Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial

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Dai CY

2013-04-01

Full Text Available Chin-Ying Dai,1,2 Yu-Hui Huang,3,4 Li-Wei Chou,5,6 Shiao-Chi Wu,7 Ray-Yau Wang,8 Li-Chan Lin9 1School of Nursing, National Yang Ming University, Taipei, Taiwan; 2Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 5Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 6School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 7Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan; 8Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan; 9Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan, Republic of China Introduction: The current study aims to investigate the effects of primary caregiver participation in vestibular rehabilitation (VR on improving the measures of neglect, activities of daily living (ADL, balance, and falls of unilateral neglect (UN patients. Methods: This study is a single-blind randomized controlled trial. Both experimental (n = 24 and control groups (n = 24 received conventional rehabilitation. The experimental group undertook VR for a month. During the first and second weeks, a registered nurse trained the experimental group in VR. The primary caregivers in the experimental group supervised and guided their patients in VR during the third and fourth weeks. The outcome measures were neglect, ADL, balance, and falls. Results: The two groups of UN patients showed a significant improvement in neglect, ADL, and balance over time. Based on the generalized estimating equations model, an interaction was observed between groups and times. Significant interactions were observed between the VR group

Heterogeneities of the shear wave attenuation field in the lithosphere of East Tien Shan and their relationship with seismicity

Science.gov (United States)

Kopnichev, Yu. F.; Sokolova, I. N.

2012-02-01

The shear wave attenuation field in the lithosphere of Eastern Tien Shan has been mapped. The method based on analysis of the ratio between amplitudes of Sn and Pn waves was used. On aggregate, about 120 seismograms made at the Makanchi station (MKAR), mainly in the period of 2003-2009, at epicentral distances of about 350-1200 km were analyzed. It was found that shear wave attenuation in the lithosphere of Eastern Tien Shan is weaker than that in the region of Central Tien Shan. This agrees with the fact that the rate of deformation of the Earth's crust in Eastern Tien Shan is lower (based on GPS data), as is the seismicity level, in comparison to Central Tien Shan. The zones of high attenuation, where strong earthquakes with M > 7.0 have not occurred for the last 200 years, have been identified: first of all, these are the area west of Urumqi and that of the Lop Nur test site. It is suggested that in the first zone, where an annular seismicity structure has formed over the last 30 years, a strong earthquake may be being prepared. The second zone is most probably related to the uplift of mantle fluids resulting from a long-term intensive technogenic effect, analogous to what has occurred in areas of other nuclear test sites (Nevada and Semipalatinsk).

DUST LOADING OF THE ATMOSPHERE AND GLACIERS IN THE KUMTOR MINING AREA (AKSHYYRAK, TIEN SHAN)

OpenAIRE

V. A. Kuzmichenok

2012-01-01

Industrial development of the Kumtor Gold Mine in the nival-glacial zone of Tien Shan (altitude ranging from 4000 to 4500 m a.s.l.) is inevitably accompanied by the release of some additional amounts of dust in atmosphere. Sampling in 7 points and an analysis of the quantity (weight) of dust in the seasonal snow (September–April) on glaciers show that the dust pollution does not substantially exceed the natural level of dust in Tien Shan. An analysis of almost 3 000 daily measurements of dust...

Geomorphic response of an active metamorphic core-complex in a collisional orogen: Example from the Lunggar Shan, Southern Tibet

International Nuclear Information System (INIS)

Taylor, M H; Stockli, D F; Kapp, P A

2008-01-01

We present structural and neotectonic mapping from the Lunggar Shan rift in southern Tibet. The Lunggar Shan is a N-trending mountain range ∼70 km long N-S and up to 40 km wide E-W. The Lunggar Shan is bounded on its east side by a low-angle ( 0 ) east-dipping detachment fault that juxtaposes mylonitic gneiss and variably deformed granites in its footwall against alluvial fans and Neogene gravels in its hangingwall. Foliations in the mylonitic footwall dip 40 m of throw on individual scarps. An intriguing observation is that an intrabasinal topographic high is actively developing near areas of inferred maximum extension, with lacustrine sediments being uplifted and eroded. This observation indicates that the rift basin initially developed as a typical half-graben system that underwent a transition from deposition, to uplift and erosion perhaps as a result of isostatic rebound of the footwall at depth, warping the overlying hangingwall basin. If correct, the Lunggar Shan may represent a modern analogue to the supradetachment basin model

Film Censorship Policy During Park Chung Hee’s Military Regime (1960–1979) and Hostess Films

OpenAIRE

Molly Hyo Kim

2018-01-01

Park Chung-hee’s military government (1960-1979) purportedly used film censorship to distract the public from political consciousness by controlling political materials in films while condoning censorship control on sexual content. As a result, the production of soft-core adult films soared and became popular among Korean audiences. One such film genre that thrived during this period, so-called hostess films (prostitute films), is worthy of attention for the films’ foregrounding issues of cla...

Constraining the Distribution of Vertical Slip on the South Heli Shan Fault (Northeastern Tibet) From High-Resolution Topographic Data

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Bi, Haiyun; Zheng, Wenjun; Ge, Weipeng; Zhang, Peizhen; Zeng, Jiangyuan; Yu, Jingxing

2018-03-01

Reconstruction of the along-fault slip distribution provides an insight into the long-term rupture patterns of a fault, thereby enabling more accurate assessment of its future behavior. The increasing wealth of high-resolution topographic data, such as Light Detection and Ranging and photogrammetric digital elevation models, allows us to better constrain the slip distribution, thus greatly improving our understanding of fault behavior. The South Heli Shan Fault is a major active fault on the northeastern margin of the Tibetan Plateau. In this study, we built a 2 m resolution digital elevation model of the South Heli Shan Fault based on high-resolution GeoEye-1 stereo satellite imagery and then measured 302 vertical displacements along the fault, which increased the measurement density of previous field surveys by a factor of nearly 5. The cumulative displacements show an asymmetric distribution along the fault, comprising three major segments. An increasing trend from west to east indicates that the fault has likely propagated westward over its lifetime. The topographic relief of Heli Shan shows an asymmetry similar to the measured cumulative slip distribution, suggesting that the uplift of Heli Shan may result mainly from the long-term activity of the South Heli Shan Fault. Furthermore, the cumulative displacements divide into discrete clusters along the fault, indicating that the fault has ruptured in several large earthquakes. By constraining the slip-length distribution of each rupture, we found that the events do not support a characteristic recurrence model for the fault.

Reciever Function Transect Across Tibet, Tarim and Tien Shan

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Marshall, B.; Levin, V. L.; Huang, G.; Roecker, S. W.; Wang, H.

2010-12-01

We investigate the region of the ongoing collision between the India and Eurasia tectonic plates that results in widespread deformation of the continental lithosphere. Over the past decade, numerous regional studies were conducted between the Himalaya and the Tien Shan mountains, each illuminating a small part of the area. We combine the data from a number of portable and permanent networks to construct a ~1800 km long profile of lithospheric properties that cross three very different tectonic domains: the Tibetan plateau, the Tarim basin, and the Tien Shan mountains. We use data from 60 stations operated in the region by US, Chinese and French researchers. We use records of distant earthquakes to construct receiver function gathers for each station. The uniformity of processing ensures that our results are comparable along the transect. We examine receiver function gathers at each site, and rank their quality on the basis of number of records, noise levels, and directional stability of the wavefield. We select 27 sites with high-quality data. For these we construct average receiver function traces using data in the 60-85 degree range, and use them as a guide to the lithospheric layering beneath the region. On most receiver functions we constructed the most prominent feature is a positive phase likely associated with the crust-mantle transition. The timing of this phase varies significantly over the length of the profile. Beneath the Tibetan plateau delay times ~7-8 s are seen close to the Himalayas, and nearly 10 s delays are found further north. Delays of 6 to 8 s are seen beneath sites in the Tarim basin and the Tien Shan mountains, and nearly 10 s delays are seen at the border between them. In addition to the pulse associated with the crust-mantle transition we see other locally-consistent features, for example a negative phase with delay values between 3 and 5 s beneath much of the Tibetan plateau.

Using slope-area and apatite fission track analysis to decipher the rock uplift pattern of the Yumu Shan: New insights into the growth of the NE Tibetan Plateau

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Wang, Yizhou; Zheng, Dewen; Pang, Jianzhang; Zhang, Huiping; Wang, Weitao; Yu, Jingxing; Zhang, Zhuqi; Zheng, Wenjun; Zhang, Peizhen; Li, Youjuan

2018-05-01

Studies have shown that the growth of the Qilian Shan, the northeastern margin of the Tibetan Plateau, started 10 Ma ago. However, when and how it expanded northwards is still under debate. Here we focus on the rock uplift pattern of the Yumu Shan, an active fault-related fold in the Hexi Corridor north to the Qilian Shan. Normalized channel steepness achieved from the analysis of river longitudinal profiles shows a spatially variant rock uplift pattern, with higher rates in the middle part and lower rates towards the west and east tips. The compression of the mountain is typically accommodated by fault-fold related shortening and vertical thickening. Apatite fission track thermochronology reveals that the growth of the Yumu Shan started 4 Ma ago, similar to the work on active tectonics. Combining the onset ages of the growth of the Qilian Shan (10 Ma), Laojunmiao anticline (3-4 Ma), Baiyanghe anticline (3-4 Ma), Wenshu Shan (4.5 Ma) and Heli Shan (2 Ma), we draw an conclusion that the NE margin of the Tibetan Plateau initiated growth in the mid-Miocene and expanded to the Hexi Corridor and to the south of the Alxa block in the early Pleistocene.

Lead Levels in the Bones of Small Rodents from Alpine and Subalpine Habitats in the Tian-Shan Mountains, Kyrgyzstan

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Zuzana Ballová

2018-01-01

Full Text Available High mountain areas are an appropriate indicator of anthropogenic lead (Pb, which can reach remote mountain ranges through long distance atmospheric transport. We compared the content of Pb in ecologically equivalent rodent species from Tian-Shan with European mountain ranges including the Tatra, Vitosha and Rila mountains. We used bone tissues from terminal tail vertebrae of small rodents for detection of Pb levels through electro-thermal atomic absorption spectroscopy (AAS. The tailbones of Tian-Shan rodents had significantly lower Pb levels than snow voles from the Tatra Mountains, but there was no significant difference in comparison with the Vitosha and Rila mountains. We can conclude that Tian-Shan shows lower pollution by Pb than the Tatras, which may be a result of prolonged industrialization of north-western Europe and strongly prevailing west winds in this region.

New insights into Late Quaternary slip rate of the thrust fault zone, northern margin of the Qilian Shan, NE Tibet

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Hai-bo, Y.; Yang, X., Sr.; LI, A.; Huang, X.; Huang, W.

2017-12-01

The India-Eurasian plate collision caused widespread Cenozoic crustal deformation within the Tibetan Plateau and on its margins. Ongoing post-collisional convergence formed multi-row NWW-trending folded mountain ranges and basins pattern in the northeastern Tibet. Late Quaternary tectonic deformation and quantitative slip rate estimates around the Qilian Shan and the Hexi corridor foreland basin are critical to understanding crustal deformation process of the Tibetan plateau and assessing regional seismic hazards. The Fodongmo-Hongyazi fault (FHF) is a major thrust at the Northeastern Tibet, bounding the Qilian Shan. It is accommodating the crustal shortening across this region and has produced strong historical earthquake. Until now the slip rate has been poorly constrained limiting our understanding of its role in the accommodation of deformation across this region. In this work, faulted terraces at the Hongshuiba River and Fengle River sites on the western and middle segments of the FHF were mapped with satellite imagery and field observations. Chronological constraints are placed on the ages of displaced river terraces at these sites using terrestrial cosmogenic nuclide (TCN) exposure dating. These ages combined with offsets measured from SPOT 6 DEM's yield average vertical slip rates of 1.3±0.1mm/yr for the western segment since 207 ka and 0.9±0.1 mm/yr since 46 ka for the middle segment. These data suggest that the FHF accommodates 15-20% of the total shortening across the Qilian Shan (5.5-7 mm/yr). In addition, comparisons of our data with published slip rates along the Northern Qilian Thrust Fault Zone show that the fastest tectonic uplift occurs along the western portion of the Northern Qilian Shan. This is consistent with estimates deduced from geomorphology. The western portion of the Qilian Shan is mainly controlled by compressional deformation produced by the northward movement of the Northeastern Tibetan Plateau, while the eastern Qilian Shan is

Shan women traders and their survival strategies on the Myanmar-Thailand borderland

NARCIS (Netherlands)

Lertchavalitsakul, B.

2015-01-01

Between the 1970s and the mid-1990s, the Burma-Thailand borderland witnessed an expansion of long-distance trade conducted by Shan women. This expansion occurred despite an escalation of ethnic rebellions and insurgencies on the Burmese side of the frontier, and in particular the relocation of the

Fault Slip and GPS Velocities Across the Shan Plateau Define a Curved Southwestward Crustal Motion Around the Eastern Himalayan Syntaxis

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Shi, Xuhua; Wang, Yu; Sieh, Kerry; Weldon, Ray; Feng, Lujia; Chan, Chung-Han; Liu-Zeng, Jing

2018-03-01

Characterizing the 700 km wide system of active faults on the Shan Plateau, southeast of the eastern Himalayan syntaxis, is critical to understanding the geodynamics and seismic hazard of the large region that straddles neighboring China, Myanmar, Thailand, Laos, and Vietnam. Here we evaluate the fault styles and slip rates over multi-timescales, reanalyze previously published short-term Global Positioning System (GPS) velocities, and evaluate slip-rate gradients to interpret the regional kinematics and geodynamics that drive the crustal motion. Relative to the Sunda plate, GPS velocities across the Shan Plateau define a broad arcuate tongue-like crustal motion with a progressively northwestward increase in sinistral shear over a distance of 700 km followed by a decrease over the final 100 km to the syntaxis. The cumulative GPS slip rate across the entire sinistral-slip fault system on the Shan Plateau is 12 mm/year. Our observations of the fault geometry, slip rates, and arcuate southwesterly directed tongue-like patterns of GPS velocities across the region suggest that the fault kinematics is characterized by a regional southwestward distributed shear across the Shan Plateau, compared to more block-like rotation and indentation north of the Red River fault. The fault geometry, kinematics, and regional GPS velocities are difficult to reconcile with regional bookshelf faulting between the Red River and Sagaing faults or localized lower crustal channel flows beneath this region. The crustal motion and fault kinematics can be driven by a combination of basal traction of a clockwise, southwestward asthenospheric flow around the eastern Himalayan syntaxis and gravitation or shear-driven indentation from north of the Shan Plateau.

Sensory integration dysfunction affects efficacy of speech therapy on children with functional articulation disorders

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Tung LC

2013-01-01

Full Text Available Li-Chen Tung,1,# Chin-Kai Lin,2,# Ching-Lin Hsieh,3,4 Ching-Chi Chen,1 Chin-Tsan Huang,1 Chun-Hou Wang5,6 1Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, Tainan, 2Program of Early Intervention, Department of Early Childhood Education, National Taichung University of Education, Taichung, 3School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, 4Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, 5School of Physical Therapy, College of Medical Science and Technology, Chung Shan Medical University, Taichung, 6Physical Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan#These authors contributed equally Background: Articulation disorders in young children are due to defects occurring at a certain stage in sensory and motor development. Some children with functional articulation disorders may also have sensory integration dysfunction (SID. We hypothesized that speech therapy would be less efficacious in children with SID than in those without SID. Hence, the purpose of this study was to compare the efficacy of speech therapy in two groups of children with functional articulation disorders: those without and those with SID.Method: A total of 30 young children with functional articulation disorders were divided into two groups, the no-SID group (15 children and the SID group (15 children. The number of pronunciation mistakes was evaluated before and after speech therapy.Results: There were no statistically significant differences in age, sex, sibling order, education of parents, and pretest number of mistakes in pronunciation between the two groups (P > 0.05. The mean and standard deviation in the pre- and posttest number of mistakes in pronunciation were 10.5 ± 3.2 and 3.3 ± 3.3 in the no-SID group, and 10.1 ± 2.9 and 6.9 ± 3.5 in the SID group, respectively. Results showed great changes after speech therapy treatment (F

Gardens and Gateways: Journeys within the Vision of Han-shan

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Anne Beidler

2011-04-01

Full Text Available Although rooted in the work of the T’ang poet Han-shan, this paper is ultimately about the ways in which writers and artists engage with what they experience in the world. The work of filmmaker Trin T Minh-Ha, poems by W.S. Merwin, Burtin Watson’s translations, and the thoughts on the creative process of translation by Tony Barnstone and Gary Snyder have all informed my work as an artist and the images I present here.

Estimation of Recurrence Interval of Large Earthquakes on the Central Longmen Shan Fault Zone Based on Seismic Moment Accumulation/Release Model

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Junjie Ren

2013-01-01

Full Text Available Recurrence interval of large earthquake on an active fault zone is an important parameter in assessing seismic hazard. The 2008 Wenchuan earthquake (Mw 7.9 occurred on the central Longmen Shan fault zone and ruptured the Yingxiu-Beichuan fault (YBF and the Guanxian-Jiangyou fault (GJF. However, there is a considerable discrepancy among recurrence intervals of large earthquake in preseismic and postseismic estimates based on slip rate and paleoseismologic results. Post-seismic trenches showed that the central Longmen Shan fault zone probably undertakes an event similar to the 2008 quake, suggesting a characteristic earthquake model. In this paper, we use the published seismogenic model of the 2008 earthquake based on Global Positioning System (GPS and Interferometric Synthetic Aperture Radar (InSAR data and construct a characteristic seismic moment accumulation/release model to estimate recurrence interval of large earthquakes on the central Longmen Shan fault zone. Our results show that the seismogenic zone accommodates a moment rate of (2.7 ± 0.3 × 1017 N m/yr, and a recurrence interval of 3900 ± 400 yrs is necessary for accumulation of strain energy equivalent to the 2008 earthquake. This study provides a preferred interval estimation of large earthquakes for seismic hazard analysis in the Longmen Shan region.

Estimation of recurrence interval of large earthquakes on the central Longmen Shan fault zone based on seismic moment accumulation/release model.

Science.gov (United States)

Ren, Junjie; Zhang, Shimin

2013-01-01

Recurrence interval of large earthquake on an active fault zone is an important parameter in assessing seismic hazard. The 2008 Wenchuan earthquake (Mw 7.9) occurred on the central Longmen Shan fault zone and ruptured the Yingxiu-Beichuan fault (YBF) and the Guanxian-Jiangyou fault (GJF). However, there is a considerable discrepancy among recurrence intervals of large earthquake in preseismic and postseismic estimates based on slip rate and paleoseismologic results. Post-seismic trenches showed that the central Longmen Shan fault zone probably undertakes an event similar to the 2008 quake, suggesting a characteristic earthquake model. In this paper, we use the published seismogenic model of the 2008 earthquake based on Global Positioning System (GPS) and Interferometric Synthetic Aperture Radar (InSAR) data and construct a characteristic seismic moment accumulation/release model to estimate recurrence interval of large earthquakes on the central Longmen Shan fault zone. Our results show that the seismogenic zone accommodates a moment rate of (2.7 ± 0.3) × 10¹⁷ N m/yr, and a recurrence interval of 3900 ± 400 yrs is necessary for accumulation of strain energy equivalent to the 2008 earthquake. This study provides a preferred interval estimation of large earthquakes for seismic hazard analysis in the Longmen Shan region.

Influence of surface-normal ground acceleration on the initiation of the Jih-Feng-Erh-Shan landslide during the 1999 Chi-Chi, Taiwan, earthquake

Science.gov (United States)

Huang, C.-C.; Lee, Y.-H.; Liu, Huaibao P.; Keefer, D.K.; Jibson, R.W.

2001-01-01

The 1999 Chi-Chi, Taiwan, earthquake triggered numerous landslides throughout a large area in the Central Range, to the east, southeast, and south of the fault rupture. Among them are two large rock avalanches, at Tsaoling and at Jih-Feng-Erh-Shan. At Jih-Feng-Erh-Shan, the entire thickness (30-50 m) of the Miocene Changhukeng Shale over an area of 1 km2 slid down its bedding plane for a distance of about 1 km. Initial movement of the landslide was nearly purely translational. We investigate the effect of surface-normal acceleration on the initiation of the Jih-Feng-Erh-Shan landslide using a block slide model. We show that this acceleration, currently not considered by dynamic slope-stability analysis methods, significantly influences the initiation of the landslide.

The Long-term deformation of the Longmen Shan (Sichuan, China), a key to understand the present structure of the eastern Tibet

Science.gov (United States)

Airaghi, Laura; de Sigoyer, Julia; Guillot, Stéphane; Lanari, Pierre; Warren, Clare J.; Robert, Alexandra

2017-04-01

The Longmen Shan thrust belt, at the eastern border of Tibetan plateau, is a tectonically active region as demonstrated by the Mw 7.9 Wenchuan (2008) and Mw 6.6 Lushan (2013) earthquakes. The Moho discontinuity deepens across the Longmen Shan (below the along-strike Wenchuan fault) from ˜40 km beneath the Sichuan basin to more than 60 km beneath the Songpan-Ganze block. Such a thickness is not compatible with the only ˜35 km of shortening estimated at the front of the belt during the Cenozoic-Quaternary compressive reactivation. The geological inheritance may thus play a key role in the present structure of the Longmen Shan. However the long-term history of the belt is still poorly documented. The major Wenchuan fault separates medium-grade metamorphic rocks to the West (internal domain of the Longmen Shan) to the greenschist metamorphic rocks to the East (external domain). In the hanging and footwall of the fault the South China basement also crops out. Metamorphic rocks, exhumed from depth, offer the opportunity to investigate the deep processes occurred in the Longmen Shan. We have characterized and dated the metamorphism in the central part of the belt by combining structural and microstructural observations with high-resolution X-ray mapping and chemical analyses of metamorphic minerals related to the different stages of deformation. In situ 40Ar/39Ar dating on mica and in situ U-Pb/Th dating on allanite (REE-rich epidote) allowed the different phases of metamorphism and deformation to be dated. Our results show that the Longmen Shan underwent a complex Mesozoic tectono-metamorphic history, articulated in a succession of pulses of deformation (burial or uplifting) and periods of quiescence. A first phase of rapid thin-skinned deformation occurred about 200 Ma ago. Internal sedimentary units were strongly deformed and buried down to 11±1 kbar, 550±30˚ C. This phase was followed by a period of slow exhumation between 200 and 170 Ma. A second pulse of

Permian charnockites in the Pobeda area: Implications for Tarim mantle plume activity and HT metamorphism in the South Tien Shan range

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Loury, Chloé; Rolland, Yann; Lanari, Pierre; Guillot, Stéphane; Bosch, Delphine; Ganino, Clément; Jourdon, Anthony; Petit, Carole; Gallet, Sylvain; Monié, Patrick; Riel, Nicolas

2018-04-01

The Permian history of the Central Asian Orogenic belt is marked by large-scale strike-slip faults that reactivate former Paleozoic structures, delineated by widespread alkaline magmatism. The genetic link between the syn-kinematic granitoids emplaced in the Tien Shan range and magmas emplaced within the Tarim Large Igneous Province, and the interaction between this plume and transcurrent tectonics, are still unsolved issues. We investigated the Pobeda massif, in the eastern Kyrgyz Tien Shan, located at the boundary between the Tien Shan range and the Tarim Craton, which exhibits a high-temperature unit. In this unit, Permian magmatism resulted in the emplacement of alkaline charnockites at mid-crustal levels. The primary mineralogical assemblage is nominally anhydrous and made of ortho- and clino-pyroxenes, fayalite, K-feldspar, plagioclase and quartz. These charnockites are associated with partially-molten paragneisses and marbles. Thermobarometry on these rocks indicates that the charnockites emplaced following the intrusion of a melt at a temperature > 1000 °C and pressure of around 6 kbar, corresponding to depth of 20 km. The resulting thermal anomaly triggered the partial melting of paragneisses. Bulk geochemistry including Sr, Nd, Pb and Hf isotopes suggests that charnockites fit into the Tarim Large Igneous Province magmatic series, with minor crustal assimilation. U-Pb ages on zircons of charnockites and surrounding paragneisses indicate that charnockites intruded and triggered partial melting of the gneisses at c. 287, 275 and 265 Ma. 40Ar/39Ar dating on amphibole gives a similar age as the U-Pb age at 276.2 ± 2.0 Ma. 40Ar/39Ar dating on biotite from the Charnockite unit marbles gives ages at ca. 256-265 Ma, which shows that exhumation onset directly follows the HT history, and is tentatively correlated to top-to-the-North thrusting of the Charnockite unit in a transpressive context. Additional 40Ar/39Ar dating on syn-kinematic white micas from an

Structural evolution of the Ural-Tian Shan junction: A view from Karatau ridge, South Kazakhstan

Science.gov (United States)

Alexeiev, D.V.; Cook, H.E.; Buvtyshkin, V.M.; Golub, L.Y.

2009-01-01

The deformation history of the Late Palaeozoic Ural-Tian Shan junction is discussed for the example of the Karatau ridge in southern Kazakhstan. Three deformation events are recognized. The Late Carboniferous D1 event is characterized by Laramide-style thrust-and-fold structures on the southern margin of Kazakhstan with shortening in a NE-SW direction. The Latest Permian and Triassic D2 event is controlled by compression in an east-west direction, which reflects collisional deformation in the Urals. The main structures are submeridional folds and north-west-striking sinistral strike-slip faults. The Triassic D3 event with shortening in a north-south direction reflects collision of the Turan microcontinent against the southern margin of Kazakhstan. The main structures are north-west-striking dextral strike-slip faults. Our new data provides important clues for the reconstruction of pre-Cretaceous structures between the Urals and the Tian Shan. ?? 2008 Acad??mie des sciences.

Empirical Relationship between particulate matter and Aerosol Optical Depth over Northern Tien-Shan, Central Asia

Science.gov (United States)

Measurements were obtained at two sites in northern Tien-Shan in Central Asia during a 1-year period beginning July 2008 to examine the statistical relationship between aerosol optical depth (AOD) and of fine [PM2.5, particles less than 2.5 μm aerodynamic diameter (AD)] and coars...

Complete Genome Sequence of Bacillus subtilis Strain DKU_NT_03, Isolated from a Traditional Korean Food Using Soybean (Chung-gook-jang) for High-Quality Nattokinase Activity.

Science.gov (United States)

Jeong, Hee-Won; Bang, Man-Seok; Lee, Yea-Jin; Lee, Su Ji; Lee, Sang-Cheol; Shin, Jang-In; Oh, Chung-Hun

2018-06-21

We present here the complete genome sequence of Bacillus subtilis strain DKU_NT_03 isolated from the traditional Korean food chung-gook-jang, which is made from soybeans. This strain was chosen to identify genetic factors with high-quality nattokinase activity. Copyright © 2018 Jeong et al.

New constraints on slip rates of the Fodongmiao-Hongyazi fault in the Northern Qilian Shan, NE Tibet, from the 10Be exposure dating of offset terraces

Science.gov (United States)

Yang, Haibo; Yang, Xiaoping; Huang, Xiongnan; Li, An; Huang, Weiliang; Zhang, Ling

2018-01-01

The Fodongmo-Hongyazi fault (FHF) is a major thrust of Northeastern Tibet, bounding the Qilian Shan. It accommodates crustal shortening across this region and has produced a strong historical earthquake. Until now the slip rate has been poorly constrained, limiting our understanding of its role in the accommodation of deformation across this region. In this paper, faulted terraces at two sites on the western and middle segments of the FHF were mapped with satellite imagery and field observations. Chronological constraints are placed on the ages of displaced river terraces at these sites using terrestrial cosmogenic nuclide (TCN) exposure dating. These ages combined with offsets measured from SPOT 6 DEM's yield average vertical slip rates of 1.3 ± 0.1 mm/yr for the western segment since ∼207 ka and 0.9 ± 0.1 mm/yr since ∼46 ka for the middle segment. These data suggest that the FHF accommodates ∼15-20% of the total shortening across the Qilian Shan (5.5-7 mm/yr). In addition, comparisons of our data with published slip rates along the Northern Qilian Thrust Fault Zone show that the fastest tectonic uplift occurs along the western portion of the Northern Qilian Shan. This is consistent with estimates deduced from geomorphology. The western portion of the Qilian Shan is mainly controlled by compressional deformation produced by the northward movement of the Northeastern Tibetan Plateau, while the eastern Qilian Shan is mainly controlled by the eastward extrusion of material along the left-lateral Haiyuan strike-slip Fault.

Intra-Continental Deformation by Mid-Crustal Shearing and Doming in a Cenozoic Compressive Setting Along the Ailao Shan-Red River Shear Zone

Science.gov (United States)

Zhang, B.

2016-12-01

Large-scale lateral strike-slip shear zones have been a key point in the debate about the deformation mechanisms of Asia in response to the India-Asia collision. The exhumed gneiss has been attributed to lateral strike-slip shear zone. This hypothesis has been challenged by recent discoveries indicating that a contractional doming deformation prior to the initiation of lateral strike-slip shearing. The Cenozoic Xuelong Shan antiformal dome is located at the northern segment of the Ailao Shan-Red River shear zone. Subhorizontal foliation in the gneiss core are recognized, representing a broad top-to-NE shear initiated under amphibolite facies conditions and propagated into greenschist facies in the mantling schist and strike-slip shear zone. Quartz CPOs and opening angles of crossed girdle fabrics in quartz suggest that the deformation temperatures increased with increasing structural depth from 300-500 °C in the mantling schist to ≥650 °C in the gneissic core. This trend is mirrored by variations in the metamorphic grade of the syn-kinematic mineral assemblages and microstructures, which ranges from garnet + amphibole + biotite + sillimanite + rutite + feldspar in the core to garnet + staurolite + biotite + epidote + muscovite within the limb units. Five-stage deformation is identified: (1) a broad top-to-NE shear in the subhorizontal level (D1); (2) opposing reverse-sense shear along the two schist limbs of the dome during contraction-related doming (D2-D3); (3) sinistral strike-slip shearing within the eastern limb (D4); and (4) extensional deformation (D5). The antiformal dome formation had been roughly coeval with top-to-NE ductile shearing in the mid-crust at 32 Ma or earlier. The geometries of the antiformal dome in the Xuelong Shan dome are similar to those associated with the antiform in the Dai Nui Con Voi, Diancang Shan and Ailao Shan zones. It is likely that the complex massifs, which define a regional linear gneiss dome zone in Cenozoic intra

The origin and evolution of Iskanderkul Lake in the western Tien Shan and related geomorphic hazards

Czech Academy of Sciences Publication Activity Database

Emmer, Adam; Kalvoda, J.

2017-01-01

Roč. 99, č. 2 (2017), s. 139-154 ISSN 0435-3676 R&D Projects: GA MŠk(CZ) LO1415 Institutional support: RVO:86652079 Keywords : iskanderkul lake * rockslide dam * outburst flood * tien shan Subject RIV: EH - Ecology, Behaviour OBOR OECD: Environmental sciences (social aspects to be 5.7) Impact factor: 1.302, year: 2016

Petrology, isotopic and fluid inclusion studies of eclogites from Sujiahe, NW Dabie Shan (China), July 1 2002

NARCIS (Netherlands)

Fu, B.; Zheng, Y.-F.; Touret, J.L.R.

2002-01-01

In addition to the Triassic Hong'an low-T-high-P eclogite and the Xinxian coesite-bearing kyanite-glaucophane eclogite, Silurian coesite-free amphibole eclogites occur in the Sujiahe region, NW Dabie Shan of central China. A comprehensive study of petrology, Nd-Sr, O-H isotopes and fluid inclusions

DUST LOADING OF THE ATMOSPHERE AND GLACIERS IN THE KUMTOR MINING AREA (AKSHYYRAK, TIEN SHAN

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V. A. Kuzmichenok

2012-01-01

Full Text Available Industrial development of the Kumtor Gold Mine in the nival-glacial zone of Tien Shan (altitude ranging from 4000 to 4500 m a.s.l. is inevitably accompanied by the release of some additional amounts of dust in atmosphere. Sampling in 7 points and an analysis of the quantity (weight of dust in the seasonal snow (September–April on glaciers show that the dust pollution does not substantially exceed the natural level of dust in Tien Shan. An analysis of almost 3 000 daily measurements of dust in the surface layer of air at 4 points around the gold mine has also shown that the economic activity has no significant impact on dust production. It is likely that the manmade component of overall dust in the immediate vicinity of the deposit and the gob pile does not exceed 20%. No increase in the content of dust and in its anthropogenic component with time has been found. Thus, we suggest that the principal amount of dust in the area is brought during the cold season from snow-free areas of Central Asia.

Real-world evaluation of compliance and preference in Alzheimer’s disease treatment: an observational study in Taiwan 

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Lai TH

2016-03-01

Full Text Available Tzu-Hsien Lai,1,2,* Wen-Fu Wang,3,* Bak-Sau Yip,4 Yu-Wan Yang,5 Giia-Sheun Peng,6 Shih-Jei Tsai,7,8 Yi-Chu Liao,9 Ming-Chyi Pai10,111Section of Neurology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei, 2Department of Neurology, National Yang-Ming University School of Medicine, Taipei, 3Department of Neurology, Changhua Christian Hospital, Changhua, 4Department of Neurology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, 5Department of Neurology, China Medical University Hospital, Taichung, 6Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, 7Department of Neurology, Chung Shan Medical University Hospital, Taichung, 8School of Medicine, Chung Shan Medical University, Taichung, 9Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, 10Division of Behavioral Neurology, Department of Neurology, 11Alzheimer’s Disease Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City, Taiwan *These authors contributed equally to this workPurpose: Among the medications approved for Alzheimer’s disease (AD, rivastigmine is the only one available as transdermal patch. The aim of this study was to evaluate compliance and caregivers’ preference with oral and transdermal (rivastigmine monotherapy in patients with mild-to-moderate AD from Taiwan.Methods: Real-world Evaluation of Compliance And Preference in Alzheimer’s disease treatment (RECAP in Taiwan was a prospective, noninterventional, observational study with a 24-week (±8 weeks observational period for each participant. Eligible patients were grouped into one of the two treatment cohorts based on the baseline AD therapy: oral (donepezil, galantamine, rivastigmine, or memantine or transdermal (rivastigmine patch. The primary end points were caregiver preference and caregiver assessment of patients’ compliance to

Dark energy from cosmological fluids obeying a Shan-Chen non-ideal equation of state

OpenAIRE

Bini, Donato; Geralico, Andrea; Gregoris, Daniele; Succi, Sauro

2014-01-01

We consider a Friedmann-Robertson-Walker universe with a fluid source obeying a nonideal equation of state with ‘‘asymptotic freedom,’’ namely ideal gas behavior (pressure changes directly proportional to density changes) both at low and high density regimes, following a fluid dynamical model due to Shan and Chen. It is shown that, starting from an ordinary energy density component, such fluids naturally evolve towards a universe with a substantial ‘‘dark energy’’ component at the present tim...

Nakanishi Inosuke and Chungsŏ Ijijo: Realism and Authenticity in Early Proletarian Literature

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Quillon Arkenstone

2017-03-01

Full Text Available This article discusses the reception in Japan and Korea of the works of Nakanishi Inosuke, a leftist writer in the 1920s whose experiences in Korea formed the basis for much of his work. Two novels in particular, Sprouts from Red Earth and Behind You, were widely praised for their realistic representation of life on the peninsula, especially their depiction of Japanese imperialist activities and the anti-colonial pushback from Koreans. How exactly these novels were to be interpreted varied according to audience, however, giving rise to competing images of Nakanishi. Some critics considered him to be an advocate of a newly emerging international proletarian consciousness while other readers, including many Koreans, looked on Nakanishi (whom they called Chungsŏ Ijijo, the Korean reading of his name as a supporter of colonial nationalism. Still others contested his claim to authenticity altogether. In tracing the development of these interpretations of Nakanishi from these early works up until his participation in the founding of the Korean Artist Proletarian Federation (KAPF in August 1925 and after, the article argues that his works’ ability to successfully navigate the period of a dawning proletarian cultural movement through to its collapse lay (and continues to lie in their ambiguity, an ambiguity that has facilitated a continual reinterpretation of him from the 1920s to the present day.

Web-Based Medical Service: Technology Attractiveness, Medical Creditability, Information Source, and Behavior Intention.

Science.gov (United States)

Wang, Shan Huei

2017-08-02

Web-based medical service (WBMS), a cooperative relationship between medical service and Internet technology, has been called one of the most innovative services of the 21st century. However, its business promotion and implementation in the medical industry have neither been expected nor executed. Few studies have explored this phenomenon from the viewpoint of inexperienced patients. The primary goal of this study was to explore whether technology attractiveness, medical creditability, and diversified medical information sources could increase users' behavior intention. This study explored the effectiveness of web-based medical service by using three situations to manipulate sources of medical information. A total of 150 questionnaires were collected from people who had never used WBMS before. Hierarchical regression was used to examine the mediation and moderated-mediation effects. Perceived ease of use (P=.002) and perceived usefulness (P=.001) significantly enhance behavior intentions. Medical credibility is a mediator (P=.03), but the relationship does not significantly differ under diverse manipulative information channels (P=.39). Medical credibility could explain the extra variation between technology attractiveness and behavior intention, but not significant under different moderating effect of medical information sources. ©Shan Huei Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.08.2017.

