An exported radiotherapy (RT) plan from the TPS is interpreted by using an interface and is then translated into the TOPAS input text. The developed Monte Carlo nozzle model can be used to estimate the non-beam performance, such as the neutron background, of the nozzles. Furthermore, the nozzle model can be used to study the mechanical optimization of the design of the nozzle.

  19. Lionfish string experiences of an inland poison center: a retrospective study of 23 cases.

    Science.gov (United States)

    Trestrail, J H; al-Mahasneh, Q M

    1989-04-01

    From January 1979 through March 1988, our regional poison center, located many hundreds of miles from the nearest coastal salt water, documented 23 cases of envenomation by "Lionfish" (members of genus Pterois). All cases involved specimens which were maintained in the homes of amateur aquarists. A study of patient epidemiology showed the following: patient's sex 91.3% male, 8.7% female; patients ages ranged from 17 to 50 years with an average age for males of 29.8 years and 35 years for females; the site of the envenomation accident was always in the home; the only part of the body envenomated was the hand or finger; and all of the patients were symptomatic. Symptoms noted included sharp pain, swelling, redness, bleeding, nausea, numbness, joint pain, anxiety, headache, disorientation, and dizziness. One patient had a complication of cellulitis. Treatment provided included immersion of the effected area in hot water at 40 C for 60 to 90 min, analgesics, tetanus toxoid, and antibiotics. There were no deaths noted and treatment proved effective in all cases. This paper also discusses the natural history, clinical effects, and current treatment for envenomations from these beautiful but dangerous venomous fish, which can cause poisoning exposures that are likely to be encountered by poison centers anywhere in the world. PMID:2929130

  20. STUDY ON THE MECHANISM OF 1-OCTENE ZIEGLER-NATTA POLYMERIZATION BASED ON THE NUMBER OF ACTIVE CENTERS

    Institute of Scientific and Technical Information of China (English)

    FAN Zhiqiang; FENG Linxian; YANG Shilin

    1991-01-01

    The number of active centers (Cp )-t and kp-t profiles of Solvay type TiCl3 - AlR3 (R= C2H5, i - C4H9 )or Stauffer AA TiCl3-Al (C2H5)3 catalyzed 1-octene polymerization were determined by using an acetyl chloride quenching method as well as kinetic data. The results show that in the studied systems kp decreases when Cp increases, indicating the presence of two or more types of different active centers. The Cp-t plots of the Solvay TiCl3- AlR3 systems show the presence of both stable active centers and unstable centers which decay in the polymerization process. The phenomena are explained based on a model of active center plurality. The increases of Cp in the induction periods are also discussed.

  1. Community outreach and engagement strategies from the Wisconsin Study Center of the National Children's Study.

    Science.gov (United States)

    Riesch, Susan K; Ngui, Emmanuel M; Ehlert, Carey; Miller, M Katie; Cronk, Christine A; Leuthner, Steven; Strehlow, Mary; Hewitt, Jeanne B; Durkin, Maureen S

    2013-05-01

    The purpose of this methods article was to describe and evaluate outreach and engagement strategies designed to initially build county-wide awareness and support for the National Children's Study (NCS or the study) and subsequently to target the segment communities where recruitment for the study occurred. Selected principles from community outreach, social marketing, and health care system and personal referral formed the foundation for the strategies. The strategies included a celebration event, community advisory board, community needs assessment, building relationships with health care providers and systems, eliciting a network of study supporters, newsletters, appearances at local young family-oriented events (health fairs, parades), presentations to local community leaders, community forums, "branding" with assistance from a women-owned local marketing firm, and mailings including an oversized, second-touch postcard. Six months after study launch, approximately 4,600 study-eligible women were asked in a door-to-door survey if and how they became aware of the study. On average, 40% of eligible women reported being aware of the study. The most frequently cited strategy to cultivate their awareness was study-specific mailings. Awareness of the NCS increased by 7.5% among those receiving a second-touch postcard relative to controls (95% CIs [4.9, 10.7] z = 5.347, p < 0.0000, d = 0.16). Community outreach and engagement strategies, in particular the oversized postcard as a second-touch effort, may be used effectively by researchers for participant recruitment and by public health nurses for delivery of important population-focused messages. PMID:23586770

  2. Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: A randomized controlled trial

    Institute of Scientific and Technical Information of China (English)

    Zhou-wen CHEN; Li-zheng FANG; Li-ying CHEN; Hong-lei DAI

    2008-01-01

    Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to improve attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group, SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%, 87.5% and 88.3%, respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group, with odds ratio 1.698, 95% confidence interval 1.224 to 2.316, P=0.001 in the SMS group, and odds ratio 1.829, 95% confidence interval 1.333 to 2.509, P<0.001 in the telephone group. However, there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion:SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.

  3. Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: A randomized controlled trial*

    Science.gov (United States)

    Chen, Zhou-wen; Fang, Li-zheng; Chen, Li-ying; Dai, Hong-lei

    2008-01-01

    Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to improve attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group, SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control, SMS and telephone groups were 80.5%, 87.5% and 88.3%, respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group, with odds ratio 1.698, 95% confidence interval 1.224 to 2.316, P=0.001 in the SMS group, and odds ratio 1.829, 95% confidence interval 1.333 to 2.509, PSMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder. PMID:18196610

  4. Effect of Health Comparisons on Functional Health and Depressive Symptoms - Results of a Population-Based Longitudinal Study of Older Adults in Germany.

    Directory of Open Access Journals (Sweden)

    André Hajek

    Full Text Available To investigate the effect of health comparisons on functional health and depressive symptoms in a longitudinal approach. Gender differences were examined.The German Ageing Survey (DEAS is a nationwide, representative longitudinal study of community dwelling individuals living in Germany aged 40 and older. The surveys in 2008 and 2011 were used, with n = 3,983 respondents taking part in both waves. Health comparisons were quantified by the question "How would you rate your health compared with other people your age" (Much better; somewhat better; the same; somewhat worse, much worse. Functional health was assessed by the subscale "physical functioning" of the 36-Item Short Form Health Survey (SF-36 and depressive symptoms were measured by the Center for Epidemiologic Studies Depression Scale (CES-D.Adjusting for sociodemographic factors, self-assessed health, social network, self-efficacy and optimism, and morbidity, fixed effects regressions revealed that functional health decreased significantly and considerably with negative health comparisons in the total sample (transitions from 'the same' to 'much worse': β = -11.8, predominantly in men. The effects of negative health comparisons (transitions from 'the same' to 'much worse': β = 4.8 on depressive symptoms were comparable (in terms of significance to the effects on functional health, with stronger effects in women. Positive comparisons did not affect functional health and depressive symptoms.Our findings underline the relevance of negative health comparisons on functional health (men and depressive symptoms (women. Comparison effects are asymmetric and mostly upwards.

  5. Fertility studies in female childhood cancer survivors: selecting appropriate comparison groups

    NARCIS (Netherlands)

    Berg, M. van den; Dulmen-den Broeder, E. van; Overbeek, A.; Ronckers, C.; Dorp, W. van; Kremer, L.; Heuvel-Eibrink, M. van den; Huizinga, G.; Loonen, J.J.; Versluys, A.; Bresters, D.; Lambalk, C.; Kaspers, G.; Leeuwen, F.N. van

    2014-01-01

    Little information is available on the use of appropriate comparison groups for studies investigating late effects of childhood cancer. Two comparison groups in a nationwide study on reproductive function and ovarian reserve in female childhood cancer survivors were recruited (The Dutch Childhood On

  6. Fertility studies in female childhood cancer survivors : selecting appropriate comparison groups

    NARCIS (Netherlands)

    van den Berg, M. H.; van Dulmen-den Broeder, E.; Overbeek, A.; Ronckers, C. M.; van Dorp, W.; Kremer, L. C.; van den Heuvel-Eibrink, M. M.; Huizinga, G. A.; Loonen, J. J.; Versluys, A. B.; Bresters, D.; Lambalk, C. B.; Kaspers, G. J. L.; van Leeuwen, F. E.

    2014-01-01

    Little information is available on the use of appropriate comparison groups for studies investigating late effects of childhood cancer. Two comparison groups in a nationwide study on reproductive function and ovarian reserve in female childhood cancer survivors were recruited (The Dutch Childhood On

  7. Erectile Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Outcomes from a Multi-Center Study and Risk Factor Analysis in a Single Center.

    Directory of Open Access Journals (Sweden)

    Yadong Zhang

    Full Text Available The aim of this study was to investigate the prevalence of erectile dysfunction (ED in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS and explore the influence of UPOINT domains, National Institutes of Health-CP symptom index (NIH-CPSI and other factors on ED prevalence. This was a prospective study of consecutive patients with CP/CPPS seen at 11 tertiary hospitals during January-July 2014. ED was diagnosed as a score of<21 on the International Index of Erectile Function (IIEF-5. Patients from one center were evaluated by the UPOINT system and NIH-CPSI. Each patient was assessed using clinical examination, asocio-demographic questionnaire, the Patient Health Questionnaire (PHQ, the Pain Catastrophizing Scale (PCS, NIH-CPSI and IIEF-5.1406 patients from 11 centers (mean age, 32.18 years; range 18-60 years were enrolled. ED was found in 638/1406 patients (45.4%, and was categorized as mild in 291(45.6%, moderate in 297(46.6% and severe in50(7.7%. 192 patients from one center(mean age,31.3 years; range 18-57 years were further studied.IIEF-5 score correlated negatively with NIH-CPSI(r = 0.251, PHQ (r = 0.355 and PCS (r = 0.322scores (P<0.001.PHQ score correlated positively with NIH-CPSI (r = 0.586 and PCS(r = 0.662 scores (P<0.001.NIH-CPSI, PHQ, PCS and IIEF-5 scores did not differ significantly between class IIIA and IIIB CP/CPPS. Multivariate logistic regression showed that UPOINT psychological (P domain and NIH-CPSI symptom severity were independent risk factors for ED in CP/CPPS. It is concluded that psychological factors and symptom severity are independent risk factors for ED in CP/CPPS.

  8. Is the Dark Triad Better Studied Using a Variable- or a Person-Centered Approach? An Exploratory Investigation

    Science.gov (United States)

    Kam, Chester Chun Seng; Zhou, Mingming

    2016-01-01

    Despite Allport’s early call to study personality as a coordinated system of traits within individual rather than separate traits, researchers often assume personality variables are largely distinct, independent characteristics. In the current research, we examined the usual assumption that Dark Triad traits (narcissism, psychopathy, and Machiavellianism) are best studied using a variable-centered (dimensional), rather than a person-centered (taxonic), approach. Results showed that a variable-centered approach is appropriate in understanding the Dark Triad, and yet individuals scoring high on one Dark Triad dimension also tend to score high on other dimensions. Based on these results, we concluded that it is appropriate to study individual differences in the Dark Triad (inferences based on persons) by capturing the common variance among the three traits using a variable-centered approach, rather than treating these traits as independent or uncoordinated characteristics. PMID:27580224

  9. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for NASA Stennis Space Center

    Energy Technology Data Exchange (ETDEWEB)

    Schey, Stephen [Idaho National Lab. (INL), Idaho Falls, ID (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-05-01

    Federal agencies are mandated to purchase alternative fuel vehicles, increase consumption of alternative fuels, and reduce petroleum consumption. Available plug-in electric vehicles (PEVs) provide an attractive option in the selection of alternative fuel vehicles. PEVs, which consist of both battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), have significant advantages over internal combustion engine (ICE) vehicles in terms of energy efficiency, reduced petroleum consumption, and reduced production of greenhouse gas (GHG) emissions, and they provide performance benefits with quieter, smoother operation. This study intended to evaluate the extent to which NASA Stennis Space Center (Stennis) could convert part or all of their fleet of vehicles from petroleum-fueled vehicles to PEVs.

  10. Bubbles are more than you think - The Center for Information and Bubble Studies

    DEFF Research Database (Denmark)

    Hendricks, Vincent Fella

    2016-01-01

    Billions of people make an investment every day – not a financial one, but an investment of time and effort into expressing our opinions on things we are sympathetic to and those we detest. We pay respect and expect a return – in terms of “likes” on a recently posted selfie. We are investors...... in social media, trading likes for likes all the time, and without much market research. Of course, social media is awash with what the finance world would call liquidity – there is no shortage of likes, upvotes, posts and retweets. However, too much liquidity can poison a financial market, leading prices...... to inflate beyond their fundamental value – what we call a bubble. Furthermore, it can possibly poison a market in which we invest opinions and expressions rather than money. By this means, the pivotal aim of the Center for Information and Bubble Studies (CIBS) is to uncover the structure and dynamics...

  11. Production of beams from solid materials at Center for Nuclear Study electron cyclotron resonance ion source

    Science.gov (United States)

    Ohshiro, Y.; Yamaka, S.; Watanabe, S.; Kobayashi, K.; Kotaka, Y.; Nishimura, M.; Kase, M.; Muto, H.; Yamaguchi, H.; Shimoura, S.

    2014-02-01

    Two methods for the feed of vapor from solid materials in the Center for Nuclear Study ECR ion source are described. A rod placed near the wall of the plasma chamber, operating up to a melting point of 2600 °C, has been used for CaO, SiO2, and FeO. An oven with a number of openings, operating up to 800 °C, has been used for P2O5, Li, and S. Typical ion beam intensities of 7Li2+, 6Li3+, 40Ca12+, and 56Fe15+ are achieved 280, 75, 28, and 7 eμA, respectively. High intensity heavy ion beams are stably supplied into the azimuthally varying field cyclotron.

  12. Pilot Study: Measuring the Effects of Center of Gravity Shift on Postural Stability

    Science.gov (United States)

    Times-Marshall, Chelsea; Reschke, Millard

    2009-01-01

    It has been shown that astronauts returning from space often experience postural instability due to the stimulus rearrangement of the visual, vestibular, and proprioceptive systems. However, postural control may also be influenced by the head-ward shift in their center of gravity (CG) that occurs as a result of the expansion of their spinal column by as much as two inches during long duration space flight, as well as the CG shift that occurs from the Life Support Pack on the extra-vehicular activity (EVA) suit. This study investigated the effect on postural stability after (1) an immediate shift in the CG towards the head, (2) a 30 minute adaptation to the shifted CG, and (3) immediate shift of the CG back to normal, accomplished by donning and removing a modified backpack. We hypothesized that at each immediate shift in CG, postural performance will be compromised.

  13. Nutritional management of enterocutaneous fistula: a retrospective study at a Malaysian university medical center

    Directory of Open Access Journals (Sweden)

    Badrasawi MMH

    2014-08-01

    Full Text Available Manal MH Badrasawi,1 Suzana Shahar,1 Ismail Sagap2 1Dietetics Program, School of Health Care Sciences, Faculty of Health Sciences, 2Department of Surgery, Faculty of Medicine, UKM Medical Center, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Abstract: Enterocutaneous fistula is a challenging clinical condition with serious complications and considerable morbidity and mortality. Early nutritional support has been found to decrease these complications and to improve the clinical outcome. Location of the fistula and physiological status affect the nutrition management plan in terms of feeding route, calories, and protein requirements. This study investigated the nutritional management procedures at the Universiti Kebangsaan Malaysia Medical Center, and attempted to determine factors that affect the clinical outcome. Nutritional management was evaluated retrospectively in 22 patients with enterocutaneous fistula seen over a 5-year period. Medical records were reviewed to obtain data on nutritional status, biochemical indices, and route and tolerance of feeding. Calories and protein requirements are reported and categorized. The results show that surgery was the predominant etiology and low output fistula was the major physiological category; anatomically, the majority were ileocutaneous. The spontaneous healing rate was 14%, the total healing rate was 45%, and the mortality rate was 22%, with 14% due to fistula-associated complications. There was a significant relationship between body mass index/serum albumin levels and fistula healing; these parameters also had a significant relationship with mortality. Glutamine was used in 50% of cases; however, there was no significant relationship with fistula healing or mortality rate. The nutritional status of the patient has an important impact on the clinical outcome. Conservative management that includes nutrition support is very important in order to improve nutritional status before surgical

  14. Determination Anxiety Level of the Youngsters Studying in Denizli Apprenticeship Training Center

    Directory of Open Access Journals (Sweden)

    Ozgur Metin

    2008-04-01

    Full Text Available AIM/BACKGROUND: This study was carried out as a definitive work in order to determine the anxiety level and self-respect of the students studying in Denizli Apprenticeship Training Center. METHODS: The study population was composed of 1276 individuals registered at Denizli Apprenticeship Training Center. The size of the sample was established to be as 235 individuals considering the formula used in the conditions where the study population was determined but 231 individuals were contacted. Those recruited in the study were chosen with the stratified randomized sampling method. The data were obtained during February-March 2005 in the class via the questionnaire formed by the researcher, the State-Continuous Anxiety Inventory and Coopersmith Self-respect Scale. For the evaluation of the data mean, standard deviation, percentage and quantity estimations, Kruskal-Wallis test, t-test, Mann-Whitney Test and one way ANOVA tests were employed. RESULTS: The mean age of the youngsters recruited in the study was 17.06 1.45. 75.3% of the subjects were male, 33.8% had 4 or more siblings, 79.7% were graduated from middle school and 76.7% were living with their families. Another working individual was present in 87.9% of the subjects. 16.5% of the subjects pointed out that they their master did not provided them assistance for a job they held for the first time whereas 35.5% of the subjects stated that they experienced difficulties in case when they needed license of absence. 40.3% of the students enunciated that they were obliged to do work that strain their power, and 29.9% stated that they were not appreciated. The difference between the sex of the subjects, the education status of their fathers and the anxiety level of the youngsters was found to be significant (p0.05. CONCLUSION: The anxiety level of the females involved in the study and the youngsters whose fathers’ education level was middle school or higher was detected to be greater. [TAF Prev Med

  15. Clinical features of Crohn disease concomitant with ankylosing spondylitis: A preliminary single-center study.

    Science.gov (United States)

    Liu, Song; Ding, Jie; Wang, Meng; Zhou, Wanqing; Feng, Min; Guan, Wenxian

    2016-07-01

    Extraintestinal manifestations (EIMs) cause increased morbidity and decreased quality of life in Crohn disease (CD). Ankylosing spondylitis (AS) belongs to EIMs. Very little is known on the clinical features of CD concomitant with AS. This study is to investigate the clinical features of CD patients with AS.We retrospectively collected all CD patients with AS in our hospital, and established a comparison group (CD without AS) with age, sex, and duration of Crohn disease matched. Clinical information was retrieved for comparison.Eight CD + AS patients were identified from 195 CD patients. Sixteen CD patients were randomly selected into comparison group. All CD + AS patients were male, HLA-B27 (+), and rheumatoid factor (-) with an average age of 40.8 ± 4.52 years. Significant correlation between disease activity of CD and AS was revealed (r = 0.857, P = 0.011). Significant correlation between disease activity of CD and functional limitation associated with AS was identified (r = 0.881, P < 0.01). C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and globulin were positively correlated to Crohn disease activity index (CDAI), Bath AS disease activity index, and Bath AS functional index(BASFI) scores (r = 0.73-0.93, P < 0.05). Albumin was negatively associated with CDAI and BASFI (r = -0.73 to -0.91, P < 0.05). The ratio of albumin to globulin (Alb/Glo) was significantly related to all 3 scores (r = -0.81 to -0.91, P < 0.05).Male predominance with a 4.12% concomitant incidence of AS is observed in CD patients. Disease activity of CD correlates with disease activity of AS and functional limitation caused by AS. CRP, ESR, and Alb/Glo may serve as biomarkers for disease activity and functional limitation in CD patients concomitant with AS, although future studies are expected. PMID:27428240

  16. Therapy response evaluation of malignant lymphoma in a multicenter study. Comparison of manual and semiautomatic measurements in CT

    Energy Technology Data Exchange (ETDEWEB)

    Wessling, J.; Schuelke, C. [Muenster Univ. (Germany). Dept. of Clinical Radiology; Koch, R. [Muenster Univ. (Germany). Dept. of Medical Informatics and Biomathematics; and others

    2014-08-15

    Purpose: Comparison of manual one-/bi-dimensional measurements versus semi-automatically derived one-/bi-dimensional and volumetric measurements for therapy response evaluation of malignant lymphoma during CT follow-up examinations in a multicenter setting. Materials and Methods: MSCT data sets of patients with malignant lymphoma were evaluated before (baseline) and after two cycles of chemotherapy (follow-up) at radiological centers of five university hospitals. The long axis diameter (LAD), the short axis diameter (SAD) and the bi-dimensional WHO of 307 target lymph nodes were measured manually and semi-automatically using dedicated software. Lymph node volumetry was performed semi-automatically only. The therapeutic response was evaluated according to lymphoma-adapted RECIST. Results: Based on a single lymph node, semi-automatically derived multidimensional parameters allowed for significantly more accurate therapy response classification than the manual or the semi-automatic unidimensional parameters. Incorrect classifications were reduced by up to 9.6%. Compared to the manual approach, the influence of the study center on correct therapy classification is significantly less relevant when using semi-automatic measurements. Conclusion: Semi-automatic volumetry and bi-dimensional WHO significantly reduce the number of incorrectly classified lymphoma patients by approximately 9.6% in the multicenter setting in comparison to linear parameters. Semi-automatic quantitative software tools may help to significantly reduce wrong classifications that are associated with the manual assessment approach. (orig.)

  17. Comparison between electron and neutron Compton scattering studies

    OpenAIRE

    Moreh Raymond; Finkelstein Yacov; Vos Maarten

    2015-01-01

    We compare two techniques: Electron Compton Scattering (ECS) and neutron Compton scattering (NCS) and show that using certain incident energies, both can measure the atomic kinetic energy of atoms in molecules and solids. The information obtained is related to the Doppler broadening of nuclear levels and is very useful for deducing the widths of excited levels in many nuclei in self absorption measurements. A comparison between the atomic kinetic energies measured by the two methods on the sa...

  18. A single center study of the effects of trained fathers' participation in constant breastfeeding.

    Directory of Open Access Journals (Sweden)

    Khadijeh Raeisi

    2014-09-01

    Full Text Available Constant breastfeeding that depends on the family support. Fathers' involvement is as an important factor of successful breastfeeding. The aim of this study was to evaluate the influence of fathers' participation in constant breastfeeding in Vali-E-Asr Hospital, Tehran, Iran. This interventional study was piloted on spouses of pregnant women participating in pregnancy courses. The case group consisted of fathers attending training courses of breastfeeding during pregnancy (Group A, and the control group was made up of fathers who did not take part in training courses (Group B. The courses were held three times from the 30th week of gestation to the end of pregnancy in a family health research center. Fathers attended three training sessions where they were trained by brochures. After delivery newborns were weighted and examined for jaundice (3-5 days, 30 days, three and six months after birth. According to mothers' views, spouses' participation, encouragement and support in group A, was 11 times more than group B. It means that 47 (94% of spouses in the group A participated in mothers' constant breastfeeding, but fathers' participation in group B was 60% (30 spouses. This study showed that breastfeeding was more constant in the group that fathers participated in breastfeeding training course. One of the reasons for such a significant difference was spouses' participation, encouragement and support in the trained group. This study showed that fathers' involvement in training programs may influence constancy of breastfeeding.

  19. New methods for solving a vertex p-center problem with uncertain demand-weighted distance: A real case study

    Directory of Open Access Journals (Sweden)

    Javad Nematian

    2015-04-01

    Full Text Available Vertex and p-center problems are two well-known types of the center problem. In this paper, a p-center problem with uncertain demand-weighted distance will be introduced in which the demands are considered as fuzzy random variables (FRVs and the objective of the problem is to minimize the maximum distance between a node and its nearest facility. Then, by introducing new methods, the proposed problem is converted to deterministic integer programming (IP problems where these methods will be obtained through the implementation of the possibility theory and fuzzy random chance-constrained programming (FRCCP. Finally, the proposed methods are applied for locating bicycle stations in the city of Tabriz in Iran as a real case study. The computational results of our study show that these methods can be implemented for the center problem with uncertain frameworks.

  20. Study of Admission Rate of Hepatitis B Surface Antigen Positive Patients in 50 Dentistry Centers in Tehran (Spring 2003

    Directory of Open Access Journals (Sweden)

    Seyed Moayed Alavian

    2008-02-01

    Full Text Available Background and Aims: Hepatitis B is one of the common diseases in the world and in Iran, caused by hepatitis B virus (HBV. This virus is transmitted by various ways including dentistry procedures and this may discourage dentists to admit hepatitis B surface antigen (HBsAg positive patients leading to hide the disease by the patients and increased transmission risk. Methods: During a cross-sectional descriptive study, 50 dentistry centers were chosen among dentistry centers of Tehran in various regions by cluster sampling. Two HBsAg positive medical students went to these centers and announced about their diseases and requested for dentistry. Samples (dentists and secretaries did not have any information about the research. They studied and examined reaction of dentists and their secretaries as well as admission rate.Results: Among 50 centers, 16 did not admit patients (5 cases by secretary and 11 cases by dentist and 16 centers admitted them as the last patient (last appointment and totally 32 cases met unfriendly. Among different regions of Tehran, the highest rate of non-admission was observed in the south (60% and the lowest rate in the north (P<0.01. Charity centers and private centers had the most and the least non-admission rate, respectively, and the difference was significant (P<0.01. There were 16 non-admission cases among general dentists but there was not any rejection in specialists.Conclusions: The higher rate of non-admission and unfriendly behavior in southern district of Tehran and military and charity centers may be related to the lack of awareness and proper communication between patient and dentist. It highlights the necessity of more educational workshop to promote dentists knowledge about HBV, encourage them to use disposable tools for the patients, more accurate supervision on centers by the ministry of health and finally to assume all patients as HBsAg positive.

  1. China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction:Study Design

    Institute of Scientific and Technical Information of China (English)

    Jing Li; Rachel P Dreyer; Xi Li; Xue Du; Nicholas S Downing; Li Li; Hai-Bo Zhang

    2016-01-01

    Background: Despite the rapid growth in the incidence of acute myocardial infarction (AMI) in China, there is limited information about patients' experiences after AMI hospitalization, especially on long-term adverse events and patient-reported outcomes (PROs).Methods: The China Patient-centered Evaluative Assessment of Cardiac Events (PEACE)-Prospective AMI Study will enroll 4000 consecutive AMI patients from 53 diverse hospitals across China and follow them longitudinally for 12 months to document their treatment, recovery, and outcomes.Details of patients' medical history, treatment, and in-hospital outcomes are abstracted from medical charts.Comprehensive baseline interviews are being conducted to characterize patient demographics, risk factors, presentation, and healthcare utilization.As part of these interviews, validated instruments are administered to measure PROs, including quality of life, symptoms, mood, cognition, and sexual activity.Follow-up interviews, measuring PROs, medication adherence, risk factor control, and collecting hospitalization events are conducted at 1, 6, and 12 months after discharge.Supporting documents for potential outcomes are collected for adjudication by clinicians at the National Coordinating Center.Blood and urine samples are also obtained at baseline, 1-and 12-month follow-up.In addition, we are conducting a survey of participating hospitals to characterize their organizational characteristics.Conclusion: The China PEACE-Prospective AMI study will be uniquely positioned to generate new information regarding patient's experiences and outcomes after AMI in China and serve as a foundation for quality improvement activities.

  2. Management of groundwater in urban centers: A case study; Greater Dammam Metropolitan Area

    International Nuclear Information System (INIS)

    Effective management of groundwater resources in urban centers of arid regions is vital for sustainable development and groundwater protection especially with rapid growth of water demands under water stress conditions. Greater Dammam Metropolitan Area is a good example of rapid growing urban center due to comprehensive development and population growth. The water demand has increased by many times during the last three decades. Groundwater from local aquifers namely Dammam and Umm Er Radhuma, supplies more than 85% of the total water demands. The aquifers have been subjected to extensive and increasing groundwater pumping especially during last three decades. Negative impacts such as significant decline in water levels have been experienced in the area. A new groundwater management scheme in terms of improving the long-term water pumping policies is required for protection of the aquifers groundwater productivity. A special numerical simulation model of the multi-aquifer system including Dammam and Umm Er Radhuma aquifers has been developed to assess the behavior of the aquifer system under long term water stresses in Dammam Metropolitan Area. The developed numerical simulation model has been utilized to predict the responses of the aquifer system in terms of decline in terms of water level under different pumping schemes from the two aquifers during the next 30 years. The model results have postulated the importance of Umm Er Radhuma (UER) aquifer as a major water supply source to Dammam Metropolitan Area, as well as potential recharge source of more than 30% of the total water pumped from Dammam aquifer. These findings have been utilized in improving present and future groundwater management and conservation for the study area. Similar techniques can be used to improve the groundwater management in other parts of the country as well as other arid regions. (author)

  3. Determinants of adult vaccination at inner-city health centers: A descriptive study

    Directory of Open Access Journals (Sweden)

    Raymund Mahlon

    2006-01-01

    Full Text Available Abstract Background Pneumococcal polysaccharide vaccination rates among adults 65 years and older or less than 65 years with high risk medical conditions are still below Healthy People 2010 recommended levels of 90%. This study was designed to: 1 assess self-reported pneumococcal vaccination rates following health center level interventions to increase adult vaccination rates; and 2 determine factors associated with vaccination. Methods Tailored interventions to increase immunizations were implemented at two inner-city health centers. We surveyed 375 patients 50 years of age and older. Multivariate logistic regression examines the predictors of 1 self-reported pneumococcal vaccination and 2 combined self-reported influenza and pneumococcal vaccination. Both of these models were stratified by age group (50–64 years and 65 years and older. Results Pneumococcal vaccination rates were 45% by self-report, 55% by medical record review, 69% for patients 65 years old and older, 32% for patients 50–64 years; they did not differ by race. Receipt of the previous season's influenza vaccine was significantly related to pneumococcal vaccination among both younger and older patients. Receiving both the pneumococcal vaccine and the most recent influenza vaccine compared with receiving neither, among younger patients was related to unemployment, more frequent physician visits, and belief that those who do not receive the flu shot are more susceptible to the flu. For older patients, receipt of both vaccines was related to nonsmoking status, believing that friends/family think the patient should be vaccinated, seeing posters advertising flu shot clinics, and belief that those who do not receive the flu shot are more susceptible to the flu. Conclusion Our findings suggest that improving overall pneumococcal vaccination rates among eligible adults, has the potential to eliminate racial disparities. Interventions delivering vaccination messages specific to older

  4. Retrospective study of oral lesions in the population attended at the Dental Specialty Center

    Directory of Open Access Journals (Sweden)

    Maurício Roth Volkweis

    2010-04-01

    Full Text Available Objectives: To identify the most prevalent stomatologic lesions in the population attended at the Dental Specialty Center of the Hospital “Nossa Senhora da Conceição”, quantify the distribution by sex and age group, verify the relationship of smoking as a predisposing factor to oral cancer, determine the number of consultations at the service for each patient until discharge and quantify the number of procedures performed. Methods: The sample consisted of 435 medical records of patients who sought the Stomatology Service of the Dental Specialty Center of the Hospital Nossa Senhora da Conceição. Of these, 249 were women and 186 were men. Therefore, a retrospective study was conducted from the analysis of the clinical records of all patients attended from October 2006 to March 2008. The variables were categorized and analyzed by Pearson’s Chi-square test. Results: Of the 435 patients, who sought the Stomatology service, 249 were women and 186 were men, and no statistically significant association of sex with any group of diseases was observed. The most prevalent diseases were stomatitis with 122 cases. Eighteen patients had malignant diseases (4%, 15 of them being diagnosed with squamous cell carcinoma. Of the total number of patients attended, 20.7% were referred to other professionals, 79.3% had their problems solved exclusively at the service, and in 173 cases (39.7% biopsies were performed. Conclusion: The most prevalent lesion group was stomatitis, being 28% of the total, and the predominant groups were women and the age group over 60 years. There was a statistically significant relationship between smoking and mouth cancer.

  5. Implications of task environment and corporate context on marketing measurement systems in shopping centers - a constructive case study

    OpenAIRE

    Lehtonen, Lotta

    2013-01-01

    Abstract Objectives of the study The objective of this thesis was to understand how marketing performance assessment can be organized in shopping centers. The purpose was to develop a recommendation of a marketing performance measurement system for the case company by identifying which marketing metrics were perceived relevant in the specific corporate context and how the marketing metrics fit the shopping center task environment. The empirical research also addressed perceived barrie...