Crustal block structure by GPS data using neural network in the Northern Tien Shan

Science.gov (United States)

Kostuk, A.; Carmenate, D.

2010-05-01

For over ten years regular GPS measurements have been carried out by Research Station RAS in the Central Asia. The results of these measurements have not only proved the conclusion that the Earth's crust meridional compression equals in total about 17 mm/year from the Tarim massif to the Kazakh shield, but have also allowed estimating deformation behavior in the region. As is known, deformation behavior of continental crust is an actively discussed issue. On the one hand, the Earth's crust is presented as a set of microplates (blocks) and deformation here is a result of shifting along the blocks boundaries, on the other hand, lithospheric deformation is distributed by volume and meets the rheological model of nonlinear viscous fluid. This work represents an attempt to detect the block structure of the surface of the Northern Tien Shan using GPS velocity fields. As a significant difference from analogous works, appears the vector field clustering with the help of neural network used as a classifier by many criteria that allows dividing input space into areas and using of all three components of GPS velocity. In this case, we use such a feature of neural networks as self-organization. Among the mechanisms of self-organization there are two main classes: self-organization based on the Hebb associative rule and the mechanism of neuronal competition based on the generalized Kohonen rule. In this case, we use an approach of self-organizing networks in which we take neuronal competition as an algorithm for their training. As a rule, these are single-layer networks where each neuron is connected to all components of m-dimensional input vector. GPS vectors of the Central Asian velocity field located within the territory of the Northern Tien Shan were used as input patterns. Measurements at GPS sites were fulfilled in 36 hour-long sessions by double-frequency receivers Trimble and Topcon. In so doing, measurement discreteness equaled 30 seconds; the data were processed by

A distribution list of the butterflies (Lepidoptera, Rhopalocera of Tian-Shan within the boundaries of the former Soviet Union

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S. K. Korb

2017-05-01

Full Text Available A distributive list of butterflies of Tian-Shan in borders of former Soviet Union is compiled, it contains 289 species: Hesperiidae – 21 species, Papilionidae – 21 species; Pieridae – 38 species, Satyridae – 67 species, Lybitheidae – 1 species, Danaidae – 1 species, Nymphalidae – 42 species, Riodinidae – 2 species, Lycaenidae – 96 species. New synonyms are established.

An Efficient User Authentication and User Anonymity Scheme with Provably Security for IoT-Based Medical Care System.

Science.gov (United States)

Li, Chun-Ta; Wu, Tsu-Yang; Chen, Chin-Ling; Lee, Cheng-Chi; Chen, Chien-Ming

2017-06-23

In recent years, with the increase in degenerative diseases and the aging population in advanced countries, demands for medical care of older or solitary people have increased continually in hospitals and healthcare institutions. Applying wireless sensor networks for the IoT-based telemedicine system enables doctors, caregivers or families to monitor patients' physiological conditions at anytime and anyplace according to the acquired information. However, transmitting physiological data through the Internet concerns the personal privacy of patients. Therefore, before users can access medical care services in IoT-based medical care system, they must be authenticated. Typically, user authentication and data encryption are most critical for securing network communications over a public channel between two or more participants. In 2016, Liu and Chung proposed a bilinear pairing-based password authentication scheme for wireless healthcare sensor networks. They claimed their authentication scheme cannot only secure sensor data transmission, but also resist various well-known security attacks. In this paper, we demonstrate that Liu-Chung's scheme has some security weaknesses, and we further present an improved secure authentication and data encryption scheme for the IoT-based medical care system, which can provide user anonymity and prevent the security threats of replay and password/sensed data disclosure attacks. Moreover, we modify the authentication process to reduce redundancy in protocol design, and the proposed scheme is more efficient in performance compared with previous related schemes. Finally, the proposed scheme is provably secure in the random oracle model under ECDHP.

Late Quaternary strike-slip along the Taohuala Shan-Ayouqi fault zone and its tectonic implications in the Hexi Corridor and the southern Gobi Alashan, China

Science.gov (United States)

Yu, Jing-xing; Zheng, Wen-jun; Zhang, Pei-zhen; Lei, Qi-yun; Wang, Xu-long; Wang, Wei-tao; Li, Xin-nan; Zhang, Ning

2017-11-01

The Hexi Corridor and the southern Gobi Alashan are composed of discontinuous a set of active faults with various strikes and slip motions that are located to the north of the northern Tibetan Plateau. Despite growing understanding of the geometry and kinematics of these active faults, the late Quaternary deformation pattern in the Hexi Corridor and the southern Gobi Alashan remains controversial. The active E-W trending Taohuala Shan-Ayouqi fault zone is located in the southern Gobi Alashan. Study of the geometry and nature of slip along this fault zone holds crucial value for better understanding the regional deformation pattern. Field investigations combined with high-resolution imagery show that the Taohuala Shan fault and the E-W trending faults within the Ayouqi fault zone (F2 and F5) are left-lateral strike-slip faults, whereas the NW or WNW-trending faults within the Ayouqi fault zone (F1 and F3) are reverse faults. We collected Optically Stimulated Luminescence (OSL) and cosmogenic exposure age dating samples from offset alluvial fan surfaces, and estimated a vertical slip rate of 0.1-0.3 mm/yr, and a strike-slip rate of 0.14-0.93 mm/yr for the Taohuala Shan fault. Strata revealed in a trench excavated across the major fault (F5) in the Ayouqi fault zone and OSL dating results indicate that the most recent earthquake occurred between ca. 11.05 ± 0.52 ka and ca. 4.06 ± 0.29 ka. The geometry and kinematics of the Taohuala Shan-Ayouqi fault zone enable us to build a deformation pattern for the entire Hexi Corridor and the southern Gobi Alashan, which suggest that this region experiences northeastward oblique extrusion of the northern Tibetan Plateau. These left-lateral strike-slip faults in the region are driven by oblique compression but not associated with the northeastward extension of the Altyn Tagh fault.

N isotopes and N cycle in the TieShanPing subtropical forest ecosystem, Southwestern China.

Science.gov (United States)

Jiang, Chun-lai; Zhang, Xiao-Shan

2009-07-01

Nitrogen is essential for forest growth and forest stand development. It is commonly a limited factor for forest productivity. We examined delta (15)N values in soils and plants by studying the sources of N used by vegetation and cycles of N in a 43-year-old plantation of the TieShanPing forest ecosystem in southwestern China, dominated by massone pine (Pinus massoniana). The N concentration of plant materials ranges from 1.1% to 2.2%. The nitrogen concentration of P. massoniana was 1.3% while soils showed the concentration of 0.04-0.15%. Regarding natural abundance of (15)N, large significant variation (-6.0 per thousand to -3.8 per thousand) in delta (15)N values was observed among shrub and tree leaves. delta (15)N values were also significantly varied from -4.7 per thousand to -3.8 per thousand among the pioneer species in the plantation. Soil delta (15)N values (3.1-6.3 per thousand) were significantly enriched compared to those values in plant samples. Despite the negative delta (15)N values of the vegetation cover, the high delta (15)N values in the topsoil indicate that return of N to soils by litter-fall is minimal on TieShanPing and the present forests do not change very much the soil (15)N signals at the surface layer. The positive delta (15)N values may also indicate large N losses from the soil system vial leaching, volatilization and plant uptake.

The Taili-Yiwulüshan metamorphic core complex corridor: Diachronous exhumation and relationships to the adjacent basins based on new 40Ar/39Ar and (U-Th-Sm)/He mineral ages

Science.gov (United States)

Liang, Chenyue; Neubauer, Franz; Liu, Yongjiang; Genser, Johann; Dunkl, István; Heberer, Bianca; Jin, Wei; Zeng, Zuoxun; Li, Weimin; Wen, Quanbo; Li, Jing

2015-04-01

The Xingcheng-Taili ductile shear zone (western Liaoning Province in China) formed during latest Jurassic to Early Cretaceous crustal extension of the eastern North China craton, and exhumed low to medium metamorphic grade Archean, Upper Triassic and Upper Jurassic granitic rocks. The Mesozoic Yiwulüshan metamorphic core complex (Yiwulüshan MCC) is dominated by a NNE-SSW elongated dome with a left-lateral shear zone, which is located in the northeastern part of Xingcheng-Taili ductile shear zone, and combine as Taili-Yiwulüshan metamorphic core complex corridor. To the east, it is bounded by the NNE-trending Cretaceous to Eocene Liaohe basin (the northern extension of the Bohai Bay basin), and to the west by the Cretaceous-aged Fuxin-Yixian basin, which could potentially interpreted as supra-detachment basins. Here, we present results from a multi-method thermochronological study and coupled with structural investigations and sections of adjacent supra-detachment basins, which constrain the timing of regional deformation as well as the cooling history and exhumation processes of the low- to middle-grade metamorphic complex in the Taili-Yiwulüshan MCC corridor, in order to understand the mode of lithospheric scale reactivation, extension and thinning of the North China craton. The new40Ar/39Ar muscovite, biotite, K-feldspar and (U-Th)/He apatite ages from granitic rocks help constrain the thermal evolution during its exhumation. The thermochronologic studies have shown at least three stages of exhumation and cooling from late Jurassic to Eocene in Xingcheng-Taili shear zone should be distinguished, e.g., ~ 150-130 Ma, 130-115 Ma and 115-52 Ma, respectively. Diachronous onset and subsequent parallel cooling and exhumation characterize the early thermal history. The Yiwulüshan MCC has a similar exhumation history from 135 to 97 Ma with a similar cooling history. The development of Taili-Yiwulüshan MCC corridor is associated with synkinematic emplacement

Paleomagnetic results from the upper silurian of the Shan-Thai-Malay Block, southwest Yunnan, China

Science.gov (United States)

Chen, Haihong; Zhong, Dalai; Heller, Friedrich; Dobson, Jon P.

77 paleomagnetic samples from the Upper Silurian reddish limestone and marlstone of the Shan-Thai-Malay block near Baoshan ( 99.1°E, 24.8°N ), western Yunnan, China, reveal a pre-folding remnant magnetization, with a mean direction of D=49.6°, I= -3.2°, k=9.7, a95=5.5°, corresponding a paleopole at 207.0°E, 36.8°N. These results, unlike the upper Paleozoic data with steeper inclinations published earlier, suggest that the block was located at equatorial latitude during late Silurian time, probably adjacent to the northern margin of Gondwanaland.

Targeting Neuropilin-1 in Prostate Cancer Bone Metastasis

Science.gov (United States)

2011-04-01

USA; Dr. Leland W. K. Chung (Email: Leland.Chung@cshs.org), Uro -Oncology Research Program, Cedars-Sinai Medical Center, Los Angeles, CA, USA...Association for Cancer Research Annual Meeting, Los Angeles, CA, 2007. 25 Zhang S, Zhau HE, Iqbal S, Chung LWK, Wu D. Vascular endothelial growth...15. Pedersen LO , Hansen AS, Olsen AC, et al. The interaction between h2-microglobulin (h2m) and puri- fied class-I major histocompatibility (MHC

Mid-miocene cooling in the northern Qilian Shan, northeastern margin of the Tibetan plateau, revealed by apatite fission-track and VR analysis

International Nuclear Information System (INIS)

George, A.D.; Wyrwoll, K.-H.; Jie, C.; Yanchou, L.

1999-01-01

Full text: Growth of the Tibetan Plateau along its northeastern margin by crustal shortening and thickening is linked to the Altyn Tagh Fault, a ∼1500 km long sinistral strike-slip fault which has played a significant role in accommodating the convergence of India and Eurasia. The NW-trending Qilian Shan (mountains) that mark the northeastern edge of the plateau rise nearly 5000 m above the adjacent Juice Basin of the Hexi Corridor. The Qilian Shan is a mid-Paleozoic orogenic suture belt composed of numerous thrust slices of deformed Lower Paleozoic (Cambrian-Silurian) metasedimentary and metavolcanic strata. The older Precambrian basement is also exposed in some thrust sheets, as are remnants of Upper Paleozoic-Jurassic strata. Cretaceous fluvial sandstones and conglomerates are locally preserved. The neighbouring Juice Basin contains a thick succession of Neogene-Quaternary fluvial strata (∼3.5 km thick) which unconformably overlies Lower Cretaceous rocks. Adjacent to the Qilian Shan, the oldest Neogene strata in the Juice Basin are Miocene in age overlain by more extensive Pliocene and Quaternary sediments, whereas basal Oligocene strata are exposed on the northern side of the basin. Neogene and Quaternary strata are being actively deformed by thrust-related folding along the margins and within the Jiuxi Basin. Apatite fission-track and vitrinite reflectance data were obtained from Precambrian to Tertiary outcrop samples from the northern Qilian Shan and Juice Basin to provide constraints on timing of exhumation and cooling. All the samples record multiple cooling episodes. Tertiary cooling from peak paleotemperatures (40-120 deg C) beginning sometime between 20 and 10 Ma (mid-Miocene) is common to all samples. This age is significantly older than previous models which proposed initiation of uplift in the Pliocene-Pleistocene, i.e., no older than 5-6 Ma. For any reasonable paleo-geothermal gradient, the degree of mid-Miocene cooling requires km

Two New Monoterpene Glycosides from Qing Shan Lu Shui Tea with Inhibitory Effects on Leukocyte-Type 12-Lipoxygenase Activity

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Ding Zhi Fang

2013-04-01

Full Text Available We evaluated the inhibitory effect of 12 Chinese teas on leukocyte-type 12-lipoxygenase (LOX activity. Tea catechins such as epigallocatechin gallate have been known to exhibit leukocyte-type 12-LOX inhibition. Qing Shan Lu Shui, which contains lower catechin levels than the other tested teas, suppressed leukocyte-type 12-LOX activity. To characterize the bioactive components of Qing Shan Lu Shui, leukocyte-type 12-LOX inhibitory activity–guided fractionation of the aqueous ethanol extract of the tea was performed, resulting in the isolation of two new monoterpene glycosides: liguroside A (1 and B (2. The structures of compounds 1 and 2 were characterized as (2E,5E-7-hydroperoxy-3,7-dimethyl-2,5-octadienyl-O-(α-L-rhamnopyranosyl-(1″→3′-(4′″-O-trans-p-coumaroyl-β-D-glucopyranoside and (2E,5E-7-hydroperoxy-3,7-dimethyl-2,5-octa-dienyl- O-(α-L-rhamnopyranosyl-(1″→3′-(4′″-O-cis-p-coumaroyl-β-D-glucopyranoside, respectively, based on spectral and chemical evidence. Ligurosides A (1 and B (2 showed inhibitory effects on leukocyte-type 12-LOX activity, with IC50 values of 1.7 and 0.7 μM, respectively.

Seismic properties of the Longmen Shan complex: Implications for the moment magnitude of the great 2008 Wenchuan earthquake in China

Science.gov (United States)

Sun, Shengsi; Ji, Shaocheng; Wang, Qian; Wang, Hongcai; Long, Changxing; Salisbury, Matthew

2012-09-01

The 12 May 2008 Wenchuan earthquake is the largest active tectonic event reported to date in Sichuan (China). We have experimentally calibrated, up to 800 MPa, seismic and elastic properties of 12 representative samples from the Longmen Shan complex in which this great earthquake took place and its coseismic ruptures nucleated and propagated. Most of the samples show little Vp or Vs anisotropy at pressures above the microcrack-closure pressure (Pc = 200-300 MPa), and so the variation of anisotropy with pressure provides important hints for the preferred orientation of microcracks in the nonlinear poroelastic regime below Pc. Geothermal and rheological profiles indicate that the focal depth (~ 19 km) corresponds to the base of the schizosphere, below which the Longmen Shan complex switches from the brittle to ductile behavior. The investigation reveals that the crust of the Longmen Shan range consists of 4 layers from the surface to the Moho: Layer 1: Vp < 4.88 km/s (0-3 km thick, sedimentary rocks such as limestone, sandstone, conglomerate, and mudstone); Layer 2: Vp = 5.95-6.25 km/s (25-28 km thick, felsic rocks); Layer 3: Vp = 6.55 km/s (10 km thick, 67.5% felsic and 32.5% mafic rocks); and Layer 4: Vp = 6.90 km/s (8 km thick, 20.0% felsic and 80.0% mafic rocks). The average Vp/Vs ratio of 1.71 or Poisson's ratio of 0.24 calculated for the whole crust is consistent with the results measured using teleseismic receiver function techniques. This study also offers necessary information for broadband simulations of strong ground motions in the assessment and forecast of earthquake hazards in the region. Furthermore, the study, which yields a moment magnitude of 7.9-8.0 given the variation in the dip of the coseismic ruptures and the uncertainty in the depth to which the coseismic rupture may propagate downwards below the depth of the mainshock hypocenter, presents the first accurate quantification of the 2008 Wenchuan earthquake's size.

The association between exposure and psychological health in earthquake survivors from the Longmen Shan Fault area: the mediating effect of risk perception

Directory of Open Access Journals (Sweden)

Jiuping Xu

2016-05-01

Full Text Available Abstract Background In this study, exposure refers to survivors who suffered from life-changing situations, such as personal injuries, the deaths or injury of family members, relatives or friends or the loss of or damage to personal or family property, as a result of the earthquake. The mediating effect of risk perception on the exposure and psychological health in survivors from the Longmen Shan Fault area and the moderating effect of social support on the relationship between risk perception and psychological health were both examined. Method A cross-sectional survey was conducted in a local Longmen Shan Fault area near the epicenter of the 2008 Wenchuan earthquake. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV, the standard Chinese 12-item Short Form (SF-12v2, and the Social Support Rating Scale (SSRS were used to interview 2,080 earthquake survivors in the period one-year after the earthquake. Based on the environment and the characteristics of the Longmen Shan Fault area, a risk perception questionnaire was developed to evaluate survivor risk perception. Factor and regression analyses were conducted to determine the hypothetical relations. Results The analyses provided effective support for the hypothesized model. Survivor risk perception was classified into direct risk perception and indirect risk perception. Survivor direct risk perception was found to play a partial mediating role in the relationship between exposure and the two domains (Physical component summary (PCS and the Mental component summary (MCS of psychological health. Survivor indirect risk perception was found to have a only partial mediating effect on the association between exposure and MCS. Social support was found to moderate the influence of risk perception on psychological health. Conclusion Risk communication should be considered in future post-earthquake psychological assistance programs and social support strategies could also be

Effects of Land Use Change on Sediment and Water Yields in Yang Ming Shan National Park, Taiwan

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Thomas C. C. Huang

2015-01-01

Full Text Available The Soil and Water Assessment Tool (SWAT is a watershed-based, semi-distributed hydrologic model for simulating hydrological processes at different spatial scales. The SWAT hydrology and erosion/sediment components are first validated after the hydrologic components calibration. The SWAT model also utilizes geographic information system (GIS and digital elevation model (DEM to delineate watersheds and extract the stream network. This study applies SWAT model to assess the impacts of land use change on soil and water losses from Yang Ming Shan National Park Watershed in northern Taiwan. Although the government has formulated regulations to limit the development, however, intense human activities, such as farming and building construction, still continue to exist. This study utilized two land-use data periods, one in 1996 and another in 2007, along with the SWAT model to simulate soil and water losses in Yang Ming Shan National Park. Based on the baseline scenario, the SWAT model was also successful in simulating the future scenario. Study results for scenario 2007, as compared to 1996 baseline period indicate that land use change shows forest land decreases about 6.9%, agricultural land increases about 9.5%, and causes sediment yield increase of 0.25 t/ha. Human activities deserve more attention when assessing soil and water losses because of their inevitable impacts. Government needs to modify land development policies and plans for land use change detection using satellite imagery to avoid illegal development activities.

Biogeochemical characteristics of Kuan-Tzu-Ling, Chung-Lun and Bao-Lai hot springs in southern Taiwan.

Science.gov (United States)

Maity, Jyoti Prakash; Liu, Chia-Chuan; Nath, Bibhash; Bundschuh, Jochen; Kar, Sandeep; Jean, Jiin-Shuh; Bhattacharya, Prosun; Liu, Jiann-Hong; Atla, Shashi B; Chen, Chien-Yen

2011-01-01

Hot springs are the important natural sources of geothermally heated groundwater from the Earth's crust. Kuan-Tzu-Ling (KTL), Chung-Lun (CL) and Bao-Lai (BL) are well-known hot springs in southern Taiwan. Fluid and mud (sediments) samples were collected from the eruption points of three hot springs for detailed biogeochemical characterization. The fluid sample displays relatively high concentrations of Na(+) and Cl(-) compared with K(+), Mg(2+), Ca(2+), NO(2) (-), and SO(4) (2-), suggesting a possible marine origin. The concentrations of Fe, Cr, Mn, Ni, V and Zn were significantly higher in the mud sediments compared with fluids, whereas high concentrations of As, Ba, Cu, Se, Sr and Rb were observed in the fluids. This suggests that electronegative elements were released during sediment-water interactions. High As concentration in the fluids was observed to be associated with low redox (Eh) conditions. The FTIR spectra of the humic acid fractions of the sediments showed the presence of possible functional groups of secondary amines, ureas, urethanesm (amide), and silicon. The sulfate-reducing deltaproteobacterium 99% similar to Desulfovibrio psychrotolerans (GU329907) were rich in the CL hot spring while mesophilic, proteolytic, thiosulfate- and sulfur-reducing bacterium that 99% similar to Clostridium sulfidigenes (GU329908) were rich in the BL hot spring.

Film Censorship Policy During Park Chung Hee’s Military Regime (1960–1979 and Hostess Films

Directory of Open Access Journals (Sweden)

Molly Hyo Kim

2018-04-01

Full Text Available Park Chung-hee’s military government (1960-1979 purportedly used film censorship to distract the public from political consciousness by controlling political materials in films while condoning censorship control on sexual content. As a result, the production of soft-core adult films soared and became popular among Korean audiences. One such film genre that thrived during this period, so-called hostess films (prostitute films, is worthy of attention for the films’ foregrounding issues of class, poverty and other social issues that the state censorship board heavily regulated. In viewing such dynamics between state censorship and film, this article aims to unravel the questions of how the state was willing to turn a blind eye to the explicit sexualization of women in hostess films when film censorship was at its peak and why the social and political aspects of this group of films about female sexual workers were not considered socially relevant by the censorship board, through scrutinizing the interplay between Park’s state censorship and hostess films. Furthermore, it offers an analysis of a hostess film, The Rose that Swallowed Thorn (Cheong, 1979, as a case study to show how it strategically orchestrates visual and thematic elements to circumvent censorship enforcement.

Early Cretaceous overprinting of the Mesozoic Daqing Shan fold-and-thrust belt by the Hohhot metamorphic core complex, Inner Mongolia, China

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Gregory A. Davis

2010-10-01

Full Text Available The Early Cretaceous Hohhot metamorphic core complex (mcc of the Daqing Shan (Mtns. of central Inner Mongolia is among the best exposed and most spectacular of the spatially isolated mcc’s that developed within the northern edge of the North China “craton”. All of these mcc’s were formed within the basement of a Late Paleozoic Andean-style arc and across older Mesozoic fold-and-thrust belts of variable age and tectonic vergence. The master Hohhot detachment fault roots southwards within the southern margin of the Daqing Shan for an along-strike distance of at least 120 km. Its geometry in the range to the north is complicated by interference patterns between (1 primary, large-scale NW-SE-trending convex and concave fault corrugations and (2 secondary ENE-WSW-trending antiforms and synforms that folded the detachment in its late kinematic history. As in the Whipple Mtns. of California, the Hohhot master detachment is not of the Wernicke (1981 simple rooted type; instead, it was spawned from a mid-crustal shear zone, the top of which is preserved as a mylonitic front within Carboniferous metasedimentary rocks in its exhumed lower plate. 40Ar–39Ar dating of siliceous volcanic rocks in basal sections of now isolated supradetachment basins suggest that crustal extension began at ca. 127 Ma, although lower-plate mylonitic rocks were not exposed to erosion until after ca. 119 Ma. Essentially synchronous cooling of hornblende, biotite, and muscovite in footwall mylonitic gneisses indicates very rapid exhumation and at ca. 122–120 Ma. Contrary to several recent reports, the master detachment clearly cuts across and dismembers older, north-directed thrust sheets of the Daqing Shan foreland fold-and-thrust belt. Folded and thrust-faulted basalts within its foredeep strata are as young as 132.6 ± 2.4 Ma, thus defining within 5–6 Ma the regional tectonic transition between crustal contraction and profound crustal extension.

3D Crust and Uppermost Mantle Structure beneath Tian Shan Region from ambient noise and earthquake surface waves

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Xiao, X.; Wen, L.

2017-12-01

As a typical active intracontinental mountain range in Central Asia, Tian Shan Mt serves as the prototype in studying geodynamic processes and mechanism of intracontinental mountain building. We study 3D crust and the uppermost mantle structure beneath Tian Shan region using ambient noise and earthquake surface waves. Our dataset includes vertical component records of 62 permanent broadband seismic stations operated by the Earthquake Administration of China. Firstly, we calculate two-year stacked Cross-Correlation Functions (CCFs) of ambient noise records between the stations. The CCFs are treated as the Empirical Green's Functions (EGFs) of each station pair, from which we measured phase velocities of fundamental-mode Rayleigh wave in the period of 3-40 s using a frequency-time analysis method. Secondly, we collect surface wave data from tele-seismic events with Mw > 5.5 and depth shallower than 200 km and measure phase velocities of the fundamental-mode of Rayleigh wave in the period of 30-150 s using a two-station method. Finally, we combine the phase velocity measurements from ambient noise and earthquake surface waves, obtain lateral isotropic phase velocity maps at different periods based on tomography and invert a 3D Vsv model of crust and uppermost mantle down to about 150 km using a Monte Carlo Inversion method. We will discuss our inversion results in detail, as well as their implications to the tectonics in the region.

Wormholes supported by phantom energy from Shan-Chen cosmological fluids

Energy Technology Data Exchange (ETDEWEB)

Wang, Deng [Nankai University, Theoretical Physics Division, Chern Institute of Mathematics, Tianjin (China); Meng, Xin-He [Nankai University, Department of Physics, Tianjin (China); Institute of Theoretical Physics, CAS, State key Lab of Theoretical Physics, Beijing (China)

2016-03-15

In the present paper, the exact solutions of spherically symmetrical Einstein field equations describing wormholes supported by phantom energy that violates the null energy condition from Shan-Chen background fluid are obtained. We have considered the important case of the model parameter ψ ∼ 1, which corresponds to the ''saturation effect'', and this regime corresponds to an effective form of ''asymptotic freedom'' for the fluids, but occurring at cosmological rather than subnuclear scales. Then we investigate the allowed range for the values of the model parameters g and ω when the spacetime metrics describe wormholes and discuss the possible singularities of the solutions, finding that the obtained spacetimes are geodesically complete. Furthermore, we construct two traversable wormholes through matching our obtained interior solutions to the exterior Schwarzschild solutions and analyze the traversabilities of the wormholes. Finally, we consider the case of anisotropic pressure and discover that the transverse pressure also crosses the phantom divide -1 with the growth of the wormhole dimension, and it tends to be the same as the radial pressure with the growth of the wormhole radius. (orig.)

The shallow sedimentary and structural deformation in the southern Longmen Shan: constraints on the seismotectonics of the 2013 Lushan Mw6.7 Earthquake

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Lu, R.; Xu, X.; He, D.; Suppe, J.

2017-12-01

On April 20, 2013, an unexpected Mw 6.7 earthquake occurred in Lushan County at the southern Longmen Shan, the eastern margin of the Tibetan Plateau. After this Lushan earthquake, whether the seismogenic fault is a high-angle or low-angle fault? The structural characteristics, attribution, and the seismotectonic model of this earthquake have many debates and problems. In this study, a high-resolution seismic reflection profile was combined with near-surface geological data, earthquake relocation and geodetic measurements, and a recent deep artificial seismic reflection profile to identify the active fault and seismotectonics of this earthquake. Three-dimensional imaging of the aftershocks was used to identify two planar faults that together form a y-shape (f1 and f2). Seismic interpretations suggest that the seismogenic fault f1 is a typical basement blind fault that did not penetrate into the overlying Mesozoic and Cenozoic units, and it is not a Shuangshi-Dachuan fault (F4) or the frontal Dayi buried fault (F6). Geodetic measurements suggest that the coseismic deformation is consistent with the geometry and kinematics of shear fault-bend folding (FBF). The history of tectonic evolution since the Paleozoic in Longmen Shan area also referred. There are three major detachments control the structural deformation of the upper crust in the Longmen Shan and Western Sichuan Basin, resulting in multiple superimposed deformation events. Deep seismic data indicate the syndepositional nature of fault f1 a preexisting normal fault older than the Triassic, which underwent positive inversion tectonics during the Late Cenozoic. A thrust fault f3 converges with f1 at a depth of approximately12 km with an accumulated slip 3.6 km. This 2013 Lushan earthquake triggered by blind faults is a hidden earthquake. Since the Late Cenozoic, with the strong and on-going compression of the Qinghai-Tibet Plateau to the Sichuan Basin, the early-period normal faults were activated after

Asian Cross-border Marriage Migration. Demographic Patterns and Social Issues, Wen-Shan Yang & Melody Chia-Wen Lu (éds

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Jean-Pierre de Saint-Aubert

2012-11-01

Full Text Available Cet ouvrage collectif, qui est le résultat d’une collaboration entre l’International Institute for Asian Studies (IIAS, des Pays-Bas, et la National Science Council (NSC, de Taïwan, est le fruit d’une conférence qui s’est tenue en septembre2006 sur le thème des « mariages transfrontaliers en Asie et en Europe ». Les coordinateurs de l’ouvrage sont Wen-Shan Yang, chercheur à l’Institut of Sociology, Academia Sinica de Taïwan, et Melody Chia-Wen Lu, chercheur à l’International Institute for A...

Association between Social Integration and Health among Internal Migrants in ZhongShan, China.

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Yanwei Lin

Full Text Available Internal migrants are the individuals who migrate between regions in one country. The number of internal migrants were estimated at 245 million in China in 2013. Results were inconsistent in the literature about the relationship between their health statuses and social integration. The main difference exists on how to measure the social integration and whether health statuses of internal migrants improve with years of residence. To complement the existing literature, this study measured social integration more comprehensively and estimated the internal migrants' health statuses with varying years of residence, and explored the associations between the migrants' social integration and health. We used the data from 2014 Internal Migrant Dynamic Monitoring Survey of Health and Family Planning in ZhongShan, China. Health status was measured from four aspects: self-reported health, subjective well-being, perception of stress, mental health. We measured social integration through four dimensions: economy, social communication, acculturation, and self-identity. The analyses used multiple linear regressions to examine the associations between self-reported health, subjective well-being, and perception of stress, mental health and social integration. The analytical sample included 1,999 households of the internal migrants and 1,997 local registered households, who were permanent residents in ZhongShan. Among the internal migrants, Adults in the labor force, who were aged 25 to 44 years old, accounted for 91.2% of the internal migrant population, while 74.6% of the registered population were in that age group. Median residential time among migrants was 2.8 (1.3-6.2 years, and 20.2% of them were migrating in the same Guangdong province. Except for mental health, other health statuses among migrants had significant differences compared with local registered population, e.g. self-reported health was better, but subjective well-being was worse. However, these

Evaluation of Standard Concepts Design of Library Interior Physical Environment (Case Study at University of Ma Chung

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Debri Haryndia Putri

2016-12-01

Full Text Available Currently the function of a room is not only used as a shelter, the function of the room itself to be increased as a refreshing or relaxation area for users to follow the development of creativity and technology in the field of design. The comfortable factor becomes the main factor that indicates a successful process of creating a space. No exception library. The nature of library seemed stiff because of its function as a place to read, now can be developed and made into more dynamic with the special design concepts or color patterns used. Libraries can be created a special concept that suits the characteristics of the users themselves. Most users of the library, especially in college libraries are teenagers. Naturally, teenagers like to gather with their friends and we have to facilitate this activity in our library design concept. In addition we can also determine the needs of users through research by questionnaire method. The answers of users can be mapped and drawn conclusions. To explore the research, the author reviewed some literature about library interior design and observed the library of Ma Chung University as a case study. The combined results of the method can be concluded and the discovery of ideal standards of physical environment. So, the library can be made as a comfortable reading environment so as to increased interest in reading behavior and the frequent visits of students in the library.

Search for EAS radio-emission at the Tien-Shan shower installation at a height of 3340 m above sea level

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Beisenova, A.; Boos, E.; Haungs, A.; Sadykov, T.; Salihov, N.; Shepetov, A.; Tautayev, Y.; Vildanova, L.; Zhukov, V.

2017-06-01

The complex EAS installation of the Tien Shan mountain cosmic ray station which is situated at a height of 3340 m above sea level includes the scintillation and Cherenkov detectors of charged shower particles, an ionization calorimeter and a set of neutron detectors for registering the hadronic component of the shower, and a number of underground detectors of the penetrative EAS component. Now it is intended to expand this installation with a promising method for detecting the radio-emission generated by the particles of the developing shower. The facility for radio-emission detection consists of a three crossed dipole antennae, one being set vertically, and another two - mutually perpendicularly in a horizontal plane, all of them being connected to a three-channel radio-frequency amplifier of German production. By the passage of an extensive air shower, which is defined by a scintillation shower detector system, the output signal of antenna amplifier is digitized by a fast multichannel DT5720 ADC of Italian production, and kept within computer memory. The further analysis of the detected signal anticipates its operation according to a special algorithm and a search for the pulse of radio-emission from the shower. A functional test of the radio-installation is made with artificial signals which imitate those of the shower, and with the use of a N1996A type wave analyzer of Agilent Technologies production. We present preliminary results on the registration of extensive air shower emission at the Tien Shan installation which were collected during test measurements held in Summer 2016.

Association between use of disease-modifying antirheumatic drugs and diabetes in patients with ankylosing spondylitis, rheumatoid arthritis, or psoriasis/psoriatic arthritis: a nationwide, population-based cohort study of 84,989 patients

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Chen HH

2017-05-01

Full Text Available Hsin-Hua Chen,1–7 Der-Yuan Chen,1–6 Chi-Chen Lin,1,2 Yi-Ming Chen,1–4 Kuo-Lung Lai,3,4 Ching-Heng Lin1 1Department of Medical Research, Taichung Veterans General Hospital, 2Institute of Biomedical Science and Rong Hsing Research Center for Translational Medicine, Chung-Hsing University, Taichung, 3School of Medicine, National Yang-Ming University, Taipei, 4Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, 5School of Medicine, Chung-Shan Medical University, 6Department of Medical Education, Taichung Veterans General Hospital, Taichung, 7Institute of Public Health and Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan Purpose: The aim of this study is to investigate the association between the use of disease-modifying antirheumatic drugs (DMARDs and diabetes mellitus (DM in patients with ankylosing spondylitis (AS, rheumatoid arthritis (RA, or psoriasis/psoriatic arthritis (PS/PSA.Patients and methods: This retrospective cohort study used a nationwide, population-based administrative database to enroll 84,989 cases with AS, RA, or PS/PSA who initiated treatment with anti-tumor necrosis factor (anti-TNF drugs or nonbiologic DMARDs. Multivariable analysis was used to estimate the effect of different therapies on the risk of DM.Results: The incidence rates of DM per 1,000 person-years were 8.3 for users of anti-TNF drugs, 13.3 for users of cyclosporine (CSA, 8.4 for users of hydroxychloroquine (HCQ, and 8.1 for users of other nonbiologic DMARDs. Compared with the users of nonbiologic DMARDs, the multivariate-adjusted hazard ratios (aHRs for DM were significantly lower for those who used anti-TNF drugs with HCQ (aHR: 0.49, 95% confidence interval [CI]: 0.36–0.66 and those who used HCQ alone (aHR: 0.70, 95% CI: 0.63–0.78, but not for those who used anti-TNFs without HCQ (aHR: 1.23, 95% CI: 0.94–1.60 or CSA (aHR: 1.14, 95% CI: 0.77–1

Chin Shan analyses show advantages of whole pool multi-rack approach

International Nuclear Information System (INIS)

Singh, K.P.; Soler, A.I.