  6. Hepatitis C virus infection in Egyptian children with type 1 diabetes mellitus: A single center study

    Directory of Open Access Journals (Sweden)

    Hekma Saad Farghaly

    2014-01-01

    Full Text Available Background: Only few studies have evaluated the epidemiology and risk factors of hepatitis C virus (HCV infection in Egyptian children with type 1 diabetes mellitus (T1DM. The present study aimed at measurement of the rates of anti-HCV positivity by Enzyme-Linked Immuno-Sorbent Assay (ELISA test and of HCV-Ribonucleic acid (RNA positivity by polymerase chain reaction (PCR among children with T1DM and to study the possible risk factors of infection. Settings and Design: Cross-sectional controlled study. Materials and Methods: The study included 150 children with T1DM (Group 1 (mean age 14. 76 ± 6.4 years. Fifty children age and sex-matched were included as control group (Group 2 (mean age 13.62 ± 2.11 years. They were screened for HCV antibodies using third generation ELISA and HCV-RNA positivity by PCR. Results: The frequency of anti-HCV positivity by ELISA was significantly higher in children with T1DM (n = 150 in comparison wiith control group (n = 50 (12% vs 6%; P<0.001, while the frequency of HCV-RNA positivity by PCR among the cases testing positive by ELISA was 75% for both diabetic group and control group. There were no significant differences in serum levels of liver biochemical profile in diabetic children with anti-HCV positivity (n = 18 in comparison to those with anti-HCV negativity (n = 132. Residence in rural area, low socioeconomic class and prior hospitalization were significant risk factors for anti-HCV positivity by ELISA. Conclusions: The frequency of HCV infection in children with T1DM in Upper Egypt appears to be high and is mainly related to residence in rural area, low socioeconomic class and prior hospitalization. HCV infection in these children is not associated with significant changes in hepatic biochemical parameters. Recommendations: Implementation of strict infection control measures are highly recommended to reduce the frequency of HCV infection. Furthermore, the silent evolution of HCV infection in children

  7. Comparison of Pool/Loop Configurations in the JAEA feasibility study 1999-2006

    International Nuclear Information System (INIS)

    FR configuration comparison in the JAEA feasibility study (FS) from 1996 to 2006 has been summarized. A brief description of a FS pool concept and material mass comparison between FS pool and loop concepts have been provided. A shot review of pool designs has also been provided showing the FS pool concept has the most compact reactor vessel diameter. (author)

  8. Study of a conceptual nuclear energy center at Green River, Utah. Final summary report

    International Nuclear Information System (INIS)

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a representative Western site. The site selected for this conceptual study, an area of about 50 square miles, is located 15 miles south of Green River, Utah. The conceptual NEC would consist of nine nuclear electric generating units, arranged on the site in three clusters of three reactors each (triads), separated by about 2 1/2 miles. Of the total electric output of 11,250 MWe that the NEC could produce, about 82% is assumed to be transmitted out of Utah to Colorado, New Mexico, Arizona, Nevada, and California. The technical engineering issues studied included geology and seismology, plant design, low-level radioactive waste disposal, transmission, and construction schedules and costs. Socioeconomic issues included were demographics, land use, community service needs, and fiscal impacts. Environmental considerations included terrestrial and aquatic ecology, visual impact, and secondary population impacts. Radiological issues were concerned with the safety and risks of an NEC and an on-site low-level waste facility. Institutional issues included methods of ownership, taxation, implications of energy export, and water allocation. The basic finding was that an NEC would be technically feasible, but a number of socioeconomic and institutional issues would require resolution before a Western regional NEC could be considered a viable power plant siting option

  9. Metabolic syndrome and discrepancy between actual and self-identified good weight: Aerobics Center Longitudinal Study.

    Science.gov (United States)

    Wirth, Michael D; Blake, Christine E; Hébert, James R; Sui, Xuemei; Blair, Steven N

    2015-03-01

    This study examined whether the discrepancy between measured and self-identified good weight (weight discrepancy) predicts metabolic syndrome (MetSyn). This study included 6,413 participants enrolled in the Aerobics Center Longitudinal Study (mean follow-up: 4.8±3.8 years). Weight discrepancy was defined as measured weight minus self-identified good weight. MetSyn was defined using standard definitions. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) for incident MetSyn, by weight discrepancy category, were estimated using Cox proportional hazards regression. The multivariable-adjusted HR for MetSyn was 3.48 (95% CI=2.48-4.86) for those who maintained higher weight discrepancy over time compared to individuals with lower weight discrepancy. Additional adjustment for body mass index did not change this interpretation (HR=3.44; 95% CI=2.46-4.82). Weight discrepancy may be a useful screening characteristic and target for future interventions to further reduce the risk of chronic weight-related disorders, included MetSyn. PMID:25544742

  10. Prevalence and Severity of Anemia in Pediatric Hemodialysis Patients; A Single Center Study

    Directory of Open Access Journals (Sweden)

    Alaleh Ghasari

    2007-04-01

    Full Text Available Objective: To determine the prevalence and severity of anemia in children and adolescents on chronic hemodialysis and to identify independent predictor for anemia in children on hemodialysis. Material & Methods: A cross sectional study was performed between September 2005 and January 2006. The study population consisted of 25 patients aged 7−20 years on chronic hemodialysis from pediatric hemodialysis centers in Isfahan, Iran. Findings: A total of 22 (82% patients had hemoglobin level of 200 pg/ml in 16 patients (66% and >400 pg/ml in 9 patients (37.5%. There was a reverse correlation between PTH level>200 pg/ml and hemoglobin level (r=-0.505, P=0.046. Conclusion: The prevalence of anemia in children on hemodialysis in Isfahan appears to be higher than that reported in the other studies in spite of extensive use of rHuEPO and iron supplementation. We found this to be especially true for patients new on hemodialysis (less than 6 months, low albumin and severe hyperparathyroidism.

  11. Center of Mass Compensation during Gait in Hip Arthroplasty Patients: Comparison between Large Diameter Head Total Hip Arthroplasty and Hip Resurfacing.

    Science.gov (United States)

    Bouffard, Vicky; Nantel, Julie; Therrien, Marc; Vendittoli, Pascal-André; Lavigne, Martin; Prince, François

    2011-01-01

    Objective. To compare center of mass (COM) compensation in the frontal and sagittal plane during gait in patients with large diameter head total hip arthroplasty (LDH-THA) and hip resurfacing (HR). Design. Observational study. Setting. Outpatient biomechanical laboratory. Participants. Two groups of 12 patients with LDH-THA and HR recruited from a larger randomized study and 11 healthy controls. Interventions. Not applicable. Main Outcome Measures. To compare the distance between the hip prosthetic joint center (HPJC) and the COM. The ratio (R(HPJC-COM)) and the variability (CV(HPJC-COM)) were compared between groups. Hip flexor, abductor, and adductor muscle strength was also correlated between groups while radiographic measurements were correlated with the outcome measures. Results. In the frontal plane, HR shows less variability than healthy controls at push-off and toe-off and R(HPJC-COM) is correlated with the muscle strength ratios (FR(ABD)) at heel contact, maximal weight acceptance, and mid stance. In the sagittal plane, LDH-THA has a higher R(HPJC-COM) than healthy controls at push-off, and CV(HPJC-COM) is significantly correlated with FR(FLEX). Conclusions. One year after surgery, both groups of patients, LDH-THA and HR, demonstrate minor compensations at some specific instant of the gait cycle, in both frontal and sagittal planes. However, their locomotion pattern is similar to the healthy controls. PMID:22110976

  12. Center of Mass Compensation during Gait in Hip Arthroplasty Patients: Comparison between Large Diameter Head Total Hip Arthroplasty and Hip Resurfacing

    Directory of Open Access Journals (Sweden)

    Vicky Bouffard

    2011-01-01

    Full Text Available Objective. To compare center of mass (COM compensation in the frontal and sagittal plane during gait in patients with large diameter head total hip arthroplasty (LDH-THA and hip resurfacing (HR. Design. Observational study. Setting. Outpatient biomechanical laboratory. Participants. Two groups of 12 patients with LDH-THA and HR recruited from a larger randomized study and 11 healthy controls. Interventions. Not applicable. Main Outcome Measures. To compare the distance between the hip prosthetic joint center (HPJC and the COM. The ratio (RHPJC-COM and the variability (CVHPJC-COM were compared between groups. Hip flexor, abductor, and adductor muscle strength was also correlated between groups while radiographic measurements were correlated with the outcome measures. Results. In the frontal plane, HR shows less variability than healthy controls at push-off and toe-off and RHPJC-COM is correlated with the muscle strength ratios (FRABD at heel contact, maximal weight acceptance, and mid stance. In the sagittal plane, LDH-THA has a higher RHPJC-COM than healthy controls at push-off, and CVHPJC-COM is significantly correlated with FRFLEX. Conclusions. One year after surgery, both groups of patients, LDH-THA and HR, demonstrate minor compensations at some specific instant of the gait cycle, in both frontal and sagittal planes. However, their locomotion pattern is similar to the healthy controls.

  13. A comparison of traditional vs. Canadian tailored prophylaxis dosing of prophylactic factor infusions in children with haemophilia A and B in a single hemophilia treatment center.

    Science.gov (United States)

    Dodd, C; Watts, R G

    2012-07-01

    Prophylactic infusion of clotting factor concentrates is a developing standard of care for individuals with haemophilia. The ideal schedule and techniques of prophylactic infusions remain incompletely defined. Our aim was to determine the optimal techniques and schedules for factor prophylaxis in paediatric patients. A retrospective electronic medical record review of all children treated with prophylactic factor infusions in a single Haemophilia Treatment Center was conducted. Comparison of traditional vs. Canadian dosing regimens and primary vs. secondary prophylaxis was made. Failure of prophylaxis was defined as the first serious bleed. A total of 58 children were identified for review. Five cases were excluded (four due to high titre inhibitors and one due to repeated non-compliance), thus there were 53 total cases: 46 with severe haemophilia, 2 with moderate haemophilia, 5 with mild haemophilia, 44 with haemophilia A and 9 with haemophilia B; 32 Traditional dosing and 21 Canadian dosing regimens. Patients on primary prophylaxis had a decreased failure rate (25%) compared to children treated with secondary prophylaxis (67%) regardless of technique of prophylaxis. When compared to a 'Traditional' factor prophylaxis schedule, the 'Canadian' tailored prophylaxis protocol was comparable with the exception of a decreased use of implanted venous devices in the 'Canadian' group. Ongoing bleeding (primarily joint bleeds) occurs with all prophylactic regimens. The lowest incidence of treatment failure was noted in children who began primary prophylaxis at a young age and before initial joint bleeds. Primary prophylaxis is superior to secondary prophylaxis regardless of dosing regimen. Traditional and Canadian dosing regimens were equivalent in outcome when measured over several years of follow-up.

  14. CANADIAN ONTARIO PROVINCE SOCIAL STUDIES CURRICULUM AND ITS COMPARISON WITH THE TURKISH SOCIAL STUDIES CURRICULUM

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    FİLİZ ZAYİMOĞLU ÖZTÜRK

    2013-06-01

    Full Text Available In this study, it was intended to introduce Social Studies Curriculum of Ontario Province of Canada which was implemented in 2004, then its comparison with The Turkish Social Studies Curriculum which was implemented in 2005 in terms of structures, approaches, contents, purposes, learning-teaching processes and assessment-evaluation approaches. Ontario Social Studies Curriculum was examined from its historical roots until the current status; however Turkish Social Studies Curriculum is not examined in detail but examined in a comparative way. Document analysis, which is one of Qualitative research methods, was conducted in the research. In conclusion, it has been found that there are differences in class levels covered by the curricula, distribution of learning strands and units in grades, purposes, number of expectations and their classifications.

  15. Comparison of continuous air monitor utilization: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Rodgers, J.C.; Whicker, J.J.; Voss, J.T.

    1997-08-01

    The Chemical Metallurgy Research (CMR) building has been upgrading to different continuous air monitors (CAMs) over the past several years. During the transition, both the newer and older CAMs were positioned in the rooms for field testing and comparison. On December 19, 1996, an accidental release of plutonium aerosol occurred into a laboratory in the CMR building. The event occurred while the room was unoccupied, and no personnel were exposed from this incident. There were two fixed air samplers (FASs) and three CAMs operating in the room at the time the release occurred, including two of the recently installed Canberra Alpha Sentry CAMs and one older Eberline CAM. The apparent cause of the release was a procedure carried out in the basement involving the replacement of the HEPA filter in the ventilation exhaust of a slot-box in the laboratory. For a short period, the ventilation was disconnected from the slot-box in this room, but not from the chemical hood exhaust on the opposite side of the laboratory. Therefore, a condition was created where backflow could occur out of the slot-box and into the room. Eventually all three CAMs in the room alarmed, and the situation was successfully monitored and brought under control by health physics personnel. Data on CAM performance were logged, and Pu activity collected on CAM and FAS filters were measured. A comparison of the new and old continuous air monitoring programs was performed and many interesting lessons on CAM performance and CAM utilization were learned. Overall, this comparison showed the advantages of remote monitoring, timely spectral information, and concentration measurements resolved in time and space.

  16. Sage grouse on the Yakima Training Center: A summary of studies conducted during 1989 and 1990

    Energy Technology Data Exchange (ETDEWEB)

    Eberhardt, L.E. (Pacific Northwest Lab., Richland, WA (USA)); Hofmann, L.A. (Yakima Training Center, WA (USA). Coe-Truman Technologies)

    1991-03-01

    A two-year study, sponsored by the U.S. Department of the Army and conducted by Pacific Northwest Laboratory, was initiated in 1989 to study sage grouse on the Yakima Training Center (YTC). The specific objectives of this study were (1) to obtain detailed information on the distribution and relative density of sage grouse on the YTC, (2) to identify movement and habitat use patterns of sage grouse on the YTC, (3) to identify crucial habitat for sage grouse on the YTC, and (4) to provide management recommendations. Sage grouse were selected for study because they are a US Fish and Wildlife Service candidate species for the threatened and endangered list in Washington, and because the YTC probably contains the largest population of sage grouse left on federally owned lands in this state. The locations of 11 sage grouse leks, or breeding grounds, were determined on the YTC during extensive spring helicopter surveys. The maximum number of sage grouse observed during ground surveys of these leks varied from 2 to 55 birds. One lek, located near Range 19, was probably used by 40 to 50% of the YTC sage grouse population. Fifteen years of counts of males on leks indicate that the YTC sage grouse population was most numerous during the early to mid 1980s. Since the mid-1980s, sage grouse numbers appear to have declined on the YTC and in other locations in Washington. Forty-six sage grouse (17 females and 29 males) were captured and fitted with radio transmitters during 1989 and 1990. Movements by these sage grouse were both erratic and large when compared with other studies. We believe that many of the atypical movements were in response to military training activities. Sage grouse appeared to seek out areas on the YTC where human disturbance was low. Recommendations are made for improving the management of grouse habitat.

  17. Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: A single center study

    Directory of Open Access Journals (Sweden)

    Salehipour Mehdi

    2009-01-01

    Full Text Available The aim of this study was to document vascular complications that occurred fol-lowing cadaveric and living donor kidney transplants in order to assess the overall incidence of these complications at our center as well as to identify possible risk factors. In a retrospective cohort study, 1500 consecutive renal transplant recipients who received a living or cadaveric donor kidney between December 1988 and July 2006 were evaluated. The study was performed at the Nemazee Hospital, Shiraz, Iran. The assessment of the anatomy and number of renal arteries as well as the incidence of vascular complications was made by color doppler ultrasonography, angiography, and/or surgical exploration. Clinically apparent vascular complications were seen in 8.86% of all study patients (n = 133 with the most frequent being hemorrhage (n = 91; 6.1% followed by allo-graft renal artery stenosis (n = 26; 1.7%, renal artery thrombosis (n = 9; 0.6%, and renal vein thrombosis (n = 7; 0.5%. Vascular complications were more frequent in recipients of cadaveric organs than recipients of allografts from living donors (12.5% vs. 7.97%; P= 0.017. The occurrence of vascular complications was significantly more frequent among recipients of renal allografts with multiple arteries when compared with recipients of kidneys with single artery (12.3% vs. 8.2%; P= 0.033. The same was true to venous complications as well (25.4% vs. 8.2%; P< 0.001. Our study shows that vascular complications were more frequent in allografts with multiple renal blood vessels. Also, the complications were much less frequent in recipients of living donor transplants.

  18. Retrospective Single Center Study of Granulocyte Monocyte Adsorption Apheresis Treatment in Inflammatory Bowel Disease.

    Science.gov (United States)

    Edfors, Kajsa; Ståhlberg, Dagny; Söderman, Charlotte

    2016-02-01

    Patients with active inflammatory bowel disease (IBD) have elevated and activated myeloid leukocytes, which infiltrate the intestinal mucosa. A significant proportion of IBD patients do not respond adequately to conventional treatment regimes. Studies have suggested that treatment with granulocyte monocyte apheresis (GMA) could be a safe and efficacious alternative for these patients. We evaluated the efficacy and safety of granulocyte/monocyte apheresis in patients with IBD in a retrospective cohort study, conducted from a single center in Stockholm. Clinical details from consecutive apheresis treated patients were retrospectively reviewed from 2004 to 2012. A total of 37 patients were included, 23 patients with ulcerative colitis (UC) and 14 with Crohn's disease (CD). Clinical response was seen in 11 patients (30%) and complete remission in 11 patients (30%). The remission rate was higher in UC patients compared to CD patients, 39% (N = 9) and 14% (N = 2) respectively. A total of 9 patients experienced adverse events. Most frequently reported was headache (N = 4). GMA seems to be a valuable adjuvant treatment regime in the care of patients with refractory IBD.

  19. User-Centered Design for Interactive Maps: A Case Study in Crime Analysis

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    Robert E. Roth

    2015-02-01

    Full Text Available In this paper, we address the topic of user-centered design (UCD for cartography, GIScience, and visual analytics. Interactive maps are ubiquitous in modern society, yet they often fail to “work” as they could or should. UCD describes the process of ensuring interface success—map-based or otherwise—by gathering input and feedback from target users throughout the design and development of the interface. We contribute to the expanding literature on UCD for interactive maps in two ways. First, we synthesize core concepts on UCD from cartography and related fields, as well as offer new ideas, in order to organize existing frameworks and recommendations regarding the UCD of interactive maps. Second, we report on a case study UCD process for GeoVISTA CrimeViz, an interactive and web-based mapping application supporting visual analytics of criminal activity in space and time. The GeoVISTA CrimeViz concept and interface were improved iteratively by working through a series of user→utility→usability loops in which target users provided input and feedback on needs and designs (user, prompting revisions to the conceptualization and functional requirements of the interface (utility, and ultimately leading to new mockups and prototypes of the interface (usability for additional evaluation by target users (user… and so on. Together, the background review and case study offer guidance for applying UCD to interactive mapping projects, and demonstrate the benefit of including target users throughout design and development.

  20. Inferior alveolar nerve injuries associated with mandibular fractures at risk: a two-center retrospective study.

    Science.gov (United States)

    Boffano, Paolo; Roccia, Fabio; Gallesio, Cesare; Karagozoglu, K; Forouzanfar, Tymour

    2014-12-01

    The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments-Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement (p = 0.03), isolated mandibular fractures (p = 0.01), and angle fractures (p = 0.004). A statistically significant association was also found between IAN injury and assaults (p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions. PMID:25383147

  1. Vitamin D Deficiency in Healthy Male Population: Results of the Iranian Multi- Center Osteoporosis Study

    Directory of Open Access Journals (Sweden)

    Z Rahnavard

    2010-09-01

    Full Text Available "nBackground: The prevalence of vitamin D deficiency and its causative factors has been estimated more frequently in elder popula­tion, women, and patients with osteoporosis in different countries, but this issue is less defined in male population within different age groups especially in Asian countries. Therefore, we studied the role of effective factors in vitamin D defi­ciency and its prevalence in Iranian healthy men."nMethods: This study was a multi center and carried out in five metropolitans in Iran. Serum 25 Hydroxy vitamin D and other biochemical variables were determined in 2396 healthy men in late winter of 2001."nResults: 68.8% of participants suffered from vitamin D deficiency. Vitamin D levels were the highest in Bushehr (n= 111, 40.3% (P< 0.05 and between Shiraz and Tabriz, Shiraz had the better values (P< 0.05. Tehran had the highest prevalence of vitamin D deficiency (n= 380, n= 85.7%. Geographical zone independently predicted vitamin D status (P< 0.05. There was not any association among age (r= 0.035, P> 0.05, physical activity (r= 0.023, P> 0.05, and exposure of face & hands to sunlight (r= 0.022, P> 0.05 with vitamin D levels."nConclusion: Prevalence of vitamin D deficiency in Iranian male population is high, considering Iranian cultural and geographi­cal zones, food fortification and life style modification is recommended.

  2. A Polysomnography Study of Kleine-Levin Syndrome in a Single Center

    Institute of Scientific and Technical Information of China (English)

    Yan-Wen Luo; Huan Yu; Lu-Hua Yuan; Guo-Xing Zhu

    2016-01-01

    Background:Kleine-Levin syndrome (KLS) is a rare sleep disorder characterized by recurrent episodes of hypersomnia.Polysomnographic (PSG) researches of KLS have been reported only in few publications in the past decades.This study aimed to investigate the characteristics of PSG of KLS.Methods:This study,which was conducted from March 2010 to July 2014,included seven patients diagnosed with KLS in the Sleep and Wake Disorder Center of Huashan Hospital,Fudan University (Shanghai,China).PSG and multiple sleep latency tests (MSLT) were performed during their episodes and the results were evaluated.Results:Five of the seven patients were males.The mean age at KLS onset was 15.6 ± 3.6 years.The number of episodes ranged from 2 to 7.The duration of episodes lasted from 4 to 11 days.The sleep architecture and proportion were normal in most of the patients.The average value of mean sleep latency was 6.9 ± 4.1 min.No sleep-onset rapid eye movement (SOREM) was detected in three of the patients,whereas one patient experienced one period of SOREM,and such episodes occurred twice in other two patients.Conclusions:We found that sleep architecture and proportion were normal in most KLS patients.However,the results of PSG and MSLT had no specificity for KLS patients.

  3. Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers

    Directory of Open Access Journals (Sweden)

    Burns Barbara J

    2008-02-01

    Full Text Available Abstract Background Behavioral health services for children and adolescents in the U.S. are lacking in accessibility, availability and quality. Evidence-based interventions for emotional and behavioral disorders can improve quality, yet few studies have systematically examined their implementation in routine care settings. Methods Using quantitative and qualitative data, we evaluated a multi-faceted implementation strategy to implement cognitive-behavioral therapy (CBT for depressed adolescents into two publicly-funded mental healthcare centers. Extent of implementation during the study's duration and variables influencing implementation were explored. Results Of the 35 clinicians eligible to participate, 25 (71% were randomized into intervention (n = 11 or usual care (n = 14. Nine intervention clinicians completed the CBT training. Sixteen adolescents were enrolled in CBT with six of the intervention clinicians; half of these received at least six CBT manually-based sessions. Multiple barriers to CBT adoption and sustained use were identified by clinicians in qualitative interviews. Conclusion Strategies to implement evidence-based interventions into routine clinical settings should include multi-method, pre-implementation assessments of the clinical environment and address multiple barriers to initial uptake as well as long-term sustainability.

  4. Bariatric surgery outcomes: a single-center study in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Abusnana S

    2015-09-01

    Full Text Available Salah Abusnana,1 Sarah Abdi,1 Brigette Tagure,1 Murtada Elbagir,1 Almantas Maleckas2 1Rashid Center for Diabetes and Research, Ministry of Health, Ajman, United Arab Emirates; 2Kaunas University of Medicine, Kaunas, LithuaniaBackground: Bariatric surgery has become an attractive treatment for severe obesity over the last decade, due to its impacts on weight loss and remission of type 2 diabetes and metabolic syndrome. In the United Arab Emirates, a country where the rate of obesity is dramatically increasing bariatric surgery has gained popularity in recent years; however, published data on its outcomes in the Emirati population are lacking.Methods: We retrospectively reviewed the medical records of 95 patients who underwent bariatric surgery (ie, laparoscopic Roux-en-Y gastric bypass [RYGB] or laparoscopic sleeve gastrectomy at the Rashid Center for Diabetes and Research in Ajman, United Arab Emirates. Weight outcomes and metabolic marker data were abstracted at baseline and at 3, 6, and 12 months postoperatively.Results: Laparoscopic RYGB was the main procedure performed by our bariatric unit. All variables demonstrated postoperative improvement. An average excess weight loss of 68% was observed at 12 months. Fat mass was the body component that decreased the most, with an average reduction of 46%. Additionally, lipid profiles were significantly different (P<0.01 at 12 months, with triglyceride levels improving by 27% and low-density lipoprotein levels improving by 21%. Similarly, glycated hemoglobin (HbA1c levels decreased significantly (P<0.001 in patients with type 2 diabetes, with an average reduction of 73%.Conclusion: Our results show that a substantial short-term reduction in weight and significant improvements in metabolic markers followed bariatric surgery in severely obese Emirati patients. Our results are consistent with the outcomes of other internationally published studies. Additional studies are warranted to determine whether

  5. Study of Remote Monitoring and Maintenance Guiding Technique Based on LabVIEW for Machining Centers

    Institute of Scientific and Technical Information of China (English)

    JIA Zhi-cheng; HU Zhong-xiang; SHI Xiao-jun

    2005-01-01

    The virtual instruments (VIs), as a new type of instrument based on computer, has many advanced attractive characteristics.This research is based on VIs, and brings condition monitoring and knowledge-based maintenance support together through an integrated (including Intemet, ASP. NET, XML technique,VIs) network environment. Within the environment, machining centers operators, engineers or managers can share real-time data through the browser-based interface and minimize machining centers downtime by providing status monitoring and remote maintenance guiding from service centers.

  6. Prevalence estimates for primary brain tumors in China: a multi-center cross-sectional study

    Institute of Scientific and Technical Information of China (English)

    JIANG Tao; WU Nai-feng; CHEN Xiao-jun; XING Hou-xun; SU Tong-yong; WANG Zhong-cheng; TANG Gen-fu; LIN Yi; PENG Xiao-xia; ZHANG Xiao; ZHAI Xiu-wei; PENG Xiang; YANG Jin-qing; HUANG Hong-er

    2011-01-01

    Background Although the first leading cause of death in China was malignant neoplasms (mortality,374.1 per 100000 person-years),the full impact of primary brain tumors (PBT) on the healthcare system is not completely described because there are a few well documented reports about the epidemiologic features of brain tumors.This study aimed to report a comprehensive assessment on the prevalence of PBT.Methods A multicenter cross-sectional study on brain tumor (MCSBT) in China was initiated in five regional centers:Daqing (northeast),Puyang (north of China),Shiyan (center of China),Ma'anshan (center of China) and Shanghai (southeast).Prevalence rate was calculated by counting the number of people living with a PBT between October 1,2005 and September 30,2006 and dividing by the total population of the five communities at January 1,2006.Estimates of prevalence were expressed as percentages and grouped according to gender and to age in fifteen-year categories.Within these strata,the rates were estimated with 95% confidence intervals (C/) using the accurate calculation of CI for Poisson distribution.A chi-square test was used to compare the various frequencies with α<0.05.Age-standardized prevalence with the direct method was calculated with the ten-year age-specific prevalence and the age distribution of the Chinese population in 2010,obtained from Worldpopulation prospects:the 2008 revision.Results We estimated that the overall prevalence of PBT was 24.56 per 100 000 (95% CI,14.85 to 34.27),and the overall prevalence of PBT in female population (30.57 per 100 000 and its 95% CI ranged from 19.73 to 41.41 ) was higher than that in male population (18.84 per 100 000 and its 95% CI ranged from 10.33 to 27.35).However,the discrepancy between genders was not statistically significant because the 95% CI overlapped.Of 272 cases of newly diagnosed PBT,the proportion of histological subtypes by age groups,gender was statistically different (χ2=52.6510,P <0.0001).More than

  7. Acute promyelocytic leukemia, study of predictive factors for Differentiation Syndrome, single center experience

    International Nuclear Information System (INIS)

    Reports about patients with acute promyelocytic leukemia from the Middle East are few; in this study we are reporting our single center experience of treating 29 patients over 6 years. Acute promyelocytic leukemia treatment response is markedly improved after the introduction of ATRA. Treatment related complication is still an important issue particularly Differentiation Syndrome. Prediction to its occurrence has been tried by other groups. We aimed to study all the possible predictive factors of acute promyelocytic leukemia. Our chemotherapy induction protocol is AIDA protocol which includes ATRA 45 mg/m2/d in divided doses every 12h, and Idarubicin 12 mg/ m2/d IV on days 3, 5, 7, and 9. Differentiation Syndrome occurred in 48.3% of patients and was mainly presented by pulmonary symptoms in 55.2%, 6 cases died during induction. None of the predictive factors studied showed a statistically significant difference between patients who developed Differentiation Syndrome and those who did not. Differentiation Syndrome did not affect overall survival. Cox regression showed an inverse yet a non significant association between PET- HEMA and overall survival probability (P = 0.168). In conclusion, Differentiation Syndrome has no clear predictive factor to date. The best approach is to hold ATRA and give dexamethasone which is quite effective as reported in the literature. PETHEMA risk model has a moderately significant prognostic value look for all possible predictive factors of Differentiation syndrome (DS) which were first described in 1992 by frankel et al. (4) and represented the major complication through this disease course: studies had reported conflicting results about this (5,6). In addition we will compare our data to other areas of the world

  8. Four years prospective study of the maxillofacial trauma at a tertiary center in Western Nepal

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    Rajib Khadka

    2014-01-01

    Full Text Available Purpose: This study was conducted to find the epidemiological characteristics of maxillofacial trauma in the Western region of Nepal. Materials and Methods: All the trauma patients attending the Department of Oral and Maxillofacial surgery in 4 years period at a tertiary center in Western Nepal were included in the study. The incidence, prevalence, age and sex distribution, etiologies and types as well as seasonal and daily variation of maxillofacial trauma were studied. Results: Maxillofacial trauma with male (71.55% predominance was seen. Road traffic accidents (RTA, 46.5% were the most common cause, and 41.65% of fracture cases due to RTA were under the influence of alcohol. Accidents were more common on the rural roads (38.9%, and majorities (43.3% were due to motorcycle accidents. They were more common on Friday (36.7% and in winter seasons (51.2%. The mandible fractures (65.85% were more common than midface fractures (53.58% and 19.44% of the fractures were combined fractures. Parasymphysis in mandible (32.16% and zygoma (39.09% in midface were the most common type of fracture. Conclusion: The increased incidence of maxillofacial trauma following RTA under the influence of alcohol noted in this study reveals the need for formulating preventive measures in the Western region of Nepal. Need to aware people to avoid drink and drive proper traffic management, prevention of carrying excessive passengers, especially on the rooftop of vehicles on the highway and disposal of out of date vehicles and timely maintenance of faulty roads is a must.

  9. Aerial Measuring System (AMS)/Israel Atomic Energy Commission (IAEC) Joint Comparison Study Report

    Energy Technology Data Exchange (ETDEWEB)

    Wasiolek, P. [National Security Technologies, LLC. (NSTec), Mercury, NV (United States); Halevy, I. [Israel Atomic Energy Commission (IAEC), Yavne (Israel)

    2013-12-23

    Under the 13th Bilateral Meeting to Combat Nuclear Terrorism conducted on January 8–9, 2013, the committee approved the development of a cost-effective proposal to conduct a Comparison Study of the Aerial Measuring System (AMS) of the U.S. Department of Energy (DOE), National Nuclear Security Administration (NNSA) and Israel Atomic Energy Commission (IAEC). The study was to be held at the Remote Sensing Laboratory (RSL), Nellis Air Force Base, Las Vegas, Nevada, with measurements at the Nevada National Security Site (NNSS). The goal of the AMS and the IAEC joint survey was to compare the responses of the two agencies’ aerial radiation detection systems to varied radioactive surface contamination levels and isotopic composition experienced at the NNSS, and the differing data processing techniques utilized by the respective teams. Considering that for the comparison both teams were using custom designed and built systems, the main focus of the short campaign was to investigate the impact of the detector size and data analysis techniques used by both teams. The AMS system, SPectral Advanced Radiological Computer System, Model A (SPARCS-A), designed and built by RSL, incorporates four different size sodium iodide (NaI) crystals: 1" × 1", 2" × 4" × 4", 2" × 4" ×16", and an “up-looking” 2" × 4" × 4". The Israel AMS System, Air RAM 2000, was designed by the IAEC Nuclear Research Center – Negev (NRCN) and built commercially by ROTEM Industries (Israel) and incorporates two 2" diameter × 2" long NaI crystals. The operational comparison was conducted at RSL-Nellis in Las Vegas, Nevada, during week of June 24–27, 2013. The Israeli system, Air RAM 2000, was shipped to RSL-Nellis and mounted together with the DOE SPARCS on a DOE Bell-412 helicopter for a series of aerial comparison measurements at local test ranges, including the Desert Rock Airport and Area 3 at the NNSS. A 4-person Israeli team from the IAEC NRCN supported the activity together with 11

  10. STUDY REGARDING THE ORGANIZATION OF MANAGEMENT ACCOUNTING IN THE CONTEXT OF RESPONSIBILITY CENTERS

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    RĂCHISAN PAULA RAMONA

    2009-05-01

    Full Text Available The organization on responsibility centers has lately become a generalized practice inside small and medium economic enterprises. Thus it made necessary the adaptation of management accounting to the new requirements. Introducing effective management by o

  11. A protein dynamics study of photosystem II: the effects of protein conformation on reaction center function.

    Science.gov (United States)

    Vasil'ev, Sergej; Bruce, Doug

    2006-05-01

    Molecular dynamics simulations have been performed to study photosystem II structure and function. Structural information obtained from simulations was combined with ab initio computations of chromophore excited states. In contrast to calculations based on the x-ray structure, the molecular-dynamics-based calculations accurately predicted the experimental absorbance spectrum. In addition, our calculations correctly assigned the energy levels of reaction-center (RC) chromophores, as well as the lowest-energy antenna chlorophyll. The primary and secondary quinone electron acceptors, Q(A) and Q(B), exhibited independent changes in position over the duration of the simulation. Q(B) fluctuated between two binding sites similar to the proximal and distal sites previously observed in light- and dark-adapted RC from purple bacteria. Kinetic models were used to characterize the relative influence of chromophore geometry, site energies, and electron transport rates on RC efficiency. The fluctuating energy levels of antenna chromophores had a larger impact on quantum yield than did their relative positions. Variations in electron transport rates had the most significant effect and were sufficient to explain the experimentally observed multi-component decay of excitation in photosystem II. The implications of our results are discussed in the context of competing evolutionary selection pressures for RC structure and function.