1991-01-01

Nuclear fuel storage racks are essentially thin-walled, cellular structures of prismatic cross-section. Although the details of design vary from one supplier to another, certain key physical attributes are common to all designs. For example, all racks feature square cells of sufficient opening size and height to enable insertion and withdrawal of the fuel assembly. The array of cells is positioned in a vertical orientation and is supported off the pool slab surface by four or more support legs. The spent fuel pool is filled with the individual fuel racks. The plenum created by the support legs is essential for proper cooling of the fuel assemblies stored in the rack, which relies on natural convective cooling to extract the heat emitted by the spent fuel. However, it has the insalutary effect of making it kinematically less stable. Regulatory authorities require careful and comprehensive analysis of the response of the racks under the seismic motions postulated for the pool slab. Results from whole pool multi-rack (WPMR) analyses at the Chin Shan and Oyster Creek nuclear plants point up the potential inadequacies of single rack 3D analyses, and show just how important it is to carry out WPMR simulations, despite their abstruseness and high cost. (author)

Development of PPAR-agonist GW0742 as antidiabetic drug: study in animals

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Niu HS

2015-10-01

Full Text Available Ho-Shan Niu,1 Po-Ming Ku,2,3 Chiang-Shan Niu,1 Juei-Tang Cheng,3,4 Kung-Shing Lee5–71Department of Nursing, Tzu Chi College of Technology, Hualien City, 2Department of Cardiology, 3Department of Medical Research, Chi-Mei Medical Center, Yong Kang, Tainan City, 4Institute of Medical Sciences, Chang Jung Christian University, Guiren, Tainan City, 5Department of Surgery, Division of Neurosurgery, Pingtung Hospital, 6Department of Surgery, Kaohsiung Medical University, 7School of Medicine, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung City, TaiwanBackground: The development of new drugs for the treatment of diabetes mellitus (DM is critically important. Insulin resistance (IR is one of the main problems associated with type-2 DM (T2DM seen in clinics. GW0742, a selective peroxisome proliferator-activated receptor (PPAR-δ agonist, has been shown to ameliorate metabolic abnormalities including IR in skeletal muscle in mice fed high-fructose corn syrup. However, the influence of GW0742 on systemic insulin sensitivity has still not been elucidated. Therefore, it is important to investigate the effect of GW0742 on systemic IR in diabetic rats for the development of new drugs.Methods: The present study used a T2DM animal model to compare the effect of GW0742 on IR using homeostasis model assessment-IR (HOMA-IR and hyperinsulinemic euglycemic clamping. Additionally, the insulinotropic action of GW0742 was investigated in type-1 DM (T1DM rats. Changes in the protein expression of glucose transporter 4 (GLUT4 and phosphoenolpyruvate carboxykinase (PEPCK in skeletal muscle and in liver, respectively, were also identified by Western blots.Results: GW0742 attenuated the increased HOMA-IR in diabetic rats fed a fructose-rich diet. This action was blocked by GSK0660 at the dose sufficient to inhibit PPAR-δ. Improvement of IR by GW0742 was also characterized in diabetic rats using hyperinsulinemic euglycemic clamping. Additionally, an

Paleo-Climate and Glaciological Reconstruction in Central Asia through the Collection and Analysis of Ice Cores and Instrumental Data from the Tien Shan

International Nuclear Information System (INIS)

Vladimir Aizen; Donald Bren; Karl Kreutz; Cameron Wake

2001-01-01

While the majority of ice core investigations have been undertaken in the polar regions, a few ice cores recovered from carefully selected high altitude/mid-to-low latitude glaciers have also provided valuable records of climate variability in these regions. A regional array of high resolution, multi-parameter ice core records developed from temperate and tropical regions of the globe can be used to document regional climate and environmental change in the latitudes which are home to the vase majority of the Earth's human population. In addition, these records can be directly compared with ice core records available from the polar regions and can therefore expand our understanding of inter-hemispheric dynamics of past climate changes. The main objectives of our paleoclimate research in the Tien Shan mountains of middle Asia combine the development of detailed paleoenvironmental records via the physical and chemical analysis of ice cores with the analysis of modern meteorological and hydrological data. The first step in this research was the collection of ice cores from the accumulation zone of the Inylchek Glacier and the collection of meteorological data from a variety of stations throughout the Tien Shan. The research effort described in this report was part of a collaborative effort with the United State Geological Survey's (USGS) Global Environmental Research Program which began studying radionuclide deposition in mid-latitude glaciers in 1995

Paleo-Climate and Glaciological Reconstruction in Central Asia through the Collection and Analysis of Ice Cores and Instrumental Data from the Tien Shan

Energy Technology Data Exchange (ETDEWEB)

Vladimir Aizen; Donald Bren; Karl Kreutz; Cameron Wake

2001-05-30

While the majority of ice core investigations have been undertaken in the polar regions, a few ice cores recovered from carefully selected high altitude/mid-to-low latitude glaciers have also provided valuable records of climate variability in these regions. A regional array of high resolution, multi-parameter ice core records developed from temperate and tropical regions of the globe can be used to document regional climate and environmental change in the latitudes which are home to the vase majority of the Earth's human population. In addition, these records can be directly compared with ice core records available from the polar regions and can therefore expand our understanding of inter-hemispheric dynamics of past climate changes. The main objectives of our paleoclimate research in the Tien Shan mountains of middle Asia combine the development of detailed paleoenvironmental records via the physical and chemical analysis of ice cores with the analysis of modern meteorological and hydrological data. The first step in this research was the collection of ice cores from the accumulation zone of the Inylchek Glacier and the collection of meteorological data from a variety of stations throughout the Tien Shan. The research effort described in this report was part of a collaborative effort with the United State Geological Survey's (USGS) Global Environmental Research Program which began studying radionuclide deposition in mid-latitude glaciers in 1995.

The Work of Inscription: Antenatal Care, Birth Documents, and Shan Migrant Women in Chiang Mai.

Science.gov (United States)

Seo, Bo Kyeong

2017-12-01

For transnational migrant populations, securing birth documents of newly born children has crucial importance in avoiding statelessness for new generations. Drawing on discussions of sovereignty and political subjectivization, I ask how the fact of birth is constituted in the context of transnational migration. Based on ethnographic data collected from an antenatal clinic in Thailand, this article describes how Shan migrant women from Myanmar (also known as Burma) utilize reproductive health services as a way of assuring a safe birth while acquiring identification documents. Paying close attention to technologies of inscription adopted for maternal care and birth registration, I argue that enacting bureaucratic documents offers a chance for migrant women to bridge the interstice between human and citizen. Birth certificates for migrant children, while embodying legal ambiguity and uncertainty, epitomize non-citizen subjects' assertion of their political relationship with the state. © 2016 by the American Anthropological Association.

Detection of Schistosoma Antibodies and exploration of associated factors among local residents around Inlay Lake, Southern Shan State, Myanmar.

Science.gov (United States)

Soe, Htin Zaw; Oo, Cho Cho; Myat, Tin Ohn; Maung, Nay Soe

2017-03-01

Schistosomiasis is a chronic parasitic disease caused by blood flukes (trematode worms) of the genus Schistosoma. Its transmission has been reported in 78 countries affecting at least 258 million people world-wide. It was documented that S. japonicum species was prevalent in Shan State, Myanmar, but the serological study was not conducted yet. General objective of the present study was to detect schistosoma antibodies and explore associated factors among local residents living around Inlay Lake, Nyaung Shwe Township, and Southern Shan State, Myanmar. An exploratory and cross-sectional analytic study was conducted among local residents (n = 315) in selected rural health center (RHC) areas from December 2012 through June 2013. The participants were interviewed with pretested semi-structured questionnaires and their blood samples (serum) were tested using Schistosomiasis Serology Microwell ELISA test kits (sensitivity 100% and specificity 85%) which detected IgG antibodies but could not distinguish between a new and past infection. Data collected were analysed by SPSS software 16.0 and associations of variables were determined by Chi-squared test with a significant level set at 0.05. Schistosoma seroprevalence (IgG) in study area was found to be 23.8% (95% CI: 18.8-28.8%). The present study is the first and foremost study producing serological evidence of schistosoma infection-one of the neglected tropical diseases-in local people of Myanmar. The factors significantly associated with seropositivity were being male [OR = 2.6 (95% CI: 1.5-4.49), P Myanmar, and this should be further confirmed parasitologically and kept under surveillance. Proper trainings on diagnosis, treatment, prevention and control of schistosomiasis should be provided to the healthcare providers. ISRCTN ISRCTN73824458 . Registered 28 September 2014, retrospectively registered.

Development of Petrov glacial-lake system (Tien Shan and outburst risk assessment

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I. A. Torgoev

2013-01-01

Full Text Available Global climate warming causes an intensive melting and retreat of glaciers in the Tien Shan mountains. Melting water of glaciers causes overfilling of high mountain lakes. The increase of the surface and volume of the Petrov Lake accompanied with the decrease of stability of the dam represents an extremely dangerous situation that can produce a natural disaster. Failure can happen due to erosion, a buildup of water pressure, an earthquake or if a large enough portion of a glacier breaks off and massively displaces the waters in a glacial lake at its base. In case of the lake dam rupture, flooding of a disposal site of highly toxic tailing from the gold mine Kumtor is a threat. If this happens, the toxic waste containing cyanides would contaminate a large area in the Naryn (Syrdarya river basin. Even if the flooding of the disposal site does not occur, the damage after lake dam fracture will be immense due to the glacial lake outburst flood may be a devastating mudslide. In order to prevent or reduce the risk of this event we recommend performing engineering surveys for the development and implementation of the project for the controlled reduction of water level in the Blue Bay of the Petrov Lake to a safe volume.

Paleoseismology of Sinistral-Slip Fault System, Focusing on the Mae Chan Fault, on the Shan Plateau, SE Asia.

Science.gov (United States)

Curtiss, E. R.; Weldon, R. J.; Wiwegwin, W.; Weldon, E. M.

2017-12-01

The Shan Plateau, which includes portions of Myanmar, China, Thailand, Laos, and Vietnam lies between the dextral NS-trending Sagaing and SE-trending Red River faults and contains 14 active E-W sinistral-slip faults, including the Mae Chan Fault (MCF) in northern Thailand. The last ground-rupturing earthquake to occur on the broader sinistral fault system was the M6.8 Tarlay earthquake in Myanmar in March 2011 on the Nam Ma fault immediately north of the MCF the last earthquake to occur on the MCF was a M4.0 in the 5th century that destroyed the entire city of Wiang Yonok (Morley et al., 2011). We report on a trenching study of the MCF, which is part of a broader study to create a regional seismic hazard map of the entire Shan Plateau. By studying the MCF, which appears to be representative of the sinistral faults, and easy to work on, we hope to characterize both it and the other unstudied faults in the system. As part of a paleoseismology training course we dug two trenches at the Pa Tueng site on the MCF, within an offset river channel and the trenches exposed young sediment with abundant charcoal (in process of dating), cultural artifacts, and evidence for the last two (or three) ground-rupturing earthquakes on the fault. We hope to use the data from this site to narrow the recurrence interval, which is currently to be 2,000-4,000 years and the slip rate of 1-2 mm/year, being developed at other sites on the fault. By extrapolating the data of the MCF to the other faults we will have a better understanding of the whole fault system. Once we have characterized the MCF, we plan to use geomorphic offsets and strain rates from regional GPS to relatively estimate the activity of the other faults in this sinistral system.

Cognitive Style and Mobile E-Learning in Emergent Otorhinolaryngology-Head and Neck Surgery Disorders for Millennial Undergraduate Medical Students: Randomized Controlled Trial.

Science.gov (United States)

Lee, Li-Ang; Chao, Yi-Ping; Huang, Chung-Guei; Fang, Ji-Tseng; Wang, Shu-Ling; Chuang, Cheng-Keng; Kang, Chung-Jan; Hsin, Li-Jen; Lin, Wan-Ni; Fang, Tuan-Jen; Li, Hsueh-Yu

2018-02-13

different cognitive styles. Clinicaltrials.gov NCT02971735; https://clinicaltrials.gov/ct2/show/NCT02971735 (Archived by WebCite at http://www.webcitation.org/6waoOpCEV). ©Li-Ang Lee, Yi-Ping Chao, Chung-Guei Huang, Ji-Tseng Fang, Shu-Ling Wang, Cheng-Keng Chuang, Chung-Jan Kang, Li-Jen Hsin, Wan-Ni Lin, Tuan-Jen Fang, Hsueh-Yu Li. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 13.02.2018.

Monitoring shallow resistivity changes prior to the 12 May 2008 M 8.0 Wenchuan earthquake on the Longmen Shan tectonic zone, China

Science.gov (United States)

Lu, Jun; Xie, Tao; Li, Mei; Wang, Yali; Ren, Yuexia; Gao, Shude; Wang, Lanwei; Zhao, Jialiu

2016-04-01

An active source measurement of shallow resistivity using fixed-electrode quasi-Schlumberger arrays has been conducted at Pixian, Jiangyou and Wudu stations on the Longmen Shan tectonic zone in western China, with the hope of detecting earthquake-associated changes. For the duration of the monitoring experiment, a gradual decrease of apparent resistivity of up to 6.7% several years prior to the 12 May 2008 M 8.0 Wenchuan earthquake had been recorded clearly at Pixian station, approximately 35 km from the epicenter. The change of apparent resistivity was monitored with a fixed Schlumberger array of AB/MN spacings of 736 m/226 m in the direction of N57.5°E, giving precisions in measured daily averages of 0.16% or less. A coseismic resistivity drop of up to 5.3% was observed at Jiangyou station, using a Schlumberger array of AB/MN spacings of 710 m/90 m in the direction of N10°E. No fluctuation of resistivity was detected at Wudu station at the time of the Wenchuan mainshock. While the focus of this paper is on monitoring or tracking resistivity variations prior to, during, and after the Wenchuan earthquake, we also aim to compare resistivity records of the Wenchuan earthquake to those of the M 7.8 Tangshan and M 7.2 Songpan earthquakes of 1976. Attempts to explain the observed resistivity variations have been made. The results show that the resistivity variations observed at all three stations are in approximate agreement with resistivity-stress behavior deduced from in situ experiments, focal mechanisms, a simplified dynamical model, static stress analyses, and field investigations from along the Longmen Shan fault zone.

Late Quaternary cooling rate constrained by multiple IRSL thermochronometers of potassium feldspars for granites from Kongur Shan, Chinese Pamir

Science.gov (United States)

Qin, Jintang; Chen, Jie; Valla, Pierre; Herman, Frédéric

2015-04-01

The Kongur Shan (East Pamir), located at the northwestern Tibetan Plateau, is one of the most active orogens on Earth, where both tectonic processes along major active faults and climatic forcing (extensive glaciers coverage) are contributing to the regional landscape evolution. The exhumation rates since late Miocene was constrained to be ~6.5 - 4.2 mm/yr. However, it is still debated whether the exhumation rate accelerated since the Quaternary, of which the climate was featured by the cyclic glaciations with periods of 100 ka and 40 ka. In this study, we tried to employ luminescence thermochronology, which is a still in developing method, to resolve the impact of glacial cycles on exhumation rate. Our study site is located ~10 km to the east of the active Kongur normal fault, along the major valley of Gez river. We sampled three granite rocks from a sub-horizontal tunnel across the granite massif; one was from the entrance of the tunnel, and other two samples were from inside of the tunnel, where the measured ambient temperature is as high as 60-70 ° C. The distances of these samples are within 2 km. Four types of IRSL signals extracted from potassium feldspars (K-feldspars) were measured for each individual sample, and the results of isothermal decay experiments indicated these signals were of different thermal stabilities. Therefore, they may serve as four thermochronometers with different closure temperature. We employ these multiple thermochronometers together for each single sample to constrain their cooling rates. Our preliminary results, which are based on the simplified luminescence model of K-feldspars, suggest that the averaged cooling rate of the last 200 ka is as high as 1.4 oC/ka, which corresponds to an exhumation rate of ~ 2.3 to 0.9 cm/yr with the geothermal gradient assumed to be 60 to 150 oC/km. It seems to imply that the glacial cycles during the Quaternary substantially accelerated the exhumation rate of granite massif of Kongur Shan.

Age as a factor in sensory integration function in Taiwanese children

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Lin CK

2013-07-01

Full Text Available Chin-Kai Lin,1 Huey-Min Wu,2 Hsin-Yi Wang,3 Mei-Hui Tseng,4,5 Chung-Hui Lin61Department of Early Childhood Education, National Taichung University of Education, Taichung, Taiwan; 2Research Center for Testing and Assessment, National Academy for Educational Research, New Taipei, Taiwan; 3Department of Special Education, National Taichung University of Education, Taichung, Taiwan; 4School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; 5Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; 6School of Occupational Therapy, College of Medical Science and Technology, Chung Shan Medical University, Taichung, TaiwanObjective: Sensory integration progresses along a normal developmental sequence. However, few studies have explored how age difference affects the way sensory integration functions in Taiwanese children as they develop. Therefore, this study aims to pinpoint the role of age in sensory integration.Method: A purposive sampling plan was employed. The study population comprised 1,000 Chinese children aged 36 to 131 months (mean = 74.48 months, standard deviation = 25.69 months. Subjects were scored on seven subsets of the Test of Sensory Integration Function (TSIF. An analysis of variance (ANOVA was used to identify differences between four age groups (ages 3−4, 5−6, 7−8, and 9−10 years, in the categories of the TSIF.Results: ANOVA revealed that age is a significant factor in each of the seven tasks of sensory integration associated with various stages of development. The effect of age was significant in all four groups for the subscale of Bilateral Integration Sequences. The function of sensory integration for the children aged 5−8 years did not produce statistically significant results for the subscale of Postural Movement, Sensory Discrimination, Sensory Seeking, or Attention and Activity. For the subscale of Sensory Modulation and Emotional

Registration of intensive hard X-rays and soft gamma-rays from the thunderstorm clouds at Tien-Shan installation Adron

International Nuclear Information System (INIS)

Antonova, V.P.; Kryukov, S.V.; Vil'danova, L.I.; Gurevich, A.V.; Zybin, K.P.; Kokobaev, M.M.; Nesterova, N.M.; Piskal', V.V.; Ptitsyn, M.O.; Chubenko, A.P.; Shchepetov, A.L.

2001-01-01

The Adron installation mounted at the Tien-Shan station is intended for studying the extensive air showers. The Adron installation consists of a neutron supermonitor charged particles detector, muon detector and detector for registering the hard X-ray and soft gamma-radiation from the thunderstorm clouds accomplished on the basis of the Geiger-Mueller counters with sensitivity area of 16-17 m 2 . The intensive fluxes of the hard X-ray and soft gamma-radiation from the thunderstorm clouds passing over the Adron installation at the height below 1 km are registered using this installation. The short-time radiation flares of 1-5 min duration are separated at the background of the intensity slow change. This testifies to the benefit of existence of the runaway electron effect in the thunderstorm clouds [ru

Fluxes of 10-2000 GeV hadrons in EAS produced by 1-100 PeV PCR according to Tien Shan data

International Nuclear Information System (INIS)

Nesterova, N.M.; Pavlyuchenko, V.P.; Chubenko, A.P.; Shchepetov, A.L.; Mukhamedshin, R.A.

2005-01-01

The experimental data on the hadrons spectra with the energy of 10-2000 GeV in the extensive air showers with the electrons number N e =3 x 10 5 -10 8 at the distances of 3-60 m from the axis are obtained at the Tien-Shan mountainous facility (690 g/cm 2 ) by means of the 18NM64 neutron monitor and ionization calorimeter. The obtained results are compared with the calculations by the MS0-model. The comparison shows that the singular hadrons experimental number significantly exceeds the calculational value. This may be brought by the change in the PCR character and its interaction with the air atoms nuclei by the energies above several PeV [ru

Results of medical examination of refugees from Burma

DEFF Research Database (Denmark)

Petersen, H D; Lykke, J; Hougen, H P

1998-01-01

To describe exposure to human rights violations among refugees from rural Burma; to compare exposure experienced by an ethnic Burmese minority group, the Shans, with that of the rest of the study population; and to compare exposure of those who had fled Burma recently with that of refugees who ha...

Seismic triggering of landslides, Part A: Field evidence from the Northern Tien Shan

Science.gov (United States)

Havenith, H.-B.; Strom, A.; Jongmans, D.; Abdrakhmatov, A.; Delvaux, D.; Tréfois, P.

Landslides triggered by strong earthquakes often caused most of the global damage and most of all casualties related to the events, such as shown by the M = 7.7 Peru earthquake in 1970, by the M = 7.6 El Salvador earthquake in 2001 or by the M = 7.4 Khait (Tajikistan) earthquake in 1949. The obvious impact of a landslide on the population is directly related to its movement. Yet, prediction of future failure potential and hence future risk to population is necessary in order to avoid further catastrophes and involves the analyses of the origin of seismic instability. The seismic landslide potential is mainly determined by the interaction between the regional seismic hazard and local geological conditions. At a local scale, seismic factors interfering with geological conditions can produce site-specific ground motions. The influence of such Site Effects on instability is the principal topic of this paper, which is divided into two parts, A and B. The present Part A is concerned with the correlation of field data with observed instability phenomena. Field data were obtained on mainly three landslide sites in the Northern Tien Shan Mountains in Kyrgyzstan, Central Asia. Geophysical prospecting, earthquake recordings, geological observation, trenching and geotechnical tests were the main investigation tools. The collected information gives an insight in the geological background of the slope failure and allows us to roughly infer failure mechanisms from field evidence. A detailed analysis of the susceptibility of a mechanism to specific geological conditions will be shown in Part B.

Seismic triggering of landslides, Part A: Field evidence from the Northern Tien Shan

Directory of Open Access Journals (Sweden)

H.-B. Havenith

2003-01-01

Full Text Available Landslides triggered by strong earthquakes often caused most of the global damage and most of all casualties related to the events, such as shown by the M = 7.7 Peru earthquake in 1970, by the M = 7.6 El Salvador earthquake in 2001 or by the M = 7.4 Khait (Tajikistan earthquake in 1949. The obvious impact of a landslide on the population is directly related to its movement. Yet, prediction of future failure potential and hence future risk to population is necessary in order to avoid further catastrophes and involves the analyses of the origin of seismic instability. The seismic landslide potential is mainly determined by the interaction between the regional seismic hazard and local geological conditions. At a local scale, seismic factors interfering with geological conditions can produce site-specific ground motions. The influence of such Site Effects on instability is the principal topic of this paper, which is divided into two parts, A and B. The present Part A is concerned with the correlation of field data with observed instability phenomena. Field data were obtained on mainly three landslide sites in the Northern Tien Shan Mountains in Kyrgyzstan, Central Asia. Geophysical prospecting, earthquake recordings, geological observation, trenching and geotechnical tests were the main investigation tools. The collected information gives an insight in the geological background of the slope failure and allows us to roughly infer failure mechanisms from field evidence. A detailed analysis of the susceptibility of a mechanism to specific geological conditions will be shown in Part B.

Erosion Associated with Seismically-Induced Landslides in the Middle Longmen Shan Region, Eastern Tibetan Plateau, China

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Zhikun Ren

2017-08-01

Full Text Available The 2008 Wenchuan earthquake and associated co-seismic landslide was the most recent expression of the rapid deformation and erosion occurring in the eastern Tibetan Plateau. The erosion associated with co-seismic landslides balances the long-term tectonic uplift in the topographic evolution of the region; however, the quantitative relationship between earthquakes, uplift, and erosion is still unknown. In order to quantitatively distinguish the seismically-induced erosion in the total erosion, here, we quantify the Wenchuan earthquake-induced erosion using the digital elevation model (DEM differential method and previously-reported landslide volumes. Our results show that the seismically-induced erosion is comparable with the pre-earthquake short-term erosion. The seismically-induced erosion rate contributes ~50% of the total erosion rate, which suggests that the local topographic evolution of the middle Longmen Shan region may be closely related to tectonic events, such as the 2008 Wenchuan earthquake. We propose that seismically-induced erosion is a very important component of the total erosion, particularly in active orogenic regions. Our results demonstrate that the remote sensing technique of differential DEM provides a powerful tool for evaluating the volume of co-seismic landslides produced in intermountain regions by strong earthquakes.

Selecting score types for longitudinal evaluations: the responsiveness of the Comprehensive Developmental Inventory for Infants and Toddlers in children with developmental disabilities

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Tsai YP

2016-05-01

Full Text Available Yu-Pei Tsai,1,2 Li-Chen Tung,1,3 Ya-Chen Lee,4 Yu-Lin Wang,1,5 Yun-Shan Yen,1 Kuan-Lin Chen4,6 1Department of Physical Medicine and Rehabilitation, Chi-Mei Medical Center, Tainan, 2Department of Special Education, National Chiayi University, Chiayi, 3School of Medicine, Chung Shan Medical University, Taichung, 4Department of Occupational Therapy, College of Medicine, National Cheng Kung University, 5Department of Sports Management, Chia Nan University of Pharmacy and Science, 6Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan Objective: The objective of this study was to examine the responsiveness of the Comprehensive Developmental Inventory for Infants and Toddlers (CDIIT in children with developmental disabilities (DD.Methods: The responsiveness of a measure is its ability to detect change over time, and it is fundamental to an outcome measure for detecting changes over time. We compared the responsiveness of four types of scores (ie, raw scores, developmental ages [DAs], percentile ranks [PRs], and developmental quotients [DQs] in the five subtests of the CDIIT. The CDIIT was administrated three times at intervals of 3 months on 32 children with DD aged between 5 months and 64 months (mean =30.6, standard deviation [SD] =17.8. The CDIIT is a pediatric norm-referenced assessment commonly used for clinical diagnosis of developmental delays in five developmental areas: cognition, language, motor, social, and self-care skills. The responsiveness was analyzed using three methods: effect size, standardized response mean, and paired t-test.Results: The effect size results showed that at the 3-month and 6-month follow-ups, responsiveness was small or moderate in the raw scores and DAs of most of the subtest scores of the CDIIT, but the level of responsiveness varied in the PRs and DQs. The standardized response mean results of the 3-month

Glacier retreat of the Tian Shan and its impact on the urban growth and environment evaluated from satellite remote sensing data

Science.gov (United States)

Fu, B. H.; Guo, Q.; Yan, F.; Zhang, J.; Shi, P. L.; Ayinuer, M.; Xue, G. L.

2017-07-01

The retreat of mountain glaciers, notably in high Asia, provides evidence for the rise of global temperature. The mass balance is vital for the health of a glacier. If the amount of frozen precipitation in the accumulation zone exceeds the quantity of glacial ice loss due to melting or lies in the ablation zone, the glacier will advance. Conversely, if the accumulation is less than the ablation, the glacier will retreat. Glaciers in retreat will have negative mass balances, and if they do not reach an equilibrium between accumulation and ablation, will eventually disappear. Long-term changes of the mountain glaciers in the Tian Shan, Central Asia, are not well constrained. Analyses of satellite remote sensing data combined with the ground observations reveal a 37.5% decline of glaciered area from 1989 to 2014 in No.1 Glacier, the headwaters of the Urumqi River basin, Chinese Tian Shan, which could be linked to increased summer melting. The results show that the area of glaciers was reduced from 31.55 km2 in 18 August 1989 to 28.66 km2 in 24 August 1994 and 19.74 km2 in 31 August 2014. The glacier area was reduced by 0.47 km2/per year in recent 25 years since 1989, and the annual reduction was 1.5%. Meanwhile, the urban area of Urumqi, the biggest city of Xinjiang Uygur Autonomous Region, increased from 156 km2 in 1989 to 555 km2 in 2014. Correspondingly, the population of permanent residents increased from 1.06 million in 1989 to 3.53 million in 2014. We suggest that the decline of glacier area is driven primarily by summer melting and, possibly, linked to the combined effects of the global rise in temperatures and black carbon/CO2 emission from coal-fired power plants, cement plants and petroleum chemical plants from the nearby Urumqi and surrounding regions. The continuing retreat of glaciers will have a number of different quantitative impacts. Populations in the arid Central Asia regions are heavily dependent on snow and glacier melt for their irrigation and

A review of omalizumab for the management of severe asthma

Directory of Open Access Journals (Sweden)

Lin CH

2016-07-01

Full Text Available Ching-Hsiung Lin,1–3 Shih-Lung Cheng4,5 1Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan, Republic of China; 2Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, Taiwan, Republic of China; 3School of Medicine, Chung Shan Medical University, Taichung, Taiwan, Republic of China; 4Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China; 5Department of Chemical Engineering and Materials Science, Yuan Ze University, Zhongli City, Taoyuan County, Taiwan, Republic of China Abstract: Despite the expansion of the understanding in asthma pathophysiology and the continual advances in disease management, a small subgroup of patients remain partially controlled or refractory to standard treatments. Upon the identification of immunoglobulin E and other inflammatory mediators, investigations and developments of targeted agents have thrived. Omalizumab is a humanized monoclonal antibody that specifically targets the circulating immunoglobulin E, which in turn impedes and reduces subsequent releases of the proinflammatory mediators. In the past decade, omalizumab has been proven to be efficacious and well-tolerated in the treatment of moderate-to-severe asthma in both trials and real-life studies, most notably in reducing exacerbation rates and corticosteroid use. While growing evidence has demonstrated that omalizumab may be potentially beneficial in treating other allergic diseases, its indication remains confined to treating severe allergic asthma and chronic idiopathic urticaria. Future efforts may be focused on determining the optimal length of omalizumab treatment, seeking biomarkers that could better predict treatment response, as well as extending its indications. Keywords: severe asthma, IgE, omalizumab, exacerbation, chronic idiopathic urticarial, inhaled corticosteroid

The association of nephrolithiasis with metabolic syndrome and its components: a cross-sectional analysis

Directory of Open Access Journals (Sweden)

Liu YT

2017-01-01

Full Text Available Yen-Tze Liu,1 Pei-Yu Yang,2 Yu-Wen Yang,1 Hung-Yu Sun,1 I-Ching Lin1,3,4 1Department of Family Medicine, Changhua Christian Hospital, 2Department of Laboratory, Show Chwan Memorial Hospital, Changhua City, 3School of Medicine, Chung Shan Medical University, Taichung City, 4School of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan Background: Metabolic syndrome is a worldwide disorder and also the major risk factor of several systemic diseases. Evidence identifying the association between metabolic syndrome and nephrolithiasis is lacking, especially in Taiwan.Aim: The aim of this study was to investigate the association between nephrolithiasis and metabolic syndrome and its components.Design and setting: This was a cross-sectional study conducted in the Health Examination Department of a medical center in Changhua, Taiwan, from January 2010 to December 2010.Methods: We reviewed the medical records of patients who had visited the Health Examination Center of Changhua Christian Hospital in 2010. A total of 3,886 individuals were enrolled. According to the exclusion criteria, those with an age <20 years and an abnormal renal function were excluded. A total of 3,793 subjects were included. All P-values are two tailed, and P<0.05 was defined as statistically significant.Results: The results showed a correlation between nephrolithiasis and metabolic syndrome and its components. The multivariate-adjusted odds ratio (OR (95% confidence interval [CI] of metabolic syndrome for nephrolithiasis was 1.318 (1.083–1.604, with a P-value of 0.006. Larger waist circumference (multivariable-adjusted OR 1.338; 95% CI 1.098–1.631; P=0.004, higher blood pressure (multivariable-adjusted OR 1.333; 95% CI 1.106–1.607; P=0.003, and increased fasting glucose (multivariable-adjusted OR 1.276; 95% CI 1.054–1.546; P=0.01 were associated with nephrolithiasis.Conclusion: This is the first study in Taiwan to investigate the relationship between metabolic

Effect of the muon component of cosmic rays on the results of hadron experiments with the big ionization calorimeter (BIC) of the Tien Shan station

Energy Technology Data Exchange (ETDEWEB)

Bogdanov, A. G., E-mail: AGBogdanov@mephi.ru; Kokoulin, R. P.; Petrukhin, A. A.; Shalabaeva, A. V. [Moscow Engineering Physics Institute (State University) (Russian Federation); Yakovlev, V. I. [Russian Academy of Sciences, Lebedev Institute of Physics (Russian Federation)

2008-01-15

A full-scale simulation of the response of the big ionization calorimeter (BIC) at the Tien Shan station to the passage of single protons and muons was performed on the basis of the GEANT4 package in order to estimate the contribution of the muon cosmic-ray component to the generation of unusual events (such as Anti-Centauros), which were recorded by this facility, and to the imitation of the long-flying component, which changes the shape of the average cascade curve. A comparison of the results of this simulation with experimental data reveals that the appearance of Anti-Centauros may be reasonably explained by the contribution of multiple interactions of single muons, but that muon events are insufficient for explaining the change in the shape of the cascade curve (in particular, the emergence of a second maximum).

Targeting Neuromimicry in Prostate Cancer Metastasis

Science.gov (United States)

2016-10-01

CONTRACTING ORGANIZATION: Cedars-Sinai Medical Center Los Angeles, CA 90048 REPORT DATE: October 2016 TYPE OF REPORT: Annual PREPARED FOR: U.S...ADDRESS(ES) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER Cedars-Sinai Medical Center 8700 Beverly Blvd Los Angeles, CA 90048-1804 9...by activation of axon guidance genes Jason Boyang Wu, Haiyen E. Zhau, and Leland W.K. Chung Uro -Oncology Research Program, Department of

Tectonically controlled relief evolution in the Northern Tien Shan and Junggar Alatau from the Eocene to the Present

Science.gov (United States)

Seib, N.; Kley, J.; Voigt, T.; Kober, M.

2012-04-01

The Cenozoic Tien Shan and Junggar Alatau mountains developed on the southern part of the Paleozoic Altaid orogen as a far-field effect of the collision of the Indian and Eurasian plates. Highland terrain, active seismicity, and fast GPS-derived motions are evidence of rapid ongoing mountain growth today. Variations in relief energy, hight-to-width ratio of ranges and apatite fission track (AFT) exhumation ages suggest they rose at different times. The strong dissection of the higher ridges (heights of up to 2km), indicates an earlier onset and higher rates of uplift. At the other end of the spectrum are low, little dissected ridges. According to AFT ages, exhumation in the Junggar Range began at 9 Ma (Jolivet et al., 2010), circa 11 Ma in the central Kyrgyz Range (Sobel et al., 2006) and 10 Ma in the Terskey Alatau. An AFT age of the low Sogety range is 77 Ma, suggesting that the Cenozic exhumation of the ridge was insufficient to expose rocks from below c.3 km depth. The synclinal lows between the basement highs preserve Cenozoic strata of Eocene to Quaternary age, probably deposited in a once continuous basin (the Ili Basin) and recording the entire history of Tien Shan uplift. Facies pattern of proximal alluvial fans are strictly related to the recent higher mountain areas in the north and in the south. During Middle Miocene, a large lake developed in the basin center. Up to the Middle Miocene sedimentation was accompanied by normal faulting of small magnitude. The main Cenozoic folding and thrusting occurred after that time and before deposition of the Chorgos formation. Shortening was accommodated by reactivation of inherited basement structures, by a switch to reverse or strike-slip motion on normal faults, and the nucleation of new thrusts. The majority of faults which emplace basement rocks over upper Cenozoic sediments dip steeply at angles of 60-70˚, and some have throws of more than 200 m. They are marked by topographic steps and contrasting morphology

The numerical simulation study of the dynamic evolutionary processes in an earthquake cycle on the Longmen Shan Fault

Science.gov (United States)

Tao, Wei; Shen, Zheng-Kang; Zhang, Yong

2016-04-01

The Longmen Shan, located in the conjunction of the eastern margin the Tibet plateau and Sichuan basin, is a typical area for studying the deformation pattern of the Tibet plateau. Following the 2008 Mw 7.9 Wenchuan earthquake (WE) rupturing the Longmen Shan Fault (LSF), a great deal of observations and studies on geology, geophysics, and geodesy have been carried out for this region, with results published successively in recent years. Using the 2D viscoelastic finite element model, introducing the rate-state friction law to the fault, this thesis makes modeling of the earthquake recurrence process and the dynamic evolutionary processes in an earthquake cycle of 10 thousand years. By analyzing the displacement, velocity, stresses, strain energy and strain energy increment fields, this work obtains the following conclusions: (1) The maximum coseismic displacement on the fault is on the surface, and the damage on the hanging wall is much more serious than that on the foot wall of the fault. If the detachment layer is absent, the coseismic displacement would be smaller and the relative displacement between the hanging wall and foot wall would also be smaller. (2) In every stage of the earthquake cycle, the velocities (especially the vertical velocities) on the hanging wall of the fault are larger than that on the food wall, and the values and the distribution patterns of the velocity fields are similar. While in the locking stage prior to the earthquake, the velocities in crust and the relative velocities between hanging wall and foot wall decrease. For the model without the detachment layer, the velocities in crust in the post-seismic stage is much larger than those in other stages. (3) The maximum principle stress and the maximum shear stress concentrate around the joint of the fault and detachment layer, therefore the earthquake would nucleate and start here. (4) The strain density distribution patterns in stages of the earthquake cycle are similar. There are two

Reply to comment by Tan et al. on "Sandbox modeling of evolving thrust wedges with different preexisting topographic relief: Implications for the Longmen Shan thrust belt, eastern Tibet"

Science.gov (United States)

Sun, Chuang; Jia, Dong; Yin, Hongwei; Chen, Zhuxin; Li, Zhigang; Li, Shen; Wei, Dongtao; Li, Yiquan; Yan, Bin; Wang, Maomao; Fang, Shaozhi; Cui, Jian

2017-02-01

Tan et al. comment that the preexisting topographic relief in our sandbox is opposed to its prototype in the central Longmen Shan. Therefore, the comparison between our sandbox modeling and the natural topography is questionable and does not agree with our conclusion that the Xiaoyudong fault is a tear fault. First, we are grateful to the authors for their approval of our sandbox modeling and its contribution to understanding fault behavior within thrust wedges. However, after reading the comment carefully, we found that they misunderstood the meaning of topographic relief we conveyed. In response, we would like to address the differences between the topography in their comment and the orogen-scale topography we investigated in our modeling to defend our conclusion.