  12. HIV infection in dialysis centers in Italy: a nationwide multicenter study.

    Science.gov (United States)

    Barbiano di Belgiojoso, G; Trezzi, M; Scorza, D; Barone, M T; Landriani, N; Genderini, A; Bertoli, S

    1998-01-01

    The prevalence of HIV infection in dialysis populations varies according to different countries and geographic areas. We performed a nationwide epidemiological study by means of a questionnaire in the period from January 1990 to December 1995. Questions were about whether and which HIV tests were performed and which preventive measures were adopted. A separate survey evaluated the data the HIV-positive patients. Only 62% of the centers responded to the questionnaire, corresponding to 21,500 dialysis patients in 1990 and 27,000 in 1995. The prevalence of HIV-positive subjects was 0,13% for 1995. A total of 48 patients with HIV infection were identified: risk factors were drug abuse in 16 cases, homosexuality in 9, heterosexual contact in 8, transfusion in 7, renal transplant in 3 and unknown cause in 5. Forty-five patients were on hemodialysis, and 3 were receiving peritoneal dialysis. At follow-up, 19 patients died: infection and malnutrition were the most frequent causes of death. The death rate of patients who were already HIV positive when dialysis was started (group 1, 29 cases) was 19.36 deaths/1,000 patient/month. The correlations, performed only for group 1, showed a significantly worse prognosis for patients with CD4 HIV infection in the dialysis population is low, and the outcome of HIV-positive patients in dialysis was found to be better than earlier literature reports. The use of chronic dialysis for HIV patients with uremia should not be discouraged.

  13. Idaho Nuclear Technology and Engineering Center (INTEC) (formerly ICPP) ash reutilization study

    International Nuclear Information System (INIS)

    Since 1984, the coal-fired plant at the Idaho Nuclear Technology and Engineering Center (INTEC, formerly Idaho Chemical Processing Plant) has been generating fly ash at a rate of approximately 1,000 tons per year. This ash is hydrated and placed in an ash bury pit near the coal-fired plant. The existing ash bury pit will be full in less than 1 year at its present rate of use. A conceptual design to build a new ash bury pit was completed, and the new pit is estimated to cost $1.7 million. This report evaluates ash reutilization alternatives that propose to eliminate this waste stream and save the $1.7 million required to build a new pit. The alternatives include using ash for landfill day cover, concrete admixture, flowable fill, soil stabilization, waste remediation, and carbon recovery technology. Both physical and chemical testing, under the guidance of the American Society for Testing and Materials, have been performed on ash from the existing pit and from different steps within the facility's processes. The test results have been evaluated, compared to commercial ash, and are discussed as they relate to reutilization alternatives. This study recommends that the ash be used in flowable fill concrete for Deactivation and Demolition work at the Idaho National Engineering and Environmental Laboratory

  14. Origins of Massive Field Stars in the Galactic Center: a Spectroscopic Study

    CERN Document Server

    Dong, Hui; Morris, Mark R; Wang, Q Daniel; Cotera, Angela

    2014-01-01

    Outside of the known star clusters in the Galactic Center, a large number of evolved massive stars have been detected; but their origins remain uncertain. We present a spectroscopic study of eight such stars, based on new Gemini GNIRS and NIFS near-infrared observations. This work has led to the discovery of a new O If+ star. We compare the reddening-corrected J-K vs K diagram for our stars with the massive ones in the Arches cluster and use stellar evolutionary tracks to constrain their ages and masses. The radial velocities of both the stars and their nearby H II regions are also reported. All of the stars are blueshifted relative to the Arches cluster by > 50 km/s. We find that our source P35 has a velocity consistent with that of the surrounding molecular gas. The velocity gradient of nearby ionized gas along the Gemini GNIRS long slit, relative to P35 and the adjacent -30-0 km/s molecular cloud, can best be explained by a pressure-driven flow model. Thus, P35 most likely formed in situ. Three more of our...

  15. A Detailed Observational Study of Molecular Loops 1 and 2 in the Galactic Center

    CERN Document Server

    Torii, Kazufumi; Fujishita, Motosuji; Kawase, Tokuichi; Yamamoto, Hiroaki; Kawamura, Akiko; Mizuno, Norikazu; Onishi, Toshikazu; Mizuno, Akira; Machida, Mami; Takahashi, Kunio; Nozawa, Satoshi; Matsumoto, Ryoji; Fukui, Yasuo

    2009-01-01

    Fukui et al. (2006) discovered two molecular loops in the Galactic center that are likely created by the magnetic flotation due to the Parker instability. Following the discovery, we present here a detailed study of the two loops based on NANTEN 12CO(J=1-0) and 13CO(J=1-0) datasets. The two loops are located in (l, b) ~ (357, 1) deg. at a velocity range of -20 - -180 km/s with a projected total length of ~ 600 pc and heights of ~250 - 300 pc from the Galactic disk at a distance of 8.5 kpc. They show bright foot points in the 12CO emission in the edges of the loops at b ~ 0.8 - 1.0 deg.. These foot points are characterized by velocity dispersions of 50 - 100 km/s. The loops also show large-scale velocity gradients of ~30 - 50 km/s per ~100 pc. The loops also have counterparts of the HI gas and IRAS emissions. The HI gas with weaker intensity fills the inner part of the loops where there is no significant 12CO and 13CO emission. We estimate total mass and kinetic energy of the loops are ~1.5 - 2.5 x 10^6 Msun a...

  16. A randomized study of internet parent training accessed from community technology centers.

    Science.gov (United States)

    Irvine, A Blair; Gelatt, Vicky A; Hammond, Michael; Seeley, John R

    2015-05-01

    Behavioral parent training (BPT) has been shown to be efficacious to improve parenting skills for problematic interactions with adolescents displaying oppositional and antisocial behaviors. Some research suggests that support group curricula might be transferred to the Internet, and some studies suggest that other curriculum designs might also be effective. In this research, a BPT program for parents of at-risk adolescents was tested on the Internet in a randomized trial (N = 307) from computer labs at six community technology centers in or near large metropolitan areas. The instructional design was based on asynchronous scenario-based e-learning, rather than a traditional parent training model where presentation of course material builds content sequentially over multiple class sessions. Pretest to 30-day follow-up analyses indicated significant treatment effects on parent-reported discipline style (Parenting Scale, Adolescent version), child behavior (Eyberg Child Behavior Inventory), and on social cognitive theory constructs of intentions and self-efficacy. The effect sizes were small to medium. These findings suggest the potential to provide effective parent training programs on the Internet. PMID:25351866

  17. Building an outpatient imaging center: A case study at genesis healthcare system, part 2.

    Science.gov (United States)

    Yanci, Jim

    2006-01-01

    In the second of 2 parts, this article will focus on process improvement projects utilizing a case study at Genesis HealthCare System located in Zanesville, OH. Operational efficiency is a key step in developing a freestanding diagnostic imaging center. The process improvement projects began with an Expert Improvement Session (EIS) on the scheduling process. An EIS session is a facilitated meeting that can last anywhere from 3 hours to 2 days. Its intention is to take a group of people involved with the problem or operational process and work to understand current failures or breakdowns in the process. Recommendations are jointly developed to overcome any current deficiencies, and a work plan is structured to create ownership over the changes. A total of 11 EIS sessions occurred over the course of this project, covering 5 sections: Scheduling/telephone call process, Pre-registration, Verification/pre-certification, MRI throughput, CT throughput. Following is a single example of a project focused on the process improvement efforts. All of the process improvement projects utilized a quasi methodology of "DMAIC" (Define, Measure, Analyze, Improve, and Control). PMID:17172093

  18. Disparities in the use of ambulatory surgical centers: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Wei John T

    2009-07-01

    Full Text Available Abstract Background Ambulatory surgical centers (ASCs provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. Methods From the 2005 State Ambulatory Surgery Database for Florida, a cohort of discharges for urologic, ophthalmologic, gastrointestinal, and orthopedic procedures was created. Socioeconomic status was established at the zip code level. Logistic regression models were fit to assess associations between socioeconomic status and ASC use. Results Compared to the lowest group, patients of higher socioeconomic status were more likely to have procedures performed in ASCs (OR 1.07 CI 1.05, 1.09. Overall, the middle socioeconomic status group was the most likely group to use the ASC (OR 1.23, CI 1.21 to 1.25. For whites and blacks, higher status is associated with increased ASC use, but for Hispanics this relationship was reversed (OR 0.84 CI 0.78, 0.91. Conclusion Patients of lower socioeconomic status treated with outpatient surgery are significantly less likely to have their procedures in ASCs, suggesting that less resourced patients are encountering higher cost burdens for care. Thus, the most economically vulnerable group is unnecessarily subject to higher charges for surgery.

  19. Ecological baseline study of the Yakima Firing Center proposed land acquisition: A status report

    Energy Technology Data Exchange (ETDEWEB)

    Rogers, L.E.; Beedlow, P.A.; Eberhardt, L.E.; Dauble, D.D.; Fitzner, R.E.

    1989-01-01

    This report provides baseline environmental information for the property identified for possible expansion of the Yakima Firing Center. Results from this work provide general descriptions of the animals and major plant communities present. A vegetation map derived from a combination of on-site surveillance and remotely sensed imagery is provided as part of this report. Twenty-seven wildlife species of special interest (protected, sensitive, furbearer, game animal, etc.), and waterfowl, were observed on the proposed expansion area. Bird censuses revealed 13 raptorial species (including four of special interest: bald eagle, golden eagle, osprey, and prairie falcon); five upland game bird species (sage grouse, California quail, chukar, gray partridge, and ring-necked pheasant); common loons (a species proposed for state listing as threatened); and five other species of special interest (sage thrasher, loggerhead shrike, mourning dove, sage sparrow, and long-billed curlew). Estimates of waterfowl abundance are included for the Priest Rapids Pool of the Columbia River. Six small mammal species were captured during this study; one, the sagebrush vole, is a species of special interest. Two large animal species, mule deer and elk, were noted on the site. Five species of furbearing animals were observed (coyote, beaver, raccoon, mink, and striped skunk). Four species of reptiles and one amphibian were noted. Fisheries surveys were conducted to document the presence of gamefish, and sensitive-classified fish and aquatic invertebrates. Rainbow trout were the only fish collected within the boundaries of the proposed northern expansion area. 22 refs., 10 figs., 4 tabs.

  20. EVALUATION AND MANAGEMENT OF DIFFICULT AIRWAY IN OBESITY A SINGLE CENTER RETROSPECTIVE STUDY.

    Science.gov (United States)

    Ayhan, Asude; Kaplan, Serife; Kayhan, Zeynep; Arslan, Gulnaz

    2016-03-01

    The primary aim of this single center retrospective study was to evaluate difficult mask ventilation (DMV) and difficult laryngoscopy (DL) in a unique group of obese patients. A total of 427 adult patients with body mass index (BMI) ≥ 25 and surgically treated for endometrial cancer from 2011 to 2014 were assessed. Additional increase in BMI, comorbidities, bedside screening tests for risk factors, and the tools used to manage the patients were noted and their effects on DMV and/or DL investigated. Every escalation in the number of risk factors increased the probability of DMV 2.2-fold, DL 1.8-fold and DMV+DL 3.0-fold. Among bedside tests, limited neck movement (LNM), short neck (SN) and absence of teeth were significant for DMV (p sleep apnea for DL (p risk factor when patients with BMI > 25% were considered. In conclusion, LNM and SN are independent risk factors for developing DMV and/or DL in obese endometrial cancer patients, while BMI increase over 30 was not additionally affecting difficult airway. PMID:27276769

  1. Disease course and therapeutic approach in dermatomyositis: A four-center retrospective study of 100 patients.

    Science.gov (United States)

    Johnson, Nicholas E; Arnold, W David; Hebert, Donald; Gwathmey, Kelly; Dimachkie, Mazen M; Barohn, Richard J; McVey, April L; Pasnoor, Mamatha; Amato, Anthony A; McDermott, Michael P; Kissel, John; Heatwole, Chad R

    2015-08-01

    Dermatomyositis is a life-altering inflammatory disorder of skin and muscle. Details regarding the natural course of this disorder, the effects of specific therapies on its progression, and the optimal therapeutic dosage and duration of prednisone are limited. We performed a retrospective medical record review of dermatomyositis patients at four medical centers. All patients were over the age of 21 and had a clinical diagnosis of dermatomyositis with pathological confirmation. We reviewed average muscle strength, corticosteroid use, creatine kinase levels, and supplemental immunosuppressant use during the 36-month period following each patient's initial assessment. One hundred patients participated with an average age of 50.1 years. Average muscle strength improved and prednisone requirements lessened six months after initial assessment. There was no difference in the mean change in muscle strength or cumulative corticosteroid use over 36 months among those initially treated with methotrexate, mycophenolate mofetil, pulse IVIG, or azathioprine. There was a 5% mortality rate in dermatomyositis patients due to infections. Treated dermatomyositis patients demonstrate the most significant improvement in strength during the first six-to-twelve months following their initial clinical assessment. Additional prospective studies are needed to determine the relative benefit of select immunosuppressant agents in preserving strength and reducing corticosteroid use in dermatomyositis.

  2. Nutritional management of enterocutaneous fistula: a retrospective study at a Malaysian university medical center.

    Science.gov (United States)

    Badrasawi, Manal Mh; Shahar, Suzana; Sagap, Ismail

    2014-01-01

    Enterocutaneous fistula is a challenging clinical condition with serious complications and considerable morbidity and mortality. Early nutritional support has been found to decrease these complications and to improve the clinical outcome. Location of the fistula and physiological status affect the nutrition management plan in terms of feeding route, calories, and protein requirements. This study investigated the nutritional management procedures at the Universiti Kebangsaan Malaysia Medical Center, and attempted to determine factors that affect the clinical outcome. Nutritional management was evaluated retrospectively in 22 patients with enterocutaneous fistula seen over a 5-year period. Medical records were reviewed to obtain data on nutritional status, biochemical indices, and route and tolerance of feeding. Calories and protein requirements are reported and categorized. The results show that surgery was the predominant etiology and low output fistula was the major physiological category; anatomically, the majority were ileocutaneous. The spontaneous healing rate was 14%, the total healing rate was 45%, and the mortality rate was 22%, with 14% due to fistula-associated complications. There was a significant relationship between body mass index/serum albumin levels and fistula healing; these parameters also had a significant relationship with mortality. Glutamine was used in 50% of cases; however, there was no significant relationship with fistula healing or mortality rate. The nutritional status of the patient has an important impact on the clinical outcome. Conservative management that includes nutrition support is very important in order to improve nutritional status before surgical repair of the fistula.

  3. Prevalence of hyponatremia among patients who used indapamide and hydrochlorothiazide: A single center retrospective study

    Directory of Open Access Journals (Sweden)

    M Al Qahtani

    2013-01-01

    Full Text Available Hyponatremia is the most frequently encountered electrolyte abnormality among hospitalized patients and thiazide users. In this large single-center retrospective study, we aim to determine the prevalence and risk factors of hyponatremia among patients at the King Abdulaziz Medical City (KAMC, Riyadh, Saudi Arabia.To the best of our knowledge, this is the first such study in Saudi Arabia. A chart review was done for the years 2011-2012 of all admitted Saudi patients at KAMC who were treated with indapamide and hydrochlorothiazide. A total of 2000 patients were included [1237 females (629 indapamide and 608 hydrochlorothiazide and 762 males (371 indapamide and 391 hydrochlorothiazide]. Majority of the patients had type-2 diabetes mellitus (T2DM with an overall prevalence of 72.2%. The overall prevalence of hyponatremia, regardless of severity, in the indapamide group was 37.3% versus 38.7% in the hydrochlorothiazide group. Stratification for age revealed that older patients had relatively higher levels of sodium (Na as compared with younger patients, and this inverse association was significant (R = - 0.123; P <0.001. Increasing age, female gender and presence of T2DM were the significant risk factors for hyponatremia, explaining the 4.7% of the variance perceived (P <0.001. Our study suggests that the prevalence of hyponatremia among Saudi thiazide users is relatively high, and more so for the elderly and for those with T2DM. Early identification of this condition is important and caution should be exercised while prescribing thiazide drugs, particularly to those who are most at risk of developing hyponatremia to prevent related complications.

  4. Ecological baseline study of the Yakima Firing Center proposed land acquisition: A Preliminary Report

    Energy Technology Data Exchange (ETDEWEB)

    Rogers, L.E.; Beedlow, P.A.; Eberhardt, L.E.; Dauble, D.D.; Fitzner, R.E.

    1988-02-01

    A baseline census was conducted from October 1987 to Janurary 1988 on the property identified for possible expansion of the Yakima Firing Center. These studies provide general descriptions of the major plant communities presentand animal inhabitants during the late fall and winter study period. A vegetation map derived from a combination of onsite surveillance and remotely sensed imagery is also provided as part of this report. Through January 1988, 13 wildlife species of special interest to state and federal agencies, in addition to ducks and geese, were observed on the proposed expansion area. Then raptorial bird species were observed in the area, including bald eagles, golden eagles, and prairie falcons. Upland game bird species, such as sage grouse, California quail, chuckars, and gray (Hungarian) partridge were present. Loggerhead shrikes, a species of special interest, were also observed on the site. Estimates of waterfowl abundance are included for the Priest Rapids Pool of the Columbia River, which includes the proposed river crossing sites. The number of waterfowl on the proposed crossing areas were comparatively low during the winter of 1986 to 1987 and high in 1987 to 1988. Bald eagles ad common loons were observed on the crossing areas. Six small mammal species were captured during this study period;one, the sagebrush vole, is a species of special interest. Two large animal species, mule deer and elk, were noted on the site. Beaver were the only furbearig animals noted to date. Rainbow trout were the only fish species collected within the proposed northern expansion area. The distribution of fall chinook salmon spawning areas was documented within the proposed river crossing areas. 3 refs., 7 figs., 3 tabs.

  5. Impact of Pediatric Chronic Dialysis on Long-Term Patient Outcome: Single Center Study.

    Science.gov (United States)

    Levy Erez, Daniella; Krause, Irit; Dagan, Amit; Cleper, Roxana; Falush, Yafa; Davidovits, Miriam

    2016-01-01

    Objective. Owing to a shortage of kidney donors in Israel, children with end-stage renal disease (ESRD) may stay on maintenance dialysis for a considerable time, placing them at a significant risk. The aim of this study was to understand the causes of mortality. Study Design. Clinical data were collected retrospectively from the files of children on chronic dialysis (>3 months) during the years 1995-2013 at a single pediatric medical center. Results. 110 patients were enrolled in the study. Mean age was 10.7 ± 5.27 yrs. (range: 1 month-24 yrs). Forty-five children (42%) had dysplastic kidneys and 19 (17.5%) had focal segmental glomerulosclerosis. Twenty-five (22.7%) received peritoneal dialysis, 59 (53.6%) hemodialysis, and 6 (23.6%) both modalities sequentially. Median dialysis duration was 1.46 years (range: 0.25-17.54 years). Mean follow-up was 13.5 ± 5.84 yrs. Seventy-nine patients (71.8%) underwent successful transplantation, 10 (11.2%) had graft failure, and 8 (7.3%) continued dialysis without transplantation. Twelve patients (10.9%) died: 8 of dialysis-associated complications and 4 of their primary illness. The 5-year survival rate was 84%: 90% for patients older than 5 years and 61% for younger patients. Conclusions. Chronic dialysis is a suitable temporary option for children awaiting renal transplantation. Although overall long-term survival rate is high, very young children are at high risk for life-threatening dialysis-associated complications. PMID:27597898

  6. 3 MV hypervelocity dust accelerator at the Colorado Center for Lunar Dust and Atmospheric Studies

    International Nuclear Information System (INIS)

    A hypervelocity dust accelerator for studying micrometeorite impacts has been constructed at the Colorado Center for Lunar Dust and Atmospheric Studies (CCLDAS) at the University of Colorado. Based on the Max-Planck-Institüt für Kernphysik (MPI-K) accelerator, this accelerator is capable of emitting single particles of a specific mass and velocity selected by the user. The accelerator consists of a 3 MV Pelletron generator with a dust source, four image charge pickup detectors, and two interchangeable target chambers: a large high-vacuum test bed and an ultra-high vacuum impact study chamber. The large test bed is a 1.2 m diameter, 1.5 m long cylindrical vacuum chamber capable of pressures as low as 10−7 torr while the ultra-high vacuum chamber is a 0.75 m diameter, 1.1 m long chamber capable of pressures as low as 10−10 torr. Using iron dust of up to 2 microns in diameter, final velocities have been measured up to 52 km/s. The spread of the dust particles and the effect of electrostatic focusing have been measured using a long exposure CCD and a quartz target. Furthermore, a new technique of particle selection is being developed using real time digital filtering techniques. Signals are digitized and then cross-correlated with a shaped filter, resulting in a suppressed noise floor. Improvements over the MPI-K design, which include a higher operating voltage and digital filtering for detection, increase the available parameter space of dust emitted by the accelerator. The CCLDAS dust facility is a user facility open to the scientific community to assist with instrument calibrations and experiments.

  7. Etiological spectrum of recurrent jaundice in adults: A retrospective observational study from a tertiary care center

    Directory of Open Access Journals (Sweden)

    Gouranga Santra

    2016-01-01

    Full Text Available Introduction: Studies regarding etiological spectrum of recurrent jaundice are rare. We conducted this study to identify the causes of recurrent jaundice in a tertiary care center. Materials and Methods: Frequency of different causes of recurrent jaundice was assessed from 130 patients attended General Medicine Department over a period of 3 years. Recurrent jaundice was considered when patients had more than one episodes of jaundice with serum bilirubin ≥3 mg/dl since childhood. Recurrent jaundice was diagnosed from past medical records, records of follow-up visits, and current clinical presentation. Causes were identified from past and present medical records of history, clinical and laboratory examinations. Results: Causes of recurrent jaundice included prehepatic (30%, hepatic (59.23%, and posthepatic (10.77 % disorders. Prehepatic disorders were Gilbert′s syndrome (GS, megaloblastic anemia, autoimmune haemolytic anemia, Wilson′s disease, G6PD deficiency, etc. Hepatic disorders were exacerbations of alcoholic hepatitis, hepatitis B and C, autoimmune hepatitis, congestive cardiac failure, sarcoidosis, benign recurrent intrahepatic cholestasis, eclampsia, pregnancy induced cholestasis, falciparum malaria, drug induced liver injury (DILI, etc. Posthepatic causes were choledocholithiasis, recurrent pancreatitis, periampullary carcinoma, choledochal cyst, ascariasis, hemobilia, HIV cholangiopathy, autoimmune pancreatitis, etc. Prehepatic jaundice cases were younger. The highest level of total bilirubin was seen in alcoholic hepatitis, DILI, and hepatitis B. Alcoholic hepatitis was the most common cause of recurrent jaundice (19.23%. GS was the most common prehepatic cause. Mean age was lowest in GS and highest in DILI. Conclusion: Etiological spectrum of recurrent jaundice includes many prehepatic, hepatic or posthepatic disorders. A larger study may enlarge the spectrum.

  8. The causal relation between commitment and performance: a study in research centers

    International Nuclear Information System (INIS)

    In this work relation among leadership, motivation, organizational climate, teamwork, and the organizational and occupational commitment, were studied. The exploratory study was accomplished in three parts. In the first it was identified the more important performance factors in a larger relation resultant of the bibliographical research and in the second, it was undertaken a quantification the 4 performance factors together to the organizational and occupational commitments. In the first part, it was accomplished an exploratory research close to some experienced servants, with emphasis in the management area. In the second part it was interviewed 52 employees of the CCTM's at the Energy and Nuclear Research Institute - IPEN and 252 employees of the IAE at the Aerospace Technical Center - CTA. This research used 18 indicators of the organizational commitment and 18 indicators of the occupational commitment, all extracted from the instrument of Meyer, Allen and Smith. Beyond of these, it was used 7 demographic variables and 71 performance variables built from the theoretical revision. The results obtained with the exploratory research of the first part identified the 4 factors aforementioned performance factors. In the second part the obtained results in the two firsts places proved the hypothesis that the servants' locations or groups that show a higher degree of commitment tend to a higher degree of performance. In the third part of this study it was used the Structural Equations Modelling - SEM, from one theoretic model defined with the 12 more important variables from performance in both researched locals and with assistance of two statistical software SPSS and LISREL it was obtained a model of causal relations more strengthened to explain the relationship among the used variables. (author)

  9. Study of Bacterial Infections among Burn Patients Hospitalized in Isfahan Burn Center

    Directory of Open Access Journals (Sweden)

    J. Faghri

    2007-10-01

    Full Text Available Introduction & Objective: Burn patients are at risk of acquiring infection because of destroy skin barrier, suppression of immunity, prolonged hospitalization, and invasive therapeutic and diagnostic procedure, risk of acquiring infection is high among burned patients. The aim of this study was to assess the incidence rate of bacterial etiology and infections among burn patients in the burn center of Isfahan. Materials & Methods: The study was conducted descriptive – cross sectional during a period of one year, (from august 2004 until September 2005. A total of 106 patients presenting with no signs and symptoms of infection within the first 48 hours of admission were included. CDC definition for nosocomial infections was applied. Each patient’s clinical examinations and records investigated daily. Swab culture, blood culture (during fever time, tissue culture from biopsy specimen of burn wound and urine culture obtained. The data were analyzed and interpreted using SPSS 10 Software, using Chi – square and Kappa Coefficient. P.value < 0.05 was significant. Results: One-hundred and six patients met the inclusion criteria, 91 (85/8% acquired at least one type of infection, including, urinary tract 28 (26/4%, blood stream 30 (28/3%, and burn wound 91(85/8%. Pseudomonas aeroginosa was the most common causative agent isolated from blood culture and swab culture, 27/42% and 54/4% respectively. Also, E.coli was the major casautive agent of urinary tract infections (6.4% isolated from urine culture of these burn patients.Conclusion: The results indicated that, biopsy from burn wounds and study of histopathologic specimen day by other day depends on blood and urine culture conditions overall can be effective for early detection of burn wounds infections.

  10. Future mission studies: Preliminary comparisons of solar flux models

    Science.gov (United States)

    Ashrafi, S.

    1991-01-01

    The results of comparisons of the solar flux models are presented. (The wavelength lambda = 10.7 cm radio flux is the best indicator of the strength of the ionizing radiations such as solar ultraviolet and x-ray emissions that directly affect the atmospheric density thereby changing the orbit lifetime of satellites. Thus, accurate forecasting of solar flux F sub 10.7 is crucial for orbit determination of spacecrafts.) The measured solar flux recorded by National Oceanic and Atmospheric Administration (NOAA) is compared against the forecasts made by Schatten, MSFC, and NOAA itself. The possibility of a combined linear, unbiased minimum-variance estimation that properly combines all three models into one that minimizes the variance is also discussed. All the physics inherent in each model are combined. This is considered to be the dead-end statistical approach to solar flux forecasting before any nonlinear chaotic approach.

  11. Comparison between electron and neutron Compton scattering studies

    Science.gov (United States)

    Moreh, Raymond; Finkelstein, Yacov; Vos, Maarten

    2015-05-01

    We compare two techniques: Electron Compton Scattering (ECS) and neutron Compton scattering (NCS) and show that using certain incident energies, both can measure the atomic kinetic energy of atoms in molecules and solids. The information obtained is related to the Doppler broadening of nuclear levels and is very useful for deducing the widths of excited levels in many nuclei in self absorption measurements. A comparison between the atomic kinetic energies measured by the two methods on the same samples is made. Some results are also compared with calculated atomic kinetic energies obtained using the harmonic approximation where the vibrational frequencies were taken from IR/Raman optical measurements. The advantages of the ECS method are emphasized.

  12. Comparison between electron and neutron Compton scattering studies

    Directory of Open Access Journals (Sweden)

    Moreh Raymond

    2015-01-01

    Full Text Available We compare two techniques: Electron Compton Scattering (ECS and neutron Compton scattering (NCS and show that using certain incident energies, both can measure the atomic kinetic energy of atoms in molecules and solids. The information obtained is related to the Doppler broadening of nuclear levels and is very useful for deducing the widths of excited levels in many nuclei in self absorption measurements. A comparison between the atomic kinetic energies measured by the two methods on the same samples is made. Some results are also compared with calculated atomic kinetic energies obtained using the harmonic approximation where the vibrational frequencies were taken from IR/Raman optical measurements. The advantages of the ECS method are emphasized.

  13. Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State

    Directory of Open Access Journals (Sweden)

    Reed Peter

    2012-12-01

    Full Text Available Abstract Background Growing interest in the promise of patient-centered care has led to numerous health care innovations, including the patient-centered medical home, shared decision-making, and payment reforms. How best to vet and adopt innovations is an open question. Washington State has been a leader in health care reform and is a rich laboratory for patient-centered innovations. We sought to understand the process of patient-centered care innovation undertaken by innovative health care organizations – from strategic planning to goal selection to implementation to maintenance. Methods We conducted key-informant interviews with executives at five health plans, five provider organizations, and ten primary care clinics in Washington State. At least two readers of each interview transcript identified themes inductively; final themes were determined by consensus. Results Innovation in patient-centered care was a strategic objective chosen by nearly every organization in this study. However, other goals were paramount: cost containment, quality improvement, and organization survival. Organizations commonly perceived effective chronic disease management and integrated health information technology as key elements for successful patient-centered care innovation. Inertia, resource deficits, fee-for-service payment, and regulatory limits on scope of practice were cited as barriers to innovation, while organization leadership, human capital, and adaptive culture facilitated innovation. Conclusions Patient-centered care innovations reflected organizational perspectives: health plans emphasized cost-effectiveness while providers emphasized health care delivery processes. Health plans and providers shared many objectives, yet the two rarely collaborated to achieve them. The process of innovation is heavily dependent on organizational culture and leadership. Policymakers can improve the pace and quality of patient-centered innovation by setting targets

  14. Lightcurves of Jovian Trojan Asteroids from the Center for Solar System Studies: L4 Greek Camp and Spies

    Science.gov (United States)

    Stephens, Robert D.; Coley, Daniel R.; Warner, Brian D.; French, Linda, M.

    2016-10-01

    Jovian Trojan asteroids larger than ~ 30 km were studied from the Center for Solar System Studies (CS3, MPC U81). Lightcurves for 30 Trojan asteroids in the L4 (Greek) cloud were between May and June 2016. These were mostly from the L4 "Greek" cloud, but several were L5 "Trojan" cloud lightcurves not previously published.

  15. Differential Item Functioning for Lesbians, Bisexual, and Heterosexual Women in the Center for Epidemiological Studies Depression Scale

    Science.gov (United States)

    Birnholz, Justin L.; Young, Michael A.

    2012-01-01

    This study assessed whether the Center for Epidemiological Studies Depression Scale (CES-D) functions equivalently in assessing depressive symptom severity in lesbian, bisexual, and heterosexual women. Using differential item functioning methods, the authors examined (a) whether there is a bias in CES-D total scores and in individual item scores…

  16. Turning Processes: The Change of Representations in Consultee-Centered Case Consultation. Linkoping Studies in Education and Psychology No. 74.

    Science.gov (United States)

    Hylander, Ingrid

    This study investigates sudden changes in the consultee-centered case consultation method. Three types of sudden changes in consultation were identified: (1) turnings, (2) turning points, and (3) shifts. The first part of this study explores the turning of the consultee's representation of his/her interaction to the client. The second part…

  17. US Study Abroad from the Periphery to the Center of the Global Curriculum in the Information Age

    Science.gov (United States)

    Mukherjee, Mousumi

    2012-01-01

    The Higher Education Act of 1965 for the first time gave discretionary authority to campuses to use federal financial aid in support of students studying abroad. Thereafter, US study abroad has thus evolved from the periphery to the center of the global curriculum. In 2005 the Lincoln Commission report proposed an ambitious goal of sending one…

  18. Longitudinal Invariance of the Center for Epidemiologic Studies-Depression Scale among Girls and Boys in Middle School

    Science.gov (United States)

    Motl, Robert W.; Dishman, Rod K.; Birnbaum, Amanda S.; Lytle, Leslie A.

    2005-01-01

    This study tested the longitudinal factorial invariance of a theoretically consistent, higher-order model for Center for Epidemiologic Studies-Depression (CES-D) scores among adolescent girls and boys in middle school. Data were collected from 2,416 adolescents who completed a survey containing the CES-D in the fall of 1998, spring of 1999, and…

  19. Vitamin D Deficiency in Iran: A Multi-center Study among Different Urban Areas

    Directory of Open Access Journals (Sweden)

    R Heshmat

    2008-11-01

    Full Text Available "nBackground: Recent studies have reported different prevalence of vitamin D deficiency in different sex and age groups in de­veloping countries. In the present survey, we elucidated the prevalence of vitamin D deficiency in a multi-center study among Iranian population. "nMethods: In a random cluster sample of healthy men and women (ranged 20 to 69 years old, a number of 5232 subjects from five urban metropolitans' cities (Tehran, Tabriz, Mashhad, Shiraz and Booshehr were recruited in 2001. Fasting blood sam­ple was taken from participants and sent to the laboratory for measurement of 25-hydroxy vitamin D level. Meta-analy­sis was performed using fixed effect method for estimation of vitamin D deficiency prevalence in a national level.      "nResults: Moderate to severe vitamin D deficiency was estimated in urban areas (except for Booshehr because of its heterogene­ity equal to 47.2, 45.7 and 44.2% in age groups of <50, 50-60 and 60≤ years, respectively among men and 54.2, 41.2 and 37.5 percent among women in the same age groups. The highest prevalence of moderate to severe vitamin D defi­ciency in men was observed in Tehran. Mashhad and Booshehr had also the lowest prevalence of moderate to severe vita­min D deficiency among men and women."nConclusion: Iran is a country with high prevalence of moderate to severe vitamin D deficiency and the prevalence of this defi­ciency is more evident in Tehran, capital of Iran. Therefore, consideration of main predictors for vitamin D deficiency in all age groups especially in Tehran is recommended.   

  20. Tumors of the liver; a ten year study in Children Medical Center

    Directory of Open Access Journals (Sweden)

    Farahmand F

    2007-06-01

    Full Text Available Background: The aim of this study was to review the frequency, histopathology and outcome in children with tumors of the liver. Methods: Included in this retrospective/descriptive study were 30 children treated for liver tumors from 1375-1384 (ca. 1996-2005, at Children’s Hospital Medical Center, Tehran, Iran. We included the clinical, radiologic, and pathologic data of our patients, focusing on the frequency, etiology and outcome. Results: Patient ages ranged from three months to 12 years (median 3.8 years, with 18 males (60% and 12 females (40%. Of these, 17 patients had hepatoblastoma (55.66%, including 13 males and four females, with an age range of six months to five years. Four cases (13.33% had neuroblastoma. Hepatocellular carcinoma (HCC was found in three cases (10%, all of whom were carriers of hepatitis B. Two cases (6.66% were diagnosed with mesenchymal hamartoma, two cases (6.66% with hemangioendothelioma and two cases (6.66% with rhabdomyosarcoma and leiomyosarcoma of the biliary tract. Abdominal swelling and hepatomegaly were seen in all of patients. Jaundice was observed in two cases. Serum alpha-fetoprotein levels greater than 500 ng/ml were seen in 17 cases (56.66%. All patients were receiving specific treatment. The three-year survival rate was 65% for hepatoblastoma and 2% for HCC Conclusion: With the introduction of specific treatment, the survival rate for children with tumors of the liver has significantly increased. Further improvement can be achieved using diagnostic biopsy for hepatoblastoma, although it may result in complications, and preoperative chemotherapy followed by complete surgical excision (per International Society of Pediatric Oncology guidelines, yielding an outstanding survival rate of 80%.

  1. Features of Childhood Acute Myeloid Leukemia in Iran: a Report from Double Center Study.

    Science.gov (United States)

    Mehrvar, Azim; Rahiminejad, Mohammad Saeid; Hedayati Asl, Amir Abbas; Tashvighi, Maryam; Faranoush, Mohammad; Alebouyeh, Mardawig; Kuchakzadeh, Leili; Ramyar, Asghar; Sabery Nejad, Javad; Mehrvar, Narjes

    2015-12-01

    Acute Myeloblastic Leukemia is one of the important malignancies in children. For better managing the prognosis of this disease, there should be enough information about common features of this malignancy. The aim of this study was to evaluate these common features in children with Acute Myeloblastic Leukemia. A total of 104 eligible children less than 15-year-old have been referred from 2007-2011 to two referral centers for childhood malignancies. Basic epidemiological information recorded in checklists for each individual. Analyzes have been done by SPSS version 22. Out of patients, 57 cases were males (54.8%). The male/female ratio was 1.2. The mean age of patients was 6.5 ± 4.3 years. The majority subtypes of patients were M3, M4, non-M3, and M2, respectively. The common molecular abnormalities were t (15;17) and inv (16). Of patients, 19.2% had an early relapse. The mean age of relapse in patients was 6.7 ± 3.9 years. Sixty patients (57.7%) were alive, and 44 cases (42.3%) died during or after therapy. The three years overall survival rate of patients was 42% in this study. According to our data, AML has the same frequency as compared with data from developing countries. But different epidemiological characteristic was a lower rate of three years overall survival in patients. These data may serve the health authorities for more effective environmental and preventive measurements, purposeful allocation of resources for facilitating up-to-date diagnostic and treatment modalities, psychological support programs for respective family members and educational purposes. PMID:26749231

  2. A Retrospective Study on Snakebite Victims in a Tertiary Referral Center

    Directory of Open Access Journals (Sweden)

    Nasim Zamani

    2016-06-01

    Full Text Available Background: Snakebite is a serious public health problem in the world. The annual incidence of snakebites ranges from 4.5-9.1 in 100,000 population in Iran. With regard to diversity of envenomation profiles in different geographical parts of Iran, the aim of this study was to determine the demographical data, clinical and laboratory findings, and the outcome of the snakebite victims referred to a tertiary referral hospital. Methods: In this retrospective, cross-sectional study in Loghman Hakim Hospital Poisoning Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, during a four-year period from March 2007 to March 2011. The demographic data, clinical manifestations, paraclinical findings, treatments performed before hospital admission, time elapsed between the bite and hospital admission, total dose of antivenom and the patients’ outcomes were investigated. Results: Seventy cases (58 males, 12 females were evaluated. Most of the cases (79% were older than 20 year old. The most common bite site was upper extremity (67%. Most of the patients were admitted within 5 h after the snakebite. The most common local and systemic manifestations were swelling (90%, pain (81.4%, nausea and vomiting (24.3%. Leukocytosis (35.7% and thrombocytopenia (25.7% were the most common laboratory abnormalities. Most of the patients (97.1% were treated with antivenom. Fifty percent of the patients only received 3-5 vials of antivenom. The mortality rate was 1.4%. Necrosis of the toes and compartment syndrome were the only serious complications. Conclusion: The findings emphasize the importance of early admission to the hospital and treatment with antivenom to avoid morbidity and mortality.

  3. Differences in cardiovascular disease risk factors by weight history: the Aerobics Center Longitudinal Study.

    Science.gov (United States)

    Truesdale, Kimberly P; Stevens, June; Cai, Jianwen

    2011-10-01

    The objective of this study was to compare cardiovascular disease (CVD) risk factor levels in adults with a history of weight loss to levels in adults who did not lose weight, after both groups subsequently experienced an approximate 1-year interval of weight maintenance. Extant data from the Aerobics Center Longitudinal Study (ACLS) were used to identify 5,151 adults who were weight maintainers (maintained weight within ± 3.0% over two consecutive periods of ~1 year) or weight-loss maintainers (lost >3.0- <5.0% or ≥ 5.0% of body weight in the first interval and maintained that loss in the second interval). Mixed models regression was used to accommodate repeated measures and adjust for gender, age, smoking, cardiorespiratory fitness, decade of clinic visit, interval length, and BMI at the time of risk factor measurement. Coefficients from the model were used to calculate the adjusted risk factor levels in the three groups. Differences in total cholesterol (-3.8 mg/dl, 95% confidence interval: -5.5, -2.0), low-density lipoprotein (LDL) cholesterol (-3.0 mg/dl, confidence interval: -4.8, -1.1), triglycerides (-6.1 mg/dl, confidence interval: -10.6, -1.7) and diastolic blood pressure (-0.8 mg/dl, confidence interval: -1.4, -0.3) indicated that levels were slightly more favorable in the ≥ 5.0% weight-loss maintenance group than weight maintenance group. Levels were similar for glucose, high-density lipoprotein (HDL) cholesterol and systolic blood pressure. This work indicates that, when adjusted for covariates including current BMI, adults with a history of weight loss may have CVD risk factors to levels as good, or perhaps even better than, those observed in adults who maintain their weight. PMID:21394090

  4. Cardiorespiratory fitness and digestive cancer mortality: findings from the aerobics center longitudinal study.

    Science.gov (United States)

    Peel, J Brent; Sui, Xuemei; Matthews, Charles E; Adams, Swann A; Hébert, James R; Hardin, James W; Church, Timothy S; Blair, Steven N

    2009-04-01

    Although higher levels of physical activity are inversely associated with risk of colon cancer, few prospective studies have evaluated overall digestive system cancer mortality in relation to cardiorespiratory fitness (CRF). The authors examined this association among 38,801 men ages 20 to 88 years who performed a maximal treadmill exercise test at baseline in the Aerobics Center Longitudinal Study (Dallas, TX) during 1974 to 2003. Mortality was assessed over 29 years of follow-up (1974-2003). Two hundred eighty-three digestive system cancer deaths occurred during a mean 17 years of observation. Age-adjusted mortality rates per 10,000 person-years according to low, moderate, and high CRF groups were 6.8, 4.0, and 3.3 for digestive system cancer (P(trend) < 0.001). After adjustment for age, examination year, body mass index, smoking, drinking, family history of cancer, personal history of diabetes, hazard ratios (95% confidence intervals) for overall digestive cancer deaths for those in the middle and upper 40% of the distribution of CRF relative to those in the lowest 20% were 0.66 (0.49-0.88) and 0.56 (0.40-0.80), respectively. Being fit (the upper 80% of CRF) was associated with a lower risk of mortality from colon [0.61 (0.37-1.00)], colorectal [0.58 (0.37-0.92)], and liver cancer [0.28 (0.11-0.72)] compared with being unfit (the lowest 20% of CRF). These findings support a protective role of CRF against total digestive tract, colorectal, and liver cancer deaths in men. PMID:19293313

  5. Cardiorespiratory fitness and digestive cancer mortality: findings from the Aerobics Center Longitudinal Study (ACLS)

    Science.gov (United States)

    Peel, J. Brent; Sui, Xuemei; Matthews, Charles E.; Adams, Swann A.; Hébert, James R.; Hardin, James W.; Church, Timothy S.; Blair, Steven N.

    2009-01-01

    Although higher levels of physical activity are inversely associated with risk of colon cancer, few prospective studies have evaluated overall digestive system cancer mortality in relation to cardiorespiratory fitness (CRF). The authors examined this association among 38,801 men aged 20−88 years and who performed a maximal treadmill exercise test at baseline in the Aerobics Center Longitudinal Study (Dallas, Texas) during 1974−2003. Mortality was assessed over 29 years of follow-up (1974−2003). 283 digestive system cancer deaths occurred during a mean 17-year of observation. Age-adjusted mortality rates per 10,000 person-yrs according to low, moderate, and high CRF groups were 6.8, 4.0, and 3.3 for digestive system cancer (trend p < 0.001). After adjustment for age, examination year, body mass index, smoking, drinking, family history of cancer, personal history of diabetes, hazard ratios for overall digestive cancer deaths (95% confidence interval) for those in the middle and upper 40% of the distribution of CRF relative to those in the lowest 20% were 0.66 (0.49, 0.88) and 0.56 (0.40, 0.80), respectively. Being fit (the upper 80% of CRF) was associated with a lower risk of mortality from colon (0.61 [0.37, 1.00]), colorectal (0.58 [0.37, 0.92]), and liver cancer (0.28 [0.11, 0.72]), compared with being unfit (the lowest 20% of CRF). These findings support a protective role of CRF against total digestive tract, colorectal, and liver cancer deaths in men. PMID:19293313

  6. Cancer Therapy Directed by Comprehensive Genomic Profiling: A Single Center Study.

    Science.gov (United States)

    Wheler, Jennifer J; Janku, Filip; Naing, Aung; Li, Yali; Stephen, Bettzy; Zinner, Ralph; Subbiah, Vivek; Fu, Siqing; Karp, Daniel; Falchook, Gerald S; Tsimberidou, Apostolia M; Piha-Paul, Sarina; Anderson, Roosevelt; Ke, Danxia; Miller, Vincent; Yelensky, Roman; Lee, J Jack; Hong, David S; Kurzrock, Razelle

    2016-07-01

    Innovative molecular diagnostics deployed in the clinic enable new ways to stratify patients into appropriate treatment regimens. These approaches may resolve a major challenge for early-phase clinical trials, which is to recruit patients who, while having failed previous treatments, may nevertheless respond to molecularly targeted drugs. We report the findings of a prospective, single-center study conducted in patients with diverse refractory cancers who underwent comprehensive genomic profiling (CGP; next-generation sequencing, 236 genes). Of the 500 patients enrolled, 188 (37.6%) received either matched (N = 122/188, 65%) or unmatched therapy (N = 66/188, 35%). The most common reasons that patients were not evaluable for treatment included insufficient tissue, death, or hospice transfer. The median number of molecular alterations per patient was five (range, 1-14); median number of prior therapies, four. The most common diagnoses were ovarian cancer (18%), breast cancer (16%), sarcoma (13%), and renal cancer (7%). Of the 339 successfully profiled patients, 317 (93.5%) had at least one potentially actionable alteration. By calculating matching scores, based on the number of drug matches and genomic aberrations per patient, we found that high scores were independently associated with a greater frequency of stable disease ≥6 months/partial/complete remission [22% (high scores) vs. 9% (low scores), P = 0.024], longer time-to-treatment failure [hazard ratio (HR) = 0.52; 95% confidence interval (CI) = 0.36-0.74; P = 0.0003], and survival (HR = 0.65; 95% CI = 0.43-1.0; P = 0.05). Collectively, this study offers a clinical proof of concept for the utility of CGP in assigning therapy to patients with refractory malignancies, especially in those patients with multiple genomic aberrations for whom combination therapies could be implemented. Cancer Res; 76(13); 3690-701. ©2016 AACR. PMID:27197177

  7. A single-center study evaluating the effect of the controlled adverse environment (CAEsm model on tear film stability

    Directory of Open Access Journals (Sweden)

    Abelson R

    2012-11-01

    Full Text Available Richard Abelson,1,2 Keith J Lane,3 John Rodriguez,3 Patrick Johnston,3 Endri Angjeli,3 George Ousler,3 Douglas Montgomery11School of Computing, Informatics, and Decision Systems Engineering, Arizona State University, 2Statistics and Data Corporation, Tempe, AZ; 3Ora, Inc, Andover, MA, USAPurpose: To investigate use of an improved ocular tear film analysis protocol (OPI 2.0 in the Controlled Adverse Environment (CAESM model of dry eye disease, and to examine the utility of new metrics in the identification of subpopulations of dry eye patients.Methods: Thirty-three dry eye subjects completed a single-center, single-visit, pilot CAE study. The primary endpoint was mean break-up area (MBA as assessed by the OPI 2.0 system. Secondary endpoints included corneal fluorescein staining, tear film break-up time, and OPI 2.0 system measurements. Subjects were also asked to rate their ocular discomfort throughout the CAE. Dry eye endpoints were measured at baseline, immediately following a 90-minute CAE exposure, and again 30 minutes after exposure.Results: The post-CAE measurements of MBA showed a statistically significant decrease from the baseline measurements. The decrease was relatively specific to those patients with moderate to severe dry eye, as measured by baseline MBA. Secondary endpoints including palpebral fissure size, corneal staining, and redness, also showed significant changes when pre- and post-CAE measurements were compared. A correlation analysis identified specific associations between MBA, blink rate, and palpebral fissure size. Comparison of MBA responses allowed us to identify subpopulations of subjects who exhibited different compensatory mechanisms in response to CAE challenge. Of note, none of the measures of tear film break-up time showed statistically significant changes or correlations in pre-, versus post-CAE measures.Conclusion: This pilot study confirms that the tear film metric MBA can detect changes in the ocular surface

  8. Building America Case Study: New Town Builders' Power of Zero Energy Center, Denver, Colorado (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a 'Power of Zero Energy Center' linked to its model home in the Stapleton community of Denver. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. The case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  9. New Whole-House Solutions Case Study: New Town Builders' Power of Zero Energy Center - Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a "Power of Zero Energy Center" linked to its model home in the Stapleton community. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. This case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  10. Lattice study on QCD-like theory with exact center symmetry

    Science.gov (United States)

    Iritani, Takumi; Itou, Etsuko; Misumi, Tatsuhiro

    2015-11-01

    We investigate QCD-like theory with exact center symmetry, with emphasis on the finite-temperature phase transition concerning center and chiral symmetries. On the lattice, we formulate center symmetric SU(3) gauge theory with three fundamental Wilson quarks by twisting quark boundary conditions in a compact direction ( Z 3-QCD model). We calculate the expectation value of Polyakov loop and the chiral condensate as a function of temperature on 163 × 4 and 203 × 4 lattices along the line of constant physics realizing m PS / m V = 0.70. We find out the first-order center phase transition, where the hysteresis of the magnitude of Polyakov loop exists depending on thermalization processes. We show that chiral condensate decreases around the critical temperature in a similar way to that of the standard three-flavor QCD, as it has the hysteresis in the same range as that of Polyakov loop. We also show that the flavor symmetry breaking due to the twisted boundary condition gets qualitatively manifest in the high-temperature phase. These results are consistent with the predictions based on the chiral effective model in the literature. Our approach could provide novel insights to the nonperturbative connection between the center and chiral properties.

  11. Prevalence and severity of anemia in pediatric hemodialysis patients, a single center study

    Directory of Open Access Journals (Sweden)

    Afshin Azhir

    2006-12-01

    Full Text Available BACKGROUNDS: This study was conducted to determine the prevalence and severity of anemia in children and adolescents on chronic hemodialysis, and to identify independent predictors of anemia in children on hemodialysis. METHODS: This cross-sectional study was performed between September 2005 and January 2006. The study population consisted of 25 patients aged 7−20 years on chronic hemodialysis from pediatric hemodialysis centers in Isfahan. RESULTS: A total of 22 (88% patients had hemoglobin levels of <11 g/dL (anemic and 12 patients (48% had hemoglobin levels of <8 g/dL (severe anemia. The mean age of these patients was 15.5 ± 3.7 years. Mean time on chronic dialysis was 20.44 ± 15.25 months. Anemia was more common and more severe among children who were on dialysis for less than 6 months. There was an inverse relationship between the severity of anemia and duration of hemodialysis (P = 0.019, r = – 0.465. Nearly all patients were treated with erythropoietin, Children with more severe anemia received slightly higher dose of erythropoietin (P = 0.09, r = 0.202. There was a significant difference between serum albumin values in anemic patients and patients without anemia (P = 0.023. There was a correlation between serum albumin and hemoglobin level (r = 0.511, P = 0.01. Intact PTH levels were >200 pg/ml in 16 patients (66% and >400 pg/ml in 9 patients (37. 5%. There was a reverse correlation between intact PTH level >200 pg/ml and hemoglobin level (r = -0.505, P = 0.046. CONCLUSIONS: The prevalence of anemia in hemodialysis children in Isfahan appears to be higher than that reported in the other studies in spite of extensive use of rHuEPO and iron supplementation. We found this to be especially true for patients new on hemodialysis (less than 6 months and in those with low albumin and severe hyperparathyroidism. KEY WORDS: Hemodialysis, anemia, children.

  12. Radionuclide Emission Estimation for the Center for Advanced Energy Studies (CAES)

    Energy Technology Data Exchange (ETDEWEB)

    Bradley J Schrader

    2010-02-01

    An Radiological Safety Analysis Computer Program (RSAC)-7 model dose assessment was performed to evaluate maximum Center for Advanced Energy Studies (CAES) boundary effective dose equivalent (EDE, in mrem/yr) for potential individual releases of radionuclides from the facility. The CAES is a public/private partnership between the State of Idaho and its academic research institutions, the federal government through the U.S. Department of Energy (DOE), and the Idaho National Laboratory (INL) managed by the Battelle Energy Alliance (BEA). CAES serves to advance energy security for our nation by expanding educational opportunities at Idaho universities in energy-related areas, creating new capabilities within its member institutions, and delivering technological innovations leading to technology-based economic development for the intermountain region. CAES has developed a strategic plan (INL/EXT-07-12950) based on the balanced scorecard approach. At the present time it is unknown exactly what processes will be used in the facility in support of this strategic plan. What is known is that the Idaho State University (ISU) Radioactive Materials License (Nuclear Regulatory Commission [NRC] license 11-27380-01) is the basis for handling radioactive material in the facility. The material in this license is shared between the ISU campus and the CAES facility. There currently are no agreements in place to limit the amount of radioactive material at the CAES facility or what is done to the material in the facility. The scope of this analysis is a summary look at the basis dose for each radionuclide included under the license at a distance of 100, 500, and 1,000 m. Inhalation, ingestion and ground surface dose was evaluated using the NRC design basis guidelines. The results can be used to determine a sum of the fractions approach to facility safety. This sum of the fractions allows a facility threshold value (TV) to be established and potential activities to be evaluated against

  13. Pedestrian Planning in City Centers: a Study of Guimarães and Braga

    Directory of Open Access Journals (Sweden)

    Khan Rubayet Rahaman

    2010-04-01

    Full Text Available People are walking in cities for different reasons. Some walkers walk for going to work, some are walking for shopping and some are for leisure during day and night hours. Medium sized cities like Braga and Guimarães in Portugal are depending on car for even shorter trips up to 2 kilometers. However, the walkways are allowing people to walk in convenient and safe way including late night environment. The pedestrians feel troublesome to walk on the footpaths because of illegal parking and discontinuation of walkways. Municipality transport plans and master plans do not incorporate pedestrians as a major component. But this egress mode of transportation is very important in medium sized city centers like Guimarães and Braga for the people to enjoy city centers’ activities. This paper focuses on the types of walkers who use the walkways on a regular basis. Usually, people are feeling comfortable to walk when they go to clubs and bars in a group in these small cities especially after work. This paper again tries to focus the varieties of problems on walkways and to present policies that can improve the situation. Municipal master plan and transportation plan have been studied carefully to see the provisions of pedestrian planning options. Field surveys have been conducted both in form of questionnaire and observation during the end of 2009 and results show different patterns of pedestrian behavior as well as evidence that people get different experiences with problems while walking on the walkways in both surveyed towns. Considering the issues of sustainable mobility, this paper also tries to suggest policies to motivate more people to walk especially in the medium-sized cities of Portugal.

  14. A comparison study of two Tricept units for reconfigurable parallel kinematic machines

    Institute of Scientific and Technical Information of China (English)

    Shi Junshan; Tang Xiaoqiang; Lin Chunshen; Wang Liping

    2005-01-01

    This paper presents a comparison study of workspace and dexterity of two Tricept units for Reconfigurable Parallel Kinematic Machines (RPKMs). The modular leg of RPKMs is designed and the RPKMs can be built by changing the setting of modules. A compositive kinematic model is developed accordingly. The inverse kinematics and Jacobian of these two Tricept units are analyzed. Considering workspace volume and dexterity, the effects of geometric size of some modules on the two Tricept units are discussed. In the end, comparison results of these two Tricept units are given. The comparison of two kinds of Parallel Kinematic Machines (PKMs) can be of help in the design and configuration planning of the RPKMs.

  15. The costs in provision of haemodialysis in a developing country: A multi-centered study

    Directory of Open Access Journals (Sweden)

    Wijesinghe Aruna

    2011-09-01

    % reduction. Conclusions This multi-centered study demonstrated that the costs of haemodialysis in a developing country remained significantly lower compared to developed countries. However, it still places a significant burden on the health care sector, whilst possibility of further cost reduction exists.

  16. Modality comparison for small animal radiotherapy: A simulation study

    Energy Technology Data Exchange (ETDEWEB)

    Bazalova, Magdalena, E-mail: bazalova@stanford.edu; Nelson, Geoff; Noll, John M.; Graves, Edward E. [Department of Radiation Oncology, Molecular Imaging Program at Stanford, Stanford University, Stanford, California 94305 (United States)

    2014-01-15

    Purpose: Small animal radiation therapy has advanced significantly in recent years. Whereas in the past dose was delivered using a single beam and a lead shield for sparing of healthy tissue, conformal doses can be now delivered using more complex dedicated small animal radiotherapy systems with image guidance. The goal of this paper is to investigate dose distributions for three small animal radiation treatment modalities. Methods: This paper presents a comparison of dose distributions generated by the three approaches—a single-field irradiator with a 200 kV beam and no image guidance, a small animal image-guided conformal system based on a modified microCT scanner with a 120 kV beam developed at Stanford University, and a dedicated conformal system, SARRP, using a 220 kV beam developed at Johns Hopkins University. The authors present a comparison of treatment plans for the three modalities using two cases: a mouse with a subcutaneous tumor and a mouse with a spontaneous lung tumor. A 5 Gy target dose was calculated using the EGSnrc Monte Carlo codes. Results: All treatment modalities generated similar dose distributions for the subcutaneous tumor case, with the highest mean dose to the ipsilateral lung and bones in the single-field plan (0.4 and 0.4 Gy) compared to the microCT (0.1 and 0.2 Gy) and SARRP (0.1 and 0.3 Gy) plans. The lung case demonstrated that due to the nine-beam arrangements in the conformal plans, the mean doses to the ipsilateral lung, spinal cord, and bones were significantly lower in the microCT plan (2.0, 0.4, and 1.9 Gy) and the SARRP plan (1.5, 0.5, and 1.8 Gy) than in single-field irradiator plan (4.5, 3.8, and 3.3 Gy). Similarly, the mean doses to the contralateral lung and the heart were lowest in the microCT plan (1.5 and 2.0 Gy), followed by the SARRP plan (1.7 and 2.2 Gy), and they were highest in the single-field plan (2.5 and 2.4 Gy). For both cases, dose uniformity was greatest in the single-field irradiator plan followed by

  17. Hotel Classification Systems: A Comparison of International Case Studies

    Directory of Open Access Journals (Sweden)

    Roberta Minazzi,

    2010-12-01

    Full Text Available Over the last few decades we have witnessed an increasing interest of scholars andespecially operators in service quality in the lodging business. Firstly, it is important to observe thatthe diverseness of the hospitality industry also affects the classification of hotel quality. We canactually find many programmes, classifications and seals of quality promoted by public authoritiesand private companies that create confusion in the consumer perceptions of hotel quality. Moreover,new electronic distribution channels and their ratings are becoming a new way to gather informationabout a hotel and its quality. Secondly, a point that can cause complications is that different countriesand regions can choose differing approaches depending on the features of the classification (numberof levels, symbols used, etc. and the nature of the programme (public, private. Considering theseassumptions and the recent changes in the Italian hotel classification system, this paper aims toanalyse the situation in Italy, underlining both its positive and negative aspects and comparing it withother European and North American cases. Based on a review of literature and tourism laws as wellas personal interviews with public authorities and exponents of the private sectors, we were able toidentify critical issues and trends in hotel classification systems. The comparison of case studiesshows a heterogeneous situation. Points in common are the scale and the symbol used but, if weanalyse the requirements of each category, we discover very different circumstances, also sometimesin the same country. A future European classification system could be possible only after astandardization of minimum requirements and criteria at a national level. In this situation brands andonline consumers’ feedbacks become even more considered by the customers in the hospitalityindustry.

  18. A Comparative Study of Structural and Process Quality in Center-Based and Family-Based Child Care Services

    Science.gov (United States)

    Bigras, Nathalie; Bouchard, Caroline; Cantin, Gilles; Brunson, Liesette; Coutu, Sylvain; Lemay, Lise; Tremblay, Melissa; Japel, Christa; Charron, Annie

    2010-01-01

    This study seeks to determine whether center-based and family-based child care services differ with respect to process quality, as measured by the Educative Quality Observation Scales ("EQOS", Bourgon and Lavallee 2004a, b, c), for groups of children 18 months old and younger. It also seeks to identify structural variables associated with process…

  19. Tolerability of Shortened Infliximab Infusion Times in Patients With Inflammatory Bowel Diseases : A Single-Center Cohort Study

    NARCIS (Netherlands)

    Breynaert, Christine; Ferrante, Marc; Fidder, Herma; Van Steen, Kristel; Noman, Maja; Ballet, Vera; Vermeire, Severine; Rutgeerts, Paul; Van Assche, Gert

    2011-01-01

    OBJECTIVES: Scheduled maintenance therapy with infliximab decreases the risk of infusion reactions. Many centers have accelerated infusion times to 1 h in selected patients who tolerate 5 mg/kg infliximab infusions. The aim of this study was to compare the tolerability of 1-h and 2-h infliximab infu

  20. Center for Peace Studies and Violence Prevention, Department of Engineering Science and Mechanics present exhibit by local artist

    OpenAIRE

    Owczarski, Mark

    2010-01-01

    Virginia Tech's Center for Peace Studies and Violence Prevention and the Department of Engineering Science and Mechanics in the College of Engineering announce the next installment in an ongoing series of art exhibits to be displayed in the second floor west wing hallway of Norris Hall.

  1. [Science cultures in the global perspective. Thoughts on content design and operation of the Leopoldina Study Center].

    Science.gov (United States)

    Labisch, Alfons

    2014-01-01

    The Leopoldina Center for the Study of the History of Science and Science Academies is a place to openly discuss the cooperation between science and society across all of the disciplines represented at the Leopoldina and beyond. This dialogue shall, by all means, also include researchers who are not members of the Leopoldina and people from outside of the academia who are interested in the topic. Like the Leopoldina, its Study Center builds bridges: between various academic disciplines, across generations and in local, national, and international communities. All interested members of the Leopoldina--not just members from the humanities, the social sciences or the behavioral sciences, but also scientists from the areas of the natural sciences, technology, the life sciences and physicians--are kindly invited to incorporate their research interests, with regard to the history and theory of their respective academic disciplines, in the research portfolio of the Leopoldina Study Center. In so doing, the Leopoldina Center for the Study of the History of Science and Science Academies should and will become a source of energy for permanent reflection and innovation when contemplating the issues of science and society.

  2. A Study of the Leadership Styles of Campus Based Women's Centers in Higher Education in the Southeast United States

    Science.gov (United States)

    DeLuz, Nikki

    2013-01-01

    This study examined the organizational and institutional variables that influence the leadership styles of directors of campus-based women's centers at public and private four-year universities in the southeast United States. The researcher examined the leadership frame (or frames), as measured by Bolman and Deal's (1990) Leadership Orientations…

  3. Predicting sickness impact profile at six months after stroke: further results from the European multi-center CERISE study

    NARCIS (Netherlands)

    Stummer, C.A.; Verheyden, G.; Putman, K.; Jenni, W.; Schupp, W.; Wit, L. De

    2015-01-01

    PURPOSE: To develop prognostic models and equations for predicting participation at six months after stroke. METHODS: This European prospective cohort study recruited 532 consecutive patients from four rehabilitation centers. Participation was assessed at six months after stroke with the Sickness Im

  4. A study of characteristics of intercity transportation systems. Phase 1: Definition of transportation comparison methodology

    Science.gov (United States)

    English, J. M.; Smith, J. L.; Lifson, M. W.

    1978-01-01

    The objectives of this study are: (1) to determine a unified methodological framework for the comparison of intercity passenger and freight transportation systems; (2) to review the attributes of existing and future transportation systems for the purpose of establishing measures of comparison. These objectives were made more specific to include: (1) development of a methodology for comparing long term transportation trends arising from implementation of various R&D programs; (2) definition of value functions and attribute weightings needed for further transportation goals.

  5. Variability in prostate and seminal vesicle delineations defined on magnetic resonance images, a multi-observer, -center and -sequence study

    DEFF Research Database (Denmark)

    Nyholm, Tufve; Jonsson, Joakim; Söderström, Karin;

    2013-01-01

    was to investigate the intra- and inter-physician delineation variability for prostate and seminal vesicles, and to investigate the influence of different MR sequence settings used clinically at the five centers participating in the study. METHODS: MR series from five centers, each providing five patients, were used....... Two physicians from each center delineated the prostate and the seminal vesicles on each of the 25 image sets. The variability between the delineations was analyzed with respect to overall, intra- and inter-physician variability, and dependence between variability and origin of the MR images, i.......e. the MR sequence used to acquire the data. RESULTS: The intra-physician variability in different directions was between 1.3 - 1.9 mm and 3 -- 4 mm for the prostate and seminal vesicles respectively (1 std). The inter-physician variability for different directions were between 0.7 -- 1.7 mm...

  6. Introducing the Tehran Heart Center's Premature Coronary Atherosclerosis Cohort: THC-PAC Study

    Directory of Open Access Journals (Sweden)

    SeyedHesameddin Abbasi

    2015-10-01

    Full Text Available Background: Data on premature coronary artery disease (CAD are scarce. The Tehran Heart Center's Premature Coronary Atherosclerosis Cohort Study (THC-PAC is the first study of its kind in the Middle East to assess major adverse cardiac events (MACE in young CAD patients.Methods: The cohort consists of CAD patients, males ≤ 45 years old and females ≤ 55 years old. The participants are residents of Tehran or its suburbs and underwent coronary angiography between June 2004 and July 2011. A 10-year follow-up, via either clinical visits or telephone calls at least once a year, was commenced in August 2012. The end point is considered MACE, encompassing death, myocardial infarction, stroke, new coronary involvement, percutaneous coronary intervention, and coronary artery bypass grafting.Results: The cohort comprises 1232 eligible patients (613 [49.8%] males at a mean age of 45.1 years (SD = 5.8. High frequencies of conventional risk factors, including hyperlipidemia (884 [71.8%], hypertension (575 [46.7%], positive family history (539 [43.8%], cigarette smoking (479 [38.8%], and diabetes mellitus (390 [31.7%], were seen in the participants. The mean body mass index (BMI of the enrolled patients was high (29.2 ± 4.8 kg/m2, and 532 (43.3% and 440 (35.8% of them were overweight and obese, respectively. The females’ BMI was higher (30.4 ± 5.3 vs. 28.0 ± 3.9 kg/m2; P < 0.001 and they had a greater mean abdominal circumference (99.9 ± 13.5 vs. 98.1 ± 9.3 cm; P = 0.035. Between August 2012 and August 2013, follow-up was successful in 1173 (95.2% patients (median follow-up duration = 55.3 months, 95%CI: 53.5-57.0 months.Conclusion: Our younger patients with CAD had a high frequency of risk factors compared to the same-age general population and all-age CAD patients, which may predispose them to higher incidence of recurrent MACE.