Equatorial Ionospheric Irregularities Study from ROCSAT Data

Science.gov (United States)

2017-10-20

UNLIMITED: PB Public Release 13. SUPPLEMENTARY NOTES 14. ABSTRACT Ionospheric irregularity/scintillation occurrences can be caused by external driving ...Academia Sinica, Taipei, Taiwan e-mail: chliu2@gate.sinica.edu.tw phone :886-3-4227151x34757 CoPI: Shin-Yi Su Institution: National Central...University, Chung-Li, Taiwan e-mail: sysu@csrsr.ncu.edu.tw phone :886-3-4227151x57643 CoPI: Lung-Chi Tsai Institution: National Central University, Chung-Li

An Efficient User Authentication and User Anonymity Scheme with Provably Security for IoT-Based Medical Care System

Science.gov (United States)

Wu, Tsu-Yang; Chen, Chin-Ling; Lee, Cheng-Chi; Chen, Chien-Ming

2017-01-01

In recent years, with the increase in degenerative diseases and the aging population in advanced countries, demands for medical care of older or solitary people have increased continually in hospitals and healthcare institutions. Applying wireless sensor networks for the IoT-based telemedicine system enables doctors, caregivers or families to monitor patients’ physiological conditions at anytime and anyplace according to the acquired information. However, transmitting physiological data through the Internet concerns the personal privacy of patients. Therefore, before users can access medical care services in IoT-based medical care system, they must be authenticated. Typically, user authentication and data encryption are most critical for securing network communications over a public channel between two or more participants. In 2016, Liu and Chung proposed a bilinear pairing-based password authentication scheme for wireless healthcare sensor networks. They claimed their authentication scheme cannot only secure sensor data transmission, but also resist various well-known security attacks. In this paper, we demonstrate that Liu–Chung’s scheme has some security weaknesses, and we further present an improved secure authentication and data encryption scheme for the IoT-based medical care system, which can provide user anonymity and prevent the security threats of replay and password/sensed data disclosure attacks. Moreover, we modify the authentication process to reduce redundancy in protocol design, and the proposed scheme is more efficient in performance compared with previous related schemes. Finally, the proposed scheme is provably secure in the random oracle model under ECDHP. PMID:28644381

Circulating hematopoietic progenitors and CD34+ cells predicted successful hematopoietic stem cell harvest in myeloma and lymphoma patients: experiences from a single institution

Directory of Open Access Journals (Sweden)

Yu JT

2016-02-01

Full Text Available Jui-Ting Yu,1,2,* Shao-Bin Cheng,3,* Youngsen Yang,1 Kuang-Hsi Chang,4 Wen-Li Hwang,1 Chieh-Lin Jerry Teng,1,5,6 1Division of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, 2Division of Hematology/Medical Oncology, Tungs' Taichung MetroHarbor Hospital, 3Division of General Surgery, Department of Surgery, 4Department of Medical Research and Education, Taichung Veterans General Hospital, 5Department of Life Science, Tunghai University, 6School of Medicine, Chung Shan Medical University, Taichung, Taiwan, Republic of China *These authors contributed equally to this work Background: Previous studies have shown that the numbers of both circulating hematopoietic progenitor cell (HPC and CD34+ cell are positively correlated with CD34+ cell harvest yield. However, the minimal numbers of both circulating HPCs and CD34+ cells required for performing an efficient hematopoietic stem cell (HSC harvest in lymphoma and myeloma patients have not been defined in our institution. Patients and methods: Medical records of 50 lymphoma and myeloma patients undergoing peripheral blood HSC harvest in our institution were retrospectively reviewed. The minimal and optimal HSC harvest yield required for the treatment was considered to be ≥2×106 CD34+ cells/kg and ≥5×106 CD34+ cells/kg, respectively. Results: The minimally required or optimal HSC yield obtained was not influenced by age (≥60 years, sex, underlying malignancies, disease status, multiple rounds of chemotherapy, or history of radiotherapy. The numbers of both circulating HPC and CD34+ cell were higher in patients with minimally required HSC yields (P=0.000 for HPC and P=0.000 for CD34+ cell and also in patients with optimal HSC yields (P=0.011 for HPC and P=0.006 for CD34+ cell. The cell count cutoff for obtaining minimally required HSC harvest was determined to be 20/mm3 for HPCs and 10/mm3 for CD34+ cells. Furthermore, the cell count cutoff for obtaining

Mobile Technology in E-Learning for Undergraduate Medical Education on Emergent Otorhinolaryngology-Head and Neck Surgery Disorders: Pilot Randomized Controlled Trial.

Science.gov (United States)

Lee, Li-Ang; Wang, Shu-Ling; Chao, Yi-Ping; Tsai, Ming-Shao; Hsin, Li-Jen; Kang, Chung-Jan; Fu, Chia-Hsiang; Chao, Wei-Chieh; Huang, Chung-Guei; Li, Hsueh-Yu; Chuang, Cheng-Keng

2018-03-08

(difference 1.7, 95% CI 0.1-2.7; P=.03), and hedonic stimulation (difference 1.9, 95% CI 0.3-3.1; P=.01) compared with the PPS group. Qualitative feedback indicated that the various games in the IM module attracted the participants' attention but that the nonlinearly arranged materials affected their learning. Using M-TEL for undergraduate medical education on emergent ORL-HNS disorders, an IM module seems to be useful for gaining knowledge, but competency may need to occur elsewhere. While the small sample size reduces the statistical power of our results, its design seems to be appropriate to determine the effects of M-TEL using a larger group. ClinicalTrials.gov NCT02971735; https://clinicaltrials.gov/ct2/show/NCT02971735 (Archived by WebCite at http://www.webcitation.org/6waoOpCEV). ©Li-Ang Lee, Shu-Ling Wang, Yi-Ping Chao, Ming-Shao Tsai, Li-Jen Hsin, Chung-Jan Kang, Chia-Hsiang Fu, Wei-Chieh Chao, Chung-Guei Huang, Hsueh-Yu Li, Cheng-Keng Chuang. Originally published in JMIR Medical Education (http://mededu.jmir.org), 08.03.2018.

Language universals without universal categories

NARCIS (Netherlands)

Croft, W.; van Lier, E.

2012-01-01

In this article, the authors present their views on an article by author Sandra Chung related to lexical categories. According to them, Chung's article critiques an analysis of word classes in Chamorro by author Donald M. Topping. They discuss the restatements made by Chung on Topping's criteria for

PCR nuclear composition at 1-20 PeV according to lateral distributions of all EAS and EAS accompanied high-energy-gamma rays and hadrons in EC at Tien-Shan level

International Nuclear Information System (INIS)

Nesterova, N.M.; Pavlyuchenko, V.P.; Chubenko, A.P.; Shaulov, S.B.

2003-01-01

The Tien-Shan array Adron data are presented on electron-photon component lateral distributions (age parameter S) of extensive air showers of cosmic rays. The data are given as a dependence on the electron size N e for all showers and for showers accompanied by high-energy gamma rays and hadrons in X-ray films. N e characterizes the energy of primary-cosmic-ray nuclei E 0 . Later events are generated by primary photons chiefly. That allows judging on the proton role with E 0 change. S distributions point to the considerable part of light nuclei, protons mainly, at the region above knee of the spectrum at N e > 10 6 up to N e = 5 x 10 6 (E 0 ∼ 10 PeV) at least [ru

Population genetic diversity and structure analysis of wild apricot (Prunus armeniaca L.) revealed by ssr markers in the Tien-Shan mountains of China

International Nuclear Information System (INIS)

Hu, X.; Ni, B.; Zheng, P.; Li, M.

2018-01-01

The simple sequence repeat markers were used to investigate the population genetic diversity and structure of 212 germplasm samples from 14 apricot (Prunus armeniaca) populations in the western of Tien-Shan Mountains, Sinkiang, China. The relatively high expected heterozygosity and Shannon's diversity index indicated the apricot populations maintained a high level of genetic diversity (He = 0.6109, I = 1.2208), with the population in Tuergen ditch of Xinyuan County having the highest genetic diversity index. A high level of intra-population genetic differentiation (91.51%) and a lower level of inter-population genetic differentiation were occurred, as well as a moderate but steady inter-population gene flow (Nm = 2.3735). The self-incompatible pattern, wide distribution, and long-distance pollen transmission via insects and gale are the main factors underlying the genetic variation structure. The UPGMA cluster analysis and genetic structure analysis showed that apricot germplasm could be divided into two or four groups, which was basically consistent with the geographic distribution pattern. The inter-population genetic distance and geographic distance showed a significant correlation (r = 0.2658, p<0.05). (author)

Paleomagnetic constraints on the Cenozoic kinematic evolution of the Pamir plateau from the Western Kunlun Shan foreland

Science.gov (United States)

Li, Zhenyu; Ding, Lin; Lippert, Peter C.; Wei, Honghong

2013-09-01

Thick Cenozoic marine and terrestrial sediments are widely distributed along the perimeter of the Pamir plateau and provide valuable information on the kinematic evolution of the region. Here, we report new biostratigraphic and paleomagnetic results from the piedmont of the Western Kunlun Shan to constrain the magnitude and timing of vertical-axis rotations along the eastern margin of the Pamir. Sampling sites were selected by rock formations and ages, which are based on previous field mapping and on litholostratigraphic and biostratigraphic work presented here. Thermomagnetic analysis, step-wise thermal demagnetization behavior, and positive field tests all suggest that the characteristic remanent magnetization (ChRM) directions most probably have a primary detrital and chemical origin. Our results indicate variable, minor, but in some intervals significant vertical axis rotations with respect to a stable Asian reference frame. This pattern of rotations is similar to paleomagnetic data reported in previously published studies from the Eastern Pamir foreland. In contrast, published paleomagnetic data from the Western Pamir foreland consistently indicate significant CCW rotations within that region. Collectively, these results challenge simple oroclinal bending models for the origin of the Pamir salient, and instead are more consistent with an asymmetric "half-orocline" kinematic model in which the curvature of the Western Pamir is the product of a combination of lithospheric bending of an originally quasi-linear mountain belt and radial thrusting, and the subdued curvature of the eastern edge of the plateau is the result of lateral translation of the Pamir plateau northward past Tibet and Tarim along the Kashgar-Yecheng transfer system. Our results are consistent with activity on the Kashgar-Yecheng transfer system in the Early Miocene.

Novel targeted nuclear imaging agent for gastric cancer diagnosis: glucose-regulated protein 78 binding peptide-guided 111In-labeled polymeric micelles

Directory of Open Access Journals (Sweden)

Cheng CC

2013-04-01

Full Text Available Chun-Chia Cheng,1,2,* Chiung-Fang Huang,3,4,* Ai-Sheng Ho,5 Cheng-Liang Peng,6 Chun-Chao Chang,7,8 Fu-Der Mai,1,9 Ling-Yun Chen,10 Tsai-Yueh Luo,2 Jungshan Chang1,11,121Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, 2Institute of Nuclear Energy Research, Atomic Energy Council, Taoyuan, 3School of Dental Technology, Taipei Medical University, Taipei, 4Division of Family and Operative Dentistry, Department of Dentistry, Taipei Medical University Hospital, Taipei, 5Division of Gastroenterology, Cheng Hsin General Hospital, Taipei, 6Institute of Biomedical Engineering, National Taiwan University, Taipei, 7Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, 8Department of Internal Medicine, Taipei Medical University, Taipei, 9Department of Biochemistry, Taipei Medical University, Taipei, 10Institute of Biochemistry and Biotechnology, Chung Shan Medical University, Taichung, 11Neuroscience Research Center, Taipei Medical University Hospital, Taipei, 12Research Center for Biomedical Implants and Microsurgery Devices, Taipei Medical University, Taipei, Taiwan*These authors contributed equally to this workAbstract: Increased expression of cellular membrane bound glucose-regulated protein 78 (GRP78 is considered to be one of the biomarkers for gastric cancers. Therefore, peptides or molecules with specific recognition to GRP78 can act as a guiding probe to direct conjugated imaging agents to localized cancers. Based on this rationale, GRP78-guided polymeric micelles were designed and manufactured for nuclear imaging detection of tumors. Thiolated GRP78 binding peptide (GRP78BP was first labeled with maleimide-terminated poly(ethylene glycol–poly(ε-caprolactone and then mixed with diethylenetriaminepentaacetic acid (DTPA-linked poly(ethylene glycol–poly(ε-caprolactone to form DTPA/GRP78BP-conjugated micelles. The coupling efficiency of micelles with

[Mining analysis on composition and medication of menstruation prescriptions in Fu Qingzhu's Obstetrics and Gynecology].

Science.gov (United States)

Zhu, Jia-qing; Che, Yu-xia

2015-04-01

In this paper, menstruation prescriptions were selected from "Fu Qingzhu's Obstetrics and Gynecology" and analyzed by using GRI algorithm, correlation analysis, hierarchical clustering method through SPSS, Clementine and traditional Chinese medicine (TCM) inheritance auxiliary systems, in order to screen out 15 menopathy prescriptions, which involve 45 traditional Chinese medicine herbs. In the study, blood-tonifying and qi-tonifying herbs were found to be frequent in the prescriptions. The most frequent single herb was white paeony root, accounting for 9.6% in the total number of prescriptions; The most frequent herb pairs were white paeony root-radix rehmanniae preparata and paeony root-angelica sinensis. Among Fu Shan's menopathy prescriptions, 61 herbal pairs showed a correlation coefficient exceeding 0.05, which evolved into 16 pairs of core combinations. The analysis showed that menopathy prescriptions in volume 1 of "Fu Qingzhu's Obstetrics and Gynecology" focused on tonic traditional Chinese medicines involving liver, spleen and kidney and were adjusted according to changes in qi, blood, cold, hot and wet, which could provide a specific reference for further studies on Fu Shan's academic thoughts and traditional Chinese medicine clinical treatment of menopathy.

Autonomous geodynamics of the Pamir-Tien Shan junction zone from seismology data

Science.gov (United States)

Lukk, A. A.; Shevchenko, V. I.; Leonova, V. G.

2015-11-01

The geodynamics of the Tajik Depression, the junction zone of the Pamirs and Tien Shan, is typically considered in the context of plate tectonic concept, which implies intense subhorizontal compression of the zone resulting from the subduction of the Indian and Eurasian lithospheric plates. This convergence has been reliably confirmed by the GPS measurements. However, the joint analysis of the geological structure, seismicity, and geodimeter measurements conducted during a few years at the Garm geodynamical testing site of the Schmidt Institute of Physics of the Earth, Russian Academy of Sciences, demonstrates a widening of the Tajik Depression instead of its shortening, as should be expected from the subhorizontal compression predominant in the present-day stress-state of this region. This conclusion, together with the data from the other regions, suggests that, along with the plate tectonic mechanisms, there are also other, local, autonomous drivers that contribute to the tectogenesis of this region. Besides, the probable existence of these autonomous sources within the Tajik Depression directly follows from the seismology data. Among them is the crustal spreading within the depression suggested by the seismotectonic displacements in the focal mechanisms of the earthquakes. These displacements are directed in different azimuths off the axial's most subsided part of the depression at a depth of 20-30 km. Above this region the distribution of seismotectonic deformations (STD) is chaotic. This pattern of deformation is barely accounted for by a simple model of subhorizontal compression of the Earth's crust in the region. In our opinion, these features of the seismotectonic deformation in the crust within the studied part of the Tajik Depression is probably associated with the gain in the volume of the rocks due to the inflow of the additional material, which is supplied from the bottom crust or upper mantle by the deep fluids. This increase in the rock volume

Gender difference in early initiation of methamphetamine use among current methamphetamine users in Muse, Northern Shan State, Myanmar.

Science.gov (United States)

Saw, Yu Mon; Saw, Thu Nandar; Yasuoka, Junko; Chan, Nyein; Kham, Nang Pann Ei; Khine, Wint; Cho, Su Myat; Jimba, Masamine

2017-05-08

Globally, methamphetamine (MA) use is a significant public health concern due to unprecedented health effects of its use. However, gender similarities and differences in early age of MA initiation and its risk factors among current MA users have been understudied in a developing country setting. A community-based, cross-sectional study was conducted using a computer assisted self-interviewing program from January to March 2013 in Muse, Northern Shan State, Myanmar. A total of 1362 (775 male and 587 female) self-reported current MA users aged between 18 and 35 years were recruited using respondent-driven sampling. Two gender-stratified multiple logistic regression models (models I and II) were done for analysis. For similarities, 73.0% of males and 60.5% of females initiated MA before their 18th birthday. The early age of MA initiation was positively associated with the reasons and places of the first time MA use among both genders. For differences, males [hazard ratio 1.35; 95% confidence interval, 1.18-1.54] had a significantly higher risk than females to initiate MA at earlier age. Among male users, participants who had bisexual/homosexual preferences were more likely to initiate MA use earlier. In contrast, female users who exchanged sex for money and/or drugs were more likely to initiate MA in earlier age. More than 60.0% of male and female participants initiated MA use early; however, males initiated use earlier than females. Although similarities were found among both genders, differences found in key risk factors for early age MA initiation suggest that gender-specific, MA prevention programs are urgently needed in Myanmar.

DNA binding and cleavage activity of a structurally characterized Ni(II)

Indian Academy of Sciences (India)

bChemical Laboratory, Central Leather Research Institute, Adyar, Chennai 600 020, India. cDepartment of Chemistry, Chung Yuan Christian University, Chung Li, Taiwan 32023, ROC ..... Financial support by the Department of Science &.

Investigation and control of a Plasmodium falciparum malaria outbreak in Shan Special Region II of Myanmar along the China-Myanmar Border from June to December 2014.

Science.gov (United States)

Liu, Hui; Xu, Jian-Wei; Yang, Heng-Lin; Li, Mei; Sun, Cheng-De; Yin, Yi-Jie; Zheng, Zhi-Liang; Zhang, Guang-Yun; Yu, Ai-Shui; Yang, Yong-Hui; Li, Chun-Hui; Ai, Shui

2016-04-25

From 2007 to 2013, intensive control measures reduced malaria burden by 90 % along the China-Myanmar border. However, despite these measures a P. falciparum malaria outbreak was reported in the Shan Special Region II of Myanmar in June of 2014. Epidemiological, parasitological and entomological investigations were performed. Dihydroartemisinin piperaquine (DAPQ) was immediately administered to treat parasite positive individuals. Long lasting insecticidal nets (LLIN), indoor residual spraying (IRS) with insecticides and behavior change communication (BCC) were also provided for outbreak control. An embedded efficacy study was conducted evaluating DP. Molecular genotyping via polymerase chain reaction (PCR) was performed on the Kelch gene on chromosome 13. All infections were identified as Plasmodium falciparum by RDT and microscopy. Two fatalities resulted from the outbreak. The attack rate was 72.8 % (67/92) and the incidence density rate was 14.2 per 100 person-weeks. The positive rate of rapid diagnostic test (RDT) was 72.2 % (65/90) and microscopically-determine parasite rate 42.2 % (38/90). Adjusted odds ratio (OR) of multivariate logistic regression analysis for aged Myanmar border, especially among special populations, needs further collaboration between China, Myanmar and international societies.

Late Cenozoic thrusting of major faults along the central segment of Longmen Shan, eastern Tibet: Evidence from low-temperature thermochronology

Science.gov (United States)

Tan, Xi-Bin; Xu, Xi-Wei; Lee, Yuan-Hsi; Lu, Ren-Qi; Liu, Yiduo; Xu, Chong; Li, Kang; Yu, Gui-Hua; Kang, Wen-Jun

2017-08-01

The Cenozoic orogenic process of the Longmen Shan (LMS) and the kinematics of major faults along the LMS are crucial for understanding the growth history and mechanism of the eastern Tibetan Plateau. Three major faults, from west to east, are present in the central segment of the LMS: the Wenchuan-Maoxian Fault (WMF), the Beichuan-Yingxiu Fault (BYF), and the Jiangyou-Guanxian Fault (JGF). Previous researchers have placed great impetus on the Pengguan Massif, between the WMF and BYF. However, limited low-temperature thermochronology data coverage in other areas prevents us from fully delineating the tectonic history of the LMS. In this study, we collect 22 samples from vertical profiles in the Xuelongbao Massif and the range frontal area located at the hanging walls of the WMF and JGF respectively, and conduct apatite and zircon fission track analyses. New fission track data reveal that the Xuelongbao Massif has been undergoing rapid exhumation with an average rate of 0.7-0.9 mm/yr since 11 Ma, and the range frontal area began rapid exhumation at 7.5 Ma with total exhumation of 2.5-4.5 km. The exhumation histories indicate that the three major faults (WMF, BYF and JGF) in the central LMS are all reverse faults, and show a basinward in-sequence propagation from middle Miocene to present-day. Such a pattern further implies that upper crustal shortening is the primary driver for the LMS' uplift during the Late Cenozoic. Nevertheless, middle-lower crustal deformation is difficult to be constrained by the exhumation histories, and its contribution to LMS' uplift cannot be ruled out.

Modeling Red Blood Cell and Iron Dynamics in Patients with Chronic Kidney Disease

Science.gov (United States)

2012-02-10

level in the body. Most patients with CKD have elevated levels of inflammation due to CKD and the presence of other medical issues (e.g., diabetes ...Blood, 37 (1971), 725–732. [11] Chung-Che Chang, Yayan Chen, Kapil Modi , Omar Awar, Clarence P. Alfrey, and Lawrence Rice, Changes of red blood cell...National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2008. [43] M. M. Udden, T. B. Driscoll, M

Drug-resistant colon cancer cells produce high carcinoembryonic antigen and might not be cancer-initiating cells

OpenAIRE

Lee HC; Ling QD; Yu WC; Hung CM; Kao TC; Huang YW; Higuchi A

2013-01-01

Hsin-chung Lee,1,2 Qing-Dong Ling,1,3 Wan-Chun Yu,4 Chunh-Ming Hung,4 Ta-Chun Kao,4 Yi-Wei Huang,4 Akon Higuchi3–51Graduate Institute of Systems Biology and Bioinformatics, National Central University, Jhongli, Taoyuan, 2Department of Surgery, Cathay General Hospital, Da'an District, Taipei, 3Cathay Medical Research Institute, Cathay General Hospital, Hsi-Chi City, Taipei, 4Department of Chemical and Materials Engineering, National Central University, Jhongli, Taoyuan, Taiwa...

Geochronology and petrogenesis of the Early Cretaceous A-type granite from the Feie'shan W-Sn deposit in the eastern Guangdong Province, SE China: Implications for W-Sn mineralization and geodynamic setting

Science.gov (United States)

Liu, Peng; Mao, Jingwen; Santosh, M.; Bao, Zhian; Zeng, Xiaojian; Jia, Lihui

2018-02-01

The Feie'shan greisen-type W-Sn deposit in the eastern Guangdong Province forms part of the Southeastern Coastal Metallogenic Belt (SCMB) in South China. Here we present zircon LA-ICP-MS U-Pb geochronology of the biotite granite which shows a weighted mean 206Pb/238U age of 134.7 ± 2.0 Ma, consistent with the zircon U-Pb, biotite 40Ar-39Ar and molybdenite Re-Os ages in the previous study. The biotite granite is peraluminous and belongs to high-K calc-alkaline type. It is characterized by high SiO2, K2O, F, K2O + Na2O and FeOt/(FeOt + MgO), and low CaO, MgO, TiO2 and P2O5 contents, enrichment in Rb, Cs, Th and U, and depletion in Ba, Sr, Zr, Ti and P, with flat REE patterns and distinctly negative Eu anomalies, showing an A2-type affinity. The rocks also display extremely low Ba, Sr and Ti concentrations and high Rb/Sr, Rb/Ba and low CaO/(Na2O + K2O) ratios, indicating high degree of fractionation. Zircon grains from the granite have low Eu/Eu* and Ce4 +/Ce3 + ratios, suggesting low oxygen fugacity. The highly fractionated and reduced features imply that the Feie'shan mineralization is genetically related to the biotite granite. The εNd(t) values and zircon εHf(t) values of the biotite granite range from - 2.96 to - 1.95 and - 5.69 to 0.62, with two-stage Nd and Hf model ages (TDM2) of 1083 to 1164 Ma and 1150 to 1552 Ma, indicating that they were derived from magma hybridization between anatectic granitic and mantle-derived mafic magmas. In combination with previous studies, we propose a geodynamic model for the 145―135 Ma W-Sn mineral system and related magmatism in the southwestern domain of the SCMB. After ca. 145 Ma, the subduction orientation of the Izanagi plate changed from oblique to parallel with respect to the continental margin resulting in large-scale lithosphere extension and thinning, which led to the upwelling of asthenosphere. The ascending mantle-derived mafic magmas provided not only supplied the heat for crustal remelting but also added

Journal of Biosciences | Indian Academy of Sciences

Indian Academy of Sciences (India)

Author Affiliations. Chi-Fang Chin1 Arthur Chun-Chieh Shih2 Kuo-Chin Fan1 3. Department of Computer Science and Information Engineering, National Central University, Chung-Li, Taiwan; Institute of Information Science, Academia Sinica, Taipei, Taiwan; Department of Informatics, Fo Guang Univeristy, Ilan, Taiwan ...

Holocene moisture variations over the arid central Asia revealed by a comprehensive sand-dune record from the central Tian Shan, NW China

Science.gov (United States)

Long, Hao; Shen, Ji; Chen, Jianhui; Tsukamoto, Sumiko; Yang, Linhai; Cheng, Hongyi; Frechen, Manfred

2017-10-01

Arid central Asia (ACA) is one of the largest arid (desert) areas in the world, and its climate is dominated by the westerlies. In this study, we examined sand dune evolution from the Bayanbulak Basin in the Tian Shan (Xinjiang, NW China), aiming to infer the Holocene moisture history of the ACA. Combined with stratigraphic observation and environmental proxies analysis (grain size, magnetic susceptibility and total organic content), large numbers of luminescence ages from multiple sites (eight sections, 79 samples) were applied to reconstruct the evolution of the sand dune accumulation in the study basin. The overall results imply very dry conditions characterized by sand dune accumulation at ∼12-6.5 ka, a wet interval between ∼6.5 and 0.8 ka when soil formation occurred, and decreased moisture during the last 0.8 ka. This moisture variation pattern is generally consistent with that inferred from many lacustrine records in the core zone of ACA, suggesting a widespread dry period in the early-to-middle Holocene and relatively wet middle-to-late Holocene. Thus, the moisture history derived from the current sand dune system contrasts with that in Asian monsoon areas, which are characterized by a strong monsoon (high precipitation) in the early and mid-Holocene and a weak monsoon (low precipitation and dry climate) during the late Holocene. Our results strongly suggest that the winter solar insolation and the external boundary conditions such as atmospheric CO2 concentration, ice sheets, and meltwater fluxes, have been major influential factors triggering the Holocene moisture evolution in the core zone of ACA.

[Preliminary investigation on the materia medica of the Zhuang ethnic group].

Science.gov (United States)

Rong, Xiao-Xiang; Li, Gui

2013-09-01

By Zhuang materia medica, it refers to application of medicines under the instructions of medical theory of Zhuang ethnic group. By studying the pronunciation of the Zhuang language for the terms "zhu yu", "bai jiu", and "mi gu" included in the shan hai jing nan shan jing (The Classic of Southern Mountain in Classic of Seas and Mountains) carried out by the Zhuang scholar Qin Bao-lin, it was concluded that the Zhuang minority already applied medicines early in the pre-Qin period. Through extensive cultural communication in different regions in the Wei-Jin-Southern-Northern Dynasties, the medicinal experiences of the Zhuang ethnic group appeared in ancient literature. The antidotes in Zhou hou fang (Handbook of Prescriptions for Emergency), for instance, were mostly coming from the Southern Ridge area. Since the Sui-Tang Dynasties, many materia medica recorded in the herbal works and regional gazetteers, and Annals such as the Guangxi Annals, Gazetteer of Nanning County, and Gazetteer of Liuzhou County, Gazetteer of Binzhou County etc., also carry medicines such as Cinnamom twigs and bark, and mangosteen etc., which are similar to those of the Zhuang medicines. In the Republican period, many manuscripts of Zhuang medicines appeared. After 1949, many institutions of Zhuang medicine were set up successively, including The Nanning Medical Institute, The Medical Institute of Wuzhou, The Medical Institute of Guilin. Systematic researches were also done, with publication of a series of works on Zhuang materia medica. Reformation of part of the prescription forms of Zhuang medicine were also accomplished.

Inventory and state of activity of rockglaciers in the Ile and Kungöy Ranges of Northern Tien Shan from satellite SAR interferometry

Science.gov (United States)

Strozzi, Tazio; Caduff, Rafael; Kääb, Andreas; Bolch, Tobias

2017-04-01

The best visual expression of mountain permafrost are rockglaciers, which, in contrast to the permafrost itself, can be mapped and monitored directly using remotely sensed data. Studies carried out in various parts of the European Alps have shown surface acceleration of rockglaciers and even destabilization of several such landforms over the two last decades, potentially related to the changing permafrost creep conditions. Changes in rockglacier motion are therefore believed to be the most indicative short- to medium-term response of rockglaciers to environmental changes and thus an indicator of mountain permafrost conditions in general. The ESA DUE GlobPermafrost project develops, validates and implements EO products to support research communities and international organizations in their work on better understanding permafrost characteristics and dynamics. Within this project we are building up a worldwide long-term monitoring network of active rockglacier motion investigated using remote sensing techniques. All sites are analysed through a uniform set of data and methods, and results are thus comparable. In order to quantify the rate of movement and the relative changes over time we consider two remote sensing methods: (i) matching of repeat optical data and (ii) satellite radar interferometry. In this contribution, we focus on the potential of recent high spatial resolution SAR data for the analysis of periglacial processes in mountain environments with special attention to the Ile and Kungöy Ranges of Northern Tien Shan at the border between Kazakhstan and Kyrgyzstan, an area which contains a high number of large and comparably fast (> 1m/yr) rockglaciers and is of interest as dry-season water resource and source of natural hazards. As demonstrated in the past with investigations conducted in the Swiss Alps, the visual analysis of differential SAR interferograms can be employed for the rough estimation of the surface deformation rates of rockglaciers and

Face-to-face comparison of the predictive validity of two models of neuropathic pain in the rat: analgesic activity of pregabalin, tramadol and duloxetine.

Science.gov (United States)

Le Cudennec, Camille; Castagné, Vincent

2014-07-15

We compared the preclinical analgesic activity of three marketed drugs with different pharmacological properties, pregabalin, tramadol and duloxetine, described as effective against neuropathic pain in the clinic. These drugs were tested against evoked pain in two different neuropathic models in the rat, the Bennett (CCI) and the Chung (SNL) models. The selected endpoints were tactile allodynia, tactile hyperalgesia, heat hyperalgesia and cold allodynia. Although all three drugs displayed analgesic activity, the effects observed varied according to the behavioral evaluation. Pregabalin showed clear analgesic effects against cold allodynia and tactile hyperalgesia in both the CCI and Chung models. Tramadol was active against all four endpoints in the Chung model with similar effects in the CCI model, apart from tactile allodynia. Duloxetine inhibited tactile allodynia and heat hyperalgesia in both neuropathic pain models. It also displayed efficacy against tactile hyperalgesia in the CCI model and against cold allodynia in the Chung model. These data confirm that the CCI and the Chung models of neuropathic pain do not detect the activity of analgesics with the same sensitivity. Furthermore, the mode of stimulation (tactile or thermal) and the type of endpoint (allodynia or hyperalgesia) can further influence the observed efficacy of gold standards as well as novel compounds developed for treating neuropathic pain symptoms. Copyright © 2014. Published by Elsevier B.V.

75 FR 69160 - Quarterly Publication of Individuals, Who Have Chosen To Expatriate, as Required by Section 6039G

Science.gov (United States)

2010-11-10

... Kendall Teresa Kennedy Christin Susan Kim Chung H. Kim Hannah Boyoung Kim Johnny Han Kin Tse Wing Kiresepi... Ronald Lao Man Bee Lao Ruperto C. Laty Fabrice S. Lau Kwok Chu Lau Lawrence Juen-Yee Lau Megan Shirley... Po Polly Tsangrides Philippos Alexandros Tse Anthony Wai Chung Tse Christopher Tung Alan Leih-Sing...

Iron content and solubility in dust from high-alpine snow along a north-south transect of High Asia

Directory of Open Access Journals (Sweden)

Guangjian Wu

2012-04-01

Full Text Available This study describes the dissolved and insoluble iron fraction of dust (mineral aerosol in high-alpine snow samples collected along a north-south transect across High Asia (Eastern Tien Shan, Qilian Shan, and Southern Tibetan Plateau. This dust provides the basic chemical properties of mid- and high-level tropospheric Asian dust that can supply the limiting iron nutrient for phytoplankton growth in the North Pacific. The iron content in Asian dust averages 4.95% in Eastern Tien Shan, 3.38–5.41% along Qilian Shan and 3.85% in the Southern Tibetan Plateau. The iron fractional solubility averages about 0.25% in Eastern Tien Shan, 0.05–2% along Qilian Shan and 1.5% in the Southern Tibetan Plateau. Among the controlling factors that can affect iron solubility in Asian dust, such as dust composition and particle grain size, acidity seems to be the most significant and can increase the iron solubility by one or two orders of magnitude with acidification of pH=0.66. Our results reveal that iron solubility of dust in the remote downwind sites is higher than that in high-alpine snow, confirming the strong pH-dependence of iron solubility, and indicating that Asian dust shows a large variation in iron solubility on a regional scale.

Iron content and solubility in dust from high-alpine snow along a north-south transect of High Asia

OpenAIRE

Wu, Guangjian; Zhang, Chenglong; Li, Zhongqin; Zhang, Xuelei; Gao, Shaopeng

2012-01-01

This study describes the dissolved and insoluble iron fraction of dust (mineral aerosol) in high-alpine snow samples collected along a north-south transect across High Asia (Eastern Tien Shan, Qilian Shan, and Southern Tibetan Plateau). This dust provides the basic chemical properties of mid- and high-level tropospheric Asian dust that can supply the limiting iron nutrient for phytoplankton growth in the North Pacific. The iron content in Asian dust averages 4.95% in Eastern Tien Shan, 3.38–5...

Magnetostratigraphy of the Neogene Chaka basin and its implications for mountain building processes in the north-eastern Tibetan Plateau

Science.gov (United States)

Zhang, H.-P.; Craddock, W.H.; Lease, R.O.; Wang, W.-T.; Yuan, D.-Y.; Zhang, P.-Z.; Molnar, P.; Zheng, D.-W.; Zheng, W.-J.

2012-01-01

Magnetostratigraphy of sedimentary rock deposited in the Chaka basin (north-eastern Tibetan Plateau) indicates a late Miocene onset of basin formation and subsequent development of the adjacent Qinghai Nan Shan. Sedimentation in the basin initiated at ~11Ma. In the lower part of the basin fill, a coarsening-upward sequence starting at ~9Ma, as well as rapid sedimentation rates, and northward paleocurrents, are consistent with continued growth of the Ela Shan to the south. In the upper section, several lines of evidence suggest that thrust faulting and topographic development of the Qinghai Nan Shan began at ~6.1Ma. Paleocurrent indicators, preserved in the basin in the proximal footwall of the Qinghai Nan Shan, show a change from northward to southward flow between 6.5 and 3.8Ma. At the same location, sediment derived from the Qinghai Nan Shan appears at 6.1Ma. Finally, the initiation of progressively shallowing dips observed in deformed basin strata and a change to pebbly, fluvial deposits at 6.1Ma provide a minimum age for the onset of slip on the thrust fault that dips north-east beneath the Qinghai Nan Shan. We interpret a decrease in sediment accumulation rates since ~6Ma to indicate a reduction in Chaka basin accommodation space due to active faulting and folding along the Qinghai Nan Shan and incorporation of the basin into the wedge-top depozone. Declination anomalies indicate the beginning of counter-clockwise rotation since 6.1Ma, which we associate with local deformation, not regional block rotation. The emergence of the Qinghai Nan Shan near the end of the Miocene Epoch partitioned the once contiguous Chaka-Gonghe and Qinghai basin complex. In a regional framework, our study adds to a growing body of evidence that points to widespread initiation and/or reactivation of fault networks during the late Miocene across the north-eastern Tibetan Plateau. ?? 2011 The Authors. Basin Research ?? 2011 Blackwell Publishing Ltd, European Association of Geoscientists

Estimating the terrestrial N processes in subtropical mountainous forestry catchment through INCA-N: A case study in FuShan catchment, Taiwan

Science.gov (United States)

Lu, Meng-Chang; Huang, -Chuan, Jr.; Chang, Chung-Te; Shih, Yu-Ting; Lin, Teng-Chiu

2016-04-01

The riverine DIN is a crucial indicator for eutrophication in river network. The riverine DIN export in Taiwan is featured by the extremely high yield, ~3800 kg-N km-2yr-1, nearly 20-fold than the global average, showing the interesting terrestrial N process yet rarely documented. In this study we collected the DIN samples in rainwater, soil water, and stream water in a mountainous forest watershed, FuShan experimental forest watershed 1 (WS1) which is a natural broadleaf forest without human activities. Based on the intensive observations, we applied the INCA-N to simulate the riverine DIN response and thus estimate the terrestrial N processes in a global synthesis. The result showed that both discharge and DIN yield were simulated well with the average Nash-Sutcliffe efficiency coefficient of 0.83 and 0.76 , respectively. Among all N processes, N uptake, mineralization, nitrification, denitrfication, and immobilization are significantly positive correlated with soil moisture (R2>0.99), which indicates that soil moisture greatly influences N cycle processes. The average rate of mineralization and nitrification in wet years are consistent with documented values, whereas the rates in dry years are lower than the observations. Despite the high nitrification rate, the secondary forest may uptake abundant N indicating the plant uptake, which responds for removing considerable nitrate, is a controlling factor in forest ecosystem. Our simulated denitrification rate falls between the documented rates of temperate forest and agricultural area, and that may be affected by the high N-deposition in Taiwan. Simulated in-stream denitrification rate is less than 10% of the rate in soil, and is a little lower than that in temperate forest. This preliminary simulation provides an insightful guide to establish the monitoring programme and improve the understanding of N cycle in subtropical.

Holocene River Dynamics, Climate Change and Floodwater Farming in the Watersheds of the Pamir and Tien Shan Mountains of Inner Asia

Science.gov (United States)

Macklin, M. G.; Panyushkina, I. P.; Toonen, W. H. J.

2014-12-01

The Ili, Syr Dayra and Amu Dayra rivers of Inner Asia are emerging as critical areas for the development of irrigation-based agriculture in the ancient world. Following research by Russian archaeologists in the 1970s it is evident that these watersheds had flourishing riverine civilizations comparable to those in Mesopotamia and the Indus Valley. But unlike these areas where the relationship between Holocene river dynamics, climate change and floodwater farming is increasingly underpinned by radiometric dating, the alluvial archaeology of Inner Asia is significantly under researched. To address this, a major multi-disciplinary research program was begun in 2011 centred on the Talgar catchment, a south-bank tributary of the Ili river, southeast Kazakhstan. Building on archaeological excavations and surveys conducted over the past 20 years, we have undertaken one of the most detailed investigations of Holocene people-river environment interactions in Inner Asia. River development has been reconstructed over the last 20,000 years and human settlement histories from the Eneolithic to the Medieval period documented. Periods of Holocene river aggradation and high water levels in Lake Balkhash and Aral Sea correspond with cooler and wetter neoglacial episodes while river entrenchment and floodplain soil development are associated with warmer and drier conditions. Floodwater farming in the Talgar river reached its acme in the late Iron Age (400-200 cal. BC) with more than 60 settlement sites and 550 burial mounds. This corresponds to a period of reduced flood flows, river stability and glacier retreat in the Tien Shan headwaters. A new hydroclimatic-based model for the spatial and temporal dynamics of floodwater farming in the Ili, Syr Dayra and Amu Dayra watersheds is proposed, which explains the large scale expansion (down-river) and contraction (up-river) of settlements since the first use of irrigation in the Neolithic through to the late Medieval period.

Measuring patient's expectation and the perception of quality in LASIK services

Directory of Open Access Journals (Sweden)

Bair Alex

2009-07-01

Full Text Available Abstract Background LASIK is the use of excimer lasers to treat therapeutic and refractive visual disorders, ranging from superficial scars to nearsightedness (myopia, and from astigmatism to farsightedness (hyperopia. The purposes of this study are to checking the applicability and psychometric properties of the SERVQUAL on Lasik surgery population. Second, use SEM methods to investigate the loyalty, perceptions and expectations relationship on LASIK surgery. Methods The method with which this study was conducted was questionnaire development. A total of 463 consecutive patients, attending LASIK surgery affiliated with Chung Shan Medical University Eye Center, enrolled in this study. All participants were asked to complete revised SERVQUAL questionnaires. Student t test, correlation test, and ANOVA and factor analyses were used to identify the characters and factors of service quality. Paired t test were used to test the gap between expectation and perception scores and structural equation modeling was used to examine relationships among satisfaction components. Results The effective response rate was 97.3%. Validity was verified by several methods and internal reliability Cronbach's alpha was > 0.958. The results from patient's scores were very high with an overall score of 6.41(0.66, expectations at 6.68(0.47, and perceptions at 6.51(0.57. The gap between expectations and perceptions was significant, however, (t = 6.08. Furthermore, there were significant differences in the expectation scores among the different jobs. Also, the results showed that the higher the education of the patient, the lower their perception score (r = -0.10. The factor loading results of factor analysis showed 5 factors of the 22 items of the SERVQUAL model. The 5 factors of perception explained 72.94% of the total variance there; and on expectations it explained 77.12% of the total variance of satisfaction scores. The goodness-of-fit summary, of structure equation

Measuring patient's expectation and the perception of quality in LASIK services.

Science.gov (United States)

Lin, Deng-Juin; Sheu, Ing-Cheau; Pai, Jar-Yuan; Bair, Alex; Hung, Che-Yu; Yeh, Yuan-Hung; Chou, Ming-Jen

2009-07-10

LASIK is the use of excimer lasers to treat therapeutic and refractive visual disorders, ranging from superficial scars to nearsightedness (myopia), and from astigmatism to farsightedness (hyperopia). The purposes of this study are to checking the applicability and psychometric properties of the SERVQUAL on Lasik surgery population. Second, use SEM methods to investigate the loyalty, perceptions and expectations relationship on LASIK surgery. The method with which this study was conducted was questionnaire development. A total of 463 consecutive patients, attending LASIK surgery affiliated with Chung Shan Medical University Eye Center, enrolled in this study. All participants were asked to complete revised SERVQUAL questionnaires. Student t test, correlation test, and ANOVA and factor analyses were used to identify the characters and factors of service quality. Paired t test were used to test the gap between expectation and perception scores and structural equation modeling was used to examine relationships among satisfaction components. The effective response rate was 97.3%. Validity was verified by several methods and internal reliability Cronbach's alpha was > 0.958. The results from patient's scores were very high with an overall score of 6.41(0.66), expectations at 6.68(0.47), and perceptions at 6.51(0.57). The gap between expectations and perceptions was significant, however, (t = 6.08). Furthermore, there were significant differences in the expectation scores among the different jobs. Also, the results showed that the higher the education of the patient, the lower their perception score (r = -0.10). The factor loading results of factor analysis showed 5 factors of the 22 items of the SERVQUAL model. The 5 factors of perception explained 72.94% of the total variance there; and on expectations it explained 77.12% of the total variance of satisfaction scores.The goodness-of-fit summary, of structure equation modeling, showed trends in concept on expectations

Regional impairment of intrinsic functional connectivity strength in patients with chronic primary insomnia

OpenAIRE

Huang, Suhua; Zhou, Fuqing; Jiang, Jian; Huang, Muhua; Zeng, Xianjun; Ding, Shan; Gong, Honghan

2017-01-01

Suhua Huang,1 Fuqing Zhou,2,3 Jian Jiang,2,3 Muhua Huang,2,3 Xianjun Zeng,2,3 Shan Ding,1 Honghan Gong2,3 1Department of Radiology, Jiangxi Province Children’s Hospital, 2Department of Radiology, The First Affiliated Hospital, Nanchang University, 3Jiangxi Province Medical Imaging Research Institute, Nanchang, People’s Republic of China Abstract: Several neuroimaging studies have suggested that brain impairment and plasticity occur in patients with chronic primary insomn...

Components of non-anthocyanin phenolic compounds in wines of ...

African Journals Online (AJOL)

Zuo Shan Yi, Zuo Shan Er, Shuang Hong, Shuang You and Shuang Feng) of Vitis amurensis and two hybrid cultivars (Zuo Hong Yi and Zuo You Hong) were examined by high-performance liquid chromatography/electrospray ionization tandem ...

A novel imidazopyridine derivative, X22, attenuates sepsis-induced lung and liver injury by inhibiting the inflammatory response in vitro and in vivo

OpenAIRE

Ge, Xiangting; Feng, Zhiguo; Xu, Tingting; Wu, Beibei; Chen, Hongjin; Xu, Fengli; Fu, Lili; Shan, Xiaoou; Dai, Yuanrong; Zhang, Yali; Liang, Guang

2016-01-01

Xiangting Ge,1,2,* Zhiguo Feng,1,* Tingting Xu,2 Beibei Wu,3 Hongjin Chen,1 Fengli Xu,3 Lili Fu,1 Xiaoou Shan,3 Yuanrong Dai,2 Yali Zhang,1 Guang Liang11Chemical Biology Research Center, School of Pharmaceutical Sciences, 2Department of Pulmonary Medicine, The 2nd Affiliated Hospital, 3Department of Pediatrics, The 2nd Affiliated Hospital, Wenzhou Medical University, Wenzhou, People’s Republic of China*These authors contributed equally to this workAbstract: Sepsis remains a leading ...

Tumour necrosis factor alpha (TNF-α) genetic polymorphisms and ...

Indian Academy of Sciences (India)

and the risk of autoimmune liver disease: a meta-analysis. SHAN LI1∗, XIAMEI .... ORs of the three comparisons, we chose the dominant model. (AA + AG vs ...... Shan Li et al. Higgins J. P. T. and Thompson S. G. 2002 Quantifying heterogene-.

The Shock and Vibration Digest. Volume 16, Number 12

Science.gov (United States)

1984-12-01

Rades, M. Beards, G.EF. Ibrahim, R.A. Ramamurti, V. Beltzer, A. gnaczak, J. Rao, D. K. *BenzlIey, S. E. lwatsubo, T. Rao, J.S. Bernard , J.E. Jennings...Baskar, S .................. 2733 Bernante, R .......... 2152, 2200 Bojarskl, N.N ......... 743, 1818 Bass, H.E ................... 713 Bernard , R.D...2004 Chung, A.W ................. 1077 Cornwell , R.E ............... 396 Dalmotas, D.J .............. 1966 Chung, H ................... 2400

Paleozoic–early Mesozoic gold deposits of the Xinjiang Autonomous Region, northwestern China

Science.gov (United States)

Rui, Zongyao; Goldfarb, Richard J.; Qiu, Yumin; Zhou, T.; Chen, R.; Pirajno, Franco; Yun, Grace

2002-01-01

The late Paleozoic–early Mesozoic tectonic evolution of Xinjiang Autonomous Region, northwestern China provided a favorable geological setting for the formation of lode gold deposits along the sutures between a number of the major Eastern Asia cratonic blocks. These sutures are now represented by the Altay Shan, Tian Shan, and Kunlun Shan ranges, with the former two separated by the Junggar basin and the latter two by the immense Tarim basin. In northernmost Xinjiang, final growth of the Altaid orogen, southward from the Angara craton, is now recorded in the remote mid- to late Paleozoic Altay Shan. Accreted Early to Middle Devonian oceanic rock sequences contain typically small, precious-metal bearing Fe–Cu–Zn VMS deposits (e.g. Ashele). Orogenic gold deposits are widespread along the major Irtysh (e.g. Duyolanasayi, Saidi, Taerde, Kabenbulake, Akexike, Shaerbulake) and Tuergen–Hongshanzui (e.g. Hongshanzui) fault systems, as well as in structurally displaced terrane slivers of the western Junggar (e.g. Hatu) and eastern Junggar areas. Geological and geochronological constraints indicate a generally Late Carboniferous to Early Permian episode of gold deposition, which was coeval with the final stages of Altaid magmatism and large-scale, right-lateral translation along older terrane-bounding faults. The Tian Shan, an exceptionally gold-rich mountain range to the west in the Central Asian republics, is only beginning to be recognized for its gold potential in Xinjiang. In this easternmost part to the range, northerly- and southerly-directed subduction/accretion of early to mid-Paleozoic and mid- to late Paleozoic oceanic terranes, respectively, to the Precambrian Yili block (central Tian Shan) was associated with 400 to 250 Ma arc magmatism and Carboniferous through Early Permian gold-forming hydrothermal events. The more significant resulting deposits in the terranes of the southern Tian Shan include the Sawayaerdun orogenic deposit along the Kyrgyzstan

FINANCIAL STATEMENTS ANALYSIS AND FIRMS’ VALUATION IN VIETNAM

OpenAIRE

Kim, Trang Thu

2009-01-01

Valuation is the central focus in fundamental analysis. This dissertation considers the usefulness of financial statements in predicting market values of companies in Vietnam stock market by adopting the valuation model constructed by Chung et al., (2001). The overview of Vietnam stock market; some definitions about financial statements, valuation; description of several basis valuation models and empirical evidence including the description of valuation model developed by Chung et al., (2001...

Quick Release of Internal Water Storage in a Glacier Leads to Underestimation of the Hazard Potential of Glacial Lake Outburst Floods From Lake Merzbacher in Central Tian Shan Mountains

Science.gov (United States)

Shangguan, Donghui; Ding, Yongjian; Liu, Shiyin; Xie, Zunyi; Pieczonka, Tino; Xu, Junli; Moldobekov, Bolot

2017-10-01

Glacial meltwater and ice calving contribute to the flood volume of glacial lakes such as Lake Merzbacher in the Tian Shan Mountains of central Asia. In this study, we simulated the lake's volume by constructing an empirical relationship between the area of Lake Merzbacher, determined from satellite images, and the lake's water storage, derived from digital elevation models. Results showed that the lake water supply rate before Glacial Lake Outburst Floods (GLOFs) generally agreed well with those during the GLOFs from 2009 to 2012 but not in 2008 and 2015. Furthermore, we found that the combination of glacial meltwater and ice calving is not enough to fully explain the supply rate during GLOFs in 1996 and 1999, suggesting other factors affect the supply rate during GLOFs as well. To examine this further, we compared the water supply rate before and during GLOF events in 1999 and 2008. We inferred that quickly released short-term and intermediate-term water storage by glaciers have likely contributed to both flood events in those years. This study highlights the need to improve our understanding of the supply component of outburst floods, such as irregularly released stored water may lead to GLOF events with generally three different types: case I (singular event-triggered englacial water release), case II (glacier melt due to temperature changes), and case III (englacial water release mixed with glacier melt).

Devonian paleomagnetism of the North Tien Shan: Implications for the middle-Late Paleozoic paleogeography of Eurasia

Science.gov (United States)

Levashova, Natalia M.; Mikolaichuk, Alexander V.; McCausland, Philip J. A.; Bazhenov, Mikhail L.; Van der Voo, Rob

2007-05-01

The Ural-Mongol belt (UMB), between Siberia, Baltica and Tarim, is widely recognized as the locus of Asia's main growth during the Paleozoic, but its evolution remains highly controversial, as illustrated by the disparate paleogeographic models published in the last decade. One of the largest tectonic units of the UMB is the Kokchetav-North Tien Shan Domain (KNTD) that stretches from Tarim in the south nearly to the West Siberian Basin. The KNTD comprises several Precambrian microcontinents and numerous remnants of Early Paleozoic island arcs, marginal basins and accretionary complexes. In Late Ordovician time, all these structures had amalgamated into a single contiguous domain. Its paleogeographic position is of crucial importance for elucidating the Paleozoic evolution of the UMB in general and of the Urals in particular. The Aral Formation, located in Kyrgyzstan in the southern part of the KNTD, consists of a thick Upper Devonian (Frasnian) basalt-andesite sequence. Paleomagnetic data show a dual-polarity characteristic component (Dec/Inc = 286° / + 56°, α95 = 9°, k = 21, N = 15 sites). The primary origin of this magnetization is confirmed by a positive test on intraformational conglomerates. We combine this result with other Paleozoic data from the KNTD and show its latitudinal motion from the Late Ordovician to the end of the Paleozoic. The observed paleolatitudes are found to agree well with the values extrapolated from Baltica to a common reference point (42.5°N, 73°E) in our sampling area for the entire interval; hence coherent motion of the KNTD and Baltica is strongly indicated for most of the Paleozoic. This finding contradicts most published models of the UMB evolution, where the KNTD is separated from Baltica by a rather wide Ural Ocean containing one or more major plate boundaries. An exception is the model of Şengör and Natal'in [A.M.C. Şengör, B.A. Natal'in, Paleotectonics of Asia: fragments of a synthesis, in: A. Yin and M. Harrison (eds

Use of traditional Chinese medicine in patients with hyperlipidemia: A population-based study in Taiwan.

Science.gov (United States)

Chu, Shih-Meng; Shih, Wei-Tai; Yang, Yao-Hsu; Chen, Pau-Chung; Chu, Yen-Hua

2015-06-20

Chinese herbal products (CHPs) are commonly used in patients with hyperlipidemia in traditional Chinese medicine (TCM). Because hyperlipidemia and related disease are common issues worldwide, this study analyzed the prescription patterns and frequencies of CHPs for treating patients with hyperlipidemia in Taiwan. Traditional Chinese medicine (TCM) has become popular as a therapy for controlling symptoms in patients with hyperlipidemia. This study aimed to analyze the prescription patterns of TCM for patients with hyperlipidemia in Taiwan. The study population was recruited from a random-sampled cohort of 1,000,000 people from the National Health Insurance Research Database between 2003 and 2009. We identified 30,784 outpatient visits related with hyperlipidemia diagnosis and collected these medical records. Association rules of data mining were conducted to explore the co-prescription patterns for Chinese herbal products (CHPs). The most commonly prescribed herbal formula for hyperlipidemia treatment was Xue-Fu-Zhu-Yu-Tang (16.1%), and Shan Zha (Crataegi fructus; 25.0%) was the most commonly prescribed single herb. The most commonly prescribed combination of an herbal formula and a single herb was Xue-Fu-Zhu-Yu-Tang and Dan Shen (Radix Salviae Miltiorrhizae), and the most commonly prescribed combination of couplet herbs was Dan Shen and Shan Zha. Xue-Fu-Zhu-Yu-Tang is the most frequently prescribed formula and is typically prescribed with Shan Zha, Dan Shen, and He Shou Wu for patients with hyperlipidemia. Clinical trials are warranted in future research to investigate the effects of the CHPs in terms of safety and efficacy and in particular to evaluate potential interactions with conventional treatments. Copyright © 2015. Published by Elsevier Ireland Ltd.

Fuel optimization of Qinshan nuclear power plant

International Nuclear Information System (INIS)

Liao Zejun; Li Zhuoqun; Kong Deping; Xue Xincai; Wang Shiwei

2010-01-01

Based on the design practice of the fuel replacement of Qin Shan nuclear power plant, this document effectively analyzes the shortcomings of current replacement design of Qin Shan. To address these shortcomings, this document successfully implements the 300 MW fuel optimization program from fuel replacement. fuel improvement and experimentation ,and achieves great economic results. (authors)

Derivation of Candidates for the Combat Casualty Critical Care (C4) Database

Science.gov (United States)

2014-04-01

James D. Oliver, MC USA∥; COL Kevin C. Abbott , MC USA∥; John A. Jones, BS§; LTC Kevin K. Chung, MC USA§ ABSTRACT Objective: To describe the...Cannon J. W., Zonies D. H., Morrow B. D., Orman J. A., Oliver J. D., Abbott K. C., Jones J. A., Chung K. K., 5d. PROJECT NUMBER 5e. TASK NUMBER...Anuria ( cc/24 hour) Use of vasoactive meds Contrasted radiologic studies Insulin requirement Comorbid diagnoses: diabetes , coronary artery disease

An investigation of the thermomechanical features of Laohugou Glacier No. 12 on Qilian Shan, western China, using a two-dimensional first-order flow-band ice flow model

Science.gov (United States)

Wang, Yuzhe; Zhang, Tong; Ren, Jiawen; Qin, Xiang; Liu, Yushuo; Sun, Weijun; Chen, Jizu; Ding, Minghu; Du, Wentao; Qin, Dahe

2018-03-01

By combining in situ measurements and a two-dimensional thermomechanically coupled ice flow model, we investigate the thermomechanical features of the largest valley glacier (Laohugou Glacier No. 12; LHG12) on Qilian Shan located in the arid region of western China. Our model results suggest that LHG12, previously considered as fully cold, is probably polythermal, with a lower temperate ice layer overlain by an upper layer of cold ice over a large region of the ablation area. Modelled ice surface velocities match well with the in situ observations in the east branch (main branch) but clearly underestimate those near the glacier terminus, possibly because the convergent flow is ignored and the basal sliding beneath the confluence area is underestimated. The modelled ice temperatures are in very good agreement with the in situ measurements from a deep borehole (110 m deep) in the upper ablation area. The model results are sensitive to surface thermal boundary conditions, for example surface air temperature and near-surface ice temperature. In this study, we use a Dirichlet surface thermal condition constrained by 20 m borehole temperatures and annual surface air temperatures. Like many other alpine glaciers, strain heating is important in controlling the englacial thermal structure of LHG12. Our transient simulations indicate that the accumulation zone becomes colder during the last two decades as a response to the elevated equilibrium line altitude and the rising summer air temperatures. We suggest that the extent of accumulation basin (the amount of refreezing latent heat from meltwater) of LHG12 has a considerable impact on the englacial thermal status.

Synthesis and evaluation of ortho-[18F]fluorocelecoxib for COX-2 cholangiocarcinoma imaging

Directory of Open Access Journals (Sweden)

Chang CW

2018-05-01

Full Text Available Chi-Wei Chang,1,* Chun-Nan Yeh,2,* Yi-Hsiu Chung,3,* Yong-Ren Chen,4 Shi-Wei Tien,4 Tsung-Wen Chen,2 Shiou-Shiow Farn,4,5 Ying-Cheng Huang,6 Chung-Shan Yu4,7 1Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; 2Department of Surgery, Liver Research Center, Chang-Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan; 3Center for Advanced Molecular Imaging and Translation, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 4Department of Biomedical Engineering and Environmental Sciences, National Tsinghua University, Hsinchu, Taiwan; 5Isotope Application Division, Institute of Nuclear Energy Research, Taoyuan, Taiwan; 6Department of Neurosurgery, Chang-Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan; 7Institute of Nuclear Engineering and Science, National Tsinghua University, Hsinchu, Taiwan *These authors contributed equally to this work Background: An 18F-tagged NSAID analog was prepared for use as a probe for COX-2 expression, which is associated with tumor development. Methods: The in vivo uptake of celecoxib was monitored with ortho-[18F]fluorocelecoxib using positron emission tomography (PET. The binding affinity of ortho-[18F]fluorocelecoxib to COX-1 and COX-2 enzymes were assessed using the competitor celecoxib. Results: The IC50 values were 0.039 μM and 0.024 μM, respectively. A selectivity index of 1.63 was obtained (COX-2 vs COX-1. COX-2 overexpressed cholangiocarcinoma (CCA murine cells took up more ortho-[18F]fluorocelecoxib than that by usual CCA cells from 10 to 60 minutes post incubation. Competitive inhibition (blocking of the tracer uptake of ortho-[18F]fluorocelecoxib in the presence of celecoxib by the COX-2 overexpressed CCA cells and the usual CCA cells gave the IC50 values of 0.5 μM and 46.5 μM, respectively. Based on the in vitro accumulation data and in vivo metabolism half-life (30 min, PET scanning was performed 30–60 min after the

Hyaluronic acid–nimesulide conjugates as anticancer drugs against CD44-overexpressing HT-29 colorectal cancer in vitro and in vivo

Directory of Open Access Journals (Sweden)

Jian YS

2017-03-01

Full Text Available You-Sin Jian,1 Ching-Wen Chen,1 Chih-An Lin,2 Hsiu-Ping Yu,1 Hua-Yang Lin,3 Ming-Yuan Liao,1 Shu-Huan Wu,1 Yan-Fu Lin,1 Ping-Shan Lai1,2,4,5 1Department of Chemistry, 2PhD Program in Tissue Engineering and Regenerative Medicine, National Chung Hsing University, Taichung, 3Preclinical Development Research Department, Holy Stone Healthcare Co., Ltd., Taipei, 4Research Center for Sustainable Energy and Nanotechnology, 5Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, Taiwan Abstract: Carrier-mediated drug delivery systems are promising therapeutics for targeted delivery and improved efficacy and safety of potent cytotoxic drugs. Nimesulide is a multifactorial cyclooxygenase 2 nonsteroidal anti-inflammatory drug with analgesic, antipyretic and potent anticancer properties; however, the low solubility of nimesulide limits its applications. Drugs conjugated with hyaluronic acid (HA are innovative carrier-mediated drug delivery systems characterized by CD44-mediated endocytosis of HA and intracellular drug release. In this study, hydrophobic nimesulide was conjugated to HA of two different molecular weights (360 kDa as HA with high molecular weight [HAH] and 43kDa as HA with low molecular weight [HAL] to improve its tumor-targeting ability and hydrophilicity. Our results showed that hydrogenated nimesulide (N-[4-amino-2-phenoxyphenyl]methanesulfonamide was successfully conjugated with both HA types by carbodiimide coupling and the degree of substitution of nimesulide was 1%, which was characterized by 1H nuclear magnetic resonance 400 MHz and total correlation spectroscopy. Both Alexa Fluor® 647 labeled HAH and HAL could selectively accumulate in CD44-overexpressing HT-29 colorectal tumor area in vivo, as observed by in vivo imaging system. In the in vitro cytotoxic test, HA–nimesulide conjugate displayed >46% cell killing ability at a nimesulide concentration of 400 µM in HT-29 cells, whereas

Ozone pollution around a coastal region of South China Sea: interaction between marine and continental air

Science.gov (United States)

Wang, Hao; Lyu, Xiaopu; Guo, Hai; Wang, Yu; Zou, Shichun; Ling, Zhenhao; Wang, Xinming; Jiang, Fei; Zeren, Yangzong; Pan, Wenzhuo; Huang, Xiaobo; Shen, Jin

2018-03-01

Marine atmosphere is usually considered to be a clean environment, but this study indicates that the near-coast waters of the South China Sea (SCS) suffer from even worse air quality than coastal cities. The analyses were based on concurrent field measurements of target air pollutants and meteorological parameters conducted at a suburban site (Tung Chung, TC) and a nearby marine site (Wan Shan, WS) from August to November 2013. The observations showed that the levels of primary air pollutants were significantly lower at WS than those at TC, while the ozone (O3) value was greater at WS. Higher O3 levels at WS were attributed to the weaker NO titration and higher O3 production rate because of stronger oxidative capacity of the atmosphere. However, O3 episodes were concurrently observed at both sites under certain meteorological conditions, such as tropical cyclones, continental anticyclones and sea-land breezes (SLBs). Driven by these synoptic systems and mesoscale recirculations, the interaction between continental and marine air masses profoundly changed the atmospheric composition and subsequently influenced the formation and redistribution of O3 in the coastal areas. When continental air intruded into marine atmosphere, the O3 pollution was magnified over the SCS, and the elevated O3 ( > 100 ppbv) could overspread the sea boundary layer ˜ 8 times the area of Hong Kong. In some cases, the exaggerated O3 pollution over the SCS was recirculated to the coastal inshore by sea breeze, leading to aggravated O3 pollution in coastal cities. The findings are applicable to similar mesoscale environments around the world where the maritime atmosphere is potentially influenced by severe continental air pollution.

No evidence for shallow shear motion on the Mat Fault, a prominent ...

Indian Academy of Sciences (India)

and is flanked by the Bay of Bengal sediments to the west and Shan Plateau to the east (Fitch 1972;. Le Dain et al. ... Shan Plateau and joins into the Andaman sea rift system which finally joins the Sumatra Fault. System in ..... 2008 Subduction of the Indian lithosphere beneath the. Tibetan Plateau and Burma; Earth Planet.

Hemorrhage Control for Major Traumatic Vascular Injuries

Science.gov (United States)

2017-10-01

TJ, Eastridge BJ, Gilani R, Chung KK, DeSantis SM, DuBose JJ , Tomasek TS, Fortuna GR, Sames VG, Todd SR, Podbielski JM, Wade CE, Holcomb JB and the...Eastridge BJ, Gilani R, Chung KK, DeSantis SM, DuBose JJ , Tomasek JS, Fortuna GR, Sams VG, Todd SR, Podbielski JM, Wade CE, Holcomb JB. Multicenter...Kisat M, Morrison JJ , Hashmi ZG, Efron DT, Rasmussen TE, Haider AH. Epidemiology and outcomes of non-compressible torso hemorrhage. J Surg Res. 2013;184

Proceso dirigido por objetivos para análisis de dominio bajo estándares de calidad

Directory of Open Access Journals (Sweden)

Alfredo Matteo

2009-09-01

Full Text Available Una de las preocupaciones actuales de la Ingeniería de Software, es reducir la brecha entre la ingeniería derequisitos y la ingeniería del sistema de software; el creciente interés en la disciplina denominada Ingeniería del Dominiotrata de llenar esta brecha. En particular, este trabajo se enmarca en el contexto de la identificación temprana derequisitos no funcionales (RNF. El enfoque propuesto por Chung y otros, integra requisitos funcionales (RF y RNFen el modelo de casos de uso y llega a una configuración arquitectónica inicial utilizando el enfoque dirigido por objetivosde Yu y otros. Nuestro aporte consiste en incorporar al enfoque de Chung, un primer paso de análisis del dominiobasado en los estándares de calidad ISO/IEC 9126-1, para la especificación temprana de los RNF, mediante un modelode calidad que representa una vista de calidad del conocimiento del dominio. Este nuevo paso de análisis permitejustificar con precisión los requisitos globales y los límites del sistema, los cuales no son justificados por Chung, y reutilizareste conocimiento sobre los objetivos de calidad de estilos arquitectónicos y funcionalidades principales, para laobtención de la arquitectura inicial de la aplicación. Nuestra contribución principal y resultado es el paso de análisisdel dominio como extensión al proceso de Chung, el cual puede ser aplicado en el contexto de métodos de diseño delíneas de producto y de desarrollo de software centrados en la arquitectura, ofreciendo también un lenguaje unificadosobre la calidad del producto software, del cual se carece en general.One of the present concerns of Software Engineering is to reduce the gap between the stages of requirementsengineering and software system engineering; the growing interest in the discipline of Domain Engineering is justlyto try to fill in this gap. This work is framed in the context of the early identification of non functional requirements(NFR. Functional

Analysis of meteorological data and the surface energy balance of Keqicar Glacier, Tien Shan, China

Science.gov (United States)

Zhang, Y.; Liu, S.; Fujita, K.; Han, H.; Li, J.

2009-04-01

Northwestern China currently experiences a climate change with fundamental consequences for the hydrological cycle. In the strongly arid region where water resources are essential for agriculture and food production, glaciers represent important water resources, contributing significantly to streamflow. The debris is an important glaciological feature of the region and has major impact on melt rates. It is essential to understand and quantify the interaction of climate and sub-debris melt in order to assess the current situation and to predict future water yield. Note that the surface energy balance determines glacier melt. However, little is known about the variability characteristics of the surface energy fluxes in this region. For this reason, we set up two automatic weather stuation (AWSs) in the ablation area of Keqicar Glacier. Keqicar Glacier is located in the Tarim River basin (largest inland river basin in China), southwestern Tien Shan, China. It is a representative debris-covered glacier with a length of 26.0 km and a total surface area of 83.6 km2. The thickness of the debris layer varies from 0.0 to 2.50 m in general. In some places large rocks are piled up to several meters. In this study, we report on analysis of meteorological data for the period 1 July-13 September 2003, from two automatic weather stations, aimed at studying the relationship between climate and ablation. One station is located on the lower part of the ablation area where the glacier is covered by debris layer, and the other near the equilibrium line altitude (ELA). All sensors were sampled every 10 seconds, and data were stored as hourly averages. The stations were visited regularly for maintenance at two weeks intervals depending on the weather conditions and location of the AWS. A total of 17 ablation stakes were drilled into the glacier at different elevations to monitor glacier melt during the study period. Readings were taken regularly in connection with AWS maintenance. The

The Climate Effect of the Topographies at the Northern Margin of the Tibetan Plateau

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Sha, Y.; Shi, Z.; Liu, X.

2017-12-01

The Tibetan Plateau play a crucial role in the formation and evolution of the Asian monsoon-interior aridity climate system. However, the climate effect of other relatively smaller topographies receives less attention. Based on high-resolved general circulation models, we conducted a series of sensitive experiments as with/without mountains, which include the Mongolian Plateau and the Tian Shan Mountains. The numerical simulations reveal the important impacts of the mountain ranges at the northern margins of the Tibetan Plateau. Compared to the main body of the Tibetan Plateau, the uplift of the Mongolian Plateau is essential for the establishment of the strong Siberian High. The East Asian winter monsoon and the westerly jet over the North Pacific Ocean are also significantly strengthened. At present, the Tian Shan Mountains geographically separate the arid interior Asia to the west and east sub-regions. However, the arid west sub-region (Central Asia) and the east sub-region (arid northwestern China) was connected as one large arid region before the uplift of the Tian Shan Mountains. The large arid interior land shares the same precipitation seasonality, with most rains fall in spring and winter while lowest precipitation in summer. After the uplift of the Tian Shan, the large arid region is divided into the west and east sub-regions by the wetter uplifted mountain ranges. More importantly, the precipitation seasonality in the east of the Tian Shan is reversed to be the summer-peak type, which is opposite to that in the Central Asia. The precipitation alteration corresponds well with the change of vertical motion. By the conservation of potential vorticity, the atmosphere stationary waves are modulated. Thus, the remote East Asian monsoon is also modulated. Though enhanced southerly wind blows over East Asia, the monsoon precipitation over the east coast of China and subtropical western Pacific Ocean is significantly reduced as an anticyclonic circulation appears

Mineralogy and geochemistry of triassic carbonatites in the Matcha alkaline intrusive complex (Turkestan-Alai Ridge, Kyrgyz Southern Tien Shan), SW Central Asian orogenic belt

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Vrublevskii, V. V.; Morova, A. A.; Bukharova, O. V.; Konovalenko, S. I.

2018-03-01

Postorogenic intrusions of essexites and alkaline and nepheline syenites in the Turkestan-Alai segment of the Kyrgyz Southern Tien Shan coexist with dikes and veins of carbonatites dated at ∼220 Ma by the Ar-Ar and Rb-Sr age methods. They are mainly composed of calcite and dolomite (60-85%), as well as sodic amphibole, phlogopite, clinopyroxene, microcline, albite, apatite, and magnetite, with accessory niobate, ilmenite, Nb-rutile, titanite, zircon, baddeleyite, monazite-(Ce), barite, and sulfides. The rocks share mineralogical and geochemical similarity with carbonatites that originated by liquid immiscibility at high temperatures above 500 °C. Alkaline silicate and salt-carbonate melts are derived from sources with mainly negative bulk εNd(t) ∼ from -11 to 0 and high initial 87Sr/86Sr ratios (∼0.7061-0.7095) which may be due to mixing of PREMA and EM-type mantle material. Pb isotopic ratios in accessory pyrrhotite (206Pb/204Pb = 18.38; 207Pb/204Pb = 15.64; 208Pb/204Pb = 38.41) exhibit an EM2 trend. The intrusions bear signatures of significant crustal contamination as a result of magma genesis by syntexis and hybridism. Concordant isotope composition changes of δ13C (-6.5 to -1.9‰), δ18O (9.2-23‰), δD (-58 to -41‰), and δ34S (12.6-12.8‰) in minerals and rocks indicate inputs of crustal material at the stage of melting and effect of hot fluids released during dehydration of metamorphosed oceanic basalts or sediments. The observed HFSE patterns of the oldest alkaline gabbro may be due to interaction of the primary mafic magma with IAB-type material. The isotope similarity of alkaline rocks with spatially proximal basalts of the Tarim large igneous province does not contradict the evolution of the Turkestan-Alai Triassic magmatism as the "last echo" of the Tarim mantle plume.

Early Permian intrusions of the Alai range: Understanding tectonic settings of Hercynian post-collisional magmatism in the South Tien Shan, Kyrgyzstan

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Konopelko, D.; Wilde, S. A.; Seltmann, R.; Romer, R. L.; Biske, Yu. S.