  7. Presentation of 493 consecutive girls with idiopathic central precocious puberty: a single-center study.

    Directory of Open Access Journals (Sweden)

    Eloïse Giabicani

    Full Text Available BACKGROUND: Despite the number of reported data concerning idiopathic central precocious puberty (CPP in girls, major questions remain including its diagnosis, factors, and indications of gonadotropin releasing hormone (GnRH analog treatment. METHODS: A retrospective, single-center study was carried out on 493 girls with CPP. RESULTS: Eleven girls (2.2% were aged less than 3 years. Breast development was either isolated (Group 0, n = 99, or associated with one sign, pubic hair development, growth rate greater than 2 standard deviation score (SDS or bone age (BA >2 years above chronological age, (Group 1, n = 187, two signs (Group 2, n = 142 or three signs (Group 3, n = 65. The interval between onset of puberty and evaluation, body mass index (BMI SDS, plasma luteinising hormone (LH concentrations (basal and peak and LH/ follicle-stimulating hormone (FSH peak ratio after GnRH test, plasma estradiol and uterus length were significantly greater in Groups 2 and 3 than in Groups 0 and 1 respectively. 211 (42.8% patients were obese and/or had excessive weight gain during the year before puberty. Obese girls more often had BA advance of >2 years (p = 0.0004 and pubic hair development (p = 0.003 than the others. BMI did not correlate with LH or with LH/FSH peak ratio. Girls with familial history of early puberty (41.4% had greater frequencies of pubertal LH/FSH peak ratios (p = 0.02 than the others. During the 31 years of the study, there was no increase in the frequency of CPP or variation in its characteristics. CONCLUSION: Obesity is associated with a higher BA advance and higher frequency of pubic or axillary hair development but not with LH secretion, suggesting that obesity accelerates adrenarche but not the maturation of the hypothalamic-pituitary-ovarian axis. The LH/FSH peak ratio was more frequently pubertal in girls with a familial history of early puberty, suggesting that this maturation depends on genetic factors.

  8. Personality traits affect teaching performance of attending physicians: results of a multi-center observational study.

    Directory of Open Access Journals (Sweden)

    Renée A Scheepers

    Full Text Available BACKGROUND: Worldwide, attending physicians train residents to become competent providers of patient care. To assess adequate training, attending physicians are increasingly evaluated on their teaching performance. Research suggests that personality traits affect teaching performance, consistent with studied effects of personality traits on job performance and academic performance in medicine. However, up till date, research in clinical teaching practice did not use quantitative methods and did not account for specialty differences. We empirically studied the relationship of attending physicians' personality traits with their teaching performance across surgical and non-surgical specialties. METHOD: We conducted a survey across surgical and non-surgical specialties in eighteen medical centers in the Netherlands. Residents evaluated attending physicians' overall teaching performance, as well as the specific domains learning climate, professional attitude, communication, evaluation, and feedback, using the validated 21-item System for Evaluation of Teaching Qualities (SETQ. Attending physicians self-evaluated their personality traits on a 5-point scale using the validated 10-item Big Five Inventory (BFI, yielding the Five Factor model: extraversion, conscientiousness, neuroticism, agreeableness and openness. RESULTS: Overall, 622 (77% attending physicians and 549 (68% residents participated. Extraversion positively related to overall teaching performance (regression coefficient, B: 0.05, 95% CI: 0.01 to 0.10, P = 0.02. Openness was negatively associated with scores on feedback for surgical specialties only (B: -0.10, 95% CI: -0.15 to -0.05, P<0.001 and conscientiousness was positively related to evaluation of residents for non-surgical specialties only (B: 0.13, 95% CI: 0.03 to 0.22, p = 0.01. CONCLUSIONS: Extraverted attending physicians were consistently evaluated as better supervisors. Surgical attending physicians who display high levels of

  9. Transplant Nurses' Work Environment: A Cross-Sectional Multi-Center Study.

    Science.gov (United States)

    Kugler, Christiane; Akca, Selda; Einhorn, Ina; Rebafka, Anne; Russell, Cynthia L

    2016-01-01

    BACKGROUND Numerically, nurses represent the largest healthcare profession, thus setting norms for the quality and safety of direct patient care. Evidence of a global shortage of nurses in all clinical practice settings across different healthcare systems and countries has been documented. The aims of the present study were: (1) to assess work environments in a sample of German transplant nurses, and (2) to compare their statements with a US-based sample. MATERIAL AND METHODS In a cross-sectional study, 181 transplant nurses from 16 German transplant centers provided information on their work environments. The translated version of the Job Design (JD) and Job Satisfaction (JS) survey showed satisfactory internal consistency for the JD (0.78) and JS (0.93) subscales. German nurses' work environments were compared with 331 transplant nurses from the US. RESULTS The majority of transplant nurses were female (81.8%), 55.4% were age 21-40 years, and 78.1% were employed full-time. German (versus US) transplant nurses reported their job design to be best for 'skill varieties' (p≤0.0002), and worst for 'autonomy' (p≤0.01). Job satisfaction was best with 'opportunities for autonomy and growth' (p≤0.0001), and 'pay and benefits' (p≤0.0001) was lowest. A higher professional degree (OR 1.57; p≤0.03; 95% CI 1.19-2.86), and longer time in transplant (OR 1.24; p≤0.001; 95% CI 1.11-1.38) showed a positive impact on German transplant nurses' perceptions of 'job satisfaction'. Nurses with time-dependent working contracts perceived more stress negatively affecting job satisfaction (OR 1.13; p≤0.009; 95% CI 1.02-12.82). CONCLUSIONS German specialty nurses working in the field of solid organ transplantation rate their work environments with respect to job design and job satisfaction as satisfactory. Institutions' investment into satisfactory nurse work environments and specializing nurses might increase the quality of care, thus improving patient outcomes. PMID:27582230

  10. Center for Technology, Security, and Policy research faculty conduct study of New Madrid Seismic Zone

    OpenAIRE

    Micale, Barbara L.

    2010-01-01

    Theresa Jefferson and John Harrald, research faculty at the Virginia Tech Center for Technology, Security, and Policy in the National Capital Region recently completed a Federal Emergency Management Agency (FEMA)-funded research project to model the social impacts and disaster response requirements of a 7.7 magnitude catastrophic earthquake on the three segments of the New Madrid Seismic Zone.

  11. Usability Testing, User-Centered Design, and LibGuides Subject Guides: A Case Study

    Science.gov (United States)

    Sonsteby, Alec; DeJonghe, Jennifer

    2013-01-01

    Usability testing has become a routine way for many libraries to ensure that their Web presence is user-friendly and accessible. At the same time, popular subject guide creation systems, such as LibGuides, decentralize Web content creation and put authorship into the hands of librarians who may not be trained in user-centered design principles. At…

  12. Study of the Index System for Assessing Learner-Centered Online Courses

    Science.gov (United States)

    Li, Mei

    2015-01-01

    With the development of e-learning, the quality of web-based courses attracts extensive interest. This paper draws upon the results conducted amongst students enrolled in an online language course at a northern Chinese university. The design of the course aims to create the learner-centered environment: personalized learning environment,…

  13. Lattice study on QCD-like theory with exact center symmetry

    CERN Document Server

    Iritani, Takumi; Misumi, Tatsuhiro

    2015-01-01

    We investigate QCD-like theory with exact center symmetry, with emphasis on the finite-temperature phase transition concerning center and chiral symmetries. On the lattice, we formulate center symmetric $SU(3)$ gauge theory with three fundamental Wilson quarks by twisting quark boundary conditions in a compact direction ($Z_3$-QCD model). We calculate the expectation value of Polyakov loop and the chiral condensate as a function of temperature on 16^3 x 4 and 20^3 x 4 lattices along the line of constant physics realizing $m_{PS}/m_{V}=0.70$. We find out the first-order center phase transition, where the hysteresis of the magnitude of Polyakov loop exists depending on thermalization processes. We show that chiral condensate decreases around the critical temperature in a similar way to that of the standard three-flavor QCD, as it has the hysteresis in the same range as that of Polyakov loop. We also show that the flavor symmetry breaking due to the twisted boundary condition gets qualitatively manifest in the h...

  14. 75 FR 78212 - Proposed Information Collection; Comment Request; Center for Economic Studies Research Proposal...

    Science.gov (United States)

    2010-12-15

    ... Proposal Process Persons wishing to conduct research at a Research Data Center must submit a research proposal using the CES Web site ( http://www.ces.census.gov ). Detailed guidelines describe the research proposal submission process. There are two distinct steps to submit a research proposal. The first step...

  15. Study of a conceptual nuclear-energy center at Green River, Utah: site-specific transportation

    Energy Technology Data Exchange (ETDEWEB)

    1981-10-01

    The objective of the following report is to assess the adequacy of the local and regional transportation network for handling traffic, logistics, and the transport of major power plant components to the Utah Nuclear Energy Center (UNEC) Horse Bench site. The discussion is divided into four parts: (1) system requirements; (2) description of the existing transportation network; (3) evaluation; (4) summary and conclusions.

  16. Fighting Obsolescence in the Nuclear Power Industry. Motor Control Centers-solutions and Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Portillo, J.; Torralba Piqueras, A.

    2014-07-01

    Motor Control Centers (MCCs) are vital to the operation and control of nuclear power plants. A significant and growing problem within the global nuclear industry is the aging of MCC components. Obsolescence of various components within the MCCs such as molded case circuit breakers, starters, relays, heaters, transformers, etc., are impacting the reliability of MCCs to perform their intended safety function. (Author)

  17. Decentering Self in Leadership: Putting Community at the Center in Leadership Studies.

    Science.gov (United States)

    Hartman, Eric

    2016-06-01

    Although students' personal passions typically determine the issue addressed by service-learning leadership initiatives, this chapter advocates for a community-centered alternative. This in-depth exploration of a leadership development course series models a community-need driven project and explores the benefits for both community and student learning. PMID:27150906

  18. The Northwest Indiana Center for Data and Analysis: A Case Study of Academic Library Community Engagement

    Science.gov (United States)

    Sandberg, Scott; Morris, Cele; Sutherland, Timothy

    2013-01-01

    This paper details community engagement activity of an academic library coordinated within a broader university strategic plan. The Anderson Library at Indiana University Northwest (IU-Northwest) supports a service called the Northwest Indiana Center for Data and Analysis. Created in 1996 with funding made available from the Indiana University…

  19. TRADITIONAL AND DIGITAL AUTORADIOGRAPHY TECHNIQUES: A COMPARISON STUDY

    Energy Technology Data Exchange (ETDEWEB)

    Gibbs, K; Carol Kestin, C

    2006-08-29

    digital imaging technology to replace the current method. The purpose of this report is to provide a description of the current method, a description of the equipment for the new digital method and its capabilities, and a direct comparison of the results between the existing and proposed techniques. The advantages of the digital method is the reduced time of exposure (from 24 hours to around 10 minutes), increased sample throughput, reduced rework of samples, and the elimination of chemical processing.

  20. Targeting the environmental assessment of veterinary drugs with the multi-species-soil system (MS{center_dot}3) agricultural soil microcosms: the ivermectin case study

    Energy Technology Data Exchange (ETDEWEB)

    Carbonell-Martin, G.; Pro-Gonzalez, J.; Aragones-Grunert, P.; Babib-Vich, M. M.; Fernandez-Rorija, C.; Tarazona-Lafarga, J. V.

    2011-07-01

    The environmental risk assessment of the veterinary pharmaceutical ivermectin is receiving significant attention. This paper assesses the capacity of the MS{center_dot}3 soil microcosm as a tool for targeting the environmental impact assessment of veterinary drugs, using ivermectin as model. Two screening MS{center_dot}3 were performed using different European soils; one with a soil collected in an agricultural station near to Madrid, Spain and a second with a soil collected in a farm area close to York, UK. Soils were fortified with ivermectin at the following ranges: 0.01-10 mg kg{sup -}1 and 0.1-100 mg kg{sup -}1 in the Madrid and York studies, respectively. The effects on earthworms, plants and soil microorganisms were assessed in the Madrid soil. Toxicity tests on aquatic organisms (algae, cladocerans and in vitro fish cell line RTLW1) were also conducted with the leachates. No effects were observed in earthworms and plants at any tested concentration; reduction in the respiration rate (< 5%) of soil microorganisms was detected. Earthworm/soil bioconcentration factors decreased with the increase in soil concentrations and were higher for the York soil. Effects on daphnids were observed in tested leachates; based on measured levels of ivermectin in the leachates an EC50 of about 0.5{mu}gL{sup -}1 can be estimated. Comparisons based on toxicity data and equilibrium partitioning confirmed that the main risk is expected to be related to the high sensitivity of cladocerans. The results confirm that MS{center_dot}3 systems are cost-effective tools for assessing the impact of veterinary pharmaceuticals when applied to agricultural land, as previously demonstrated for antimicrobials. (Author) 39 refs.

  1. Abstinence, Social Norms, and Drink Responsibly Messages: A Comparison Study

    Science.gov (United States)

    Glassman, Tavis J.; Kruger, Jessica Sloan; Deakins, Bethany A.; Paprzycki, Peter; Blavos, Alexis A.; Hutzelman, Erin N.; Diehr, Aaron

    2016-01-01

    Objective: The purpose of this study was to determine which type of prevention message (abstinence, social norms, or responsible drinking) was most effective at reducing alcohol consumption. Participants: The subjects from this study included 194 college students from a public university. Methods: Researchers employed a quasi-experimental design,…

  2. A Comparison Study on the Chinese and Western Music Aesthetics

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    <正>Specialty:Literary Theory Music Aesthetics is a basic and theoretical subject,which studies the basic rules of music,and especially regards the study of the particularity of music and aesthetics as its general goal.Belonging to liberal arts,music aesthetics is the same as other

  3. Physical and biological studies with protons and HZE particles in a NASA supported research center in radiation health

    Science.gov (United States)

    Chatterjee, A.; Borak, T. H.

    2001-01-01

    NASA has established and supports a specialized center for research and training (NSCORT) to specifically address the potential deleterious effects of HZE particles on human health. The NSCORT in radiation health is a joint effort between Lawrence Berkeley National Laboratory (LBNL) and Colorado State University (CSU). The overall scope of research encompasses a broad range of subjects from microdosimetric studies to cellular and tissue responses to initial damage produced by highly energetic protons and heavy charged particles of the type found in galactic cosmic rays (GCR) spectrum. The objectives of the microdosimetry studies are to determine the response of Tissue Equivalent Proportional Counter (TEPC) to cosmic rays using ground based accelerators. This includes evaluation of energy loss due to the escape of high-energy delta rays and increased energy deposition due to the enhanced delta ray production in the wall of the detector. In this report major results are presented for 56Fe at 1000, 740, 600 and 400 MeV/nucleon. An assessment of DNA repair and early development of related chromosomal changes is extremely important to our overall understanding of enhanced biological effectiveness of high LET particle radiation. Results are presented with respect to the fidelity of the rejoining of double strand breaks and the implications of misrejoining. The relationship between molecular and cytogenetic measurements is presented by studying damage processing in highly heterochromatic supernumerary (correction of sypernumerary) X chromosomes and the active X-chromosome. One of the important consequences of cell's inability to handle DNA damage can be evaluated through mutation studies. Part of our goal is the assessment of potential radioprotectors to reduce the mutation yield following HZE exposures, and some promising results are presented on one compound. A second goal is the integration of DNA repair and mutation studies. Results are presented on a direct

  4. Anti-HMGCR antibodies as a biomarker for immune-mediated necrotizing myopathies: A history of statins and experience from a large international multi-center study.

    Science.gov (United States)

    Musset, Lucile; Allenbach, Yves; Benveniste, Olivier; Boyer, Olivier; Bossuyt, Xavier; Bentow, Chelsea; Phillips, Joe; Mammen, Andrew; Van Damme, Philip; Westhovens, René; Ghirardello, Anna; Doria, Andrea; Choi, May Y; Fritzler, Marvin J; Schmeling, Heinrike; Muro, Yoshinao; García-De La Torre, Ignacio; Ortiz-Villalvazo, Miguel A; Bizzaro, Nicola; Infantino, Maria; Imbastaro, Tiziana; Peng, Qinglin; Wang, Guochun; Vencovský, Jiří; Klein, Martin; Krystufkova, Olga; Franceschini, Franco; Fredi, Micaela; Hue, Sophie; Belmondo, Thibaut; Danko, Katalin; Mahler, Michael

    2016-10-01

    In an effort to find naturally occurring substances that reduce cholesterol by inhibiting 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR), statins were first discovered by Endo in 1972. With the widespread prescription and use of statins to decrease morbidity from myocardial infarction and stroke, it was noted that approximately 5% of all statin users experienced muscle pain and weakness during treatment. In a smaller proportion of patients, the myopathy progressed to severe morbidity marked by proximal weakness and severe muscle wasting. Remarkably, Mammen and colleagues were the first to discover that the molecular target of statins, 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGCR), is an autoantibody target in patients that develop an immune-mediated necrotizing myopathy (IMNM). These observations have been confirmed in a number of studies but, until today, a multi-center, international study of IMNM, related idiopathic inflammatory myopathies (IIM), other auto-inflammatory conditions and controls has not been published. Accordingly, an international, multi-center study investigated the utility of anti-HMGCR antibodies in the diagnosis of statin-associated IMNM in comparison to different forms of IIM and controls. This study included samples from patients with different forms of IIM (n=1250) and patients with other diseases (n=656) that were collected from twelve sites and tested for anti-HMGCR antibodies by ELISA. This study confirmed that anti-HMGCR autoantibodies, when found in conjunction with statin use, characterize a subset of IIM who are older and have necrosis on muscle biopsy. Taken together, the data to date indicates that testing for anti-HMGCR antibodies is important in the differential diagnosis of IIM and might be considered for future classification criteria.

  5. Radiosurgery for skull base meningiomas: a study on 230 cases in Iranian Gamma Knife Center

    Directory of Open Access Journals (Sweden)

    Ali Bitara M

    2010-06-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Meningiomas are among the most common tumors of the brain. Skull base meningiomas comprise s major part of brain meningiomas. They are difficult to treat because of proximity to major vital neuro-vascular structures which makes their surgical resection hazardous and fraught with a high rate of complications. Radiosurgery is considered as an alternative efficient way to treat them, which targets the tumor and its supplying vasculature. The standard treatment consists of tumor eradication and its supplying vessels through homogeneous dose of 201 rays of cobalt 60 source."n"nMethods: In a case-series study, we report 230 meningiomas referred to Iraninan Gamma Knife Center, treated by radiosurgery with type C Gamma Knife. Radio-surgery was performed at a mean dose of 15 Gy and 50% isodose."n"nResults: Two hundred and thirty of all meningioma cases refered to our institute were skull base lesions. Eighty (35% were new case and the rest were previously treated microsurgically one or more times. None of the patients died after treatment and the most common post-operative complications were headache (30 patients and peri-tumoral edema (12 patients."n"nConclusion: Tumoral control is defined as reduced tumor volume

  6. Height, social comparison, and paranoia: an immersive virtual reality experimental study.

    Science.gov (United States)

    Freeman, Daniel; Evans, Nicole; Lister, Rachel; Antley, Angus; Dunn, Graham; Slater, Mel

    2014-08-30

    Mistrust of others may build upon perceptions of the self as vulnerable, consistent with an association of paranoia with perceived lower social rank. Height is a marker of social status and authority. Therefore we tested the effect of manipulating height, as a proxy for social rank, on paranoia. Height was manipulated within an immersive virtual reality simulation. Sixty females who reported paranoia experienced a virtual reality train ride twice: at their normal and reduced height. Paranoia and social comparison were assessed. Reducing a person's height resulted in more negative views of the self in comparison with other people and increased levels of paranoia. The increase in paranoia was fully mediated by changes in social comparison. The study provides the first demonstration that reducing height in a social situation increases the occurrence of paranoia. The findings indicate that negative social comparison is a cause of mistrust.

  7. Study Strategies Comparison and Self-Regulationin University Students

    OpenAIRE

    Irma Rosa Alvarado Guerrero; Zaira Vega Valero; María Luisa Cepeda Islas; Ana Elena Del Bosque Fuentes

    2014-01-01

    The main factors associated with academic performance are study strategies and self-regulation in university students, thus the objective of this paper is to compare two sample groups: those in a regular status and others under certain academic lag. The Study Strategies Inventory and Self-Regulation (IEEA) BY Castaneda was applied to 41 learners. It was observed that both groups need support to develop strategies for the four scales of the instrument: Information acquisition, memory resource ...

  8. Prediction of attendance at fitness center: a comparison between theory of planned behavior, social cognitive theory, and physical activity maintenance theory

    Directory of Open Access Journals (Sweden)

    Darko eJekauc

    2015-02-01

    Full Text Available In the processes of physical activity (PA maintenance specific predictors are effective, which differ from other stages of PA development. Recently, Physical Activity Maintenance Theory (PAMT was specifically developed for prediction of PA maintenance. The aim of the present study was to evaluate the predictability of the future behavior by the PAMT and compare it with the Theory of Planned Behavior (TPB and Social Cognitive Theory (SCT. Participation rate in a fitness center was observed for 101 college students (53 female aged between 19 and 32 years (M = 23.6; SD = 2.9 over 20 weeks using a magnetic card. In order to predict the pattern of participation TPB, SCT and PAMT were used. A latent class zero-inflated Poisson growth curve analysis identified two participation patterns: regular attenders and intermittent exercisers. SCT showed the highest predictive power followed by PAMT and TPB. Impeding aspects as life stress and barriers were the strongest predictors suggesting that overcoming barriers might be an important aspect for exercise maintenance. Self-efficacy, perceived behavioral control, and social support could also significantly differentiate between the participation patterns.

  9. Prediction of attendance at fitness center: a comparison between the theory of planned behavior, the social cognitive theory, and the physical activity maintenance theory.

    Science.gov (United States)

    Jekauc, Darko; Völkle, Manuel; Wagner, Matthias O; Mess, Filip; Reiner, Miriam; Renner, Britta

    2015-01-01

    In the processes of physical activity (PA) maintenance specific predictors are effective, which differ from other stages of PA development. Recently, Physical Activity Maintenance Theory (PAMT) was specifically developed for prediction of PA maintenance. The aim of the present study was to evaluate the predictability of the future behavior by the PAMT and compare it with the Theory of Planned Behavior (TPB) and Social Cognitive Theory (SCT). Participation rate in a fitness center was observed for 101 college students (53 female) aged between 19 and 32 years (M = 23.6; SD = 2.9) over 20 weeks using a magnetic card. In order to predict the pattern of participation TPB, SCT and PAMT were used. A latent class zero-inflated Poisson growth curve analysis identified two participation patterns: regular attenders and intermittent exercisers. SCT showed the highest predictive power followed by PAMT and TPB. Impeding aspects as life stress and barriers were the strongest predictors suggesting that overcoming barriers might be an important aspect for working out on a regular basis. Self-efficacy, perceived behavioral control, and social support could also significantly differentiate between the participation patterns.

  10. The rate of pregnancy in Trinidad and Tobago: A comparison between pregnant teenagers and pregnant adults registered at three health centers

    Directory of Open Access Journals (Sweden)

    Joan M Rawlins

    2013-07-01

    Full Text Available Aim: This paper aims to determine the difference between the health and social conditions of women who had their first pregnancy as teenagers (13-19 years old and those who had their first pregnancy during post-adolescence (20-41 years old. Materials and Methods : The results were based on a structured, 60-item interview schedule with 132 cases (71 teenagers and 61 women ≥ 20 year old in Trinidad and Tobago. These cases comprised Afro-Trinidadians, Indo-Trinidadians, and Trinidadians of "Mixed" ancestry, who were all recruited by nurses in three health centers in Northern Trinidad, during the period October 2004 to October 2005. The main issues of concern regarding the respondents were history of stillbirths, abortion, contraceptive use, intended family size, marital status, and employment status. Data were analyzed, using Statistical Package for the Social Sciences (SPSS 12.0. Results : While the study shows similarity between the two groups of respondents, in terms of their breast-feeding practices, there were differences regarding teenage mothers who experienced a higher level of unemployment (35%, single and common law relationships (81%, and lower contraceptive use (11.8%. The older mothers were more likely to be classified as unskilled (34.4% compared to 22.5% for the teen group. Conclusions : The findings reveal that teenage pregnancy is considered a risk factor and has socio-economic implications regarding the lives of the mother and child in terms health, income, employment, and marital status.

  11. A Proposed Experiment to Study Relaxation Formation of a Spherical Tokamak with a Plasma Center Column

    CERN Document Server

    Hsu, S C

    2006-01-01

    A spherical tokamak (ST) with a plasma center column (PCC) can be formed via driven magnetic relaxation of a screw pinch plasma. An ST-PCC could in principle eliminate many problems associated with a material center column, a key weakness of the ST reactor concept. This work summarizes the design space for an ST-PCC in terms of flux amplification, aspect ratio, and elongation, based on the zero-beta Taylor-relaxed analysis of Tang & Boozer [Phys. Plasmas 13, 042514 (2006)]. The paper will discuss (1) equilibrium and stability properties of the ST-PCC, (2) issues for an engineering design, and (3) key differences between the proposed ST-PCC and the ongoing Proto-Sphera effort in Italy.

  12. Sharing Knowledge in a Shared Services Center Context: An Explanatory Case Study of the Dialectics of Formal and Informal Practices

    OpenAIRE

    Vieru, Dragos; Arduin, Pierre-Emmanuel

    2016-01-01

    International audience This study focuses on how knowledge sharing across boundaries of merging entities during an information system (IS) implementation project in a shared services center (SSC) context affects the resulting system functionality. Although the literature stresses the growing adoption of the SSC as an outsourcing model, there is a lack of studies that examine shared services as a dynamic process of knowledge sharing across the organizational boundaries. We draw on a socioma...

  13. Preliminary study of environmental parameters associated with the feasibility of a polygeneration plant at Kennedy Space Center

    International Nuclear Information System (INIS)

    The feasibility of a polygeneration plant at Kennedy Space Center was studied. Liquid hydrogen and gaseous nitrogen are the two principal products in consideration. Environmental parameters (air quality, water quality, biological diversity and hazardous waste disposal) necessary for the feasibility study were investigated. A National Environmental Policy Act (NEPA) project flow sheet was to be formulated for the environmental impact statement. Water quality criteria for Florida waters were to be established

  14. Colorectal cancer: A case control study of dietary factors, King Faisal specialist hospital and researh center, Riyadh, Saudi Arabia

    OpenAIRE

    Nashar, Reem M.; Khalid S Almurshed

    2008-01-01

    Objective: This study was designed to assess various dietary factors and the nutritional status of hospitalized patients with colorectal cancer. Materials and Methods: A case-controlled study of fifty newly-admitted patients at King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia diagnosed with colorectal cancer were interviewed to collect data on various dietary factors and their nutritional status. Their data were compared with a sex-matched control group aged fifty. ...

  15. Comparative analysis of MR imaging, Ictal SPECT and EEG in temporal lobe epilepsy: a prospective IAEA multi-center study

    International Nuclear Information System (INIS)

    MR imaging, ictal single-photon emission CT (SPECT) and ictal EEG play important roles in the presurgical localization of epileptic foci. This multi-center study was established to investigate whether the complementary role of perfusion SPECT, MRI and EEG for presurgical localization of temporal lobe epilepsy could be confirmed in a prospective setting involving centers from India, Thailand, Italy and Argentina. We studied 74 patients who underwent interictal and ictal EEG, interictal and ictal SPECT and MRI before surgery of the temporal lobe. In all but three patients, histology was reported. The clinical outcome was assessed using Engel's classification. Sensitivity values of all imaging modalities were calculated, and the add-on value of SPECT was assessed. Outcome (Engel's classification) in 74 patients was class I, 89%; class II, 7%; class III, 3%; and IV, 1%. Regarding the localization of seizure origin, sensitivity was 84% for ictal SPECT, 70% for ictal EEG, 86% for MRI, 55% for interictal SPECT and 40% for interictal EEG. Add-on value of ictal SPECT was shown by its ability to correctly localize 17/22 (77%) of the seizure foci missed by ictal EEG and 8/10 (80%) of the seizure foci not detected by MRI. This prospective multi-center trial, involving centers from different parts of the world, confirms that ictal perfusion SPECT is an effective diagnostic modality for correctly identifying seizure origin in temporal lobe epilepsy, providing complementary information to ictal EEG and MRI. (orig.)

  16. Comparative analysis of MR imaging, Ictal SPECT and EEG in temporal lobe epilepsy: a prospective IAEA multi-center study

    Energy Technology Data Exchange (ETDEWEB)

    Zaknun, John J. [University Hospital of Innsbruck, Department of Nuclear Medicine, Innsbruck (Austria); International Atomic Energy Agency (IAEA), Nuclear Medicine Section, Division of Human Health, Vienna (Austria); IAEA, Nuclear Medicine Section, Division of Human Health, Wagramer Strasse 5, P.O. Box 100, Wien (Austria); Bal, Chandrasekhar [All India Institute of Medical Sciences, Department of Nuclear Medicine, New Delhi (India); Maes, Alex [Katholieke Universiteit Leuven, Leuven (Belgium); AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); Tepmongkol, Supatporn [Chulalongkorn University, Nuclear Medicine Division, Department of Radiology, Bangkok (Thailand); Vazquez, Silvia [Instituto de Investigaciones Neurologicas, FLENI, Department of Radiology, Buenos Aires (Argentina); Dupont, Patrick [Katholieke Universiteit Leuven, Leuven (Belgium); Dondi, Maurizio [Ospedale Maggiore, Department of Nuclear Medicine, Bologna (Italy); International Atomic Energy Agency (IAEA), Nuclear Medicine Section, Division of Human Health, Vienna (Austria)

    2008-01-15

    MR imaging, ictal single-photon emission CT (SPECT) and ictal EEG play important roles in the presurgical localization of epileptic foci. This multi-center study was established to investigate whether the complementary role of perfusion SPECT, MRI and EEG for presurgical localization of temporal lobe epilepsy could be confirmed in a prospective setting involving centers from India, Thailand, Italy and Argentina. We studied 74 patients who underwent interictal and ictal EEG, interictal and ictal SPECT and MRI before surgery of the temporal lobe. In all but three patients, histology was reported. The clinical outcome was assessed using Engel's classification. Sensitivity values of all imaging modalities were calculated, and the add-on value of SPECT was assessed. Outcome (Engel's classification) in 74 patients was class I, 89%; class II, 7%; class III, 3%; and IV, 1%. Regarding the localization of seizure origin, sensitivity was 84% for ictal SPECT, 70% for ictal EEG, 86% for MRI, 55% for interictal SPECT and 40% for interictal EEG. Add-on value of ictal SPECT was shown by its ability to correctly localize 17/22 (77%) of the seizure foci missed by ictal EEG and 8/10 (80%) of the seizure foci not detected by MRI. This prospective multi-center trial, involving centers from different parts of the world, confirms that ictal perfusion SPECT is an effective diagnostic modality for correctly identifying seizure origin in temporal lobe epilepsy, providing complementary information to ictal EEG and MRI. (orig.)

  17. Mössbauer studies of two-electron centers with negative correlation energy in crystalline and amorphous semiconductors

    International Nuclear Information System (INIS)

    The results of the study of donor U−-centers of tin and germanium in lead chalcogenides by Mössbauer emission spectroscopy are discussed. The published data regarding the identification of amphoteric U−-centers of tin in glassy binary arsenic and germanium chalcogenides using Mössbauer emission spectroscopy, and in multicomponent chalcogenide glasses using Mössbauer absorption spectroscopy are considered. Published data concerning the identification of two-atom U−-centers of copper in lattices of semimetal copper oxides by Mössbauer emission spectroscopy are analyzed. The published data on the detection of spatial inhomogeneity of the Bose-Einstein condensate in superconducting semiconductors and semimetal compounds, and on the existence of the correlation between the electron density in lattice sites and the superconducting transition temperature are presented. The principal possibility of using Mössbauer U−-centers as a tool for studying the Bose-Einstein condensation of electron pairs during the superconducting phase transition in semiconductors and semimetals is considered.

  18. Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

    1994-02-01

    This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km{sup 2} Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included.

  19. Study of Construction of Personalized Service Oriented Government Virtual Information Service Center

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    In this paper, we proposed the idea of personalized information service for enterprises and customers through government visual information service center (GVISC). It discusses an extensible, reusable, reconstructive and integrated framework of GVISC with new techniques, such as XML, agent, data mining and information portal. They include the design and analysis of the logical structure, the design of the data layer, and the description of the function application. We show an example of personalized informa...

  20. The World Trade Center Residents’ Respiratory Health Study: New-Onset Respiratory Symptoms and Pulmonary Function

    OpenAIRE

    Reibman, Joan; Lin, Shao; Hwang, Syni-An A.; Gulati, Mridu; Bowers, James A.; Rogers, Linda; Berger, Kenneth I.; Hoerning, Anne; Gomez, Marta; Fitzgerald, Edward F.

    2004-01-01

    The destruction of the World Trade Center (WTC) on 11 September 2001 in New York City resulted in the massive release of pulverized dust and combustion products. The dust and smoke settled in the surrounding area, which encompassed a large residential community. We hypothesized that previously normal residents in the community surrounding the former WTC would have an increased incidence of persistent respiratory symptoms and abnormalities in screening spirometry. A hybrid cross-sectional and ...

  1. PTSD and Alcohol Use After the World Trade Center Attacks: A Longitudinal Study

    OpenAIRE

    Boscarino, Joseph A.; Kirchner, H. Lester; Hoffman, Stuart N; Sartorius, Jennifer; Adams, Richard E.

    2011-01-01

    Research suggests that posttraumatic stress disorder (PTSD) is associated with increased alcohol use, but the findings have not been consistent. We assessed alcohol use, binge drinking, and psychotropic medication use longitudinally in 1,681 New York City adults, representative of the 2000 census, 2 years after the World Trade Center attacks. We found that, with the exception of a modified CAGE Questionnaire index for alcohol, alcohol use showed a modest increase over time and was related to ...

  2. 78 FR 42084 - Electronic Study Data Submission; Data Standard Support; Availability of the Center for Drug...

    Science.gov (United States)

    2013-07-15

    ...The Center for Drug Evaluation and Research (CDER) of the Food and Drug Administration (FDA) is announcing the availability of the CDER Data Standards Strategy (version 1.0) and the CDER Data Standards Strategy--Action Plan (version 1.0). This action is being taken to ensure that all interested stakeholders are aware that the data standards program documents are available and is intended to......

  3. Study Strategies Comparison and Self-Regulationin University Students

    Directory of Open Access Journals (Sweden)

    Irma Rosa Alvarado Guerrero

    2014-04-01

    Full Text Available The main factors associated with academic performance are study strategies and self-regulation in university students, thus the objective of this paper is to compare two sample groups: those in a regular status and others under certain academic lag. The Study Strategies Inventory and Self-Regulation (IEEA BY Castaneda was applied to 41 learners. It was observed that both groups need support to develop strategies for the four scales of the instrument: Information acquisition, memory resource management, information processing and self-regulation in all three dimensions: people, tasks and materials. In conclusion there is a need to develop programs to help the consolidation of study strategies and self-regulation and highlights the importance of analyzing the factors in teacher’s education and development of programs and curricula, to improve academic performance in higher educationinstitutions.

  4. China collaborative study on dialysis: a multi-centers cohort study on cardiovascular diseases in patients on maintenance dialysis

    Directory of Open Access Journals (Sweden)

    Hou Fanfan

    2012-08-01

    Full Text Available Abstract Background Cardiovascular disease (CVD is the main cause of death in patients on chronic dialysis. The question whether dialysis modality impacts cardiovascular risk remains to be addressed. China Collaborative Study on Dialysis, a multi-centers cohort study, was performed to evaluate cardiovascular morbidity during maintenance hemodialysis (HD and peritoneal dialysis (PD. Method The cohort consisted of chronic dialysis patients from the database of 9 of the largest dialysis facilities around China. The inclusion period was between January 1, 2005, and December 1, 2010. Cardiovascular morbidity was defined as the presence of clinically diagnosed ischemic heart disease, heart failure, peripheral vascular disease, and/or stroke. The patients who had cardiovascular morbidity before initiation of dialysis were excluded. Data collection was based on review of medical record. Result A total of 2,388 adult patients (1,775 on HD and 613 on PD were enrolled. Cardiovascular morbidity affected 57% patients and was comparable between HD and PD patients. However, clinically diagnosed ischemic heart disease and stroke was more prevalent in PD than HD patients. When the patients were stratified by age or dialysis vintage, the cardiovascular morbidity was significantly higher in PD than HD among those aged 50 years or older, or those receiving dialysis over 36 months. Multivariate analysis revealed that the risk factors for cardiovascular morbidity had different pattern in PD and HD patients. Hyperglycemia was the strongest risk factor for cardiovascular morbidity in PD, but not in HD patients. Hypertriglyceridemia and hypoalbuminemia were independently associated with CVD only in PD patients. Conclusions Cardiovascular morbidity during chronic dialysis was more prevalent in PD than HD patients among those with old age and long-term dialysis. Metabolic disturbance-related risk factors were independently associated with CVD only in PD patients

  5. A Comparison of Parameter Study Creation and Job Submission Tools

    Science.gov (United States)

    DeVivo, Adrian; Yarrow, Maurice; McCann, Karen M.; Biegel, Bryan (Technical Monitor)

    2001-01-01

    We consider the differences between the available general purpose parameter study and job submission tools. These tools necessarily share many features, but frequently with differences in the way they are designed and implemented For this class of features, we will only briefly outline the essential differences. However we will focus on the unique features which distinguish the ILab parameter study and job submission tool from other packages, and which make the ILab tool easier and more suitable for use in our research and engineering environment.

  6. Studies on Solid Wood. IV. Comparison of Nordic Pine Trees

    DEFF Research Database (Denmark)

    Bjørkmann, Anders

    2002-01-01

    The methods developed previously for measuring stiffness, creep, and axial compression of solid wood have been used for a comparative study of three specimens of pine (Pinus silvestris), collected at different latitudes in Scandinavia (North Sweden, South Finland and Denmark). Axial samples taken...... were obtained. In spite of the distinct differences in morphology, the pine specimens were generally quite similar. The specimens were also studied by other wood scientists, but a combined evaluation with the present results is not really possible without a deeper understanding of the wood...

  7. A comparison of different hydrologic modeling approaches: the case study of Cerfone river

    Science.gov (United States)

    Venturi, Sara; Di Francesco, Silvia; Manciola, Piergiorgio

    2016-04-01

    The increasing occurrence of extreme meteorological events and the strong land exploitation, especially the overbuilding and urbanization of the flood prone areas, has led to a considerable increase of the hydraulic risk associated to these areas and, consequently, to an effort of institutions and researchers to find proper solutions. The analyzed case study deals with the Cerfone river, a tributary of the Tiber River, in the Tuscany region (Italy). The complex morphology of the floodplains and the presence of hydraulic structures (i.e. bridges) that block the river discharge cross section, cause the periodic flooding of the neighbouring small villages during extreme weather events. The flood hazard management and safety plan implementation is strictly connected to the hydrological modeling of river basin.The uncertainty in rain- run off evaluation can lead to different results in terms of discharge peak and hydrographs shape, affecting then all the next risk analysis. The choice of the hydrologic model to apply in the study of Hydraulic Risk delineation is therefore a critical issue. In this work three different approaches to model the basin hydrological response are used and discussed: i) lumped model built in accordance with the standards of methodological model of ALTo (ALluvioni Toscana, Tuscany Region), generally used in the region for hydrologic and hydraulic studies; ii) a semi-distributed model, performed using the hydrological software model HEC - HMS (Hydrologic Engineering Center, US Army Corps of Engineers), which is based on the evaluation of the value of critical duration storm at significant sections of the basin. It is based on models for estimated losses, inflows - outflows transformation method and meteorological model in accordance with the standards of ALTo; iii) lumped model based on the rational equation and the concentration time of Giandotti, in accordance with the methodology of the Tiber River Basin Authority. The critical analysis and

  8. Comparison study of selected geophysical and geotechnical parameters

    DEFF Research Database (Denmark)

    Nissen, Randi Warncke; Poulsen, Søren Erbs

    2015-01-01

    Successful foundation of constructions relies on accurate characterization of the geotechnical properties of the subsurface. By implementing data from geophysical surveys, the placement of geotechnical drillings can be significantly improved, potentially reducing the number of required drillings....... This case study is mainly to compare geophysical investigations (MEP/IP) with existing PACES data and information from geotechnical drillings....

  9. Application of Interactive Classification System in University Study Course Comparison

    Science.gov (United States)

    Birzniece, Ilze; Rudzajs, Peteris; Kalibatiene, Diana; Vasilecas, Olegas; Rencis, Edgars

    2015-01-01

    The growing amount of information in the world has increased the need for computerized classification of different objects. This situation is present in higher education as well where the possibility of effortless detection of similarity between different study courses would give the opportunity to organize student exchange programmes effectively…

  10. Comparison study of selected Geophysical and geotechnical parameters

    DEFF Research Database (Denmark)

    Nissen, Randi Warncke; Poulsen, Søren Erbs

    2015-01-01

    Successful foundation of constructions relies on accurate characterization of the geotechnical properties of the subsurface. By implementing data from geophysical surveys, the placement of geotechnical drillings can be significantly improved, potentially reducing the number of required drillings....... This case study is mainly to compare geophysical investigations (MEP/IP) with existing PACES data and information from geotechnical drillings....

  11. Studying Communication Style: Comparison of Three Methods for Gathering Data.

    Science.gov (United States)

    Geddes, Doreen

    A study examined the effects of three presentational modes--transcription, audiotape, and videotape--on raters' evaluations of male and female speakers using a powerless, powerful, or mixed speech style. A powerless speech style was characterized by the use of message elements such as qualifiers, tag questions, polite forms, and disclaimers. A…

  12. Male versus Female Leaders: A Comparison of Empirical Studies.

    Science.gov (United States)

    Brown, Stephen

    1979-01-01

    One common justification for differential treatment of women in management stems from stereotyping females as ineffective leaders. This paper analyzes the findings of 32 female leadership studies, noting that though stereotypes may be fulfilled in actual work situations, additional research is necessary to determine if and why this is so.…

  13. COMPARISON OF SAMPLING TECHNIQUES USED IN STUDYING LEPIDOPTERA POPULATION DYNAMICS

    Science.gov (United States)

    Four methods (light traps, foliage samples, canvas bands, and gypsy moth egg mass surveys) that are used to study the population dynamics of foliage-feeding Lepidoptera were compared for 10 species, including gypsy moth, Lymantria dispar L. Samples were collected weekly at 12 sit...

  14. Comparison of polychlorinated biphenyl levels across studies of human neurodevelopment

    NARCIS (Netherlands)

    Longnecker, MP; Gladen, BC; Brock, JW; Grandjean, P; Jacobson, JL; Korrick, SA; Rogan, WJ; Weisglas-Kuperus, N; Hertz-Picciotto, [No Value; Ayotte, P; Stewart, P; Winneke, G; Charles, MJ; Jacobson, SW; Dewailly, E; Boersma, ER; Altshul, LM; Heinzow, B; Pagano, JJ; Jensen, AA

    2003-01-01

    Polychlorinated biphenyls (PCBs) are persistent pollutants that are ubiquitous in the food chain, and detectable amounts are in the blood of almost every person in most populations that have been examined. Extensive evidence from animal studies shows that PCBs are neurotoxins, even at low doses. Int

  15. Science and Social Studies Teachers’ Beliefs and Practices about Teaching Controversial Issues: Certain Comparisons

    OpenAIRE

    Zafer Kuş

    2015-01-01

    The current study aims to investigate social studies and science teachers’ attitudes and classroom practices associated with controversial issues. The study is a qualitative research based on data collected through interviews and observation. Social studies and Science teachers participated in the current study which was conducted in Kirsehir, a city in the center of Turkey, during the 2012-2013 academic years. Data were collected through classroom observation and interviews with teachers. In...

  16. A multi-center study of hemodynamic characteristics exhibited by children with unexplained syncope

    Institute of Scientific and Technical Information of China (English)

    CHEN Li; TANG Chao-shu; DU Jun-bao; YANG Yuan-yuan; WANG Cheng; WANG Hong-wei; TIAN Hong; ZHANG Qing-you; CHEN Jian-jun; WANG Yu-li; KANG Yi-long

    2006-01-01

    Background Syncope is common in children and adolescents, with 15% estimated to have had at least one syncopal episode by age 18. In recent years, an increasing number of children, especially girls at their school age,have developed unexplained syncope. The mechanism of an unexplained syncope exhibited by children is incompletely studied; the association between different hemodynamic patterns and clinical features is also not clear. The aim of the study was to investigate the hemodynamic patterns of children with unexplained syncope and to examine the clinical relevance.Methods Two hundred and eight children [87 boys, 121 girls, aged 3-19 years, mean (11.66±2.72) years]were selectively recruited from May 2000 to April 2006 when they presented syncope as their main complaint at the Multi-center Network for Childhood Syncope in Beijing, Hunan Province, Hubei Province, and Shanghai of China. All of the patients underwent head-up tilt tests; data were analyzed using SPSS version 10.0 for Windows.Continuous variables were expressed as the mean±standard deviation. Dichotomous variables were compared through a χ2 test. A value of P<0.05 (two sided) was regarded as statistically significant.Results The age distribution of children with syncope was approximately normal. Head-up tilt tests was positive in 155 children, and the incidence of positive response of the baseline head-up tilt test for diagnosing unexplained syncope was 50.48%. The sensitivity value and diagnostic value of sublingual nitroglycerin head-up tilt test were both 74.52%. The hemodynamic pattern was normal in 53 children. The 155 children, who were positive in head-up tilt tests, showed signs of postural orthostatic tachycardia syndrome (60, 28.8%), the vasoinhibitory pattern (72, 34.6%), the cardioinhibitory pattern (5, 2.4%), and the mixed pattern (18, 8.7%). The gender distribution between the two age groups (age < 12 years vs age ≥ 12 years) was not different (P>0.05).The distribution of

  17. Hepatocellular carcinoma in Egypt:A single center study over a decade

    Institute of Scientific and Technical Information of China (English)

    Abdel-Rahman El-Zayadi; Hanaa M Badran; Eman MF Barakat; Mohy El-Deen Attia; Sherine Shawky; Mostafa K Mohamed; Osaima Selim; Ahmed Saeid

    2005-01-01

    AIM: To identify the trend, possible risk factors and any pattern change of hepatocellular carcinoma (HCC) in Egyptover a decade.METHODS: All HCC patients attending Cairo Liver Center between January 1993 and December 2002, were enrolledin the study. Diagnosis of HCC was based on histopath ological examination and/or detection of hepatic focal lesions by two imaging techniques plus α-fetoprotein level above 200 ng/mL. The duration of the study was divided into two periods of 5 years each; period Ⅰ (1993-1997) and period Ⅱ (1998-2002). Trend, demographic features of patients (age, gender, and residence), risk factors (HBsAg,HCV-Ab, schistosomiasis and others) and pattern of the focal lesions were compared between the two periods.Logistic regression model was fitted to calculate the adjusted odds ratios for the potential risk factors. The population attributable risk percentage was calculated to estimate the proportion of HCC attributed to hepatitis B and C viral infections.RESULTS: Over a decade, 1 328 HCC patients out of 22 450 chronic liver disease (CLD) patients were diagnosed with an overall proportion of 5.9%. The annual proportion of HCC showed a significant rising trend from 4.0% in 1993 to 7.2% in 2002 (P = 0.000). A significant increase in male proportion from 82.5% to 87.6% (P = 0.009); M/F from 5:1 to 7:1 and a slight increase of the predominant age group (40-59 years) from 62.6% to 66.8% (P = 0.387)in periods Ⅰ and Ⅱ respectively, reflecting a shift to younger age group. In the bivariate analysis, HCC was significantly higher in rural residents, patients with history of schistosomiasis and/or blood transfusion. Yet, after adjustment, these variables did not have a significant risk for development of HCC. There was a significant decline of HBsAg from 38.6% to 20.5% (P = 0.000), and a slight increase of HCV-Ab from 85.6% to 87.9% in periods Ⅰ and Ⅱ respectively. HBV conferred a higher risk to develop HCC more than HCV in period Ⅰ (OR 1.9 vs

  18. PREVALENCE OF ALCOHOL USE AMONG PATIENTS ATTENDING TRAUMA CENTER IN A TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Arun

    2014-09-01

    Full Text Available HYPOTHESIS: Significant number of cases attending trauma center are associated with alcohol use. AIM: To study the prevalence, pattern and severity of alcohol use in patient attending trauma center with an emergency in a tertiary care hospital. MATERIALS AND METHODS: Total of 100 consecutive patients attending the trauma center from 6pm – 6am and who were fulfilling the inclusion criteria and had consented to participate in the study were recruited. Alcohol breath analyzer was administered and then the rating scales SMAST, AUDIT and QIAD were administered. RESULTS: On socio demographic profile of study subjects’ age group between 18-30yrs, male gender and nuclear family background were found to be more predominant. Twenty one (21.9% patients in alcohol breath analysis and Twenty three (23.9% patients in SMAST screening were found to be positive for alcohol use. On evaluation of injury related variables; RTA and injury at single site were found to be more among the total subjects. In alcohol positives injuries at multiple sites and admission were found to be more as compared to negatives. Most of the patient among breath positives (70% scored 8 and above in AUDIT scale indicating hazardous level of drinking. Fifteen patients (15.6% were found to be “alcoholics’’ by QIAD analysis. CONCLUSION: In agreement with findings of previous several studies of worldwide, the present study draws attention to recognizing the alcohol use as a significant contributory factor to trauma, especially RTA.

  19. Treatment Outcome of Tuberculosis Patients at Enfraz Health Center, Northwest Ethiopia: A Five-Year Retrospective Study

    Directory of Open Access Journals (Sweden)

    Mengistu Endris

    2014-01-01

    Full Text Available Objectives. The aim of this study was to assess treatment outcome and associated risk factors among TB patients registered for anti-TB treatment at Enfraz health center, northwest Ethiopia. Methods. A five-year retrospective data (2007–2011 of tuberculosis patients (n=417 registered for anti-TB treatment at Enfraz health center, northwest Ethiopia, were reviewed. Tuberculosis outcomes were following the WHO guidelines. Data were entered and analyzed using SPSS version 20. Results. Among 417 study participants, 95 (22.8%, 141 (33.8%, and 181 (43.4% were smear-positive, smear-negative, and extrapulmonary tuberculosis patients, respectively. Of the 417 study participants, 206 (49.4% were tested for HIV. The TB-HIV coinfection was 24/206 (11.7%. Seventeen study participants (4.2% were transferred to other health facilities. Among the 400 study participants, 379 (94.8% had successful treatment outcome (302 treatment completed and 77 cured. The overall death, default, and failure rates were 3.4%, 0.5%, and 1.2%, respectively. There was no significant association between sex, age, residence, type of TB, HIV status, and successful TB treatment outcome. Conclusion. Treatment outcome of patients who attended their anti-TB treatment at Enfraz health center was successful. Therefore, this treatment success rate should be maintained and strengthened to achieve the millennium development goal.

  20. Cohort Comparisons in Resources and Functioning among Centenarians: Findings from the Georgia Centenarian Study

    Science.gov (United States)

    Cho, Jinmyoung; Martin, Peter; Margrett, Jennifer; MacDonald, Maurice; Poon, Leonard W.; Johnson, Mary Ann

    2012-01-01

    The purpose of this study was to examine cohort comparisons in levels of resources (e.g., mental health, physical functioning, economic and social resources, and cognitive functioning) for 211 community-dwelling centenarians (whose Mini-Mental Status Examination score was 23 or higher) of phases I and III of the Georgia Centenarian Study. The…

  1. Comparison of five bacteriophages as models for viral aerosol studies.

    Science.gov (United States)

    Turgeon, Nathalie; Toulouse, Marie-Josée; Martel, Bruno; Moineau, Sylvain; Duchaine, Caroline

    2014-07-01

    Bacteriophages are perceived to be good models for the study of airborne viruses because they are safe to use, some of them display structural features similar to those of human and animal viruses, and they are relatively easy to produce in large quantities. Yet, only a few studies have investigated them as models. It has previously been demonstrated that aerosolization, environmental conditions, and sampling conditions affect viral infectivity, but viral infectivity is virus dependent. Thus, several virus models are likely needed to study their general behavior in aerosols. The aim of this study was to compare the effects of aerosolization and sampling on the infectivity of five tail-less bacteriophages and two pathogenic viruses: MS2 (a single-stranded RNA [ssRNA] phage of the Leviviridae family), Φ6 (a segmented double-stranded RNA [dsRNA] phage of the Cystoviridae family), ΦX174 (a single-stranded DNA [ssDNA] phage of the Microviridae family), PM2 (a double-stranded DNA [dsDNA] phage of the Corticoviridae family), PR772 (a dsDNA phage of the Tectiviridae family), human influenza A virus H1N1 (an ssRNA virus of the Orthomyxoviridae family), and the poultry virus Newcastle disease virus (NDV; an ssRNA virus of the Paramyxoviridae family). Three nebulizers and two nebulization salt buffers (with or without organic fluid) were tested, as were two aerosol sampling devices, a liquid cyclone (SKC BioSampler) and a dry cyclone (National Institute for Occupational Safety and Health two-stage cyclone bioaerosol sampler). The presence of viruses in collected air samples was detected by culture and quantitative PCR (qPCR). Our results showed that these selected five phages behave differently when aerosolized and sampled. RNA phage MS2 and ssDNA phage ΦX174 were the most resistant to aerosolization and sampling. The presence of organic fluid in the nebulization buffer protected phages PR772 and Φ6 throughout the aerosolization and sampling with dry cyclones. In this

  2. P2P IPTV Measurement: A Comparison Study

    OpenAIRE

    Silverston, Thomas; Fourmaux, Olivier

    2006-01-01

    With the success of P2P file sharing, new emerging P2P applications arise on the Internet for streaming content like voice (VoIP) or live video (IPTV). Nowadays, there are lots of works measuring P2P file sharing or P2P telephony systems, but there is still no comprehensive study about P2P IPTV, whereas it should be massively used in the future. During the last FIFA world cup, we measured network traffic generated by P2P IPTV applications like PPlive, PPstream, TVants and Sopcast. In this pap...

  3. IDENTIFICATION OF EXAMPLES OF GOOD PRACTICE IN ABSORPTION OF STRUCTURAL FUNDS, CASE STUDY PROJECT "CHRISTIAN DAY CENTER"

    Directory of Open Access Journals (Sweden)

    CEAUSESCU IONUT

    2016-08-01

    Full Text Available The main purpose of this study is to capture the practical point of view, the main issues in examples of best practices in the application for funding for the project "Christian Day Center- Support for young people and adults with disabilities" project benefited the City Council Târgu Jiu, is a project which was realized in the Regional Operational Programme, Priority Axis 3 DMI 3.2 - "Rehabilitation / modernization / development and equipping of social services", the total value of the project was 3,373,722.72 lei, of which non-repayable funding over was worth 2,592,251.08 lei. Through its general objective, the project "Day Center Christian - Support for young people and adults with disabilities" aims to contribute to improving the quality of infrastructure for social services by ensuring equal access of citizens of Tg-Jiu such services. Christian Day Center- support for young people and adults with physical disabilities, musculoskeletal, neuro, somatic and visual has already proposed to the idea of the project, to be a center which will ensure the social inclusion of these vulnerable and contribute to increasing the quality of life, improve communication and information on the rights and benefits of social services to improve the management and organization of the system of providing social services and facilitating the participation of all stakeholders in the development of social services.

  4. The characteristics of serious suicide attempters in Japanese adolescents- comparison study between adolescents and adults

    Directory of Open Access Journals (Sweden)

    Kawashima Yoshitaka

    2012-11-01

    Full Text Available Abstract Background Suicide is the leading cause of death among Japanese adolescents, and they may commit suicide differently from adults. However, there are few studies in medical-based data concerning adolescent patients seriously attempting suicide. We aimed to explore the characteristics of serious suicide attempts in Japanese adolescents, comparing them with those in adults. Methods We investigated adolescents who seriously attempted suicide and were treated at the Critical Care Medical Center (CCMC of Nippon Medical School Hospital between 2000 and 2010, and we compared them with adult suicide attempters treated during 2009. We retrospectively studied medical records and collected clinical data and socio-demographic factors, including age, sex, psychiatric symptoms or diagnosis, methods of suicide attempt, motives for suicide attempt, previous deliberate self-harm, previous psychiatric history, parent loss experience, and previous psychiatric history in the family. Results Adolescent attempters were 15 males and 44 females, 13 to 18 years old (mean 16.39. Adult attempters were 37 males and 65 females, 19 to 79 years old (mean 39.45. In comparison to adult attempters, adolescent attempters were more frequently diagnosed with Borderline Personality Disorder (BPD, had more school problems and parent loss experience, but they had less financial problems. Gender differences between adolescents and adults were examined, and male adolescent attempters were found to be more frequently diagnosed with schizophrenia and had less financial problems than their adult counterparts, while female adolescent attempters were more frequently diagnosed with BPD, had more school problems and parent loss, but they had less previous psychiatric history than their adult counterparts. Conclusions Our findings indicated that adolescent attempters were more frequently diagnosed with BPD and had more school problems and parent loss experience but had less financial

  5. Evaluation of the effect of the chiral centers of Taxol on binding to β-tubulin: A docking and molecular dynamics simulation study.

    Science.gov (United States)

    Ghadari, Rahim; Alavi, Fatemeh S; Zahedi, Mansour

    2015-06-01

    Taxol is one of the most important anti-cancer drugs. The interaction between different variants of Taxol, by altering one of its chiral centers at a time, with β-tubulin protein has been investigated. To achieve such goal, docking and molecular dynamics (MD) simulation studies have been performed. In docking studies, the preferred conformers have been selected to further study by MD method based on the binding energies reported by the AutoDock program. The best result of docking study which shows the highest affinity between ligand and protein has been used as the starting point of the MD simulations. All of the complexes have shown acceptable stability during the simulation process, based on the RMSDs of the backbone of the protein structure. Finally, MM-GBSA calculations have been carried out to select the best ligand, considering the binding energy criteria. The results predict that two of the structures have better affinity toward the mentioned protein, in comparison with Taxol. Three of the structures have affinity similar to that of the Taxol toward the β-tubulin.

  6. Cytomegalovirus Pneumonia in Patients with Rheumatic Diseases After Immunosuppressive Therapy: A Single Center Study in China

    Institute of Scientific and Technical Information of China (English)

    Yu Xue; Li Jiang; Wei-Guo Wan; Yu-Ming Chen; Jiong Zhang; Zhen-Chun Zhang

    2016-01-01

    Background: Rheumatic diseases involve multiple organs that are affected by immunological mechanisms.Treatment with corticosteroids and immunosuppressive agents may also increase the frequency of infection.Cytomegalovirus (CMV) is a widespread herpes virus and a well-recognized pathogen, which causes an opportunistic and potentially fatal infection in immunocompromised patients.This retrospective study aimed to investigate the clinical and laboratory characteristics of CMV pneumonia in patients with rheumatic diseases after immunosuppressive therapy in a single center in Shanghai, China.Methods: Eight hundred and thirty-four patients with rheumatic diseases who had undergone CMV-DNA viral load tests were included, and the medical records of 142 patients who were positive for CMV-DNA in plasma samples were evaluated.GraphPad Prism version 5.013 (San Diego, CA, USA) was used to conduct statistical analysis.The correlation between CMV-DNA viral loads and lymphocyte counts was assessed using the Spearman rank correlation coefficient test.Significance between qualitative data was analyzed using Pearson's Chi-squared test.The cut-offthresholds for CMV-DNA viral load and lymphocyte count were determined by receiver operating characteristic (ROC) curve analysis.Results: One hundred and forty-two patients had positive CMV viral load tests.Of these 142 patients, 73 patients with CMV pneumonia were regarded as symptomatic, and the other 69 were asymptomatic.The symptomatic group received higher doses ofprednisolone (PSL) and more frequently immunosuppressants than the asymptomatic group (P < 0.01).The symptomatic group had lower lymphocyte counts, especially CD4+ T-cells, than the asymptomatic group (P < 0.01).By ROC curve analysis, when CD4+ T-cell count was <0.39 × 109/L, patients with rheumatic diseases were at high risk for symptomatic CMV infection.The CMV-DNA load was significantly higher in the symptomatic patients than that in asymptomatic patients (P < 0

  7. Comparison studies on soda lignin and soda-anthraquinone lignin

    International Nuclear Information System (INIS)

    Soda lignin and soda anthraquinone lignin were compared in this study. The physico-chemical properties and structural features of the isolated lignin were characterized by Fourier Transform Infrared Spectroscopy (FTIR), Ultraviolet (UV), ash test, Carbon-Hydrogen-Nitrogen (CHN) analyzer, Nuclear Magnetic Resonance (13C-NMR) and High Performance Liquid Chromatography (HPLC). Nitrobenzene oxidation was performed on these two types of lignin especially for the HPLC analysis. Based on the CHN, 13C-NMR and UV results there were no significant differences between soda lignin and soda anthraquinone lignin. The FTIR results also showed that there were no significant differences in terms of functional groups that exist in both lignins. (author)

  8. A comparison of methods used in root canal sealability studies

    Energy Technology Data Exchange (ETDEWEB)

    Matloff, I.R.; Jensen, J.R.; Singer, L.; Tabibi, A.

    1982-02-01

    The purpose of the study was to compare several methods that have been used to assess marginal leakage of root canal fillings. Sixty-three extracted, single-rooted teeth were instrumented and filled in a standardized manner. Teeth were randomly divided into groups of twenty and exposed to solutions containing methylene blue dye, calcium-45, carbon-14-labeled urea, and iodine-125-labeled albumin for 48 hours to compare the degree of leakage indicated by each technique. Methylene blue dye was found to penetrate farther up the canal than any of the isotope tracers. Carbon-14-labeled urea penetrated farther than the calcium-45- or iodine-125-labeled albumin. The mean volume of solution penetrating the teeth was exceedingly small (0.0011 ml) and probably unimportant physiologically.

  9. Evaluation of Brazilian Sugarcane Bagasse Characterization: An Interlaboratory Comparison Study

    Energy Technology Data Exchange (ETDEWEB)

    Sluiter, Justin B.; Chum, Helena; Gomes, Absai C.; Tavares, Renata P.A.; Azevedo, Vinicius; Pimenta, Maria T.B.; Rabelo, Sarita C.; Marabezi, Karen; Curvelo, Antonio A.S.; Alves, Aparecido R.; Garcia, Wokimar T.; Carvalho, Walter; Esteves, Paula J.; Mendonca, Simone; Oliveira, Patricia A.; Ribeiro, Jose A.A.; Mendes, Thais D.; Vicentin, Marcos P.; Duarte, Celina L.; Mori, Manoel N.

    2016-05-01

    This paper describes a study of the variability of measured composition for a single bulk sugarcane bagasse conducted across eight laboratories using similar analytical methods, with the purpose of determining the expected variation for compositional analysis performed by different laboratories. The results show good agreement of measured composition within a single laboratory, but greater variability when results are compared among laboratories. These interlaboratory variabilities do not seem to be associated with a specific method or technique or any single piece of instrumentation. The summary censored statistics provide mean values and pooled standard deviations as follows: total extractives 6.7% (0.6%), whole ash 1.5% (0.2%), glucan 42.3% (1.2%), xylan 22.3% (0.5%), total lignin 21.3% (0.4%), and total mass closure 99.4% (2.9%).

  10. Soybean allergen detection methods--a comparison study

    DEFF Research Database (Denmark)

    Pedersen, M. Højgaard; Holzhauser, T.; Bisson, C.;

    2008-01-01

    : a direct sandwich ELISA based on polyclonal rabbit antibody (ab) to raw soy flakes, a commercial and an in-house competitive ELISA both based on ab to denatured, 'renatured' soy protein, an enzyme-allergosorbent test (EAST) inhibition based on two sera from soy allergic patients, histamine release (HR......Soybean containing products are widely consumed, thus reliable methods for detection of soy in foods are needed in order to make appropriate risk assessment studies to adequately protect soy allergic patients. Six methods were compared using eight food products with a declared content of soy...... ELISA aimed at native soy proteins had the lowest detection limit of 0.05 ppm, but only identified soy in 5/8 products, and generally in lower amounts compared to other methods. The competitive ELISA had a higher detection limit of 21 ppm, but seemed more successful in detecting processed soy. Only HR...

  11. A comparison of methods used in root canal sealability studies

    International Nuclear Information System (INIS)

    The purpose of the study was to compare several methods that have been used to assess marginal leakage of root canal fillings. Sixty-three extracted, single-rooted teeth were instrumented and filled in a standardized manner. Teeth were randomly divided into groups of twenty and exposed to solutions containing methylene blue dye, calcium-45, carbon-14-labeled urea, and iodine-125-labeled albumin for 48 hours to compare the degree of leakage indicated by each technique. Methylene blue dye was found to penetrate farther up the canal than any of the isotope tracers. Carbon-14-labeled urea penetrated farther than the calcium-45- or iodine-125-labeled albumin. The mean volume of solution penetrating the teeth was exceedingly small (0.0011 ml) and probably unimportant physiologically

  12. Software development practices in academia: a case study comparison

    CERN Document Server

    Groen, Derek; Grogan, James A; Schiller, Ulf D; Osborne, James M

    2015-01-01

    Academic software development practices often differ from those of commercial development settings, yet only limited research has been conducted on assessing software development practises in academia. Here we present a case study of software development practices in four open-source scientific codes over a period of nine years, characterizing the evolution of their respective development teams, their scientific productivity, and the adoption (or discontinuation) of specific software engineering practises as the team size changes. We show that the transient nature of the development team results in the adoption of different development strategies. We relate measures of publication output to accumulated numbers of developers and find that for the projects considered the time-scale for returns on expended development effort is approximately three years. We discuss the implications of our findings for evaluating the performance of research software development, and in general any computationally oriented scienti...

  13. The QUASAR reproducibility study, Part II: Results from a multi-center Arterial Spin Labeling test-retest study

    DEFF Research Database (Denmark)

    Petersen, Esben Thade; Mouridsen, Kim; Golay, Xavier;

    2010-01-01

    metabolism. So far, ASL has been restricted mostly to specialist centers due to a generally low SNR of the method and potential issues with user-dependent analysis needed to obtain quantitative measurement of cerebral blood flow (CBF). Here, we evaluated a particular implementation of ASL (called...... total of 284 healthy volunteers were scanned. Minimal operator dependence was assured by using an automatic planning tool and its accuracy and potential usefulness in multi-center trials was evaluated as well. Accurate repositioning between sessions was achieved with the automatic planning tool showing...

  14. Comparison of different UV models for cloud effect study

    International Nuclear Information System (INIS)

    Observations of UV radiation (290–400 nm) at Yanting, China (31°16′ N, 105°27′ E and 420 m above sea level) from 2005 to 2012 were used for investigating UV variability and its relationship with global solar radiation in Southwest China. Daily UV/G ratios generally increased from 3.7% in January to 4.5% in July with annual mean value of 4.2%. Clearness index was used for characterizing sky conditions and model development. Linear regression between UV and global solar radiation has been carried out and the results showed that the slope changed from 0.05 under overcast skies to 0.04 in clear skies. Nine UV models have been introduced by studying the dependence of hourly UV irradiation on the relative optical air mass, cloud modification factor and clearness index, respectively, which was assessed through the statistical indices: mean bias error, mean-absolute error and root-mean-square error. By comparing the statistical indices from different models, the most suitable UV model was chosen for analyzing the cloud effects. Finally, it was found that the attenuation of UV radiation caused by clouds increased from 35.6% in July to 64.4% in January. - Highlights: • 8-Year observations are used to show the temporal variability of UV and UV/G. • Relationship between both clearness indices is investigated. • Nine different UV models have been proposed. • UV attenuation indices are calculated for cloud effect study

  15. Idaho Nuclear Technology and Engineering Center Newly Generated Liquid Waste Demonstration Project Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Herbst, A.K.