2018-03-01

We present geochemical and Sr-Nd-Pb-Hf isotope data as well as the results of single grain U-Pb zircon dating for ten granitoid and alkaline intrusions of the Alai segment of Kyrgyz South Tien Shan (STS). The intrusions comprise four geochemically contrasting series or suites, including (1) I-type and (2) shoshonitic granitoids, (3) peraluminous granitoids including S-type leucogranites and (4) alkaline rocks and carbonatites, closely associated in space. New geochronological data indicate that these diverse magmatic series of the Alai segment formed in a post-collisional setting. Five single grain U-Pb zircon ages in the range 287-281 Ma, in combination with published ages, define the main post-collisional magmatic pulse at 290-280 Ma, which is similar to ages of post-collisional intrusions elsewhere in the STS. An age of 287 ± 4 Ma, obtained for peraluminous graniodiorite of the Liayliak massif, emplaced in amphibolite-facies metamorphic rocks of the Zeravshan-Alai block, is indistinguishable from ca. 290 Ma age of peraluminous granitoids emplaced coevally with Barrovian-type metamorphism in the Garm block, located ca. 40 km south-west of the research area. The Sr-Nd-Pb-Hf isotopic compositions of the studied intrusions are consistent with the reworking of crustal material with 1.6-1.1 Ga average crustal residence times, indicating the formation of the Alai segment on a continental basement with Mesoproterozoic or older crust. The pattern of post-collisional magmatism in the Alai segment, characterized by emplacement of I-type and shoshoninitic granitoids in combination with coeval Barrovian-type metamorphism, is markedly different from the pattern of post-collisional magmatism in the adjacent Kokshaal segment of the STS with predominant A-type granitoids that formed on a former passive margin of the Tarim Craton. We suggest that during the middle-late Carboniferous the Alai segment probably comprised a microcontinent with Precambrian basement located between

Rates and style of Cenozoic deformation around the Gonghe Basin, northeastern Tibetan Plateau

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Craddock, William H.; Kirby, Eric; Zhang, Huiping; Clark, Marin K.; Champagnac, Jean-Daniel; Yuan, Daoyang

2014-01-01

The northeastern Tibetan Plateau constitutes a transitional region between the low-relief physiographic plateau to the south and the high-relief ranges of the Qilian Shan to the north. Cenozoic deformation across this margin of the plateau is associated with localized growth of fault-cored mountain ranges and associated basins. Herein, we combine detailed structural analysis of the geometry of range-bounding faults and deformation of foreland basin strata with geomorphic and exhumational records of erosion in hanging-wall ranges in order to investigate the magnitude, timing, and style of deformation along the two primary fault systems, the Qinghai Nan Shan and the Gonghe Nan Shan. Structural mapping shows that both ranges have developed above imbricate fans of listric thrust faults, which sole into décollements in the middle crust. Restoration of shortening along balanced cross sections suggests a minimum of 0.8–2.2 km and 5.1–6.9 km of shortening, respectively. Growth strata in the associated foreland basin record the onset of deformation on the two fault systems at ca. 6–10 Ma and ca. 7–10 Ma, respectively, and thus our analysis suggests late Cenozoic shortening rates of 0.2 +0.2/–0.1 km/m.y. and 0.7 +0.3/–0.2 km/m.y. along the north and south sides of Gonghe Basin. Along the Qinghai Nan Shan, these rates are similar to late Pleistocene slip rates of ∼0.10 ± 0.04 mm/yr, derived from restoration and dating of a deformed alluvial-fan surface. Collectively, our results imply that deformation along both flanks of the doubly vergent Qilian Shan–Nan Shan initiated by ca. 10 Ma and that subsequent shortening has been relatively steady since that time.

Nuclear Monitoring Research at the Center for Seismic Studies

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1991-05-13

Garm (GAR) in the Southern Tien-Shan Mountains , and a fifth at Irkutsk (IRK) near the border of the Siberian platform and the Baikal rift zone. With...Shan 1-1 Mountains , and a fifth not far from lrkutsk (IRK), at the border of the Precambrian Siberian platform and the Baikal rift zone. Table 1. IRIS...clossinlg northl-eastern, aleas uf tile rist Europen vlatfot ni rjoil Kineshnia to Vorkuta. 1. 2-linies Of iSOVCIUoitieS in thec upper ,uantue (kits

HPV and high-risk gene expression profiles predict response to chemoradiotherapy in head and neck cancer, independent of clinical factors

International Nuclear Information System (INIS)

Jong, Monique C. de; Pramana, Jimmy; Knegjens, Joost L.; Balm, Alfons J.M.; Brekel, Michiel W.M. van den; Hauptmann, Michael; Begg, Adrian C.; Rasch, Coen R.N.

2010-01-01

Purpose: The purpose of this study was to combine gene expression profiles and clinical factors to provide a better prediction model of local control after chemoradiotherapy for advanced head and neck cancer. Material and methods: Gene expression data were available for a series of 92 advanced stage head and neck cancer patients treated with primary chemoradiotherapy. The effect of the Chung high-risk and Slebos HPV expression profiles on local control was analyzed in a model with age at diagnosis, gender, tumor site, tumor volume, T-stage and N-stage and HPV profile status. Results: Among 75 patients included in the study, the only factors significantly predicting local control were tumor site (oral cavity vs. Pharynx, hazard ratio 4.2 [95% CI 1.4-12.5]), Chung gene expression status (high vs. Low risk profile, hazard ratio 4.4 [95% CI 1.5-13.3]) and HPV profile (negative vs. Positive profile, hazard ratio 6.2 [95% CI 1.7-22.5]). Conclusions: Chung high-risk expression profile and a negative HPV expression profile were significantly associated with increased risk of local recurrence after chemoradiotherapy in advanced pharynx and oral cavity tumors, independent of clinical factors.

Geology, mineralization, and fluid inclusion study of the Kuru-Tegerek Au-Cu-Mo skarn deposit in the Middle Tien Shan, Kyrgyzstan

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Soloviev, Serguei G.; Kryazhev, Sergey; Dvurechenskaya, Svetlana

2018-02-01

The Kuru-Tegerek Cu-Au-Mo deposit is situated in a system of Late Carboniferous subduction-related magmatic arcs of the Middle Tien Shan, which together constitute a metallogenic belt of Cu-Au-Mo (±W) porphyry, with local skarns, deposits. The deposit is related to magnetite-series gabbro-diorite to tonalite intrusion. It contains prograde magnesian and calcic skarns with abundant magnetite, associated with gabbro-diorite, and retrograde skarn with Cu mineralization, formed after intrusion of tonalite. Subsequent propylitic alteration introduced abundant chalcopyrite and pyrrhotite, and native Au culminating in zones overprinting magnetite and garnet skarn. Later quartz-muscovite-carbonate veins, formed after intrusion of late mafic quartz monzogabbro dikes, contain chalcopyrite, pyrite, arsenopyrite and other sulfides and sulfosalts, tellurides, and native Au. The earliest retrograde skarn garnet contains gaseous low-salinity (1.7-3.4 wt.% NaCl eq.) fluid inclusions homogenizing at 460-500 °C into vapor, indicating that the early fluid released from crystallizing magma was a low-density vapor. It was followed by more saline (4.0-5.0 wt.% NaCl eq.), high-temperature (400-440 °C) aqueous fluid, as fluid release from the magma progressed. Boiling of this fluid at temperatures of 420 to 370 °C and a pressure of 350-300 bar produced a low-salinity (0.6-1.2 wt.% NaCl eq.), essentially gaseous, and high-salinity (from 39 to 31 wt.% NaCl eq.) brine, with possible metal (including Cu) partitioning into both gaseous and aqueous-saline phases. Boiling was coeval with sulfide deposition in the retrograde skarn. The latest episode of the retrograde skarn stage included direct separation of saline ( 40-42 wt.% NaCl eq.) fluid from crystallizing magma. The separation of saline ( 40 to 14 wt.% NaCl eq.) fluids from a crystallizing magmatic melt continued during the propylitic stage, when fluid cooling from 370 to 320 °C, together with decreasing fO2, caused Cu and especially

Genetically modified rice Bt-Shanyou63 expressing Cry1Ab/c protein does not harm Daphnia magna.

Science.gov (United States)

Zhang, Li; Guo, Ruqing; Fang, Zhixiang; Liu, Biao

2016-10-01

The genetically modified (GM) rice Bt-ShanYou63 (Bt-SY63) received an official biosafety certificate while its safety remained in dispute. In a lifelong study, Daphnia magna were experimentally fed a basal diet of rice flours from Bt-SY63 or its parental rice ShanYou63 (SY63) at concentrations of 0.2mg, 0.3mg, or 0.4mgC (per individual per day). Overall the survival, body size, and reproduction of the animals were comparable between Bt-SY63 and ShanYou63.. The results showed that no significant differences were observed in growth and reproduction parameters between D. magna fed GM and non-GM flour and no dose-related changes occurred in all the values. Based on the different parameters assessed, the GM rice Bt-SY63 is a safe food source for D. magna that does not differ in quality from non-GM rice. Copyright © 2016. Published by Elsevier Inc.

Risk factors for pneumonia among patients with Parkinson's disease: a Taiwan nationwide population-based study

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Chang YP

2016-04-01

Full Text Available Yang-Pei Chang,1 Chih-Jen Yang,2 Kai-Fang Hu,3 A-Ching Chao,4 Yu-Han Chang,5 Kun-Pin Hsieh,6 Jui-Hsiu Tsai,7 Pei-Shan Ho,8,9 Shen-Yang Lim101Department of Neurology, 2Department of Internal Medicine, 3Department of Dentistry, Kaohsiung Municipal Ta-Tung Hospital, 4Department of Neurology, College of Medicine, 5Department of Management, Kaohsiung Municipal Ta-Tung Hospital, 6School of Pharmacy, College of Pharmacy, 7Department of Psychiatry, Kaohsiung Municipal Ta-Tung Hospital, 8Faculty of Dental Hygiene, College of Dental Medicine, Kaohsiung Medical University, 9Cancer Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, Republic of China; 10Faculty of Medicine, University of Malaya, Kuala lumpur, MalaysiaObjective: Pneumonia is the leading cause of death in patients with Parkinson’s disease (PD. However, few studies have been performed to explore the risk factors for pneumonia development in patients with PD.Methods: We conducted a nationwide population-based cohort study of patients with PD to identify the risk factors for these patients developing pneumonia. Participants with newly diagnosed PD between 2000 and 2009 were enrolled from the 2000–2010 National Health Insurance Research Database in Taiwan. We compared patients with PD with an incidence of hospitalization with pneumonia vs those without, and Cox proportional hazard models were used to estimate the risk of pneumonia.Results: Of the 2,001 enrolled patients (mean follow-up duration 5.8 years, range: 2.7–14.7 years, 381 (19.0% had an incidence of hospitalization with pneumonia during the study period. Multivariate Cox proportional hazards analysis identified older age group (≥80 years of age, hazard ratio [HR] =3.15 [95% confidence interval 2.32–4.28], male sex (HR =1.59 [1.29–1.96], certain geographic regions (northern, HR =1.36 [1.04–1.78], southern and eastern, HR =1.40 [1.05–1.88], rural areas (HR =1.34 [1.05–1.72], chronic heart

[Medical technology and medical education].

Science.gov (United States)

von Mallek, D; Biersack, H-J; Mull, R; Wilhelm, K; Heinz, B; Mellert, F

2010-08-01

The education of medical professionals is divided into medical studies, postgraduate training leading to the qualification as a specialist, and continuing professional development. During education, all scientific knowledge and practical skills are to be acquired, which enable the physician to practice responsibly in a specialized medical area. In the present article, relevant curricula are analyzed regarding the consideration of medical device-related topics, as the clinical application of medical technology has reached a central position in modern patient care. Due to the enormous scientific and technical progress, this area has become as important as pharmacotherapy. Our evaluation shows that medical device-related topics are currently underrepresented in the course of medical education and training and should be given greater consideration in all areas of medical education. Possible solutions are presented.

Development of betulinic acid as an agonist of TGR5 receptor using a new in vitro assay

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Lo SH

2016-08-01

Full Text Available Shih-Hsiang Lo,1,2 Kai-Chung Cheng,3 Ying-Xiao Li,3,4 Chin-Hong Chang,4,5 Juei-Tang Cheng,4,6 Kung-Shing Lee7,8 1Division of Cardiology, Department of Internal Medicine, Zhongxing Branch of Taipei City Hospital, 2Department of History and Geography, University of Taipei, Taipei, Taiwan; 3Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; 4Department of Medical Research, 5Department of Neurosurgery, Chi-Mei Medical Center, Yong Kang, 6Institute of Medical Science, College of Health Science, Chang Jung Christian University, Tainan, 7Department of Surgery, Pingtung Hospital, 8Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Background: G-protein-coupled bile acid receptor 1, also known as TGR5 is known to be involved in glucose homeostasis. In animal models, treatment with a TGR5 agonist induces incretin secretion to reduce hyperglycemia. Betulinic acid, a triterpenoid present in the leaves of white birch, has been introduced as a selective TGR5 agonist. However, direct activation of TGR5 by betulinic acid has not yet been reported. Methods: Transfection of TGR5 into cultured Chinese hamster ovary (CHO-K1 cells was performed to establish the presence of TGR5. Additionally, TGR5-specific small interfering RNA was employed to silence TGR5 in cells (NCI-H716 cells that secreted incretins. Uptake of glucose by CHO-K1 cells was evaluated using a fluorescent indicator. Amounts of cyclic adenosine monophosphate and glucagon-like peptide were quantified using enzyme-linked immunosorbent assay kits. Results: Betulinic acid dose-dependently increases glucose uptake by CHO-K1 cells transfected with TGR5 only, which can be considered an alternative method instead of radioligand binding assay. Additionally, signals coupled to TGR5 activation are also

Abielu, perekonna ja õnnistuse tähendus / Chung Hwan Kwak

Index Scriptorium Estoniae

Kwak, Chung Hwan

2002-01-01

Ettekanne Rahvusvahelise ja Relgioonidevahelise Föderatsiooni Maailmarahu eest (IIFWP) Tallinnas peetud seminaril "Riigi uuendamine: perekondi tugevdavate, meie noori kasvatavate ja ühiskonda taasehitavate printsiipide ja praktikate uurimine" : lühendatult

Comparação de modelos matemáticos para descrição das curvas de dessorção de sementes de milho-doce Comparison of mathematical models for description of desorption curves of sweet corn seeds

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Eduardo Fontes Araújo

2001-07-01

Full Text Available Este trabalho teve como objetivo determinar as curvas de dessorção das sementes de milho-doce (Zea mays L., cultivares Superdoce e Doce Cristal, e ajustar diferentes modelos matemáticos aos dados obtidos. As sementes das duas cultivares foram submetidas à dessorção em diversos níveis de temperatura (30, 40, 50 e 60°C, combinados com diferentes umidades relativas do ar (30, 40, 50 e 60%, até atingirem a umidade de equilíbrio. Os seguintes modelos matemáticos foram ajustados por análise de regressão: Henderson-Thompson, Chung-Pfost, Copace, Sigma-Copace, Sabbah e Smith. As sementes das duas cultivares apresentaram umidades de equilíbrio higroscópico semelhantes. Os valores da variância explicada e do desvio-padrão, bem como a distribuição dos resíduos, das duas cultivares, indicam que as equações de Chung-Pfost, Sabbah e Smith foram as que melhor se ajustaram aos dados experimentais, com pequena superioridade da primeira.This work had the goal to determine the desorption curves of seeds of sweet corn cultivars Superdoce and Doce Cristal, and to adjust mathematical models to obtained data. Corn seeds were submitted to desorption under different temperature conditions (30, 40, 50 and 60°C, associated with different relative humidity (30, 40, 50 and 60% until reaching the equilibrium humidity. The following models of regression analysis were adjusted to the experimental data: Henderson-Thompson, Chung-Pfost, Copace, Sigma-Copace, Sabbah and Smith. Seeds of both cultivars showed similar hygroscopic equilibrium. For both cultivars, the equations of Chung-Pfost, Sabbah and Smith, showed the best adjustments to the experimental data, with slight superiority of the first one.

Seasonal snow cover regime and historical change in Central Asia from 1986 to 2008

Science.gov (United States)

Zhou, Hang; Aizen, Elena; Aizen, Vladimir

2017-01-01

A series of statistics describing seasonal Snow Cover Extent and timing in Central Asia (CA) have been derived from AVHRR satellite images for the time period from 1986 to 2008. Analysis of long term mean snow cover statistics shows that the area weighted mean of long term Snow Covering Days (SCD) for the whole CA is 95.2 ± 65.7 days. High elevation mountainous areas above 3000 m in Altai, Tien Shan and Pamir, which account for about 2.8% of total area in CA, have SCD > 240 days. Deserts (Karakorum Desert, Taklamakan Desert, Kumtag Desert) and rain shadow areas of major mountains, accounting for 27.0% of total area in CA, have SCD in the range of 0-30 days. Factors affecting snow cover distribution have been analyzed using simple linear regression and segmented regression. For plain regions and windward regions, the SCD rate is + 5.9 days/100 m, while for leeward regions, the rate jumps from + 0.7 days/100 m to + 10.0 days/100 m at about 2335 m. Latitude affects the SCD, especially in plain regions with insignificant change of elevation, with rates of 9-10 days/degree from south to north. The Mann-Kendal test and the Theil-Sen regression methods have been applied to analyze the spatial heterogeneous trends of change of SCD, Snow Cover Onset Date (SCOD), and Snow Cover Melt Date (SCMD). Area weighed mean SCD in the whole CA does not exhibit significant trend of change from 1986 to 2008. Increase of SCD was observed in the northeastern Kazakh Steppe. Low elevation areas below 2000 m in Central Tien Shan and Eastern Tien Shan, as well as mid-elevation areas from 1000 m to 3000 m in Western Tien Shan, Pamiro-Alai and Western Pamir, also experienced increase of SCD, associated with both earlier SCOD and later SCMD. Decrease of SCD was observed in mountainous areas of Altai, Tien Shan and Pamir, and vast areas in plains surrounding the Aral Sea.

Reconstructing the spatial pattern of historical forest land in China in the past 300 years

Science.gov (United States)

Yang, Xuhong; Jin, Xiaobin; Xiang, Xiaomin; Fan, Yeting; Shan, Wei; Zhou, Yinkang

2018-06-01

The reconstruction of the historical forest spatial distribution is of a great significance to understanding land surface cover in historical periods as well as its climate and ecological effects. Based on the maximum scope of historical forest land before human intervention, the characteristics of human behaviors in farmland reclamation and deforestation for heating and timber, we create a spatial evolution model to reconstruct the spatial pattern of historical forest land. The model integrates the land suitability for reclamation, the difficulty of deforestation, the attractiveness of timber trading markets and the abundance of forest resources to calibrate the potential scope of historical forest land with the rationale that the higher the probability of deforestation for reclamation and wood, the greater the likelihood that the forest land will be deforested. Compared to the satellite-based forest land distribution in 2000, about 78.5% of our reconstructed historical forest grids are of the absolute error between 25% and -25% while as many as 95.85% of those grids are of the absolute error between 50% and -50%, which indirectly validates the feasibility of our reconstructed model. Then, we simulate the spatial distribution of forest land in China in 1661, 1724, 1820, 1887, 1933 and 1952 with the grid resolution of 1 km × 1 km. Our result shows that (1) the reconstructed historical forest land in China in the past 300 years concentrates in DaXingAnLing, XiaoXingAnLing, ChangBaiShan, HengDuanShan, DaBaShan, WuYiShan, DaBieShan, XueFengShang and etc.; (2) in terms of the spatial evolution, historical forest land shrank gradually in LiaoHe plains, SongHuaJiang-NenJiang plains and SanJiang plains of eastnorth of China, Sichuan basins and YunNan-GuiZhou Plateaus; and (3) these observations are consistent to the proceeding of agriculture reclamation in China in past 300 years towards Northeast China and Southwest China.

Procalcitonin and C-reactive protein cannot differentiate bacterial or viral infection in COPD exacerbation requiring emergency department visits

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Chang CH

2015-04-01

Full Text Available Chih-Hao Chang,1 Kuo-Chien Tsao,2,3 Han-Chung Hu,1,4 Chung-Chi Huang,1,4 Kuo-Chin Kao,1,4 Ning-Hung Chen,1,4 Cheng-Ta Yang,1,4 Ying-Huang Tsai,4,5 Meng-Jer Hsieh4,51Department of Pulmonary and Critical Care Medicine, Linkou Chang-Gung Memorial Hospital, Chang-Gung Medical Foundation, Chang-Gung University College of Medicine, Taoyuan, Taiwan; 2Department of Laboratory Medicine, Linkou Chang-Gung Memorial Hospital, Chang-Gung Medical Foundation; 3Department of Medical Biotechnology and Laboratory Science, Chang Gung University, Taoyuan, Taiwan; 4Department of Respiratory Therapy, Chang-Gung University, Taoyuan, Taiwan; 5Department of Pulmonary and Critical Care Medicine, Chiayi Chang-Gung Memorial Hospital, Chang-Gung Medical Foundation, Puzi City, TaiwanBackground: Viral and bacterial infections are the most common causes of chronic obstructive pulmonary disease (COPD exacerbations. Whether serum inflammatory markers can differentiate bacterial from virus infection in patients with COPD exacerbation requiring emergency department (ED visits remains controversial.Methods: Viral culture and polymerase chain reaction (PCR were used to identify the viruses in the oropharynx of patients with COPD exacerbations. The bacteria were identified by the semiquantitative culture of the expectorated sputum. The peripheral blood white blood cell (WBC counts, serum C-reactive protein (CRP, procalcitonin (PCT, and clinical symptoms were compared among patients with different types of infections.Results: Viruses were isolated from 16 (22.2% of the 72 patients enrolled. The most commonly identified viruses were parainfluenza type 3, influenza A, and rhinovirus. A total of 30 (41.7% patients had positive bacterial cultures, with the most commonly found bacteria being Haemophilus influenzae and Haemophilus parainfluenzae. Five patients (6.9% had both positive sputum cultures and virus identification. The WBC, CRP, and PCT levels of the bacteria-positive and bacteria

Korean Medication Algorithm Project for Bipolar Disorder: third revision

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Woo YS

2015-02-01

Full Text Available Young Sup Woo,1 Jung Goo Lee,2,3 Jong-Hyun Jeong,1 Moon-Doo Kim,4 Inki Sohn,5 Se-Hoon Shim,6 Duk-In Jon,7 Jeong Seok Seo,8 Young-Chul Shin,9 Kyung Joon Min,10 Bo-Hyun Yoon,11 Won-Myong Bahk1 1Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, South Korea; 2Department of Psychiatry, Inje University Haeundae Paik Hospital, Busan, South Korea;3Paik Institute for Clinical Research, Inje Univeristy, Busan, South Korea; 4Department of Psychiatry, Jeju National University Hospital, Jeju, South Korea; 5Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation, Uiwang, South Korea; 6Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University, Cheonan, South Korea; 7Department of Psychiatry, Sacred Heart Hospital, Hallym University, Anyang, South Korea; 8Department of Psychiatry, School of Medicine, Konkuk University, Chungju, South Korea; 9Department of Psychiatry, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, South Korea; 10Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, South Korea; 11Department of Psychiatry, Naju National Hospital, Naju, South Korea Objective: To constitute the third revision of the guidelines for the treatment of bipolar disorder issued by the Korean Medication Algorithm Project for Bipolar Disorder (KMAP-BP 2014. Methods: A 56-item questionnaire was used to obtain the consensus of experts regarding pharmacological treatment strategies for the various phases of bipolar disorder and for special populations. The review committee included 110 Korean psychiatrists and 38 experts for child and adolescent psychiatry. Of the committee members, 64 general psychiatrists and 23 child and adolescent psychiatrists responded to the survey. Results: The treatment of choice (TOC for euphoric, mixed, and psychotic mania was the combination of a mood stabilizer (MS and an atypical antipsychotic (AAP; the TOC for

Medical humanities in the undergraduate medical curriculum.

Science.gov (United States)

Supe, Avinash

2012-01-01

The medical humanities have been introduced in medical curricula over the past 30 years in the western world. Having medical humanities in a medical school curriculum can nurture positive attitudes in the regular work of a clinician and contribute equally to personality development. Though substantial evidence in favour of a medical humanities curriculum may be lacking, the feedback is positive. It is recommended that medical humanities be introduced into the curriculum of every medical school with the purpose of improving the quality of healthcare, and the attitudes of medical graduates.

Closure of a local public hospital in Korea: focusing on the organizational life cycle

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Yeo YH

2016-11-01

Full Text Available Young Hyun Yeo,1 Keon-Hyung Lee,2 Hye Jeong Kim3 1Department of Public Administration, Sunmoon University, Asan, ChungNam, South Korea; 2Askew School of Public Administration and Policy, Florida State University, Tallahassee, FL, USA; 3Department of Public Administration, Sunmoon University, Asan, ChungNam, South Korea Abstract: Just as living organisms have a creation-maintenance-extinction life cycle, organizations also have a life cycle. Private organizations will not survive if they fail to acquire necessary resources through market competition. Public organizations, however, continue to survive because the government has provided financial support in order to enhance public interest. Only a few public organizations in Korea have closed. With the introduction of new public management since the economic crisis in 1997, however, public organizations have had to compete with private organizations. Public hospitals are not free to open or close their business. They are also controlled by the government in terms of their prices, management, budgets, and operations. As they pursue public interest by fulfilling the government’s order such as providing free or lower-priced care to the vulnerable population, they tend to provide a lower quality of care and suffer a financial burden. Employing a case study analysis, this study attempts to understand the external environment that local public hospitals face. The fundamental problem of local public hospitals in Korea is the value conflict between public interest and profitability. Local public hospitals are required to pursue public interest by assignment of a public mission including building a medical safety net for low-income patients and managing nonprofitable medical facilities and emergent health care situations. At the same time, they are required to pursue profitability by achieving high-quality care through competition and the operation of an independent, self-supporting system according to

[The use of medical journals by medical students. Which medical journals are read?].

Science.gov (United States)

Algra, Annemijn M; Dekker, Friedo W

2015-01-01

To investigate the role of scientific medical journals in Dutch medical curricula. Descriptive questionnaire study. In 2013, medical students (from year 3 onwards) at the Leiden University Medical Centre (LUMC), were invited to respond to an online questionnaire. They were presented with 28 multiple-choice questions and 11 statements about the use of scientific medical journals in the medical curriculum. We calculated the frequencies of the answers per question and analysed differences between medical students using two-by-two tables. The questionnaire was completed by 680 (53.0%) of 1277 invited medical students enrolled at the LUMC. Most of the respondents were those doing clinical rotations (56.6%) and 60.1% had research experience. More than half of the students read at least one scientific journal a few times per month; this percentage was 38.8% among third-year students, 49.3% among fourth-year students, 60.0% among those on clinical rotation, and was higher among students with research experience (63.3%) than among those without research experience (44.1%). Nearly 90% of students agreed with the statement that the development of academic and scientific education should take place in the bachelor's phase of medical school. Medical students start to read scientific medical journals at an early phase in the medical curriculum and this increases further when students start to undertake research projects or go on clinical rotation. Medical curricula should be constructed in such a way that medical students learn to select and interpret research findings adequately for themselves before they turn to articles from scientific medical journals.

Intelligence quotient discrepancy indicates levels of motor competence in preschool children at risk for developmental delays

Directory of Open Access Journals (Sweden)

Yu TY

2016-02-01

Full Text Available Tzu-Ying Yu,1 Kuan-Lin Chen,2,3 Willy Chou,4,5 Shu-Han Yang,4 Sheng-Chun Kung,4 Ya-Chen Lee,2 Li-Chen Tung4,6,7 1Department of Occupational Therapy, College of Medicine, I-Shou University, Kaohsiung, 2Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, 3Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, 4Department of Physical Medicine and Rehabilitation, Chi-Mei Medical Center, Tainan, 5Department of Recreation and Health Care Management, Cha Nan University of Pharmacy and Science, Tainan, 6School of Medicine, Kaohsiung Medical University, Kaohsiung, 7School of Medicine, Chung Shan Medical University, Taichung, Taiwan Purpose: This study aimed to establish 1 whether a group difference exists in the motor competence of preschool children at risk for developmental delays with intelligence quotient discrepancy (IQD; refers to difference between verbal intelligence quotient [VIQ] and performance intelligence quotient [PIQ] and 2 whether an association exists between IQD and motor competence.Methods: Children’s motor competence and IQD were determined with the motor subtests of the Comprehensive Developmental Inventory for Infants and Toddlers and Wechsler Preschool and Primary Scale of Intelligence™ – Fourth Edition. A total of 291 children were included in three groups: NON-IQD (n=213; IQD within 1 standard deviation [SD], VIQ>PIQ (n=39; VIQ>PIQ greater than 1 SD, and PIQ>VIQ (n=39; PIQ>VIQ greater than 1 SD.Results: The results of one-way analysis of variance indicated significant differences among the subgroups for the “Gross and fine motor” subdomains of the Comprehensive Developmental Inventory for Infants and Toddlers, especially on the subtests of “body-movement coordination” (F=3.87, P<0.05 and “visual-motor coordination” (F=6.90, P<0.05. Motor competence was significantly

Characterization of the Dynamic Littoral Zone: An Exercise in the Real-Time Dynamics of Spatial Data Integration

National Research Council Canada - National Science Library

Breckenridge, John

2000-01-01

The National Imagery and Mapping Agency (NIMA) has established 'Phase I Proof-of-Concept Demonstration for an Integrated Interagency Characterization of the Littoral Zone' under the program direction of Chung Hye Read...

Effect of allergic phenotype on treatment response to inhaled bronchodilators with or without inhaled corticosteroids in patients with COPD

Directory of Open Access Journals (Sweden)

Cheng S

2017-07-01

Full Text Available Shih-Lung Cheng,1,2 Hsu Hui Wang,1 Ching-Hsiung Lin3–5 1Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, 2Department of Chemical Engineering and Materials Science, Yuan Ze University, Taoyuan, 3Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, 4Department of Respiratory Care, College of Health Sciences, Chang Jung Christian University, Tainan, 5School of Medicine, Chung Shan Medical University, Taichung, Taiwan Background: Chronic obstructive pulmonary disease (COPD is a heterogeneous disorder encompassing different phenotypes with different responses to treatment. The present 1-year, two-center hospital-based study investigated whether the plasma immunoglobulin E (IgE level and/or eosinophil cell count could be used as biomarkers to stratify patients with COPD according to predicted responses to inhaled corticosteroids (ICS-based therapy. Methods: A hospital-data based cohort study of COPD patients treated at two territory hospital centers was conducted for 1 year. Allergic biomarkers, including blood eosinophil counts and IgE levels, were assessed at baseline. Lung function parameters, including forced expiratory volume in 1 second (FEV1, forced vital capacity (FVC, and the COPD Assessment Test (CAT, were also evaluated. The frequencies of acute exacerbation (AE and pneumonia were also measured. Eosinophilia and a high IgE level were defined as >3% and 173 IU/mL, respectively. Results: A total of 304 patients were included. Among patients with eosinophilia and high IgE levels, ICS-based therapy was associated with significant improvements in FEV1, FVC, and CAT scores, compared with bronchodilator (BD therapy (P≤0.042. ICS-based therapy was also associated with a significantly lower incidence of AE vs BD-based therapy (11.7% vs 24.1%; P<0.008. Among patients with only eosinophilia, ICS-based therapy yielded significantly better CAT score results vs BD-based treatment

Therapeutic Effects of Water Extract of Arisaema Erubescens Tubers ...

African Journals Online (AJOL)

Purpose: To investigate the anti-arthritic activity of the water extract of Rhizoma Arisaematis (WERA) using collagen II .... Plethysmometer PV-200 (ChengDu Technology. & Market Co. ..... Chung WY. Red ginseng saponin extract attenuates.

Goddard Satellite-Based Surface Turbulent Fluxes Climatology, Yearly Grid V3

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-3 Dataset recently produced through a MEaSUREs funded project led by Dr. Chung-Lin Shie...

Goddard Satellite-Based Surface Turbulent Fluxes Climatology, Seasonal Grid V3

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-3 Dataset recently produced through a MEaSUREs funded project led by Dr. Chung-Lin Shie...

New Insights into the Provenance of the Southern Junggar Basin in the Jurassic from Heavy Mineral Analysis and Sedimentary Characteristics

Science.gov (United States)

Zhou, T. Q.; Wu, C.; Zhu, W.

2017-12-01

Being a vital component of foreland basin of Central-western China, Southern Junggar Basin has observed solid evidences of oil and gas in recent years without a considerable advancement. The key reason behind this is the lack of systematic study on sedimentary provenance analysis of the Southern Junggar basin. Three parts of the Southern Junggar basin, including the western segment (Sikeshu Sag), the central segment (Qigu Fault-Fold Belt) and the eastern segment (Fukang Fault Zone), possess varied provenance systems, giving rise to difficulties for oil-gas exploration. In this study, 3468 heavy minerals data as well as the sedimentary environment analysis of 10 profiles and 7 boreholes were used to investigate the provenances of the deposits in the southern Junggar basin . Based on this research, it reveals that: Sikeshu sag initially shaped the foreland basin prototype in the Triassic and its provenance area of the sediments from the Sikeshu sag has primarily been situated in zhongguai uplift-chepaizi uplift depositional systems located in the northwestern margin of the Junggar Basin. From the early Jurassic, the key sources were likely to be late Carboniferous to early Permain post-collisional volcanic rocks from the North Tian Shan block to Centrao Tian Shan. In the Xishanyao formation, Abundant lithic metamorphic, epidote and garnet that suggests the source rocks were possibly late Carboniferous subduction-related arc volcanic rocks of the Central Tian Shan. In the Toutunhe formation, Bogda Mountains began uplifting and gradually becoming the major provenance. Moreover, the sedimentary boundaries of Junggar basin have also shifted towards the North Tian Shan again. In the late Jurassic, the conglomerates of the Kalazha formation directly overlie the fine-grained red beds of Qigu formation, which throw light on the rapid tectonic uplift of the North Tian Shan. In the eastern segment, meandering river delta and shore-lacustrine environments were fully developed

A Practical Approach to Water Education in Secondary Schools in Penang, Malaysia

Science.gov (United States)

Soo, P. W.; Cheam, C. S.

2012-04-01

In recent years, water problems have become a vital issue in our country, due to increasing population growth and urbanization. According to Prof Ngai Weng Chan, the President of Water Watch Penang (WWP), Malaysia has experienced mounting environmental degradation, and urban environmental woes in main cities like Penang. One of the many water issues affecting Malaysians is the sustainability of water that is closely related to unsustainable water supply management (Chan, 2004). Traditionally in Malaysia, Water Supply Management (WSM) and Water Demand Management (WDM) are based on the top-down-approach hierarchy. However, consumers have not been factored into the decision-making. As a result of increasing water consumption, many states in Malaysia are facing water shortages. We believe that the water consumers like our students can assist in water conservation. Education begins in school. We are certain that students with positive awareness can ultimately result in a water saving society in Malaysia. We have planned for a project that will be carried out at a local secondary school in Penang (Penang Chung Ling High School). The objective of this project is to increase the awareness among secondary students on water issues locally and globally. An initial 100 students from Chung Ling High School will be targeted for our project. We proposed to carry out water auditing of Penang Chung Ling High School to bring about awareness of water usage in the school premises for a period of time. Next, we will identify practical steps to help conserve water in Chung Ling High School. Part of the project includes formulating a water quiz to instill water awareness among the students. Hopefully with the effort to quantify the amount of water loss in unattended leaky taps will help adopting positive behavioral traits to enhance water conservation. Finally, we will look into ways to harvest rainfall for the school with the participation of these students.

Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism.

Science.gov (United States)

Doukas, David J; McCullough, Laurence B; Wear, Stephen

2012-03-01

Medical education accreditation organizations require medical ethics and humanities education to develop professionalism in medical learners, yet there has never been a comprehensive critical appraisal of medical education in ethics and humanities. The Project to Rebalance and Integrate Medical Education (PRIME) I Workshop, convened in May 2010, undertook the first critical appraisal of the definitions, goals, and objectives of medical ethics and humanities teaching. The authors describe assembling a national expert panel of educators representing the disciplines of ethics, history, literature, and the visual arts. This panel was tasked with describing the major pedagogical goals of art, ethics, history, and literature in medical education, how these disciplines should be integrated with one another in medical education, and how they could be best integrated into undergraduate and graduate medical education. The authors present the recommendations resulting from the PRIME I discussion, centered on three main themes. The major goal of medical education in ethics and humanities is to promote humanistic skills and professional conduct in physicians. Patient-centered skills enable learners to become medical professionals, whereas critical thinking skills assist learners to critically appraise the concept and implementation of medical professionalism. Implementation of a comprehensive medical ethics and humanities curriculum in medical school and residency requires clear direction and academic support and should be based on clear goals and objectives that can be reliably assessed. The PRIME expert panel concurred that medical ethics and humanities education is essential for professional development in medicine.

Surface Turbulent Fluxes, 1x1 deg Monthly Climatology, Set1 and NCEP V2c

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSURES funded project led by Dr. Chung-Lin Shie...

Surface Turbulent Fluxes, 1x1 deg Yearly Climatology, Set1 and NCEP V2c (GSSTFYC) at GES DISC

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSURES funded project led by Dr. Chung-Lin Shie...

Surface Turbulent Fluxes, 1x1 deg Monthly Climatology, Set1 and NCEP V2c (GSSTFMC) at GES DISC

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSURES funded project led by Dr. Chung-Lin Shie...

Surface Turbulent Fluxes, 1x1 deg Monthly Grid, Set1 and Interpolated Data V2c (GSSTFM) at GES DISC

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSUREs funded project led by Dr. Chung-Lin Shie...

Surface Turbulent Fluxes, 1x1 deg Monthly Grid, Set1 and Interpolated Data V2c

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSUREs funded project led by Dr. Chung-Lin Shie...

Surface Turbulent Fluxes, 1x1 deg Yearly Climatology, Set1 and NCEP V2c

Data.gov (United States)

National Aeronautics and Space Administration — These data are the Goddard Satellite-based Surface Turbulent Fluxes Version-2c Dataset recently produced through a MEaSURES funded project led by Dr. Chung-Lin Shie...

Emphasizing humanities in medical education: Promoting the integration of medical scientific spirit and medical humanistic spirit.