    2000-02-01

    A research, development, and demonstration project for the grouting of newly generated liquid waste (NGLW) at the Idaho Nuclear Technology and Engineering Center is considered feasible. NGLW is expected from process equipment waste, decontamination waste, analytical laboratory waste, fuel storage basin waste water, and high-level liquid waste evaporator condensate. The potential grouted waste would be classed as mixed low-level waste, stabilized and immobilized to meet RCRA LDR disposal in a grouting process in the CPP-604 facility, and then transported to the state.

  16. Simulation studies of crystal-photodetector assemblies for the Turkish accelerator center particle factory electromagnetic calorimeter

    Energy Technology Data Exchange (ETDEWEB)

    Kocak, F., E-mail: fkocak@uludag.edu.tr

    2015-07-01

    The Turkish Accelerator Center Particle Factory detector will be constructed for the detection of the produced particles from the collision of a 1 GeV electron beam against a 3.6 GeV positron beam. PbWO{sub 4} and CsI(Tl) crystals are considered for the construction of the electromagnetic calorimeter part of the detector. The generated optical photons in these crystals are detected by avalanche or PIN photodiodes. Geant4 simulation code has been used to estimate the energy resolution of the calorimeter for these crystal–photodiode assemblies.

  17. [Medical fault or professional negligence? Case studies in two recovery nutrition centers in Niger].

    Science.gov (United States)

    Halidou Doudou, M; Manzo, M L; Guero, D

    2014-12-01

    In developing countries such as Niger, the risk of medical malpractice is ubiquitous in health, jeopardizing patient safety. The aim of this work was to contribute to patients' safety and respect of code of ethics and conduct in the exercise of the medical profession. The reported cases involved two children under 5 years who were admitted to nutrition rehabilitation centers, died as a result of medical malpractice. In Niger, there are no statistics on this phenomenon and a few cases found have always been considered "accident" or "fate." The establishment of an observatory collections of such information should improve their frequency, consequences and propose a prevention plan. PMID:25449444

  18. Texas Manufacturing Technology Center feasibility study for the Inland Regional Industrial Technology Institute

    International Nuclear Information System (INIS)

    This document presents the Texas Manufacturing Technology Center (TMTC) Business Plan to convert the Central Facility of the Superconducting Super Collider project to alternate uses. The plan is divided into six sections: (1) Executive Summary, (2) Market and Benefit Analysis, (3) Marketing Strategy, (4) Services, (5) Organization and Operations Overview, and (6) Financial Plan. Each area is supported by separate documents that address individual opportunities and challenges associated with transitioning the facility, and its asset base to new uses for benefit of the locality, state, region and nation

  19. A theoretical study of electronic excited states of photosynthetic reaction center in Rhodopseudomonas viridis

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The electronic singlet vertical excited states of photosynthetic reaction center (PSRC) in Rhodopseudomonas (Rps.) viridis were investigated by ZINDO and INDO/S methods. The effects of the interactions of pigment-pigment and pigment-protein on the electronic excitations were examined. The calculation results showed that the interactions of pigment-pigment and pigment-protein play an important role in reasonably assigning the experimental absorption and circular dichroism (CD) spectra of PSRC in Rps. virids. By comparing the theoretically computed excited states with the experimental absorption and CD spectra, satisfactory assignments of the experimental spectroscopic peaks were achieved.

  20. Comparison of two impression techniques for auricular prosthesis: Pilot study

    Directory of Open Access Journals (Sweden)

    Kasim Mohamed, MDS

    2013-11-01

    Full Text Available The purpose of this article was to compare the accuracy of a new impression technique, the triple-layer impression technique (TLIT, with the conventional impression technique (CIT to fabricate an auricular prosthesis. Fifteen male subjects (aged 22–45 yr were selected. Ten markings were made on the subject's ear (super aurale [sa], sub aurale [sba], pre aurale [pra], post aurale [poa], A, A1, B, B1, C, and C1 and five measurements (sa'sba, pra–poa, A–A1, B–B1, and C–C1 were made. Custom-made trays were used to record impression in CIT and TLIT. Impressions were made using alginate, and models were cast with type IV gypsum product. Markings were transferred on the cast. Measurements were rechecked on the models. Distribution analysis of difference in measurements between the two impression techniques and the subject's actual values was evaluated. Sign test was used to analyze the statistical significance. Statistically significant differences were found in measurements A–A1, B–B1, and C–C1 between the two techniques when compared with the subject's actual dimensions (p < 0.01. TLIT was found to produce accurate models when compared with CIT. The TLIT used in the study was cost effective, less technique sensitive, and tailor made to reduce chairside orientation time during wax try-in appointments for rehabilitating patients, especially those with unilateral auricular defects.

  1. Alabaster and Selenite Gypsum:I-Dehydration-Rehydration Comparison Studies

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Two types of gypsum raw materials, selenite and alabaster, were used to prepare dental stone (α-hemihydrate).Gypsum lumps (0.8~2.5 cm) were hydrothermally treated at 135, 160 and 180°C for 6, 2 and 1 h respectively.The physicochemical properties and composition characteristics of the α-hemihydrates prepared from selenite and alabaster raw gypsum were determined. The results indicated that both the selenite and alabaster raw gypsum show the same chemical and mineralogical composition of calcium sulphate dihydrate. They differs only in their microstructure, selenite raw gypsum exhibits perfect regular crystals while alabaster gypsum, on the other hand,exhibits irregular, large size and interlocked crystals. Selenite is more accessible to dehydration than alabaster raw gypsum. The α-hemihydrate samples prepared from alabaster raw gypsum showed a very short setting time and a lower compressive strength values in relation to that prepared from selenite gypsum. The compressive strength values of the all prepared samples were higher than that specified by A.D.A specification for dental use. To optimize the setting time of both products further studies are needed.

  2. Deep Energy Retrofit Performance Metric Comparison: Eight California Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Walker, Iain [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fisher, Jeremy [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Less, Brennan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2014-06-01

    In this paper we will present the results of monitored annual energy use data from eight residential Deep Energy Retrofit (DER) case studies using a variety of performance metrics. For each home, the details of the retrofits were analyzed, diagnostic tests to characterize the home were performed and the homes were monitored for total and individual end-use energy consumption for approximately one year. Annual performance in site and source energy, as well as carbon dioxide equivalent (CO2e) emissions were determined on a per house, per person and per square foot basis to examine the sensitivity to these different metrics. All eight DERs showed consistent success in achieving substantial site energy and CO2e reductions, but some projects achieved very little, if any source energy reduction. This problem emerged in those homes that switched from natural gas to electricity for heating and hot water, resulting in energy consumption dominated by electricity use. This demonstrates the crucial importance of selecting an appropriate metric to be used in guiding retrofit decisions. Also, due to the dynamic nature of DERs, with changes in occupancy, size, layout, and comfort, several performance metrics might be necessary to understand a project’s success.

  3. Comparison of Mycotic Keratitis with Nonmycotic Keratitis: An Epidemiological Study

    Directory of Open Access Journals (Sweden)

    Mohammad M. Khater

    2014-01-01

    Full Text Available Purpose. This work aims to study the problems encountered with and the different epidemiological features of patients with fungal keratitis. Patients and Methods. All cases with keratitis attending the Outpatient Clinic of Ophthalmology Department at Tanta University Hospital during three years from the first of January 2011 to the end of December 2013 were selected and carefully examined and cases with mycotic keratitis were further examined and investigated. Results. From 66303 attendants during this period with different complaints, there were 361 cases (0.54% with mycotic keratitis and 473 cases (0.71% of nonmycotic origin. Mycotic keratitis is common between 40 and 60 years, more in farmers (64%, families with large number and large crowding index, rural than urban residence, and patients with outdoor water sources and insanitary sewage disposal. Positive fungal cultures were obtained in 84.5% and were negative in 15.5% of cases in spite of their typical clinical findings for diagnosis and their improvement with antifungal therapy. Conclusion. Mycotic keratitis is more frequent in farmers, rural areas, outdoor water supply, insanitary sewage disposal, and patients preceded with organic trauma. Atypical clinical findings were found in some cases and not all cases improved with specific antifungal therapy.

  4. Comparison study on cell calculation method of fast reactor

    International Nuclear Information System (INIS)

    Effective cross sections obtained by cell calculations are used in core calculations in current deterministic methods. Therefore, it is important to calculate the effective cross sections accurately and several methods have been proposed. In this study, some of the methods are compared to each other using a continuous energy Monte Carlo method as a reference. The result shows that the table look-up method used in Japan Nuclear Cycle Development Institute (JNC) sometimes has a difference over 10% in effective microscopic cross sections and be inferior to the sub-group method. The problem was overcome by introducing a new nuclear constant system developed in JNC, in which the ultra free energy group library is used. The system can also deal with resonance interaction effects between nuclides which are not able to be considered by other methods. In addition, a new method was proposed to calculate effective cross section accurately for power reactor fuel subassembly where the new nuclear constant system cannot be applied. This method uses the sub-group method and the ultra fine energy group collision probability method. The microscopic effective cross sections obtained by this method agree with the reference values within 5% difference. (author)

  5. Pharmacy Student Perceptions of Pharmacist Prescribing: A Comparison Study

    Directory of Open Access Journals (Sweden)

    Theresa L. Charrois

    2013-11-01

    Full Text Available Several jurisdictions throughout the world, such as the UK and Canada, now have independent prescribing by pharmacists. In some areas of Canada, initial access prescribing can be done by pharmacists. In contrast, Australian pharmacists have no ability to prescribe either in a supplementary or independent model. Considerable research has been completed regarding attitudes towards pharmacist prescribing from the perspective of health care professionals, however currently no literature exists regarding pharmacy student views on prescribing. The primary objective of this study is to examine pharmacy student’s opinions and attitudes towards pharmacist prescribing in two different settings. Focus groups were conducted with selected students from two universities (one in Canada and one in Australia. Content analysis was conducted. Four main themes were identified: benefits, fears, needs and pharmacist roles. Students from the Australian University were more accepting of the role of supplementary prescribing. In contrast, the Canadian students felt that independent prescribing was moving the profession in the right direction. There were a number of similarities with the two groups with regards to benefits and fears. Although the two cohorts differed in terms of their beliefs on many aspects of prescribing, there were similarities in terms of fears of physician backlash and blurring of professional roles.

  6. The AmBulatory Closure Device Percutaneous Intervention (ABCD-PCI) study: a single-center experience

    OpenAIRE

    Falcone, Adam M.; Bose, Rahul; Stoler, Robert C; Kim, Michael; Laible, Emily; Kang, Lucy; Waters, Kim; Dunkerley, Janet; Choi, James W.

    2011-01-01

    The AmBulatory Closure Device Percutaneous Intervention (ABCD-PCI) study is a multicenter randomized prospective controlled trial evaluating the safety of and patient satisfaction with same-day discharge following ambulatory percutaneous intervention with a closure device. This article reviews the findings from a single center, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, from October 2008 through April 2010, with 23 patients in the same-day discharge group and 21 patients in th...

  7. Human-Centered Approaches in Geovisualization Design: Investigating Multiple Methods Through a Long-Term Case Study

    OpenAIRE

    Lloyd, D; Dykes, J.

    2011-01-01

    Working with three domain specialists we investigate human-centered approaches to geovisualization following an ISO13407 taxonomy covering context of use, requirements and early stages of design. Our case study, undertaken over three years, draws attention to repeating trends: that generic approaches fail to elicit adequate requirements for geovis application design; that the use of real data is key to understanding needs and possibilities; that trust and knowledge must be built and develo...

  8. Percentage of Deaths Attributable to Poor Cardiovascular Health Lifestyle Factors: Findings from the Aerobics Center Longitudinal Study

    OpenAIRE

    Xuemei Sui; Hongjuan Li; Jiajia Zhang; Li Chen; Ling Zhu; Blair, Steven N.

    2013-01-01

    Purpose. We assessed the effects of the four newly defined American Heart Association (AHA) lifestyle factors on mortality by examining the associated population attributable fractions (PAFs) of these factors. Methods. Slightly modified AHA cardiovascular health factors (smoking, body mass index, cardiorespiratory fitness, and diet) were measured among 11,240 (24% women) participants from the Aerobics Center Longitudinal Study between 1987 and 1999. The cohort was followed to December 31, 200...

  9. Job satisfaction and its modeling among township health center employees: a quantitative study in poor rural China

    OpenAIRE

    Lu Zu X; Wang Qi; Liu Jun A

    2010-01-01

    Abstract Background Job satisfaction is important to staff management of township health centers (THCs), as it is associated with organizational performance, quality of care and employee retention. The purpose of this study was to measure job satisfaction level of THC employees in poor rural China and to identify relevant features in order to provide policy advice on human resource development of health service institutions in poor regions. Methods A self-completion questionnaire was used to ...

  10. Family-centered rounds and medical student performance on the NBME pediatrics subject (shelf) examination: a retrospective cohort study

    OpenAIRE

    Kimbrough, Tiffany N.; Heh, Victor; Wijesooriya, N. Romesh; Ryan, Michael S.

    2016-01-01

    Objective: To determine the association between family-centered rounds (FCR) and medical student knowledge acquisition as assessed by the National Board of Medical Examiners (NBME) pediatric subject (shelf) exam.Methods: A retrospective cohort study was conducted of third-year medical students who graduated from Virginia Commonwealth University School of Medicine between 2009 and 2014. This timeframe represented the transition from ‘traditional’ rounds to FCR on the pediatric inpatient unit. ...

  11. Study on the availability of physical infrastructure and manpower facilities in sub-centers of Chittoor district of Andhra Pradesh

    OpenAIRE

    N Bayapa Reddy; G Ravi Prabhu; Sai, T.S.R.

    2012-01-01

    The sub-centers (SCs) are under constant criticism for their inability to deliver quality services due to the nonavailability of adequate infrastructure, manpower and supply of drugs.A cross-sectional study was conducted in Chittoor District of Andhra Pradesh to assess the availability of physical infrastructure and manpower in the SCs. A total of 34 SCs were selected by multistage and stratified random sampling technique. The data was statistically analyzed by using Microsoft Excel. The defi...

  12. Experiences of Multidisciplinary Development Team Members During User-Centered Design of Telecare Products and Services: A Qualitative Study

    OpenAIRE

    Vermeulen, Joan; Verwey, Renée; Hochstenbach, Laura MJ; van der Weegen, Sanne; Man, Yan Ping; de Witte, Luc P.

    2014-01-01

    Background User-centered design (UCD) methodologies can help take the needs and requirements of potential end-users into account during the development of innovative telecare products and services. Understanding how members of multidisciplinary development teams experience the UCD process might help to gain insight into factors that members with different backgrounds consider critical during the development of telecare products and services. Objective The primary objective of this study was t...

  13. The design of maternal centered life-style modification program for weight gain management during pregnancy — a study protocol

    OpenAIRE

    Farajzadegan, Ziba; Pozveh, Zahra Amini

    2013-01-01

    Background: Abnormal weight gain during pregnancy increases the adverse health outcomes during the pregnancy, delivery, and the postpartum period. Most of the pregnant women develop weight gain more than the recommended limits; therefore, interventions to manage such disproportionate weight gain are needed. In this paper, the design of the maternal centered life-style intervention study is described, which focuses on controlling weight gaining during pregnancy for all body mass index (BMI) gr...

  14. Comparisons of treatment means when factors do not interact in two-factorial studies

    KAUST Repository

    Wei, Jiawei

    2011-05-06

    Scientists in the fields of nutrition and other biological sciences often design factorial studies to test the hypotheses of interest and importance. In the case of two-factorial studies, it is widely recognized that the analysis of factor effects is generally based on treatment means when the interaction of the factors is statistically significant, and involves multiple comparisons of treatment means. However, when the two factors do not interact, a common understanding among biologists is that comparisons among treatment means cannot or should not be made. Here, we bring this misconception into the attention of researchers. Additionally, we indicate what kind of comparisons among the treatment means can be performed when there is a nonsignificant interaction among two factors. Such information should be useful in analyzing the experimental data and drawing meaningful conclusions.

  15. Building research administration applications for the academic health center: a case study.

    Science.gov (United States)

    Guard, J Roger; Brueggemann, Ralph F; Highsmith, Robert F; Marine, Stephen A; Riep, Josette R; Schick, Leslie C

    2005-11-01

    The academic health center information environment is saturated with information of varying quality and overwhelming quantity. The most significant challenge is transforming data and information into knowledge. The University of Cincinnati Medical Center's (UCMC) focus is to develop an information architecture comprising data structures, Web services, and user interfaces that enable individuals to manage the information overload so that they can create new knowledge. UCMC has accomplished much of what is reported in this article with the help of a four-year Integrated Advanced Information Management Systems (IAIMS) operation grant awarded by the National Library of Medicine in 2003. In the UCMC vision for knowledge management, individuals have reliable, secure access to information that is filtered, organized, and highly relevant for specific tasks and personal needs. Current applications and tool sets will evolve to become the next generation knowledge management applications or smart digital services. When smart digital services are implemented, silo applications will disappear. A major focus of UCMC's IAIMS grant is research administration. Testing and building out existing and new research administration applications and digital services is underway. The authors review UCMC's progress and results in developing a software architecture, tools, and services for research administration. Included are sections on the evolution to full integration, the impact of the work at UCMC to date, lessons learned during this research and development process, and future plans and needs.

  16. The Proton Therapy Nozzles at Samsung Medical Center: A Monte Carlo Simulation Study using TOPAS

    CERN Document Server

    Chung, Kwangzoo; Kim, Dae-Hyun; Ahn, Sunghwan; Han, Youngyih

    2015-01-01

    To expedite the commissioning process of the proton therapy system at Samsung Medical Center (SMC), we have developed a Monte Carlo simulation model of the proton therapy nozzles using TOPAS. At SMC proton therapy center, we have two gantry rooms with different types of nozzles; a multi-purpose nozzle and a dedicated scanning nozzle. Each nozzle has been modeled in detail following the geometry information provided by the manufacturer, Sumitomo Heavy Industries, Ltd. For this purpose, novel features of TOPAS, such as the time feature or the ridge filter class, have been used. And the appropriate physics models for proton nozzle simulation were defined. Dosimetric properties, like percent depth dose curve, spread-out Bragg peak (SOBP), beam spot size, have been simulated and verified against measured beam data. Beyond the Monte Carlo nozzle modeling, we have developed an interface between TOPAS and the treatment planning system (TPS), RayStation. An exported RT plan data from the TPS has been interpreted by th...

  17. Are recommendations from carcinoma of the cervix Patterns of Care studies (PCS) in the United States of America (USA) applicable to centers in developing countries?

    International Nuclear Information System (INIS)

    Purpose: To compare patient demographics, treatment resources, practice patterns, and outcome results for squamous cell carcinoma of the uterine cervix (SCC) between the 1978 and 1983 Patterns of Care studies (PCS) in the United States of America (USA) and a nonacademic center within a developing country. Methods and Materials: Patient details (race, age, stage, and number per year), treatment used, and treatment outcome were retrieved from the charts of the 1160 cases registered at this center with SCC of the cervix between 1976 and 1985. Demographic variables and Kaplan-Meier survival estimates were calculated and compared with results from published PCS reviews. Results: There is a significant difference in the racial group presentation of cervix cancer at this center compared with the PCS reviews (p < 0.005), and median ages are significantly lower at this center (t = p < 0.001). The proportion of patients with Stage III or more was significantly higher at this center than the PCS centers (24 vs. 47%, p < 0.001). There were also vast differences in facility resources. Fewer cases at this center underwent intracavitary insertions than at PCS centers. Mean Point A doses were significantly reduced for this center compared with the PCS reviews. Kaplan-Meier estimates were similar for Stage I and II in PCS centers and this center, but were inferior for this center in Stage III patients (p < 0.05 for OS and p < 0.01 for LC). Late morbidity rates were similar for both PCS centers and this center. Conclusion: PCS recommendations may be applicable to nonacademic centers within developing countries, if the latter use staging techniques that are consistent with the PCS staging guidelines

  18. A Qualitative Study of Bottlenecks and Causes of Fractions for Dedicated Incomes of Health Centers and Solutions for their Reduction

    Science.gov (United States)

    Tabrizi, Jafar Sadegh; Alidoost, Saeide; Abdolahi, Hossein Mashhadi

    2016-01-01

    Background: Primary health care is one of effective approaches for improving public health. Providing optimal cares requires supplication of various resources such as financial resources. “Fractions of incomes” in health centers is one of the remarkable problems for the domain of financial resources management in Iran. This study was aimed to identify bottlenecks and causes of fractions for incomes in health centers and solutions for their reduction. Methods: The current study was conducted in a qualitative phenomenology method in East Azerbaijan province of Iran in 2014. Data collection method was focus group discussion and semi-structured interview. Purposive sampling was used for selecting participants. Focus group discussions and interviews were conducted based on pre-prepared guidance and continued till data saturation. Validity of guidance was approved by qualitative studies experts. Data were analyzed using content analysis method. Results: Based on the opinions of participants, two and six themes were respectively extracted for bottlenecks of fractions and causes and solutions for their reduction. Themes for bottlenecks of fractions included cash (monetary) and non-cash (non-monetary) fractions and themes for causes and solutions included causes and solutions for fractions per capita, insurance deductions, fractions related to sending documents, registration fractions, discounts fractions, and incomplete deposit of cash incomes. Conclusion: All cash and non-cash incomes of health centers are subject to fractions. The causes of fractions are related to the whole process of converting services to incomes and insurance requirements. Identified solutions and interventions also focus on these areas.

  19. Hastings Center

    Science.gov (United States)

    ... Public Events October 19, Hastings Center Seminar, Garrison : Human Genetic Engineering: Wh at Can We Do? What Should We ... Public Events October 19, Hastings Center Seminar, Garrison : Human Genetic Engineering: Wh at Can We Do? What Should We ...

  20. Electron-mediating Cu(A) centers in proteins: a comparative high field (1)H ENDOR study.

    Science.gov (United States)

    Epel, Boris; Slutter, Claire S; Neese, Frank; Kroneck, Peter M H; Zumft, Walter G; Pecht, Israel; Farver, Ole; Lu, Yi; Goldfarb, Daniella

    2002-07-10

    High field (W-band, 95 GHz) pulsed electron-nuclear double resonance (ENDOR) measurements were carried out on a number of proteins that contain the mixed-valence, binuclear electron-mediating Cu(A) center. These include nitrous oxide reductase (N(2)OR), the recombinant water-soluble fragment of subunit II of Thermus thermophilus cytochrome c oxidase (COX) ba(3) (M160T9), its M160QT0 mutant, where the weak axial methionine ligand has been replaced by a glutamine, and the engineered "purple" azurin (purpAz). The three-dimensional (3-D) structures of these proteins, apart from the mutant, are known. The EPR spectra of all samples showed the presence of a mononuclear Cu(II) impurity with EPR characteristics of a type II copper. At W-band, the g( perpendicular) features of this center and of Cu(A) are well resolved, thus allowing us to obtain a clean Cu(A) ENDOR spectrum. The latter consists of two types of ENDOR signals. The first includes the signals of the four strongly coupled cysteine beta-protons, with isotropic hyperfine couplings, A(iso), in the 7-15 MHz range. The second group consists of weakly coupled protons with a primarily anisotropic character with A(zz) < 3 MHz. Orientation selective ENDOR spectra were collected for N(2)OR, M160QT0, and purpAz, and simulations of the cysteine beta-protons signals provided their isotropic and anisotropic hyperfine interactions. A linear correlation with a negative slope was found between the maximum A(iso) value of the beta-protons and the copper hyperfine interaction. Comparison of the best-fit anisotropic hyperfine parameters with those calculated from dipolar interactions extracted from the available 3-D structures sets limit to the sulfur spin densities. Similarly, the small coupling spectral region was simulated on the basis of the 3-D structures and compared with the experimental spectra. It was found that the width of the powder patterns of the weakly coupled protons recorded at g(perpendicular) is mainly

  1. Excel Center

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Citigroup,one of the World top 500 companies,has now settled in Excel Center,Financial Street. The opening ceremony of Excel Center and the entry ceremony of Citigroup in the center were held on March 31.Government leaders of Xicheng District,the Excel CEO and the heads of Asia-Pacific Region leaders of Citibank all participated in the ceremony.

  2. Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: a comparative validation study.

    Directory of Open Access Journals (Sweden)

    Paulo Ruiz-Grosso

    Full Text Available BACKGROUND: Depressive disorders are leading contributors to burden of disease in developing countries. Research aiming to improve their diagnosis and treatment is fundamental in these settings, and psychometric tools are widely used instruments to support mental health research. Our aim is to validate and compare the psychometric properties of the Spanish versions of the Center for Epidemiological Studies Depression Scale (CES-D and the Zung Self-Rating Depression Scale (ZSDS. METHODOLOGY/PRINCIPAL FINDINGS: A Spanish version of the CES-D was revised by 5 native Spanish speaking psychiatrists using as reference the English version. A locally standardized Spanish version of the ZSDS was used. These Spanish versions were administered to 70 patients with a clinical diagnosis of DSM-IV Major Depressive Episode (MDE, 63 without major depression but with clinical diagnosis of other psychiatric disorders (OPD, and 61 with no evidence of psychiatric disorders (NEP. For both scales, Cronbach's alpha (C-α and Hierarchical McDonald Omega for polychoric variables (MD-Ω were estimated; and receiver operating characteristics (ROC analysis performed. For the CES-D and ZSDS scales, C-α was 0.93 and 0.89 respectively, while MD-Ω was 0.90 and 0.75 respectively. The area under the ROC curve in MDE+OPD was 0.83 for CES-D and 0.84 for ZSDS; and in MDE+NEP was 0.98 for CES-D and 0.96 for ZSDS. Cut-off scores (co for the highest proportions of correctly classified (cc individuals among MDE+OPD were ≥29 for CES-D (sensitivity (ss = 77.1/specificity (sp = 79.4%/(cc = 78.2% and ≥47 for ZSDS (ss = 85.7%/sp = 71.4%/cc = 78.9%. In the MDE+NEP, co were ≥24 for the CES-D (ss = 91.4%/sp = 96.7%/cc = 93.9% and ≥45 for the ZSDS (ss = 91.4%/sp = 91.8%/cc = 91.6%. CONCLUSION: Spanish versions of the CES-D and ZSDS are valid instruments to detect depression in clinical settings and could be useful for both epidemiological

  3. Determinants Associated with Pregnancy Complications in Pregnant Women; (Case Study in Abepura, Jayapura City Health Center 2015

    Directory of Open Access Journals (Sweden)

    Rodinda Sihombing

    2016-03-01

    Full Text Available According to the World Health Organization (WHO in 2014, about 800 mothers die worldwide each day from complications related to pregnancy or childbirth. Each year approximately 20,000 women in Indonesia die from causes related to pregnancy and labor. The purpose of this study was to determine the incidence of pregnancy complications determinant in Abepura, Jayapura City Health Center in 2015. This study was an observational study design with "cross-sectional study", which is one type of the analytic study design. The sample in this study is the third trimester pregnant women who visited antenatal at health centers Abepura totaling 155 people using accidental sampling technique. All data in this study were collected through interviews using questionnaires. Analysis of the data in this study include univariate, bivariate (chi square and multivariate (logistic regression. Chi-square test results demonstrated an association iron tablet intake (p = 0.022; RP = 2, maternal age (p = 0.018; RP = 2.6, parity (p = 0.03; RP = 1.9, a history of pregnancy complications (p = 0.0001; RP = 2.9, and a history of birth complications (p = 0.002; RP = 2.6 and the incidence of pregnancy complications. While the history of infectious disease has no relationship with the incidence of pregnancy complications (p = 0.214; RP = 1.4. Multivariate analysis showed that maternal age and previous pregnancy complications are dominant factors on the incidence of pregnancy complications.

  4. A COMPARISON OF STUDY RESULTS OF BUSINESS ENGLISH STUDENTS IN E-LEARNING AND FACE-TO-FACE COURSES

    Directory of Open Access Journals (Sweden)

    Petr Kučera

    2012-09-01

    Full Text Available The paper deals with the comparison of results of students in thelessons of Business English e-learning course with face-to-faceteaching at the Faculty of Economics and Management of the CULSin Prague. E-learning as a method of instruction refers to learningusing technology, such as the Internet, CD-ROMs and portabledevices. A current trend in university teaching is a particular focus one-learning method of studies enhancing the quality and effectivenessof studies and self-studies. In the paper we have analysed the currentstate in the area of English for Specific Purposes (ESP e-learningresearch, pointed out the results of a pilot ESP e-learning course intesting a control and an experimental group of students and resultsof questionnaires with views of students on e-learning. The paperfocuses on the experimental verification of e-learning influenceon the results of both groups of students. Online study materialsupports an interactive form of the teaching by means of multimediaapplication. It could be used not only for full-time students but alsofor distance students and centers of lifelong learning.

  5. Ca+ centers for hydrogen storage: An accurate many-body study with large basis sets

    CERN Document Server

    Purwanto, Wirawan; Virgus, Yudistira; Zhang, Shiwei

    2011-01-01

    Weak H2 physisorption energies present a significant challenge to even the best correlated theoretical many-body methods. We use the phaseless auxiliary-field quantum Monte Carlo (AFQMC) method to accurately predict the binding energy of Ca+ - 4H2. Attention has recently focused on this model chemistry to test the reliability of electronic structure methods for H2 binding on dispersed alkaline earth metal centers. A modified Cholesky decomposition is implemented to realize the Hubbard-Stratonovich transformation efficiently with large Gaussian basis sets. We employ the largest correlation-consistent Gaussian type basis sets available, up to cc-pCV5Z for Ca, to accurately extrapolate to the complete basis limit. The calculated potential energy curve exhibits binding with a double-well structure.

  6. Radiation Shielding Information Center: a source of computer codes and data for fusion neutronics studies

    International Nuclear Information System (INIS)

    The Radiation Shielding Information Center (RSIC), established in 1962 to collect, package, analyze, and disseminate information, computer codes, and data in the area of radiation transport related to fission, is now being utilized to support fusion neutronics technology. The major activities include: (1) answering technical inquiries on radiation transport problems, (2) collecting, packaging, testing, and disseminating computing technology and data libraries, and (3) reviewing literature and operating a computer-based information retrieval system containing material pertinent to radiation transport analysis. The computer codes emphasize methods for solving the Boltzmann equation such as the discrete ordinates and Monte Carlo techniques, both of which are widely used in fusion neutronics. The data packages include multigroup coupled neutron-gamma-ray cross sections and kerma coefficients, other nuclear data, and radiation transport benchmark problem results

  7. Study on the Key Success Factors of the Operation of a Regional Military Logistic Food Material Center

    Directory of Open Access Journals (Sweden)

    Fu-Jin Wang

    2010-01-01

    Full Text Available Problem statement: In order to establish an integrated supply system of the military food material, the study was to discuss the key success factors of operation of the military regional food material logistic center in Taiwan. Approach: The Delphi method, questionnaires and telephone interviews were used to collect and integrate the opinions of experts and scholars. Simultaneously, the Analytic Hierarchy Process (AHP was applied to confirm the evaluative factors of each level, i.e., one goal (to construct key success factors of the operation of a regional military logistic food material center for the first level, two analytical aspects (the external and internal environments for the second level, six evaluative facets (the safety design, strategic management, administrative effect, policy, service and internal and external integration for the third level and 19 evaluative criteria for the fourth level. Results: The 350 questionnaires from the second phase which were sent out to four kinds of respondents, 319 valid ones were returned. Conclusion: After AHP analysis, the results of this study could suggest an evaluation table for the key success factors of operation of the military regional food material logistic center in Taiwan.

  8. Common pathways toward informing policy and environmental strategies to promote health: a study of CDC's Prevention Research Centers.

    Science.gov (United States)

    Neri, Elizabeth M; Stringer, Kate J; Spadaro, Antonia J; Ballman, Marie R; Grunbaum, Jo Anne

    2015-03-01

    This study examined the roles academic researchers can play to inform policy and environmental strategies that promote health and prevent disease. Prevention Research Centers (PRCs) engage in academic-community partnerships to conduct applied public health research. Interviews were used to collect data on the roles played by 32 PRCs to inform policy and environmental strategies that were implemented between September 2009 and September 2010. Descriptive statistics were calculated in SAS 9.2. A difference in roles played was observed depending on whether strategies were policy or environmental. Of the policy initiatives, the most common roles were education, research, and partnership. In contrast, the most prevalent roles the PRCs played in environmental approaches were research and providing health promotion resources. Academic research centers play various roles to help inform policy and environmental strategies.

  9. Physician Satisfaction in Practices That Transformed Into Patient-Centered Medical Homes: A Statewide Study in New York.