Science.gov (United States)

Song, Peipei; Tang, Wei

2017-05-23

In the era of the biological-psychological-social medicine model, an ideal of modern medicine is to enhance the humanities in medical education, to foster medical talents with humanistic spirit, and to promote the integration of scientific spirit and humanistic spirit in medicine. Throughout the United States (US), United Kingdom (UK), other Western countries, and some Asian countries like Japan, many medical universities have already integrated the learning of medical humanities in their curricula and recognized their value. While in China, although medical education reform over the past decade has emphasized the topic of medical humanities to increase the professionalism of future physicians, the integration of medical humanity courses in medical universities has lagged behind the pace in Western countries. In addition, current courses in medical humanities were arbitrarily established due to a lack of organizational independence. For various reasons like a shortage of instructors, medical universities have failed to pay sufficient attention to medical humanities education given the urgent needs of society. The medical problems in contemporary Chinese society are not solely the purview of biomedical technology; what matters more is enhancing the humanities in medical education and fostering medical talents with humanistic spirit. Emphasizing the humanities in medical education and promoting the integration of medical scientific spirit and medical humanistic spirit have become one of the most pressing issues China must address. Greater attention should be paid to reasonable integration of humanities into the medical curriculum, creation of medical courses related to humanities and optimization of the curriculum, and actively allocating abundant teaching resources and exploring better methods of instruction.

Assimilació i gestió del carboni en plantes de creixement lent sotmeses a CO2 elevat

OpenAIRE

Pardo Evangelista, Antoni

2006-01-01

En l'actualitat, la concentració atmosfèrica de CO2 està augmentant de forma important a conseqüència de les emissions antropogèniques. Per tant, resulta essencial conèixer quina serà la resposta dels vegetals al CO2 elevat, especialment a llarg termini. Si bé s'han realitzat molts estudis que avaluen l'impacte del CO2 elevat sobre les plantes, la gran majoria s'han dut a terme en espècies de creixement ràpid. Per això, és una incògnita quin serà el comportament de les plantes de creixement l...

Comparison of cross culture engineering ethics training using the simulator for engineering ethics education.

Science.gov (United States)

Chung, Christopher

2015-04-01

This paper describes the use and analysis of the Simulator for Engineering Ethics Education (SEEE) to perform cross culture engineering ethics training and analysis. Details describing the first generation and second generation development of the SEEE are published in Chung and Alfred, Science and Engineering Ethics, vol. 15, 2009 and Alfred and Chung, Science and Engineering Ethics, vol. 18, 2012. In this effort, a group of far eastern educated students operated the simulator in the instructional, training, scenario, and evaluation modes. The pre and post treatment performance of these students were compared to U.S. Educated students. Analysis of the performance indicated that the far eastern educated student increased their level of knowledge 23.7 percent while U.S. educated students increased their level of knowledge by 39.3 percent.

Two-step approach to the dynamics of coupled anharmonic oscillators

International Nuclear Information System (INIS)

Chung, N. N.; Chew, L. Y.

2009-01-01

We have further extended the two-step approach developed by Chung and Chew [N. N. Chung and L. Y. Chew, Phys. Rev. A 76, 032113 (2007)] to the solution of the quantum dynamics of general systems of N-coupled anharmonic oscillators. The idea is to employ an optimized basis set to represent the dynamical quantum states of these oscillator systems. The set is generated via the action of the optimized Bogoliubov transformed bosonic operators on the optimal squeezed vacuum product state. The procedure requires (i) applying the two-step approach to the eigendecomposition of the time evolution operator and (ii) transforming the representation of the initial state from the original to the optimal bases. We have applied the formalism to examine the dynamics of squeezing and entanglement of several anharmonic oscillator systems.

Optimal control penalty finite elements - Applications to integrodifferential equations

Science.gov (United States)

Chung, T. J.

The application of the optimal-control/penalty finite-element method to the solution of integrodifferential equations in radiative-heat-transfer problems (Chung et al.; Chung and Kim, 1982) is discussed and illustrated. The nonself-adjointness of the convective terms in the governing equations is treated by utilizing optimal-control cost functions and employing penalty functions to constrain auxiliary equations which permit the reduction of second-order derivatives to first order. The OCPFE method is applied to combined-mode heat transfer by conduction, convection, and radiation, both without and with scattering and viscous dissipation; the results are presented graphically and compared to those obtained by other methods. The OCPFE method is shown to give good results in cases where standard Galerkin FE fail, and to facilitate the investigation of scattering and dissipation effects.

Beyond "medical tourism": Canadian companies marketing medical travel.

Science.gov (United States)

Turner, Leigh

2012-06-15

Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, "Liberation therapy" for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other businesses market regional, cross

Self‐medication patterns among medical students in South India

Directory of Open Access Journals (Sweden)

Nitasha Bhat

2012-04-01

Full Text Available BackgroundSelf-medication results in wastage of resources, increases resistance of pathogens and generally causes serious health hazards such as adverse drug reactions, prolonged suffering and drug dependence. This study was undertaken to determine the reasons for self-medication and the pattern of self-medication among medical students.MethodThis cross-sectional descriptive study was conducted at the K.S. Hegde Medical Academy, Mangalore. The participants were medical students from first to final year. Medical students were selected through convenience sampling. The data was collected using a pre-tested semi-structured questionnaire. The data was analysed using SPSS version 16 and the results expressed as proportions.ResultsA total of 200 students, 121 (60.5% female and 79 (39.5% male, were included in the study. Of the medical students surveyed, self-medication was reported among 92%. The respondents who used self-medication found it to be time-saving in providing relief from minor ailments. The most common ailments for which self-medication were used were: the common cold (69%, fever (63% and headache (60%. The students consulted their textbooks (39% and seniors or classmates (38% for the medications. Antipyretics (71%, analgesics (65%, antihistamines (37% and antibiotics (34% were the most common self-medicated drugs. Of the respondents, 33% were unaware of the adverse effects of the medication and 5% had experienced adverse reactions. The majority (64% of students advised medications to others, more often to family and friends.ConclusionThe prevalence of self-medication among medical students is high, facilitated by the easy availability of drugs and information from textbooks or seniors. A significant number of students are unaware of the adverse effects of the medication that they themselves take and suggest to others. Therefore, potential problems of self-medication should be emphasised to the students.

Premier Wen hails sci-tech cooperation with CERN

CERN Multimedia

2004-01-01

Premier Wen Jiabao met CERN's director general Dr Robert Aymar and physicist and Nobel laureate Dr Samuel Chao Chung Ting. Premier Wen emphasied the importance for China to collaborate on fundamental science (0.5 page)

The investigation of STEM Self-Efficacy and Professional ...

African Journals Online (AJOL)

Yi-hui Liu. Chung Hsiao Elementary School, Pingtung County, Taiwan ... STEM project-based learning, using social learning theory (SLT) and SCCT as the ..... platform can include media reports and videos about female engineer role models;.

Beyond "medical tourism": Canadian companies marketing medical travel

Science.gov (United States)

2012-01-01

Background Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, “Liberation therapy” for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Methods Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Results Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other

Attitudes Toward Medical Cannabis Legalization Among Serbian Medical Students.

Science.gov (United States)

Vujcic, Isidora; Pavlovic, Aleksandar; Dubljanin, Eleonora; Maksimovic, Jadranka; Nikolic, Aleksandra; Sipetic-Grujicic, Sandra

2017-07-29

Currently, medical cannabis polices are experiencing rapid changes, and an increasing number of nations around the world legalize medical cannabis for certain groups of patients, including those in Serbia. To determine medical students' attitudes toward medical cannabis legalization and to examine the factors influencing their attitudes. Fourth-year medical students at the Faculty of Medicine, University of Belgrade, had participated in a cross-sectional study. Data were collected by an anonymous questionnaire. Overall, 63.4% students supported medical cannabis legalization, and only 20.8% supported its legalization for recreational use. Students who previously used marijuana (p medical cannabis legalization compared with students who never used them. Support for marijuana recreational use was also related to prior marijuana (p cancer (90.4%) and chronic pain (74.2%) were correctly reported approved medical indications by more than half the students. Students who supported medical cannabis legalization showed better knowledge about indications, in contrast to opponents for legalization who showed better knowledge about side effects. Beliefs that using medical cannabis is safe and has health benefits were correlated with support for legalization, and previous marijuana and alcohol use, while beliefs that medical cannabis poses health risks correlated most strongly with previous marijuana use. Conclusions/Importance: The medical students' attitudes toward medical cannabis legalization were significantly correlated with previous use of marijuana and alcohol, knowledge about medical indications and side effects, and their beliefs regarding medical cannabis health benefits and risks.

The Royal Naval Medical Services: delivering medical operational capability. the 'black art' of Medical Operational Planning.

Science.gov (United States)

Faye, M

2013-01-01

This article looks to dispel the mysteries of the 'black art' of Medical Operational Planning whilst giving an overview of activity within the Medical Operational Capability area of Medical Division (Med Div) within Navy Command Headquarters (NCHQ) during a period when the Royal Naval Medical Services (RNMS) have been preparing and reconfiguring medical capability for the future contingent battle spaces. The rolling exercise program has been used to illustrate the ongoing preparations taken by the Medical Operational Capability (Med Op Cap) and the Medical Force Elements to deliver medical capability in the littoral and maritime environments.

Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal.

Science.gov (United States)

Banerjee, I; Bhadury, T

2012-01-01

Self-medication is a widely prevalent practice in India. It assumes a special significance among medical students as they are the future medical practitioners. To assess the pattern of self-medication practice among undergraduate medical students. Tertiary care medical college in West Bengal, India. A cross-sectional questionnaire-based study was conducted among the undergraduate medical students. Out of 500 students of the institute, 482 consented for the study and filled in the supplied questionnaire. Fourteen incomplete questionnaires were excluded and the remaining 468 analyzed. It was found that 267 (57.05%) respondents practiced self-medication. The principal morbidities for seeking self-medication included cough and common cold as reported by 94 students (35.21%) followed by diarrhea (68 students) (25.47%), fever (42 students) (15.73%), headache (40 students) (14.98%) and pain abdomen due to heartburn/ peptic ulcer (23 students) (8.61%). Drugs/ drug groups commonly used for self-medication included antibiotics (31.09%) followed by analgesics (23.21%), antipyretics (17.98%), antiulcer agents (8.99%), cough suppressant (7.87%), multivitamins (6.37%) and antihelminthics (4.49%). Among reasons for seeking self-medication, 126 students (47.19%) felt that their illness was mild while 76 (28.46%) preferred as it is time-saving. About 42 students (15.73%) cited cost-effectiveness as the primary reason while 23 (8.62%) preferred because of urgency. Our study shows that self-medication is widely practiced among students of the institute. In this situation, faculties should create awareness and educate their students regarding advantages and disadvantages of self-medication.

Medical Students’ and Interns’ Attitudes toward Medical Ethics Education in a Thai Medical School

Directory of Open Access Journals (Sweden)

Sakda Sathirareuangchai

2016-03-01

Full Text Available Background: Medical ethics has been accepted as part of every accredited medical curriculum for the past 40 years. Medical students’ attitudes have an important role for development and improvement of the curriculum. Faculty of Medicine Siriraj Hospital is the oldest and largest medical school in Thailand, and has been teaching medical ethics since 1907. Objective: To determine attitudes among medical students and interns toward medical ethics education and understand the factors influencing their attitudes. Methods: Mixed quantitative and qualitative research was conducted with early 6th year medical students and interns. A questionnaire was adapted from previous studies and included some original items. Results: Of the 550 questionnaires distributed, 386 were returned (70.2% response rate. Males (n=180 made up 46.63 % of the sample. Interns (n=219, 56.74 % tended to have more positive attitudes toward ethics learning than did medical students (n = 167, 43.26 %. Male participants tended to agree more with negative statements about ethics learning than did females. There was no statistically significant effect of hometown (Bangkok versus elsewhere or grade point average on attitudes. The main problem cited with medical ethics education was lack of engaging methods. Conclusion: Because clinical experience has an effect on learners’ attitudes towards ethics education, medical ethics should be taught at the appropriate time and with proper techniques, such as drawing explicit ties between ethical principles and real-life situations. Attention to the more detailed aspects of these data should also facilitate improvements to curriculum content, thereby ensuring better educational outcomes.

Medical Identity

DEFF Research Database (Denmark)

Musaeus, Peter

2015-01-01

Purpose: To examine philosophical stances underpinning medical identity and assess the conceptual relationship between physician, medical practice and culture. Argument: Medical identity is about the ideals and moral positions that physicians take when justifying themselves. Medical identity...... hedonistic versus sentimentalist approaches to medical identity. The sociocultural philosophical analysis of medical identity can shed light on what it means conceptually for a physician to harbor beliefs associated with him/her being taken to be an autonomous professional. It is important because it touches...... on the meaning of being a compassionate, good and skilled physician, making its relevance to person-centered medicine self-evident. Conclusion: Medical identity should be analyzed with reference to literature, philosophy and medical practice in order for the physician to exercise a reflective position...

Medical Education in Japan and Introduction of Medical Education at Tokyo Women’s Medical University

Institute of Scientific and Technical Information of China (English)

Yumiko Okubo

2014-01-01

Medical education in Japan changed rapidly in the last decade of the 20th century with the introduction of new education methods and implementation of the core curriculum and common achievement testing such as CBT and OSCE.Recently, there have been other movements in medical education in Japan that have introduced 'outcome(competency) based education(OBE)' and created a system for accreditation of medical education programs. This report provides an overview of current medical education in Japan. Moreover, it introduces medical education at Tokyo Women’s Medical University.

INSA - AASAA joint workshop | Women in Science | Initiatives ...

Indian Academy of Sciences (India)

Presentations at the INSA-AASAA joint workshop on "Women in Science, Education and Research" ... Mon-Shu Ho, National ChungHsing University, Nepal ... Charusita Chakravarty, one of the stars of our community of women scientists, at a ...

Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal

Directory of Open Access Journals (Sweden)

I Banerjee

2012-01-01

Full Text Available Background: Self-medication is a widely prevalent practice in India. It assumes a special significance among medical students as they are the future medical practitioners. Aim: To assess the pattern of self-medication practice among undergraduate medical students. Settings and Design: Tertiary care medical college in West Bengal, India. Material and Methods: A cross-sectional questionnaire-based study was conducted among the undergraduate medical students. Results: Out of 500 students of the institute, 482 consented for the study and filled in the supplied questionnaire. Fourteen incomplete questionnaires were excluded and the remaining 468 analyzed. It was found that 267 (57.05% respondents practiced self-medication. The principal morbidities for seeking self-medication included cough and common cold as reported by 94 students (35.21% followed by diarrhea (68 students (25.47%, fever (42 students (15.73%, headache (40 students (14.98% and pain abdomen due to heartburn/ peptic ulcer (23 students (8.61%. Drugs/ drug groups commonly used for self-medication included antibiotics (31.09% followed by analgesics (23.21%, antipyretics (17.98%, antiulcer agents (8.99%, cough suppressant (7.87%, multivitamins (6.37% and antihelminthics (4.49%. Among reasons for seeking self-medication, 126 students (47.19% felt that their illness was mild while 76 (28.46% preferred as it is time-saving. About 42 students (15.73% cited cost-effectiveness as the primary reason while 23 (8.62% preferred because of urgency. Conclusion: Our study shows that self-medication is widely practiced among students of the institute. In this situation, faculties should create awareness and educate their students regarding advantages and disadvantages of self-medication.

Medical service plans in academic medical centers.

Science.gov (United States)

Siegel, B

1978-10-01

Medical service plans are of major importance to academic medical centers and are becoming increasingly so each year as evidenced by growing dependence of medical schools on resulting funds. How these funds are generated and used varies among schools. The procedures may affect the governance of the institution, modifying the authority of the central administration or the clinical departments. Recent developments in federal legislation, such as health maintenance organizations and amendments (Section 227) to the Social Security Act, and the future development of national health insurance will certainly have an effect on how academic medical centers organize their clinical activities. How successfully various medical schools deal with the dynamic problem may well determine their future survival.

Role of State Medical Boards in Continuing Medical Education

Science.gov (United States)

Johnson, David A.; Austin, Dale L.; Thompson, James N.

2005-01-01

The evaluation of physician competency prior to issuing an initial medical license has been a fundamental responsibility of medical boards. Growing public expectation holds that medical boards will ensure competency throughout a physician's career. The Federation of State Medical Boards (FSMB) strongly supports the right of state medical boards to…

Accounting for Medication Particularities: Designing for Everyday Medication Management

DEFF Research Database (Denmark)

Dalgaard, Lea Gulstav; Grönvall, Erik; Verdezoto, Nervo

2013-01-01

Several projects have shown that self-management of medication in private homes can be challenging. Many projects focused on specific illness-related approaches (e.g. diabetes) or practical issues such as how to handle medication while travelling. However, designing for everyday medication manage....... These medication particularities can enhance the individual’s medication overview and support the understanding of medication intake in everyday life. The study also presents five design principles for future design of PHMMS....

[Involvement of medical representatives in team medical care].

Science.gov (United States)

Hirotsu, Misaki; Sohma, Michiro; Takagi, Hidehiko

2009-04-01

In recent years, chemotherapies have been further advanced because of successive launch of new drugs, introduction of molecular targeting, etc., and the concept of so-called Team Medical Care ,the idea of sharing interdisciplinary expertise for collaborative treatment, has steadily penetrated in the Japanese medical society. Dr. Naoto Ueno is a medical oncologist at US MD Anderson Cancer Center, the birthplace of the Team Medical Care. He has advocated the concept of ABC of Team Oncology by positioning pharmaceutical companies as Team C. Under such team practice, we believe that medical representatives of a pharmaceutical company should also play a role as a member of the Team Medical Care by providing appropriate drug use information to healthcare professionals, supporting post-marketing surveillance of treated patients, facilitating drug information sharing among healthcare professionals at medical institutions, etc.

Medical decision making and medical education: challenges and opportunities.

Science.gov (United States)

Schwartz, Alan

2011-01-01

The Flexner Report highlighted the importance of teaching medical students to reason about uncertainty. The science of medical decision making seeks to explain how medical judgments and decisions ought ideally to be made, how they are actually made in practice, and how they can be improved, given the constraints of medical practice. The field considers both clinical decisions by or for individual patients and societal decisions designed to benefit the public. Despite the relevance of decision making to medical practice, it currently receives little formal attention in the U.S. medical school curriculum. This article suggests three roles for medical decision making in medical education. First, basic decision science would be a valuable prerequisite to medical training. Second, several decision-related competencies would be important outcomes of medical education; these include the physician's own decision skills, the ability to guide patients in shared decisions, and knowledge of health policy decisions at the societal level. Finally, decision making could serve as a unifying principle in the design of the medical curriculum, integrating other curricular content around the need to create physicians who are competent and caring decision makers.

Holocene climate variability in arid Central Asia as revealed from high-resolution sedimentological and geochemical analyses of laminated sediments from Lake Chatyr Kol (Central Tian Shan, Kyrgyzstan)

Science.gov (United States)

Lauterbach, S.; Plessen, B.; Dulski, P.; Mingram, J.; Prasad, S.

2013-12-01

A pronounced trend from a predominantly wet climate during the early Holocene towards significantly drier conditions since the mid-Holocene, mainly attributed to the weakening of the Asian summer monsoon (ASM), is documented in numerous palaeoclimate records from the monsoon-influenced parts of Asia, e.g. the Tibetan Plateau and north- and southeastern China. In contrast, climate in the adjacent regions of mid-latitude arid Central Asia, located north and northwest of the Tibetan Plateau, is supposed to have been characterized by pronounced dry conditions during the early Holocene, wet conditions during the mid-Holocene and a rather moderate drying during the late Holocene, which is mainly attributed to the complex interplay between the mid-latitude Westerlies and the ASM. However, although mid-latitude Central Asia thus might represent a key region for the understanding of teleconnections between the ASM system and the Westerlies, knowledge about past climate development in this region is still ambiguous due to the limited number of high-resolution palaeoclimate records. Hence, new well-dated and highly resolved palaeoclimate records from this region are expected to provide important information about spatio-temporal changes in the regional interplay between Westerlies and ASM and thus aid the understanding of global climate teleconnections. As a part of the project CADY (Central Asian Climate Dynamics), aiming at reconstructing past climatic and hydrological variability in Central Asia, a sediment core of about 6.25 m length has been recovered from alpine Lake Chatyr Kol (40°36' N, 75°14' E, 3530 m a. s. l., surface area ~170 km2, maximum depth ~20 m), located in the Central Tian Shan of Kyrgyzstan. Sediment microfacies analysis on large-scale petrographic thin sections reveals continuously sub-mm scale laminated sediments throughout the record except for the uppermost ca. 60 cm. Microsedimentological characterization of these laminae, which are most probably

Analysis of changed bio-signal to radiation exposure of nuclear medicine worker

International Nuclear Information System (INIS)

Lee, Hwun Jae; Lee, Sang Bock

2007-01-01

In this paper, we are evaluated about bio-signal between general workers and nuclear medicine workers which is more radiation exposure relatively. In order to reciprocal evaluated two group, we experimented nuclear medicine workers in Chung-Buk National University Hospital at department of nuclear medicine and worker in Chon-Nam National University Hospital at CT room, general radiographic room, medical recording room, receipt room, general office room. Used of experimental equipments as follows, for a level of radiation measurement by pocket dosimeter which made by Arrow-Tech company, for heart rate and blood pressure measurement by TONOPORT V which made by GE medical systems company, for heat flux and skin temperature and energy expenditure measurement by Armband senseware 2000 which made by Bodymedia company. Result of experiment obtains as follows : 1) Individual radiation exposure is recorded 3.05 uSv at department of nuclear medicine and order as follows CT room, general radiograpic room, medical recording room, receipt room, general office room. Department of nuclear medicine more 1.5 times than other places. 2) Radiation accumulated dose is not related to Heat flux, Skin temperature, Energy expenditure. 3) Blood pressure is recorded equal to nuclear medical workers, general officer, general people about systolic blood pressure and diastolic blood pressure. Compared to blood pressure between nuclear medical works which is more radiation exposure and other workers was not changed. Consequently, more radiation exposed workers at nuclear medicine field doesn't have hazard

Current trends in medical ethics education in Japanese medical schools.

Science.gov (United States)

Kurosu, Mitsuyasu

2012-09-01

The Japanese medical education program has radically improved during the last 10 years. In 1999, the Task Force Committee on Innovation of Medical Education for the 21st Century proposed a tutorial education system, a core curriculum, and a medical student evaluation system for clinical clerkship. In 2001, the Model Core Curriculum of medical education was instituted, in which medical ethics became part of the core material. Since 2005, a nationwide medical student evaluation system has been applied for entrance to clinical clerkship. Within the Japan Society for Medical Education, the Working Group of Medical Ethics proposed a medical ethics education curriculum in 2001. In line with this, the Japanese Association for Philosophical and Ethical Research in Medicine has begun to address the standardization of the curriculum of medical ethics. A medical philosophy curriculum should also be included in considering illness, health, life, death, the body, and human welfare.

Journal of Chemical Sciences | Indian Academy of Sciences

Indian Academy of Sciences (India)

Synthesis and bio-catalytic activity of isostructural cobalt(III)-phenanthroline complexes. Dhananjay Dey Arnab Basu Roy Anandan Ranjani Loganathan Gayathri Saravanan Chandraleka Dharumadurai Dhanasekaran Mohammad Abdulkader Akbarsha Chung-Yu Shen Hui-Lien Tsai Milan Maji Niranjan Kole Bhaskar ...

Proceedings – Mathematical Sciences | Indian Academy of Sciences

Indian Academy of Sciences (India)

-Convex Functions · Feng Qi Bo-Yan Xi ... Stability of a Simple Levi–Civitá Functional Equation on Non-Unital Commutative Semigroups · Jaeyoung Chung Heather Hunt .... On Quadratic Variation of Martingales · Rajeeva L Karandikar B V Rao.

Inhibition of Inducible Nitric Oxide Synthase, Cycleooxygenase-2 ...

African Journals Online (AJOL)

HP

Won Chung, Jin Uk Oh, Sehyung Lee and Sung-Jin Kim* ... was determined by Western blot analysis for iNOS and COX-2 expression in LPS-stimulated RAW ..... Nitric oxide-scavenging and antioxidant effects ofUraria crinite root. Food.

Growth characteristics and productivity of cold-tolerant “Kowinearly ...

African Journals Online (AJOL)

Growth characteristics and productivity of cold-tolerant “Kowinearly” Italian ryegrass in the northern part of South Korea. Gi Jun Choi, Hee Chung Ji, Ki-Yong Kim, Hyung Soo Park, Sung Seo, Ki-Won Lee, Sang-Hoon Lee ...

Medical tourism.

Science.gov (United States)

Leggat, Peter

2015-01-01

Medical tourism is a burgeoning industry in our region. It involves patients travelling outside of their home country for medical treatment. This article provides an outline of the current research around medical tourism, especially its impact on Australians. Patients are increasingly seeking a variety of medical treatments abroad, particularly those involving cosmetic surgery and dental treatment, often in countries in South-East Asia. Adverse events may occur during medical treatment abroad, which raises medico-legal and insurance issues, as well as concerns regarding follow-up of patients. General practitioners need to be prepared to offer advice, including travel health advice, to patients seeking medical treatment abroad.

Undergraduate medical education in emergency medical care: a nationwide survey at German medical schools.

Science.gov (United States)

Beckers, Stefan K; Timmermann, Arnd; Müller, Michael P; Angstwurm, Matthias; Walcher, Felix

2009-05-12

Since June 2002, revised regulations in Germany have required "Emergency Medical Care" as an interdisciplinary subject, and state that emergency treatment should be of increasing importance within the curriculum. A survey of the current status of undergraduate medical education in emergency medical care establishes the basis for further committee work. Using a standardized questionnaire, all medical faculties in Germany were asked to answer questions concerning the structure of their curriculum, representation of disciplines, instructors' qualifications, teaching and assessment methods, as well as evaluation procedures. Data from 35 of the 38 medical schools in Germany were analysed. In 32 of 35 medical faculties, the local Department of Anaesthesiology is responsible for the teaching of emergency medical care; in two faculties, emergency medicine is taught mainly by the Department of Surgery and in another by Internal Medicine. Lectures, seminars and practical training units are scheduled in varying composition at 97% of the locations. Simulation technology is integrated at 60% (n = 21); problem-based learning at 29% (n = 10), e-learning at 3% (n = 1), and internship in ambulance service is mandatory at 11% (n = 4). In terms of assessment methods, multiple-choice exams (15 to 70 questions) are favoured (89%, n = 31), partially supplemented by open questions (31%, n = 11). Some faculties also perform single practical tests (43%, n = 15), objective structured clinical examination (OSCE; 29%, n = 10) or oral examinations (17%, n = 6). Emergency Medical Care in undergraduate medical education in Germany has a practical orientation, but is very inconsistently structured. The innovative options of simulation technology or state-of-the-art assessment methods are not consistently utilized. Therefore, an exchange of experiences and concepts between faculties and disciplines should be promoted to guarantee a standard level of education in emergency medical care.

Undergraduate medical education in emergency medical care: A nationwide survey at German medical schools

Directory of Open Access Journals (Sweden)

Timmermann Arnd

2009-05-01

Full Text Available Abstract Background Since June 2002, revised regulations in Germany have required "Emergency Medical Care" as an interdisciplinary subject, and state that emergency treatment should be of increasing importance within the curriculum. A survey of the current status of undergraduate medical education in emergency medical care establishes the basis for further committee work. Methods Using a standardized questionnaire, all medical faculties in Germany were asked to answer questions concerning the structure of their curriculum, representation of disciplines, instructors' qualifications, teaching and assessment methods, as well as evaluation procedures. Results Data from 35 of the 38 medical schools in Germany were analysed. In 32 of 35 medical faculties, the local Department of Anaesthesiology is responsible for the teaching of emergency medical care; in two faculties, emergency medicine is taught mainly by the Department of Surgery and in another by Internal Medicine. Lectures, seminars and practical training units are scheduled in varying composition at 97% of the locations. Simulation technology is integrated at 60% (n = 21; problem-based learning at 29% (n = 10, e-learning at 3% (n = 1, and internship in ambulance service is mandatory at 11% (n = 4. In terms of assessment methods, multiple-choice exams (15 to 70 questions are favoured (89%, n = 31, partially supplemented by open questions (31%, n = 11. Some faculties also perform single practical tests (43%, n = 15, objective structured clinical examination (OSCE; 29%, n = 10 or oral examinations (17%, n = 6. Conclusion Emergency Medical Care in undergraduate medical education in Germany has a practical orientation, but is very inconsistently structured. The innovative options of simulation technology or state-of-the-art assessment methods are not consistently utilized. Therefore, an exchange of experiences and concepts between faculties and disciplines should be promoted to guarantee a standard

Journal of Chemical Sciences | Indian Academy of Sciences

Indian Academy of Sciences (India)

Synthesis and bio-catalytic activity of isostructural cobalt(III)-phenanthroline complexes · Dhananjay Dey Arnab Basu Roy Anandan Ranjani Loganathan Gayathri Saravanan Chandraleka Dharumadurai Dhanasekaran Mohammad Abdulkader Akbarsha Chung-Yu Shen Hui-Lien Tsai Milan Maji Niranjan Kole Bhaskar ...

GENERAL SURGERY

African Journals Online (AJOL)

Results: Overall morbidity was 24% (n = 112), with bile leaks occurring in 25 ... biliary stenting (n = 8) and percutaneous transhepatic biliary drainage (n = 3). ..... Lam CM, Lo CM, Liu CL, Fan ST. ... Lau JY, Leung KL, Chung SC, Lau WY.

Medical students' agenda-setting abilities during medical interviews.

Science.gov (United States)

Roh, HyeRin; Park, Kyung Hye; Jeon, Young-Jee; Park, Seung Guk; Lee, Jungsun

2015-06-01

Identifying patients' agendas is important; however, the extent of Korean medical students' agenda-setting abilities is unknown. The study aim was to investigate the patterns of Korean medical students' agenda solicitation. A total of 94 third-year medical students participated. One scenario involving a female patient with abdominal pain was created. Students were video-recorded as they interviewed the patient. To analyze whether students identify patients' reasons for visiting, a checklist was developed based on a modified version of the Calgary-Cambridge Guide to the Medical Interview: Communication Process checklist. The duration of the patient's initial statement of concerns was measured in seconds. The total number of patient concerns expressed before interruption and the types of interruption effected by the medical students were determined. The medical students did not explore the patients' concerns and did not negotiate an agenda. Interruption of the patient's opening statement occurred in 4.62±2.20 seconds. The most common type of initial interruption was a recompleter (79.8%). Closed-ended questions were the most common question type in the second and third interruptions. Agenda setting should be emphasized in the communication skills curriculum of medical students. The Korean Clinical Skills Exam must assess medical students' ability to set an agenda.

Borehole permafrost data, Kumtor and Taragai Valleys, Tienshan, Kazakhstan, Version 1

Data.gov (United States)

National Aeronautics and Space Administration — This dataset includes observations of the permafrost temperatures in the Inner Tien Shan were started in 1986 by Kazakhstan Alpine Permafrost Laboratory....

Radiation education in medical and Co-medical schools

International Nuclear Information System (INIS)

Koga, Sukehiko

2005-01-01

In the medical field, ionizing radiation is very widely in diagnostic and therapeutic procedures, Around 60% of environmental radiation, including natural background and man-made sources of radiation, is caused from medical exposure in Japan. Education of radiation in medical ad co-medical schools are mainly aimed to how effectively use the radiation, and the time shared to fundamental physics, biology and safety or protection of radiation is not so much. (author)

Medical Practitioners Act 2007: the increased medical record burden.

LENUS (Irish Health Repository)

Byrne, D

2010-03-01

New medical record keeping obligations are implemented by the Medical Practitioners Act (2007), effective July 2009. This audit, comprising review of 347 medical entries in 257 charts on one day, investigated compliance with the Act together with the general standard of medical record keeping. The Medical Council requirement was absent all but 3 (0.9%) of entries; there was no unique identifier or signature in 28 (8%) and 135 (39%) of entries respectively. The case for change is discussed.

Abortion - medical

Science.gov (United States)

Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

Anticipating Central Asian Water Stress: Variation in River Flow Dependency on Melt Waters from Alpine to Plains in the Remote Tien Shan Range, Kyrgyzstan Using a Rapid Hydro Assessment Methodology

Science.gov (United States)

Hill, A. F.; Wilson, A. M.; Williams, M. W.

2016-12-01

The future of mountain water resources in High Asia is of high interest to water managers, development organizations and policy makers given large populations downstream reliant on snow and ice sourced river flow. Together with historical and cultural divides among ex-Soviet republics, a lack of central water management following the Soviet break-up has led to water stress as trans-boundary waters weave through and along borders. New upstream hydropower development, a thirsty downstream agricultural sector and a shrinking Aral Sea has led to increasing tension in the region. Despite these pressures and in contrast to eastern High Asia's Himalayan basins (Ganges, Brahmaputra), little attention has been given to western High Asia draining the Pamir and Tien Shan ranges (Syr Darya and Amu Darya basins) to better understand the hydrology of this vast and remote area. Difficult access and challenging terrain exacerbate challenges to working in this remote mountain region. As part of the Contributions to High Asia Runoff from Ice and Snow (CHARIS) project, we asked how does river flow source water composition change over an alpine-to-plains domain of Kyrgyzstan's Naryn River in the Syr Darya basin? In addition, what may the future hold for river flow in Central Asia given the differing responses of snow and ice to climate changes? Utilizing a Rapid Hydrologic Assessment methodology including a suite of pre-field mapping techniques we collected in situ water chemistry data at targeted, remote mountain sites over 450km of the Naryn River over an elevation gradient from glacial headwaters to the lower lying areas - places where people, hydropower and agriculture utilize water. Chemical and isotope tracers were used to separate stream flow to understand relative dependency on melt waters as the river moves downstream from glaciers and snow covered areas. This case study demonstrates a technique to acquire field data over large scales in remote regions that facilitates

[Medical Humanities--the Historical Significance and Mission in Medical Education].

Science.gov (United States)

Fujino, Akihiro

2015-12-01

In this paper we consider the significance and mission of medical humanities in medical education from the following six viewpoints: (1) misunderstanding of the medical humanities; (2) its historical development; (3) the criteria for the ideal physician; (4) the contents of current Medical Humanities education; (5) the basic philosophy; and (6) its relation to medical professionalism. Medical humanities consists of the three academic components of bioethics, clinical ethics and medical anthropology, and it is a philosophy and an art which penetrate to the fundamental essence of medicine. The purpose of medical humanities is to develop one's own humanity and spirituality through medical practice and contemplation by empathizing with patients' illness narratives through spiritual self-awakening and by understanding the mutual healing powers of human relations by way of the realization of primordial life. The basic philosophy is "the coincidence of contraries". The ultimate mission of medical humanities is to cultivate physicians to educate themselves and have a life-long philosophy of devotion to understanding, through experience, the coincidence of contraries.

Medical Students' Perspective Towards Their Future Medical Practice

African Journals Online (AJOL)

Objectives:To evaluate the influencing factors towards choice of the medical profession and attitude towards future medical practice. Subjects and methods: One hundred thirty four students of the Gondar College of Medical Sciences were included in the study. Data was collected by using self-administered questionnaires.

Equilíbrio higroscópico de milheto, alpiste e painço: obtenção e modelagem Modeling and obtaining equilibrium moisture content of millet, canary seed and pearl millet

Directory of Open Access Journals (Sweden)

Paulo C. Corrêa

2006-03-01

Full Text Available Para oferecer informações sobre o equilíbrio higroscópico de milheto (Piptatherum miliaceum, alpiste (Phalaris canariensis L. e painço (Setaria italica, desenvolveu-se este trabalho com o fim de determinar as isotermas de sorção para diferentes níveis de temperatura do ar (20 e 60 ºC e de atividade de água do produto (0,20 a 0,80. A temperatura e a umidade relativa do ar foram controladas por meio de uma unidade condicionadora de ar, modelo Aminco-Aire 150/300 CFM, com fluxo de ar aproximadamente constante de 10 m³ min-1 m-2. Os resultados foram avaliados ajustando-se os seguintes modelos matemáticos: Chung-Pfost, Oswin, Smith e Henderson-Modificado. Com base nos resultados obtidos, concluiu-se que a equação proposta por Oswin foi, com seus parâmetros estimados, a que melhor representou os dados experimentais para o milheto, enquanto o modelo de Chung-Pfost o foi para alpiste e painço, quando comparado com os resultados das demais equações avaliadas.To provide information on the equilibrium moisture content of millet (Piptatherum miliaceum, canary-seed (Phalaris canariensis L. and pearl millet (Setaria italica, this study was conducted with the objective of determining the sorption isotherms for different levels of air temperature (20 and 60 ºC and of water activity of the product (0.20 to 0.80. The temperature and the relative humidity of the air (water activity were controlled through a conditioning unit of air Aminco-Aire 150/300 CFM, with an air flow approximately constant at 10 m³ min-1 m-2. The results were evaluated by adjusting to the following mathematical models: Chung-Pfost, Oswin, Smith and Henderson-modified. The results obtained in this work allowed to conclude that the equation proposed by Oswin, with their estimated parameters, was the best to represent the experimental data of millet, while for the experimental data of canary-seed and pearl millet, the Chung-Pfost model was found to be better, when compared

Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities

OpenAIRE

Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

2014-01-01

Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs’ decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed u...