    Science.gov (United States)

    Richardson, Joshua E; Kern, Lisa M; Silver, Michael; Jung, Hye-Young; Kaushal, Rainu

    2016-07-01

    Patient-centered medical home (PCMH) transformation can significantly affect physicians' job satisfaction, which in turn can affect the quality of patient care. Between November 2012 and March 2013, the study team surveyed 159 community-based physicians in 159 practice sites that had experienced PCMH practice transformations in New York State. Of the 159 physicians, 121 responded (77% response rate) to the online survey. Nearly two thirds (60%) of physicians reported being somewhat or very satisfied overall with their practice after PCMH transformation. Overall satisfaction was lower than satisfaction with specific domains of practice: patient-centered care (82%), coordination of care (81%), access to care (79%), efficiency (76%), organizational culture (69%), and quality (69%). Although the physicians were moderately satisfied with care quality in their practices after PCMH transformation, their overall satisfaction was notably lower. The findings reveal a need to identify factors beyond quality for measuring physician satisfaction in PCMH transformed practices. PMID:25877964

  10. Modeling And Comparison Study Of Modules In Open Source Lms Platforms With Cmapstool

    Directory of Open Access Journals (Sweden)

    Oscar Sanjuan

    2010-12-01

    Full Text Available This work is part of a first phase of the project “DOMAIN SPECIFIC MODELING FOR THE LEARNING OBJECTS BUILD PLATFORM-INDEPENDENT " and seeks to make a comparison between Open Source LMS to get a first approximation of common modules them, and then start building the ontology compatible with all LMS studied, for that reason this paper is organized as follows: 1.Select Tools to work. 2. Contextualization of LMS tools to work. 3. Leaning Objects. 4. Structure of the LMS. 5. LMS ratings. 6. Creating the map of knowledge for each LMS. 7. Comparison between the LMS modules modeled and 8. Conclusions

  11. A comparison study on Raman scattering properties of alpha- and beta-MnO2

    DEFF Research Database (Denmark)

    Gao, Tao; Fjellväg, Helmer; Norby, Poul

    2009-01-01

    In this comment to a recent paper [Anal. Chim. Acta 585 (2007) 241–245], we report a comparison study on Mn oxide-related compounds with different crystallographic forms, which distinguish between β-MnO2 and α-MnO2 type materials via Raman scattering (RS) spectroscopy. The tetragonal rutile-type β...

  12. Are Score Comparisons across Language Proficiency Test Batteries Justified?: An IELTS-TOEFL Comparability Study.

    Science.gov (United States)

    Geranpayeh, Ardeshir

    1994-01-01

    This paper reports on a study conducted to determine if comparisons between scores on the Test of English as a Foreign Language (TOEFL) and the International English Language Testing Service (IELTS) are justifiable. The test scores of 216 Iranian graduate students who took the TOEFL and IELTS, as well as the Iranian Ministry of Culture and Higher…

  13. Could Education Contribute to Reduce Prevalence of HIV among Injecting Drug Users? A Case Study of IDUs from the Rehabilitation Center for Drugs Users

    Science.gov (United States)

    Rajbhandari, Mani Man Singh

    2008-01-01

    This study primarily focuses on Injecting Drug Users (IDUs) from the Narconon Nepal for drugs rehabilitation and prevention center. The study attempt to explore the changing behavior of IDUs from the education received from the rehabilitation center which contributes to reduce the prevalence of HIV among IDUs. The data were collected through semi…

  14. The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol

    Directory of Open Access Journals (Sweden)

    Enserink Remko

    2012-10-01

    Full Text Available Abstract Background Day care-associated infectious diseases are widely recognized as a public health problem but rarely studied. Insights into their dynamics and their association with the day care setting are important for effective decision making in management of infectious disease control. This paper describes the purpose, design and potential of our national multi-center, day care-based sentinel surveillance network for infectious diseases (the KIzSS network. The aim of the KIzSS network is to acquire a long-term insight into the syndromic and microbiological aspects of day care-related infectious diseases and associated disease burden and to model these aspects with day care setting characteristics. Methods/design The KIzSS network applies a prospective cohort design, following day care centers rather than individual children or staff members over time. Data on infectious disease symptoms and related morbidity (children and staff, medical consumption, absenteeism and circulating enteric pathogens (children are collected on a daily, weekly or monthly basis. Every two years, a survey is performed to assess the characteristics of participating day care centers. Discussion The KIzSS network offers a unique potential to study infectious disease dynamics in the day care setting over a sustained period of time. The created (biodatabases will help us to assess day care-related disease burden of infectious diseases among attending children and staff and their relation with the day care setting. This will support the much needed development of evidence-based and pragmatic guidelines for infectious disease control in day care centers.

  15. GHRH|HaeIII Gene Polymorphism in Dairy and Beef Cattle at National Livestock Breeding Centers

    OpenAIRE

    A.O. Rini; C. Sumantri; A. Anggraeni

    2013-01-01

    This study was aimed to identify polymorphism of growth hormone releasing hormone (GHRH) gene in 89 heads of Holstein-Friesian (HF) dairy cattle from Lembang Artificial Insemination Center/LAIC (17 bulls), Singosari Artificial Insemination Center/SAIC (32 bulls), and Cipelang Livestock Embryo Center/CLEC (40 cows); as well as in 4 breeds of female beef cattle from CLEC for comparison, providing Simmental (13 cows), Limousin (14 cows), Brahman (5 cows), and Angus (5 cows). This study used PCR-...

  16. Studies on retrospective analysis of leading primary cancers and improvement of cancer treatment method in Korea cancer center hospital

    International Nuclear Information System (INIS)

    a. Retrospective studies included cancers of the stomach, breast, bladder, salivary gland, thyroid, esophagus, endometrium and ovary. (1) Study cancers were analyzed about clinical characteristics, prognostic factors influenced on survival time, survival rate, etc. (2) Among 5,305 study patients, 1,405(26.5%) were identified with death, 3,485(65.7%) were alive and 415(7.8%) were not identified. b. Prospective studies included 10 subjects such as bladder cancer, retinoblastoma, malignant patients, gastric cancer, uterine cervix cancer and ovary cancer. We are continuing registering eligible study patients. c. Results for 11 papers were published at the journal. d. We established follow-up system in order to identify the survival for study subjects through National Statistical Office, Government Provincial Office and Cancer Registration System at Korea Cancer Center Hospital. e. At present, we are establishing computerized registration system about case report form for study cancers

  17. Studies on retrospective analysis of leading primary cancers and improvement of cancer treatment method in Korea cancer center hospital

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong In; Lee, Kang Hyun; Choi, Soo Yong; Kim, Ki Wha; Kang, Sung Mok

    2000-12-01

    a. Retrospective studies included cancers of the stomach, breast, bladder, salivary gland, thyroid, esophagus, endometrium and ovary. (1) Study cancers were analyzed about clinical characteristics, prognostic factors influenced on survival time, survival rate, etc. (2) Among 5,305 study patients, 1,405(26.5%) were identified with death, 3,485(65.7%) were alive and 415(7.8%) were not identified. b. Prospective studies included 10 subjects such as bladder cancer, retinoblastoma, malignant patients, gastric cancer, uterine cervix cancer and ovary cancer. We are continuing registering eligible study patients. c. Results for 11 papers were published at the journal. d. We established follow-up system in order to identify the survival for study subjects through National Statistical Office, Government Provincial Office and Cancer Registration System at Korea Cancer Center Hospital. e. At present, we are establishing computerized registration system about case report form for study cancers.

  18. Job center

    Science.gov (United States)

    To better meet the needs of AGU members, a program has been started to increase the effectiveness of the Job Center activity at the Spring and Fall Meetings. As a result, participation in the Job Center at the 1988 AGU Spring Meeting in Baltimore increased substantially compared to previous Spring Meetings. The number of employers, applicants, and interviews scheduled more than doubled compared to the 1987 Spring Job Center.In order to make the meeting Job Centers even better, a survey is being conducted of employers and applicants who participated in the 1988 Spring Job Center. Evaluation of this survey will be useful in continuing increased participation in and the effectiveness of the Job Center at the 1988 Fall Meeting. Past participants and those interested in the future of the Job Center are encouraged to forward comments and suggestions to AGU, Member Programs Division, 2000 Florida Ave., N.W., Washington, DC 20009.

  19. National Defense University's Influence on U.S. National Security Policy: Case Study about the Center for the Study of Weapons of Mass Destruction

    Science.gov (United States)

    Rondeau, Ann E.

    2010-01-01

    This dissertation touches on a series of events leading to an aspect of United States public policy dealing with weapons of mass destruction (WMD). After exploring the literature that describes the understanding of public policy, this paper uses the case study method to understand why and how a single research center and a particular set of…

  20. Overview of Findings from the World Trade Center Disaster Outcome Study: Recommendations for Future Research after Exposure to Psychological Trauma

    OpenAIRE

    Boscarino, Joseph A.; Adams, Richard E.

    2008-01-01

    In this article we review findings from the World Trade Center Disaster (WTCD) Outcomes Study, a prospective cohort study of 2,368 New York City (NYC) adults funded by the National Institutes of Health after the September 11 attacks. The findings reported were based on a baseline survey conducted one year after the disaster and a follow-up conducted two years post-disaster. One of the goals of this research was to assess the effectiveness of post-disaster treatments received by NYC residents ...

  1. Low-level radioactive waste disposal. Study of a conceptual nuclear energy center at Green River, Utah

    International Nuclear Information System (INIS)

    This document constitutes a segment of a feasibility study investigating the ramifications of constructing a nuclear energy center in an arid western region. In this phase of the study, the alternatives for disposing of the low-level waste on the site are compared with the alternative of transporting the waste to the nearest commercial waste disposal site for permanent disposal. Both radiological and nonradiological impacts on the local socioeconomic infrastructure and the environment are considered. Disposal on the site was found to cost considerably less than off-site disposal with only negligible impacts associated with the disposal option on either mankind or the environment

  2. Liver transplant recipients with portal vein thrombosis:a single center retrospective study

    Institute of Scientific and Technical Information of China (English)

    Yi-Feng Tao; Fei Teng; Zheng-Xin Wang; Wen-Yuan Guo; Xiao-Min Shi; Gui-Hua Wang; Guo-Shan Ding; Zhi-Ren Fu

    2009-01-01

    BACKGROUND: Portal vein thrombosis (PVT) used to be a contraindication for liver transplantation (LT). This obstacle has been delt with following the improvement of LT-related techniques and therapeutic approaches to thrombosis. But the effect of PVT on LT outcomes is still controversial. We reviewed retrospectively the outcome of LT patients with PVT as well as risk factors and surgical management according to PVT grades. METHODS: A total of 465 adult LTs were performed from December 2002 through December 2006. Operative ifndings and the result of preoperative ultrasonography and imaging were reviewed for PVT grading (Yerdel grading). Comparison of risk factors, variables associated with perioperative period and prognosis between recipients with and without PVT is based on the grades. RESULTS: In the 465 LTs, 42 were operatively conifrmed to have PVT (9.0%) (19 recipients with grade 1, 14 with grade 2, 7 with grade 3, and 2 with grade 4). Increased age and treatment of portal hypertension were associated with PVT. Grade 1 or 2 PVT was treated by direct anastomosis or single thrombectomy. In grade 3 PVT patients, the donor PV was directly anastomosed to the dilated branch of the recipient portal venous system or to the distal open superior mesenteric vein through an interposition vein graft if needed. Grade 4 PVT was managed by our modiifed cavoportal hemitransposition technique. The comparison between PVT patients and controls showed no signiifcant difference in operative duration and blood transfusion (P>0.05). The lfow rate of the PV was lower in the PVT patients (48.881±12.788 cm/s) than in the controls (57.172±21.715 cm/s,P0.05); the 3-year survival rates were 58.8% and 56.4%respectively (P>0.05). CONCLUSIONS: PVT is not contraindicated for LT if it is graded. PVT recipients may have post-transplantation complications like renal failure and PV rethrombosis, and operative dififculty and patient survival are similar to those in recipients without PVT

  3. Sonographic Findings of Benign Breast Diseases, A Study of 111 Cases in Iranian Center for Breast Cancer

    Directory of Open Access Journals (Sweden)

    N. sedighi

    2005-08-01

    Full Text Available Introduction & Background: Benign lesions are very common in breast. The most important consideration for physicians is to differentiate benign processes from malignant ones .Hence the clinicians and radi-ologists both wish to differentiate them even before surgical procedures. The Iranian Center for Breast Cancer linked to Jahad Daneshgahi Center is a referral place for patients with breast complaints. Patients & Methods: Retrospective study of sonographic findings of 111 patients with benign patho-logic diagnosis revealed 72.1% accuracy for sonogra-phy in diagnosing benign masses. In 31 cases (27.9%, the sonographic diagnosis was incorrect. Among the different benign lesions, the most common lesions were cysts, fibradenomas, and fibrocystic changes with respective sonographic accuracy of 100%, 90%, and 62.5%. Results: It shows that sonography has a high sensitiv-ity for diagnosis of benign breast lesions and this sen-sitivity is higher in cysts and fibradenomas which are the most common benign pathologies of breast. Conclusion: As a result, in this center sonography is an imaging modality for evaluating benign breast le-sion especially in young patients with dense breasts and palpable masses. Its unique role in diagnosis of the cysts is valuable especially to avoid repeated biopsies.

  4. The way forward in capacity building in developing countries: space research center at Minoufiyia University, Egypt, as case study

    Science.gov (United States)

    Mosalam Shaltout, M. A.

    With the starting the year 2002 the Menoufiyia University Council taked an Issue by construction Space Research Center, as a first Center for Space Research in the Egyptian Universities (20 Universities), as a part from the Desert Environment Research Institute for temporal time, then after the growth, it will be independent center. The green area of Egypt (Nile Valley and Delta) are 4% only from the total area of Egypt, the remain 96% is desert area. The most useful thing is to study the desert from space. For that the suggested projects to be performed in this new center are: 1. Monitoring the storage tanks of the underground water in the Egyptian Desert (Sahara) by artificial satellites as GRACE of NASA and DLR. 2. Building 32 meter Radio telescope at Abu-Simbel in the South of Egypt as part of the European VLBI network (EVN) to cover the gab between the radio telescope in the western Europe and the radio telescope at Hartebessthock in South Africa. The cooperation of International interested institutions is being explored for this important project of Egypt. 3. Solar activity and the climatic changes through the 21st century as clarified by global solar radiation data at Khargha Oases at the western desert of Egypt. 4. Testing of the Martian exploration instruments for 2005 space trips to Mars in the western desert of Egypt, as it is the driest area in the world, where are similarity between the dry atmosphere of Sahara and the atmosphere of Mars, also in the soil, and dry valleys. In collaboration with NASA and ESA. 5. Studding the eastern structure, due to meteoric impact in the western desert of Egypt since 28 Million years. Also, studding the meteors chemistry, for meteors found in the Egyptian desert, and the origin of life as meteor (Nachlet) in collaboration with NASA and ESA. 6. Solar energy and humidity distribution over Sahara from artificial Satellite Meteostat observations.

  5. North-South Partnership in Space Research and Application: Space Research Center at Minufiyia University, Egypt, as Case Study

    Science.gov (United States)

    Shaltout, M.

    With the starting the year 2002 the Minufiyia University Council taked an Issue by construction Space Research Center, as a first Center for Space Research in the Egyptian Universities (20 Universities), as a part from the Desert Environment Research Institute for temporal time, then after the growth, it will be independent center. The green area of Egypt (Nile Valley and Delta) are 4% only from the total area of Egypt, the remain 96% is desert area. The most useful thing is to study the desert from space. For that the suggested projects to be performed in this new center are: 1.Monitoring the storage tanks of the underground water in the Egyptian Desert (Sahara) by artificial satellites as GRACE of NASA and DLR. 2.Building 32 meter Radio telescope at Abu-Simbel in the South of Egypt as part of the European VLBI network (EVN) to cover the gab between the radio telescope in the western Europe and the radio telescope at Hartebessthock in South Africa. The cooperation of International interested institutions is being explored for this important project of Egypt. 3.Solar activity and the climatic changes through the 21st century as clarified by global solar radiation data at Khargha Oases at the western desert of Egypt. 4.Testing of the Martian exploration instruments for 2003 and 2005 space trips to Mars in the western desert of Egypt, as it is the driest area in the worl d, where are similarity between the dry atmosphere of Sahara and the atmosphere of Mars, also in the soil, and dry valleys. In collaboration with NASA and ESA. 5.Studding the eastern structure, due to meteoric impact in the western desert of Egypt since 28 Million years. Also, studding the meteors chemistry, for meteors found in the Egyptian desert, and the origin of life as meteor (Nachlet) in collaboration with NASA and ESA. Solar energy and humidity distribution over Sahara from artificial Satellite Meteostat observations.

  6. Study of a conceptual nuclear energy center at Green River, Utah: licensing considerations

    International Nuclear Information System (INIS)

    This report examines the laws governing the location of a 9-unit nuclear energy center (NEC) near Green River, Utah. The time frame being considered for development of the conceptual NEC is from 1995 to 2013. Accordingly, the report is forced to speculate about some aspects of the plant, its site and its construction. Most of the report examines existing legal requirements for constructing an NEC. Where pertinent, changes in the law are discussed that would affect an NEC that is to be licensed in one or two decades. In general, no insurmountable legal problems exist that would prevent an NEC from being licensed at the Green River location. Several legal requirements pose significant concerns and would have to be faced before an NEC could be built. Among the major legal constraints are radiation protection, regulatory approval of financing, access to water, and local zoning restrictions. Two other constraints that involve legal matters are the wisdom of standardization of the units and the responsibility of the NEC builder to correct socio-economic impacts on the local area

  7. Confirmed adult dengue deaths in Singapore: 5-year multi-center retrospective study

    Directory of Open Access Journals (Sweden)

    Narayanan Rajmohan L

    2011-05-01

    Full Text Available Abstract Background Dengue re-emerges in Singapore despite decades of effective vector control; the infection predominantly afflicts adults. Severe dengue not fulfilling dengue hemorrhagic fever (DHF criteria according to World Health Organization (WHO 1997 guideline was increasingly reported. A new WHO 2009 guideline emphasized warning signs and a wider range of severe dengue manifestations. We aim to evaluate the utility of these two guidelines in confirmed adult dengue fatalities. Methods We conducted a multi-center retrospective chart review of all confirmed adult dengue deaths in Singapore from 1 January 2004 to 31 December 2008. Results Of 28 adult dengue deaths, median age was 59 years. Male gender comprised 67.9% and co-morbidities existed in 75%. From illness onset, patients presented for admission at a median of 4 days and death occurred at a median of 12 days. Intensive care admission was required in 71.4%. Probable dengue was diagnosed in 32.1% by WHO 1997 criteria and 78.6% by WHO 2009. The earliest warning sign was persistent vomiting at a median of 1.5 days. Hematocrit change ≥20% concurrent with platelet count Conclusions In our adult fatal dengue cohort, WHO 2009 criteria had higher sensitivity in diagnosing probable dengue and severe dengue compared with WHO 1997. As warning signs, persistent vomiting occurred early and hematocrit change ≥20% concurrent with platelet count

  8. Metabolic alkalosis in children: Study of patients admitted to pediatrics center

    Directory of Open Access Journals (Sweden)

    Sobhani A

    2001-07-01

    Full Text Available Metabolic alkalosis is characterized by high HCO3- as it is seen in chronic respiratory acidosis, but PH differentiates the two disorders. There is no characteristic symptom or sign. Orthostatic hypotension may be encountered. Weakness and hyporeflexia occur if serum K+ is markerdly low. Tetany and neuromuscular irritability occur rarely. We report the results of retrospective data analysis of metabolic alkalosis in 15463 patients hospitalized Pediatric Medical Center in Tehran during years 1995-1997. We found 50 cases of metabolic alkalosis (rate of 0.32 percent. 64 precent male and 36 percent female. Most of them had growth failure (40% were bellow 3 percentile of height by age, 44% bellow 5 percentile of weight by height. More than 60 percent had hypokalemia, hypocloremia and hyponatremia. The most common cause of Metabolic alkalosis was cystic fibrosis and pyloric stenosis. Fifty percent of cystic fibrosis patients and Bartter cases had metabolic alkalosis. Metabolic alkalosis should be considered in every pediatric patient presented with projectile vomitting.

  9. Radio studies of the Galactic center. I. The Sagittarius A complex

    International Nuclear Information System (INIS)

    VLA observations of the Sgr A complex at 90 cm, 20 cm, and 6 cm are combined to obtain spectral index and optical depth distributions across the source and are used to constrain the three-dimensional structure at the Galactic center. At 90 cm the 'spiral' structure of the thermal source Sgr A West is clearly seen in absorption against the nonthermal emission of Sgr A East, showing conclusively that the former is in front of the latter. The entire shell of Sgr A East shows a low-frequency turnover corresponding to an optical depth of 1-2. This turnover corresponds to free-free absorption with an emission measure of about 100,000 pc/cm exp 6 if the electron temperature is about 5000 K. The approximately 7 arcmin halo surrounding Sgr A East and West also shows a low-frequency turnover. It is suggested that the halo contains a mixture of thermal and nonthermal gas and that the thermal component is responsible for the absorption extending across Sgr A East. 48 refs

  10. [(Dis)satisfaction with mental healthcare work: a study in Psychosocial Care Centers].

    Science.gov (United States)

    Guimarães, José Maria Ximenes; Jorge, Maria Salete Bessa; Assis, Marluce Maria Araújo

    2011-04-01

    The scope of this article is to analyze satisfaction in the workplace of mental healthcare professionals who serve in Psychosocial Care Centers (Caps). The research is of a qualitative nature and the data-collecting medium was semistructured interviews with 19 workers of three Caps in Fortaleza, in the Northern Brazilian State of Ceará. The treatment of the empirical material was based upon the analysis of content with an emphasis on the thematic bias. The results revealed the determinants of (dis)satisfaction present in the daily routine of these workers. The relationships established with the users were singled out as the main source of satisfaction, whereas the work and wage conditions were the main motives for dissatisfaction. In addition to these aspects, consequences of (dis)satisfaction at work in the private, social and organizational field of the workers' life in the Caps were revealed, mainly in physical and mental health. Lastly, they emphasized the urgent need for implementation - on the part of public administration - of strategies that seek to reduce the precariousness of healthcare work, especially in mental health, with a view to mitigating damages potentially caused by such work. PMID:21584456

  11. Sage grouse on the Yakima Training Center: A summary of studies conducted during 1991 and 1992

    Energy Technology Data Exchange (ETDEWEB)

    Cadwell, L.L.; Simmons, M.A.; Downs, J.L. [Pacific Northwest Lab., Richland, WA (United States); Sveum, C.M. [Oregon State Univ., Corvallis, OR (United States). Dept. of Fisheries and Wildlife

    1994-04-01

    The Yakima Training Center (YTC) sage grouse population is one of only two remnant populations of sage grouse remaining in the state of Washington. Sage grouse are considered candidates for listing as a state threatened species. The purpose of the work was to identify sage grouse population characteristics, habitat preferences, and land areas used by sage grouse to assist YTC environmental management staff and military training personnel in both managing sage grouse and planning training activities. The ultimate objective is to protect sage grouse and sage grouse habitat without compromising military training objectives. The sage grouse population on the YTC is small but appears to have remained stable during the past few years. Two distinct subpopulations of grouse appear to exist, each occupying a distinct geographical region and using separate lek areas. Nesting and brooding hens select for long angle slopes and moderate elevations, which places the birds in preferred troop-training areas. The greatest potential impact of training activities on sage grouse seems to be related to habitat loss, although disturbance at leks during the breeding season also could have major impacts on breeding success. The creation of habitat maps for the YTC showing vegetation features most valued by sage grouse is recommended because it would provide habitat managers and military training planner`s with a means to protect grouse habitat while making training assignments. An analysis of sage grouse habitat quality, as impacted by training activity, would also assist habitat managers in making decisions regarding habitat restoration and protection.

  12. Organic Contamination Baseline Study in NASA Johnson Space Center Astromaterials Curation Laboratories

    Science.gov (United States)

    Calaway, Michael J.; Allen, Carlton C.; Allton, Judith H.

    2014-01-01

    Future robotic and human spaceflight missions to the Moon, Mars, asteroids, and comets will require curating astromaterial samples with minimal inorganic and organic contamination to preserve the scientific integrity of each sample. 21st century sample return missions will focus on strict protocols for reducing organic contamination that have not been seen since the Apollo manned lunar landing program. To properly curate these materials, the Astromaterials Acquisition and Curation Office under the Astromaterial Research and Exploration Science Directorate at NASA Johnson Space Center houses and protects all extraterrestrial materials brought back to Earth that are controlled by the United States government. During fiscal year 2012, we conducted a year-long project to compile historical documentation and laboratory tests involving organic investigations at these facilities. In addition, we developed a plan to determine the current state of organic cleanliness in curation laboratories housing astromaterials. This was accomplished by focusing on current procedures and protocols for cleaning, sample handling, and storage. While the intention of this report is to give a comprehensive overview of the current state of organic cleanliness in JSC curation laboratories, it also provides a baseline for determining whether our cleaning procedures and sample handling protocols need to be adapted and/or augmented to meet the new requirements for future human spaceflight and robotic sample return missions.

  13. A study of adopting maintenance rule under the periodic safety review and reliability centered maintenance program

    International Nuclear Information System (INIS)

    U.S Maintenance Rule (MR) has three main functions. One is to monitor the performance changes of SSCs (Structure, System, and Component) caused by risk informed applications. Periodic Safety Review (PSR) program is widely adopted in Europe while it is not adopted in U. S. A where MR and new oversight program are instead used. Recently, in Korea, it was determined to adopt PSR, and the first PSR program has started this year for Kori unit 1 as a pilot plant. Also, a traditional Reliability Centered Maintenance (RCM) has been performed for 4 systems of YGN unit 1 and 2 and it will be applied to the other nuclear power plants in Korea. However, since MR is adopting many useful concept of RCM, traditional RCM could not be further performed without being associated with MR. Thus, MR, RCM and PSR have recently become hot issue policies which should be well associated each other in Korea, and this paper suggests a desirable new maintenance process which would embrace the concepts of the three policies, and also discusses whether U.S. MR is necessary even though a PSR program is already adopted, and if necessary, then how cost-effectively it can be introduced to. (author)

  14. Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.

    Science.gov (United States)

    Mittring, Nadine; Pérard, Marion; Witt, Claudia M

    2013-01-01

    The offer of "integrative oncology" is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type ("best of both worlds" and "linking"). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

  15. An Imaging and Spectral Study of Ten X-Ray Filaments around the Galactic Center

    CERN Document Server

    Lu, F J; Lou, Y -Q

    2007-01-01

    We report the detection of 10 new X-ray filaments using the data from the {\\sl Chandra} X-ray satellite for the inner $6^{\\prime}$ ($\\sim 15$ parsec) around the Galactic center (GC). All these X-ray filaments are characterized by non-thermal energy spectra, and most of them have point-like features at their heads that point inward. Fitted with the simple absorbed power-law model, the measured X-ray flux from an individual filament in the 2-10 keV band is $\\sim 2.8\\times10^{-14}$ to $10^{-13}$ ergs cm$^{-2}$ s$^{-1}$ and the absorption-corrected X-ray luminosity is $\\sim 10^{32}-10^{33}$ ergs s$^{-1}$ at a presumed distance of 8 kpc to the GC. We speculate the origin(s) of these filaments by morphologies and by comparing their X-ray images with the corresponding radio and infrared images. On the basis of combined information available, we suspect that these X-ray filaments might be pulsar wind nebulae (PWNe) associated with pulsars of age $10^3 \\sim 3\\times 10^5$ yr. The fact that most of the filament tails po...

  16. A case-comparison study of automatic document classification utilizing both serial and parallel approaches

    International Nuclear Information System (INIS)

    A well-known problem faced by any organization nowadays is the high volume of data that is available and the required process to transform this volume into differential information. In this study, a case-comparison study of automatic document classification (ADC) approach is presented, utilizing both serial and parallel paradigms. The serial approach was implemented by adopting the RapidMiner software tool, which is recognized as the worldleading open-source system for data mining. On the other hand, considering the MapReduce programming model, the Hadoop software environment has been used. The main goal of this case-comparison study is to exploit differences between these two paradigms, especially when large volumes of data such as Web text documents are utilized to build a category database. In the literature, many studies point out that distributed processing in unstructured documents have been yielding efficient results in utilizing Hadoop. Results from our research indicate a threshold to such efficiency

  17. A case-comparison study of automatic document classification utilizing both serial and parallel approaches

    Science.gov (United States)

    Wilges, B.; Bastos, R. C.; Mateus, G. P.; Dantas, M. A. R.

    2014-10-01

    A well-known problem faced by any organization nowadays is the high volume of data that is available and the required process to transform this volume into differential information. In this study, a case-comparison study of automatic document classification (ADC) approach is presented, utilizing both serial and parallel paradigms. The serial approach was implemented by adopting the RapidMiner software tool, which is recognized as the worldleading open-source system for data mining. On the other hand, considering the MapReduce programming model, the Hadoop software environment has been used. The main goal of this case-comparison study is to exploit differences between these two paradigms, especially when large volumes of data such as Web text documents are utilized to build a category database. In the literature, many studies point out that distributed processing in unstructured documents have been yielding efficient results in utilizing Hadoop. Results from our research indicate a threshold to such efficiency.

  18. Patient and Other Stakeholder Engagement in Patient-Centered Outcomes Research Institute Funded Studies of Patients with Kidney Diseases.

    Science.gov (United States)

    Cukor, Daniel; Cohen, Lewis M; Cope, Elizabeth L; Ghahramani, Nasrollah; Hedayati, S Susan; Hynes, Denise M; Shah, Vallabh O; Tentori, Francesca; Unruh, Mark; Bobelu, Jeanette; Cohen, Scott; Dember, Laura M; Faber, Thomas; Fischer, Michael J; Gallardo, Rani; Germain, Michael J; Ghahate, Donica; Grote, Nancy; Hartwell, Lori; Heagerty, Patrick; Kimmel, Paul L; Kutner, Nancy; Lawson, Susan; Marr, Lisa; Nelson, Robert G; Porter, Anna C; Sandy, Phillip; Struminger, Bruce B; Subramanian, Lalita; Weisbord, Steve; Young, Bessie; Mehrotra, Rajnish

    2016-09-01

    Including target populations in the design and implementation of research trials has been one response to the growing health disparities endemic to our health care system, as well as an aid to study generalizability. One type of community-based participatory research is "Patient Centered-Research", in which patient perspectives on the germane research questions and methodologies are incorporated into the study. The Patient-Centered Outcomes Research Institute (PCORI) has mandated that meaningful patient and stakeholder engagement be incorporated into all applications. As of March 2015, PCORI funded seven clinically-focused studies of patients with kidney disease. The goal of this paper is to synthesize the experiences of these studies to gain an understanding of how meaningful patient and stakeholder engagement can occur in clinical research of kidney diseases, and what the key barriers are to its implementation. Our collective experience suggests that successful implementation of a patient- and stakeholder-engaged research paradigm involves: (1) defining the roles and process for the incorporation of input; (2) identifying the particular patients and other stakeholders; (3) engaging patients and other stakeholders so they appreciate the value of their own participation and have personal investment in the research process; and (4) overcoming barriers and challenges that arise and threaten the productivity of the collaboration. It is our hope that the experiences of these studies will further interest and capacity for incorporating patient and stakeholder perspectives in research of kidney diseases.

  19. Patient and Other Stakeholder Engagement in Patient-Centered Outcomes Research Institute Funded Studies of Patients with Kidney Diseases.

    Science.gov (United States)

    Cukor, Daniel; Cohen, Lewis M; Cope, Elizabeth L; Ghahramani, Nasrollah; Hedayati, S Susan; Hynes, Denise M; Shah, Vallabh O; Tentori, Francesca; Unruh, Mark; Bobelu, Jeanette; Cohen, Scott; Dember, Laura M; Faber, Thomas; Fischer, Michael J; Gallardo, Rani; Germain, Michael J; Ghahate, Donica; Grote, Nancy; Hartwell, Lori; Heagerty, Patrick; Kimmel, Paul L; Kutner, Nancy; Lawson, Susan; Marr, Lisa; Nelson, Robert G; Porter, Anna C; Sandy, Phillip; Struminger, Bruce B; Subramanian, Lalita; Weisbord, Steve; Young, Bessie; Mehrotra, Rajnish

    2016-09-01

    Including target populations in the design and implementation of research trials has been one response to the growing health disparities endemic to our health care system, as well as an aid to study generalizability. One type of community-based participatory research is "Patient Centered-Research", in which patient perspectives on the germane research questions and methodologies are incorporated into the study. The Patient-Centered Outcomes Research Institute (PCORI) has mandated that meaningful patient and stakeholder engagement be incorporated into all applications. As of March 2015, PCORI funded seven clinically-focused studies of patients with kidney disease. The goal of this paper is to synthesize the experiences of these studies to gain an understanding of how meaningful patient and stakeholder engagement can occur in clinical research of kidney diseases, and what the key barriers are to its implementation. Our collective experience suggests that successful implementation of a patient- and stakeholder-engaged research paradigm involves: (1) defining the roles and process for the incorporation of input; (2) identifying the particular patients and other stakeholders; (3) engaging patients and other stakeholders so they appreciate the value of their own participation and have personal investment in the research process; and (4) overcoming barriers and challenges that arise and threaten the productivity of the collaboration. It is our hope that the experiences of these studies will further interest and capacity for incorporating patient and stakeholder perspectives in research of kidney diseases. PMID:27197911

  20. Comparison Study of Two Different Sun-Tracking Methods in Optical Efficiency of Heliostat Field

    OpenAIRE

    K.-K. Chong; Tan, M.H.

    2012-01-01

    There are two sun-tracking methods widely used for the heliostat, which are conventional Azimuth-Elevation and revolutionary Spinning-Elevation methods. Following the previous study to compare the range of motion, a comparison study in optical efficiency of heliostat field for the two methods is further explored in this paper. A special algorithm using ray-tracing technique has also been developed to simulate the optical efficiency of heliostat field for both sun-tracking methods in different...