On two functional equations originating from number theory

Indian Academy of Sciences (India)

On two functional equations originating from number theory. JAEYOUNG CHUNG1 and JEONGWOOK CHANG2,∗. 1Department of Mathematics, Kunsan National University, Kunsan, 573-701, Korea. 2Department of Mathematics Education, Dankook University, Yongin 448-701, Korea. *Corresponding author. E-mail: ...

You Cannot Hit What You Do Not Shoot

Science.gov (United States)

2015-12-30

Psychology from the University of Texas at El Paso . Interservice/Industry Training, Simulation, and Education Conference (I/ITSEC) 2015...requires complex skill that involves a combination of fine and gross motor skills coupled with mental processes before, during, and after the shot (Chung

Abnormal peri-operative haemorrhage in asymptomatic patients is ...

African Journals Online (AJOL)

history so that prothrotnbin titne, activated partial throtnboplastin titne, bleeding .... was used as a screen in 12 000 patients and was unable to identify the ... 1982; 117: 48-51. 2. Barber A, Green D, Galluzzo T, Chung-Hsin T. The bleeding time.

Antioxidant and tyrosinase inhibitor from Leucaena leucocephala

African Journals Online (AJOL)

gabriel

2012-09-25

Sep 25, 2012 ... and Chung-Yi Chen ... both synthetic (Lee et al., 2009; Liu et al., 2009) and ... Leucaena leucocephala is a leguminous plant which is ... et al., 2000). ..... Li et al. 14185. Nakatani Y, Ourisson G, Beck JP (1981). Chemistry and ...

Awareness of academic use of smartphones and medical apps among medical students in a private medical college?

Science.gov (United States)

Shah, Jehanzaib; Haq, Usman; Bashir, Ali; Shah, Syed Aslam

2016-02-01

To assess the awareness of medical apps and academic use of smartphones among medical students. The questionnaire-based descriptive cross-sectional study was conducted in January 2015 and comprised medical students of the Rawal Institute of Health Sciences, Islamabad, Pakistan. The self-designed questionnaire was reviewed by a panel of expert for content reliability and validity. Questionnaires were distributed in the classrooms and were filled by the students anonymously. SPSS 16 was used for statistical analysis. Among the 569 medical students in the study, 545 (95.8%) had smartphones and 24(4.2%) were using simple cell phones. Overall, 226(41.46%) of the smart phone users were using some medical apps. Besides, 137(24.08%) were aware of the medical apps but were not using them. Also, 391(71.7%) students were not using any type of medical text eBooks through their phone, and only 154(28.3%) had relevant text eBooks in their phones. Medical college students were using smartphones mostly as a means of telecommunication rather than a gadget for improving medical knowledge.

MEDICAL TOURISM : Demand for Cuban Medical Tourism by Russian Consumers

OpenAIRE

Ulanova, Anastasia

2015-01-01

Medical tourism, often addressed as health tourism, is a new concept in terms of tourism industry in general, and it is also one of the rapidly developing and growing ones. This thesis gives information on the medical tourism in general and its history. It also revises the development stages of the medical tourism in the world. Cuban medical tourism is analyzed on its own, as well as Russian medical tourism and the demand for it. Medical tourism is rather popular among Russians due to various...

Central Asia Temperature and Precipitation Data, 1879-2003, Version 1

Data.gov (United States)

National Aeronautics and Space Administration — This data set provides temperature and precipitation data from 298 meteorological stations in the Northern Tien Shan and Pamir Mountain Ranges of Central Asia,...

Medical Readers' Theater: Relevance to Geriatrics Medical Education

Science.gov (United States)

Shapiro, Johanna; Cho, Beverly

2011-01-01

Medical Readers' Theater (MRT) is an innovative and simple way of helping medical students to reflect on difficult-to-discuss topics in geriatrics medical education, such as aging stereotypes, disability and loss of independence, sexuality, assisted living, relationships with adult children, and end-of-life issues. The authors describe a required…

Knowledge of medical ethics among Nigerian medical doctors ...

African Journals Online (AJOL)

Background: The knowledge of medical ethics is essential for health care practitioners worldwide. The main objective of this study was to evaluate the knowledge of medical doctors in a tertiary care hospital in Nigeria in the area of medical ethics. Materials and Methods: A cross– sectional questionnaire‑based study ...

Machine medical ethics

CERN Document Server

Pontier, Matthijs

2015-01-01

The essays in this book, written by researchers from both humanities and sciences, describe various theoretical and experimental approaches to adding medical ethics to a machine in medical settings. Medical machines are in close proximity with human beings, and getting closer: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old, and with medical professionals. In such contexts, machines are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity, and privacy. As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What theory or theories should constrain medical machine conduct? What design features are required? Should machines share responsibility with humans for the ethical consequences of medical actions? How ought clinical relationships involving machines to be modeled? Is a capacity for e...

Empirical correlations for axial dispersion coefficient and Peclet number in fixed-bed columns.

Science.gov (United States)

Rastegar, Seyed Omid; Gu, Tingyue

2017-03-24

In this work, a new correlation for the axial dispersion coefficient was obtained using experimental data in the literature for axial dispersion in fixed-bed columns packed with particles. The Chung and Wen correlation, the De Ligny correlation are two popular empirical correlations. However, the former lacks the molecular diffusion term and the latter does not consider bed voidage. The new axial dispersion coefficient correlation in this work was based on additional experimental data in the literature by considering both molecular diffusion and bed voidage. It is more comprehensive and accurate. The Peclet number correlation from the new axial dispersion coefficient correlation on the average leads to 12% lower Peclet number values compared to the values from the Chung and Wen correlation, and in many cases much smaller than those from the De Ligny correlation. Copyright © 2017 Elsevier B.V. All rights reserved.

Medical Terminology of the Circulatory System. Medical Records. Instructional Unit for the Medical Transcriber.

Science.gov (United States)

Gosman, Minna L.

Developed as a result of an analysis of the task of transcribing as practiced in a health facility, this study guide was designed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis…

Medical Terminology of the Respiratory System. Medical Records. Instructional Unit for the Medical Transcriptionist.

Science.gov (United States)

Gosman, Minna L.

Following an analysis of the task of transcribing as practiced in a health facility, this study guide was designed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis for…

Medical Terminology of the Musculoskeletal System. Medical Records. Instructional Unit for the Medical Transcriber.

Science.gov (United States)

Gosman, Minna L.

Following an analysis of the task of transcribing as practiced in a health facility, this study guide was developed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis for a…

Relationships between beliefs about medications and nonadherence to prescribed chronic medications.

Science.gov (United States)

Phatak, Hemant M; Thomas, Joseph

2006-10-01

Medication beliefs of patients with a specific medical condition have been associated with nonadherence to drugs used to treat that condition. However, associations between medication beliefs and nonadherence of individuals on chronic, multiple medications have not been studied. To investigate associations between patients' medication beliefs and nonadherence to chronic drug therapy. A cross-sectional, self-administered survey of patients waiting to see pharmacists at an outpatient pharmacy in a primary care clinic was conducted. Participants' medication beliefs were assessed using the Beliefs about Medicines Questionnaire, and nonadherence was assessed using the Morisky Medication Adherence Scale. Pearson correlation analysis was used to assess bivariate associations between medication beliefs and nonadherence. Regression was used to assess relative strength of associations between various medication beliefs and nonadherence and also to assess the significance of the interactions between those beliefs and nonadherence. There were positive bivariate associations between specific concerns about medications (p harmful effects of medications (p belief and nonadherence was assessed, while controlling for other medication beliefs, specific-necessity (p = 0.02) and specific-concerns (p = 0.01) exhibited significant negative and positive associations with nonadherence, respectively. All two-way interactions between variables in the model were insignificant. A model consisting of age, total number of drugs used, and medication beliefs, that is, specific-necessity, specific-concerns, general-overuse, and general-harm, accounted for 26.5% of variance. Medication beliefs alone explained 22.4% of variation in nonadherence to chronic drug therapy. Patients' medication beliefs explained a significant portion of variation in medication nonadherence.

Growth Disparity between Medical Research and Medical Services ...

Indian Academy of Sciences (India)

Growth Disparity between Medical Research and Medical Services in India. British rulers opened hospitals for modern medicine; medical colleges; nurses schools etc. in the 19th century to the joyous welcome of natives. During the same period, they set up Indian Research Fund Association two years ahead of the MRC of ...

Portrayal of medical decision making around medical interventions life-saving encounters on three medical television shows.

Science.gov (United States)

Schwei, Rebecca J; Jacobs, Elizabeth A; Wingert, Katherine; Montague, Enid

2015-07-01

Previous literature has shown that patients obtain information about the medical system from television shows. Additionally, shared decision making is regularly cited as the ideal way to make decisions during a medical encounter. Little information exists surrounding the characteristics of medical decision-making, such as who makes the decision, on medical television shows. We evaluate the characteristics of medical decisions in lifesaving encounters on medical television shows and evaluate if these characteristics were different on staged and reality television shows. We coded type of medical intervention, patient's ability to participate in decision, presence of patient advocate during decision, final decision maker, decision to use intervention, and controversy surrounding decision on three television shows. Frequencies by show were calculated and differences across the three television shows and between staged (ER) and reality ( BostonMed and Hopkins ) television shows were assessed with chi-square tests. The final data set included 37 episodes, 137 patients and 593 interventions. On ER, providers were significantly more likely to make the decision about the medical intervention without informing the patient when a patient was capable of making a decision compared to BostonMed or Hopkins (ptelevision shows we analyzed. It is possible that what patients see on television influences their expectations surrounding the decision making process and the use of medical interventions in everyday healthcare encounters.

MEDIC: medical embedded device for individualized care.

Science.gov (United States)

Wu, Winston H; Bui, Alex A T; Batalin, Maxim A; Au, Lawrence K; Binney, Jonathan D; Kaiser, William J

2008-02-01

Presented work highlights the development and initial validation of a medical embedded device for individualized care (MEDIC), which is based on a novel software architecture, enabling sensor management and disease prediction capabilities, and commercially available microelectronic components, sensors and conventional personal digital assistant (PDA) (or a cell phone). In this paper, we present a general architecture for a wearable sensor system that can be customized to an individual patient's needs. This architecture is based on embedded artificial intelligence that permits autonomous operation, sensor management and inference, and may be applied to a general purpose wearable medical diagnostics. A prototype of the system has been developed based on a standard PDA and wireless sensor nodes equipped with commercially available Bluetooth radio components, permitting real-time streaming of high-bandwidth data from various physiological and contextual sensors. We also present the results of abnormal gait diagnosis using the complete system from our evaluation, and illustrate how the wearable system and its operation can be remotely configured and managed by either enterprise systems or medical personnel at centralized locations. By using commercially available hardware components and software architecture presented in this paper, the MEDIC system can be rapidly configured, providing medical researchers with broadband sensor data from remote patients and platform access to best adapt operation for diagnostic operation objectives.

Non-medical influences on medical decision-making.

Science.gov (United States)

McKinlay, J B; Potter, D A; Feldman, H A

1996-03-01

The influence of non-medical factors on physicians' decision-making has been documented in many observational studies, but rarely in an experimental setting capable of demonstrating cause and effect. We conducted a controlled factorial experiment to assess the influence of non-medical factors on the diagnostic and treatment decisions made by practitioners of internal medicine in two common medical situations. One hundred and ninety-two white male internists individually viewed professionally produced video scenarios in which the actor-patient, presenting with either chest pain or dyspnea, possessed various balanced combinations of sex, race, age, socioeconomic status, and health insurance coverage. Physician subjects were randomly drawn from lists of internists in private practice, hospital-based practice, and HMO's, at two levels of experience. The most frequent diagnoses for both chest pain and dyspnea were psychogenic origin and cardiac problems. Smoking cessation was the most frequent treatment recommendation for both conditions. Younger patients (all other factors being the same) were significantly more likely to receive the psychogenic diagnosis. Older patients were more likely to receive the cardiac diagnosis for chest pain, particularly if they were insured. HMO-based physicians were more likely to recommend a follow-up visit for chest pain. Several interactions of patient and physician factors were significant in addition to the main effects. The variability in decision-making evidenced by physicians in this experiment was not entirely accounted for by strictly rational Bayesian inference (the common prescriptive model for medical decision-making), in-as-much as non-medical factors significantly affected the decisions that they made. There is a need to supplement idealized medical schemata with considerations of social behavior in any comprehensive theory of medical decision-making.

PS-022 Complex automated medication systems reduce medication administration error rates in an acute medical ward

DEFF Research Database (Denmark)

Risør, Bettina Wulff; Lisby, Marianne; Sørensen, Jan

2017-01-01

Background Medication errors have received extensive attention in recent decades and are of significant concern to healthcare organisations globally. Medication errors occur frequently, and adverse events associated with medications are one of the largest causes of harm to hospitalised patients...... cabinet, automated dispensing and barcode medication administration; (2) non-patient specific automated dispensing and barcode medication administration. The occurrence of administration errors was observed in three 3 week periods. The error rates were calculated by dividing the number of doses with one...

Moderating influences on interactivity effects

NARCIS (Netherlands)

Voorveld, H.; van Noort, G.

2012-01-01

Research on website interactivity is widespread and there are two important reasons for this popularity. The first is that interactivity is assumed to be the key characteristic that distinguishes communication in traditional media from communication in new media such as websites (Chung and Zhao,

CRUSER 2015, TechCon, Robots in the Roses, Robo-Ethics [video

OpenAIRE

2015-01-01

CRUSER 2015 events Technical Consortium Robots in the Roses Robo-Ethics Ray Buettner, CRUSER Director Tim Chung, CRUSER Deputy Director LT Raymond Davis, Systems Engineering student LT Patrick Livesay, Systems Engineering student LT Eric Beaty, National Security Affairs student Matt Kiefer, recent distance learning graduate

Tropical Journal of Pharmaceutical Research - Vol 15, No 3 (2016)

African Journals Online (AJOL)

Wan Wu, Wei Chen, Qiong Jin, 447-451 ... Chung-Shih Chen, Mei-Lin Wang, Rosa Huang Liu, Shih-Pin Chen, Tsong-Ming Lu, Wei-Yu Tsai, Chien-Fu Huang, ... Yan-Qiong Li, Rui Hu, Li-Hui Zhong, Qian Sun, You-Ping Yan, 527-533.

A possible generalization of the concept of symmetry in analytical mechanics

International Nuclear Information System (INIS)

Grigore, D.R.

1987-09-01

A theorem of Lee Hwa Chung suggests a possible generalization of the symmetry concept in classical mechanics. It is shown that the theory of Konstant-Souriau-Kirillov can be adapted to this more general case. The theory is illustrated with a number of exaples.(author)

Counter Piracy: A Repeated Game with Asymmetric Information

Science.gov (United States)

2009-09-01

Christopher D. Marsh Approved by: Kyle Y. Lin Thesis Advisor Timothy H. Chung Second Reader Robert F. Dell Chairman, Department of...encourage Malaysia and Indonesia to work with the Singapore Navy in coordinated patrols of the region. Increased cooperation in the region includes the

78 FR 6837 - Certain Wireless Communications Equipment and Articles Therein; Institution of Investigation

Science.gov (United States)

2013-01-31

.... Sec. 1337, on behalf of Samsung Electronics Co., Ltd., Seoul, Republic of Korea and Samsung... complainants are: Samsung Electronics Co., Ltd., Samsung Main Building, 250, Taepyung-ro 2-ka, Chung-ku, Seoul 100-742, Republic of Korea. Samsung Telecommunications America, LLC, 1301 East Lookout Drive...

SEM-EDX

African Journals Online (AJOL)

aghomotsegin

2015-03-11

Mar 11, 2015 ... Chun-Yen Liu1, Chao-Jen Wang1, Wen-Chuan Chung2, Chien Chu3, Wan-Yu Lin1 and ..... We sincerely thank Dr. C. J. Chang, Plant Pathologist, .... Wasser SP, Didukh MY, de A. Amazonas MAL, Nevo E, Stamets P, da.

Leidlikust veidrusest igavaks lameduseks / Alar Niineväli

Index Scriptorium Estoniae

Niineväli, Alar

2006-01-01

Ulmeseiklusfilm "Aeon Flux" : režissöör Karyn Kusama : peaosas Charlize Theron : Ameerika Ühendriigid 2005. Põhiosa artiklist on siiski pühendatud 1995.a. Hong Kongi ja USA samanimelisele animaseriaalile, mille režissöör oli korealane Peter Chung

Superstars without talent? The Yule distribution controversy

NARCIS (Netherlands)

Spierdijk, L.; Voorneveld, M.

2009-01-01

Chung and Cox (1994) provided an intuitively appealing stochastic model indicating that superstars may exist regardless of talent, giving rise to the Yule distribution. We adopt a different empirical approach and test its goodness of fit using a parametric bootstrap and several powerful test

Superstars without talent? The Yule distribution controversy

NARCIS (Netherlands)

Spierdijk, Laura; Voorneveld, Mark

Chung and Cox (1994) provided an intuitively appealing stochastic model indicating that superstars may exist regardless of talent, giving rise to the Yule distribution. We adopt a different empirical approach and test its goodness of fit using a parametric bootstrap and several powerful test

78 FR 36132 - National Standards for Traffic Control Devices; Manual on Uniform Traffic Control Devices for...

Science.gov (United States)

2013-06-17

... the program discussed herein, contact Mr. Chung Eng, MUTCD Team Leader, FHWA Office of Transportation... an association, business, or labor union). You may review DOT's complete Privacy Act Statement in the... pending results from the ongoing National Cooperative Highway Research Program (NCHRP) strategic planning...

Medications (for IBS)

Medline Plus

Full Text Available ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications ... Psychological Treatments Understanding Stress Cognitive Behavioral ...

Retrospective Analysis of Medication Adherence and Cost Following Medication Therapy Management

Directory of Open Access Journals (Sweden)

Ashley Branham, PharmD

2010-01-01

Full Text Available Objective: To determine if pharmacist-provided medication therapy management (MTM improves medication adherence in Medicare patients. A secondary objective is to compare the total monthly cost of a patient’s prescription medication regimen 6 months before and 6 months following a comprehensive medication review (CMR. Design: Retrospective analysis of medication adherence, pre-post comparison. Setting: Three independent pharmacies in North Carolina. Patients: 97 Medicare Part D beneficiaries with one or more chronic disease states who participated in a comprehensive medication review (CMR. Intervention: MTM services provided by community pharmacists. Main outcome measure: Change in adherence as measured by the proportion of days covered (PDC and change in medication costs for patients and third party payers. Results: Patients were adherent to chronic disease-state medications before and after MTM (PDC≥ 0.8. Overall, change in mean adherence before and after MTM did not change significantly (0.87 and 0.88, respectively; p = 0.43. However, patients taking medications for cholesterol management, GERD, thyroid and BPH demonstrated improved adherence following a CMR. No change in adherence was noted for patients using antihypertensives and antidiabetic agents. Average total chronic disease-state medication costs for participants were reduced from $210.74 to $193.63 (p=0.08 following the comprehensive medication review. Total costs for patient and third party payers decreased from patients prescribed antilipemics, antihypertensives, GERD and thyroid disorders following a CMR. Conclusions: Pharmacist-provided MTM services were effective at improving medication adherence for some patients managed with chronic medications. Pharmacist-provided MTM services also were effective in decreasing total medication costs.

Knowledge and Practice of Self-medication among Undergraduate Medical Students

Directory of Open Access Journals (Sweden)

Anishma Karmacharya

2018-05-01

Full Text Available Introduction: Self-medication is an important aspect of self-care. It is a common practice in society and medical students are no exception. The aim of this study was to explore the knowledge and practice of self-medication among students of a medical school in Western Nepal. Methods: A cross sectional study was conducted among basic science and clinical students after obtaining prior consent from those willing to participate. Respondents’ degree of agreement with a set of 25 statements was noted using Likert scale to assess their knowledge. The practice of self-medication was studied by asking about the use of selected groups of medicines during the past one-year period and noting the pattern of use. Results: Three hundred and thirty of the 356 students (92.6% participated in the study. Mean knowledge score was 93.2 (SD = 8.1. Self-medication was practiced by 83.3% (n = 275 of respondents. Knowledge about self-medication differed among respondents according to gender (p = 0.03 and nationality (p = 0.04 but not other variables. Practice of self-medication was associated with father’s profession (p = 0.03 and nationality of the respondents (p = 0.04. Conclusions: Students’ knowledge about self-medication was good and they commonly practiced self-medication. Pain-killers were the most commonly used drug.

Reduction of medication costs after detoxification for medication-overuse headache.

Science.gov (United States)

Shah, Asif M; Bendtsen, Lars; Zeeberg, Peter; Jensen, Rigmor H

2013-04-01

To examine whether detoxifying patients with medication-overuse headache can reduce long-term medication costs. Direct costs of medications in medication-overuse headache have been reported to be very high but have never been calculated on the basis of exact register data. Long-term economic savings obtained by detoxification have never been investigated. We conducted a registry-based observational retrospective follow-up study on 336 medication-overuse headache patients treated and discharged from the Danish Headache Center over a 2-year period. By means of the Danish Register of Medicinal Product Statistics, we collected information on the costs and use of prescription-only medication 1 year before admission and 1 year after discharge from Danish Headache Center. The average medication costs per patient per year decreased with 24%, from US$971 before treatment to US$737 after (P = .001), and the average medication use decreased with 14.4% (P = .02). Savings were most pronounced for patients overusing triptans. In this group, the average medication costs per patient per year decreased with 43% (P headache at a tertiary headache center has a long-lasting effect on the medication costs and use, in particular among patients overusing triptans. The results may not be generalizable to all countries and may be sensitive to the costs of triptans. © 2012 American Headache Society.

Medication Errors - A Review

OpenAIRE

Vinay BC; Nikhitha MK; Patel Sunil B

2015-01-01

In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

Predictive Analytics In Healthcare: Medications as a Predictor of Medical Complexity.

Science.gov (United States)

Higdon, Roger; Stewart, Elizabeth; Roach, Jared C; Dombrowski, Caroline; Stanberry, Larissa; Clifton, Holly; Kolker, Natali; van Belle, Gerald; Del Beccaro, Mark A; Kolker, Eugene

2013-12-01

Children with special healthcare needs (CSHCN) require health and related services that exceed those required by most hospitalized children. A small but growing and important subset of the CSHCN group includes medically complex children (MCCs). MCCs typically have comorbidities and disproportionately consume healthcare resources. To enable strategic planning for the needs of MCCs, simple screens to identify potential MCCs rapidly in a hospital setting are needed. We assessed whether the number of medications used and the class of those medications correlated with MCC status. Retrospective analysis of medication data from the inpatients at Seattle Children's Hospital found that the numbers of inpatient and outpatient medications significantly correlated with MCC status. Numerous variables based on counts of medications, use of individual medications, and use of combinations of medications were considered, resulting in a simple model based on three different counts of medications: outpatient and inpatient drug classes and individual inpatient drug names. The combined model was used to rank the patient population for medical complexity. As a result, simple, objective admission screens for predicting the complexity of patients based on the number and type of medications were implemented.

Medications (for IBS)

Medline Plus

Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and ... Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

Attrition during graduate medical education: medical school perspective.

Science.gov (United States)

Andriole, Dorothy A; Jeffe, Donna B; Hageman, Heather L; Klingensmith, Mary E; McAlister, Rebecca P; Whelan, Alison J

2008-12-01

To identify predictors of attrition during graduate medical education (GME) in a single medical school cohort of contemporary US medical school graduates. Retrospective cohort study. Single medical institution. Recent US allopathic medical school graduates. Attrition from initial GME program. Forty-seven of 795 graduates (6%) did not complete the GME in their initial specialty of choice. At bivariate analysis, attrition was associated with election to the Alpha Omega Alpha Honor Medical Society, being an MD-PhD degree holder, and specialty choice (all P PhD degree holder (odds ratio, 3.43; 95% confidence interval, 1.27-9.26; P = .02), election to Alpha Omega Alpha (2.19; 1.04-4.66; P = .04), choice of general surgery for GME (5.32; 1.98-14.27; P < .001), and choice of 5-year surgical specialty including those surgical specialties with a GME training requirement of 5 years or longer (2.74; 1.16-6.44; P = .02) each independently predicted greater likelihood of attrition. Academically highly qualified graduates and graduates who chose training in general surgery or in a 5-year surgical specialty were at increased risk of attrition during GME.

Roles of medical image processing in medical physics

International Nuclear Information System (INIS)

Arimura, Hidetaka

2011-01-01

Image processing techniques including pattern recognition techniques play important roles in high precision diagnosis and radiation therapy. The author reviews a symposium on medical image information, which was held in the 100th Memorial Annual Meeting of the Japan Society of Medical Physics from September 23rd to 25th. In this symposium, we had three invited speakers, Dr. Akinobu Shimizu, Dr. Hideaki Haneishi, and Dr. Hirohito Mekata, who are active engineering researchers of segmentation, image registration, and pattern recognition, respectively. In this paper, the author reviews the roles of the medical imaging processing in medical physics field, and the talks of the three invited speakers. (author)

Medications (for IBS)

Medline Plus

Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best used in ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation ...

The Medical Home

Science.gov (United States)

... Videos for Educators Search English Español The Medical Home KidsHealth / For Parents / The Medical Home What's in ... for your child. What Does the Term "Medical Home" Mean? A medical home isn't a place ...

Self-medication practices and predictors for self-medication with ...

African Journals Online (AJOL)

Background: Self-medication with antimalarials and antibiotics is highly practiced worldwide particularly in developing countries including Tanzania. This study was carried out to determine self-medication practices with antimalarials and antibiotics, and as well as predictors for self-medication among urban communities of ...

[Approaches to development and implementation of the medical information system for military-medical commission of the multidisciplinary military-medical organisation].

Science.gov (United States)

Kuvshinov, K E; Klipak, V M; Chaplyuk, A L; Moskovko, V M; Belyshev, D V; Zherebko, O A

2015-06-01

The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system "Interi PROMIS" for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.

Bullying among medical students in a Saudi medical school

Directory of Open Access Journals (Sweden)

Alzahrani Hasan

2012-07-01

Full Text Available Abstract Background Bullying and sexual harassment of medical students by their teachers appears to be widespread phenomenon. However, nothing is published about its prevalence in conservative countries such as Saudi Arabia. This survey aims to ascertain the extent of these mistreatments among students in a Saudi medical school. Findings A cross-sectional questionnaire survey was conducted on a group of 542 clinical years’ medical students in a Saudi medical school to explore students' perceptions of their educational environment including exposure to different kinds of bullying. Bullying was defined as “a “persistent behaviour against a medical student that is intimidating, degrading, offensive or malicious and undermines the confidence and self- esteem of the recipient”. Results revealed that more than one quarter (28.0% of the surveyed students reported exposure to some sort of bullying during their clinical. Ninety percent of the reported insults were verbal, 6% sexual and 4% physical. Males were more exposed but difference was not statistically significant. Conclusions Bullying among Saudi medical students is an existing problem. A policy against bullying and harassment should be adopted in all of medical colleges to monitor this phenomenon and support students who have been bullied.

Medical professionalism from a socio-cultural perspective: evaluating medical residents communicative attitudes during the medical encounter in malaysia.

Science.gov (United States)

Ganasegeran, K; Al-Dubai, S A R

2014-01-01

The practice of medicine requires good communication skills to foster excellent rapport in doctor patient relationship. Reports on communication skills learning attitude among medical professionals are key essentials toward improving patient safety and quality of care. We aimed to determine factors affecting communication skills learning attitudes among medical residents in Malaysia. Cross-sectional survey, in a Malaysian public health hospital. A total of 191 medical residents across medical and surgical based rotations were included. We assessed the validated communication skills attitude scale among medical residents from different rotations. Statistical Package of Social Sciences (SPSS®) (version 16.0, IBM, Armonk, NY) was used. Cronbach's alpha was used to test the internal consistency of the scale. Descriptive analysis was conducted for all variables. Bivariate analysis was employed across the socio-demographic variables. Majority of the residents believed that communication skills training should be made compulsory in Malaysia (78.5%). Medical residents agreed that acquiring good communication skills is essential to be a good doctor. However, the majority cited time pressures for not being able to learn communication skills. Significant differences in communication skills learning attitude scores were found between Malays and Chinese. The majority of medical residents had a positive attitude toward communication skills learning. Socio-demographic factors influenced communication skills learning attitude among medical residents. Incorporating communicative skills modules during hospital Continuous Medical Education for medical residents is essential to cultivate communicative skills attitudes for effective doctor-patient relationship during the routine medical encounters.

Central Asia Temperature and Precipitation Data, 1879-2003

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set updates and expands the NOAA Global Historical Climate Network (GHCN) of quality controlled meteorological records, focusing on the Northern Tien Shan...

History and development of medical physics and medical physicist in Japan

International Nuclear Information System (INIS)

Toyofuku, F.

2014-01-01

The history of medical physics in Japan dates back to the mid-1950's when radioisotope sources such as cobalt-60 were initiated into hospitals. In 1961, a total of about 30 medical physics researchers created a sub-committee of medical physics under the Japan Radiological Society (JRS), which flourished throughout the decade, and the number of members exceeded to more than 200 in 1970. Although there were great advances in medical technologies, the number of members of the medical physics community did not grow for the next two decades from 1980 to 2000. Then, the JRS began to officially recognize medical physicists as a professional group in 1987. Qualifications of candidacy for the examination included having the education equivalent of a Bachelor of Science/Engineering and being a member of the JRS. For the first official examination, 70 medical physicists were approved by the JRS. As of 2013, there are currently 700 medical physicists, however, the number of practicing clinical medical physicists remains only about 150. The main reason for this limited number of medical physicists is that the certification is not recognized as a national license and therefore is challenging to find professional employment as qualified medical personnel at hospitals. (author)

Disciplinary action by medical boards and prior behavior in medical school.

Science.gov (United States)

Papadakis, Maxine A; Teherani, Arianne; Banach, Mary A; Knettler, Timothy R; Rattner, Susan L; Stern, David T; Veloski, J Jon; Hodgson, Carol S

2005-12-22

Evidence supporting professionalism as a critical measure of competence in medical education is limited. In this case-control study, we investigated the association of disciplinary action against practicing physicians with prior unprofessional behavior in medical school. We also examined the specific types of behavior that are most predictive of disciplinary action against practicing physicians with unprofessional behavior in medical school. The study included 235 graduates of three medical schools who were disciplined by one of 40 state medical boards between 1990 and 2003 (case physicians). The 469 control physicians were matched with the case physicians according to medical school and graduation year. Predictor variables from medical school included the presence or absence of narratives describing unprofessional behavior, grades, standardized-test scores, and demographic characteristics. Narratives were assigned an overall rating for unprofessional behavior. Those that met the threshold for unprofessional behavior were further classified among eight types of behavior and assigned a severity rating (moderate to severe). Disciplinary action by a medical board was strongly associated with prior unprofessional behavior in medical school (odds ratio, 3.0; 95 percent confidence interval, 1.9 to 4.8), for a population attributable risk of disciplinary action of 26 percent. The types of unprofessional behavior most strongly linked with disciplinary action were severe irresponsibility (odds ratio, 8.5; 95 percent confidence interval, 1.8 to 40.1) and severely diminished capacity for self-improvement (odds ratio, 3.1; 95 percent confidence interval, 1.2 to 8.2). Disciplinary action by a medical board was also associated with low scores on the Medical College Admission Test and poor grades in the first two years of medical school (1 percent and 7 percent population attributable risk, respectively), but the association with these variables was less strong than that with

[The early medical textbooks in Korea: medical textbooks published at Je Joong Won-Severance Hospital Medical School].

Science.gov (United States)

Park, H W

1998-01-01

Kwang Hye Won(Je Joong Won), the first western hospital in Korea, was founded in 1885. The first western Medical School in Korea was open in 1886 under the hospital management. Dr. O. R. Avison, who came to Korea in 1893, resumed the medical education there, which was interrupted for some time before his arrival in Korea. He inaugurated translating and publishing medical textbooks with the help of Kim Pil Soon who later became one of the first seven graduates in Severance Hospital Medical School. The first western medical textbook translated into Korean was Henry Gray's Anatomy. However, these twice-translated manuscripts were never to be published on account of being lost and burnt down. The existing early anatomy textbooks, the editions of 1906 and 1909, are not the translation of Gray's Anatomy, but that of Japanese anatomy textbook of Gonda. The remaining oldest medical textbook in Korean is Inorganic Materia Medica published in 1905. This book is unique among its kind that O. R. Avison is the only translator of the book and it contains the prefaces of O. R. Avison and Kim Pil Soon. The publication of medical textbook was animated by the participation of other medical students, such as Hong Suk Hoo and Hong Jong Eun. The list of medical textbooks published includes almost all the field of medicine. The medical textbooks in actual existence are as follows: Inorganic Materia Medica (1905), Inorganic Chemistry (1906), Anatomy I (1906), Physiology (1906), Diagnostics I (1906), Diagnostics II (1907), Obstetrics (1908), Organic Chemistry (1909), Anatomy (1909), and Surgery (1910).

Medical History: Compiling Your Medical Family Tree

Science.gov (United States)

... are missing. If you're adopted, ask your adoptive parents if they received any medical information about your biological parents at the time of your adoption. Adoption agencies also might have family medical information on file. If you were adopted ...

Medical practice in organized settings. Redefining medical autonomy.

Science.gov (United States)

Astrachan, J H; Astrachan, B M

1989-07-01

Physicians are perplexed by the ongoing erosion of their individual professional autonomy. While the economic forces underlying such change have received much attention, the evolution of new organizational forms that modify and often diminish medical autonomy is less well understood. The practice of medicine is becoming more organized and more hierarchical. We emphasize the importance of organized medical groups, including the medical staff organization, as structures for appropriate peer monitoring, and for counterbalancing the burgeoning influence of governance and administrative constraints on practice. There is an ongoing tension within organizations between management, governance, and physicians. Over time one or another of these groups achieves some measure of dominance, but good management requires a balance of power. The role of the medical staff, which is poorly represented in some health care institutions and under threat in others, is considered. In general, we find that medical work is becoming more hierarchical, and that physician "leaders" do not substitute for collegial processes.

Rethinking medical humanities.

Science.gov (United States)

Chiapperino, Luca; Boniolo, Giovanni

2014-12-01

This paper questions different conceptions of Medical Humanities in order to provide a clearer understanding of what they are and why they matter. Building upon former attempts, we defend a conception of Medical Humanities as a humanistic problem-based approach to medicine aiming at influencing its nature and practice. In particular, we discuss three main conceptual issues regarding the overall nature of this discipline: (i) a problem-driven approach to Medical Humanities; (ii) the need for an integration of Medical Humanities into medicine; (iii) the methodological requirements that could render Medical Humanities an effective framework for medical decision-making.

The provenance of Taklamakan desert sand

Science.gov (United States)

Rittner, Martin; Vermeesch, Pieter; Carter, Andrew; Bird, Anna; Stevens, Thomas; Garzanti, Eduardo; Andò, Sergio; Vezzoli, Giovanni; Dutt, Ripul; Xu, Zhiwei; Lu, Huayu

2016-03-01

Sand migration in the vast Taklamakan desert within the Tarim Basin (Xinjiang Uyghur Autonomous region, PR China) is governed by two competing transport agents: wind and water, which work in diametrically opposed directions. Net aeolian transport is from northeast to south, while fluvial transport occurs from the south to the north and then west to east at the northern rim, due to a gradual northward slope of the underlying topography. We here present the first comprehensive provenance study of Taklamakan desert sand with the aim to characterise the interplay of these two transport mechanisms and their roles in the formation of the sand sea, and to consider the potential of the Tarim Basin as a contributing source to the Chinese Loess Plateau (CLP). Our dataset comprises 39 aeolian and fluvial samples, which were characterised by detrital-zircon U-Pb geochronology, heavy-mineral, and bulk-petrography analyses. Although the inter-sample differences of all three datasets are subtle, a multivariate statistical analysis using multidimensional scaling (MDS) clearly shows that Tarim desert sand is most similar in composition to rivers draining the Kunlun Shan (south) and the Pamirs (west), and is distinctly different from sediment sources in the Tian Shan (north). A small set of samples from the Junggar Basin (north of the Tian Shan) yields different detrital compositions and age spectra than anywhere in the Tarim Basin, indicating that aeolian sediment exchange between the two basins is minimal. Although river transport dominates delivery of sand into the Tarim Basin, wind remobilises and reworks the sediment in the central sand sea. Characteristic signatures of main rivers can be traced from entrance into the basin to the terminus of the Tarim River, and those crossing the desert from the south to north can seasonally bypass sediment through the sand sea. Smaller ephemeral rivers from the Kunlun Shan end in the desert and discharge their sediment there. Both river run

Medical student and medical school teaching faculty perceptions of conflict of interest.

Science.gov (United States)

Andresen, Nicholas S; Olson, Tyler S; Krasowski, Matthew D

2017-07-11

Attitudes towards conflict of interest (COI) and COI policy are shaped during medical school and influence both the education of medical students and their future medical practice. Understanding the current attitudes of medical students and medical school teaching faculty may provide insight into what is taught about COI and COI policy within the 'hidden' medical curriculum. Differences between medical student and medical school teaching faculty perceptions of COI and COI policy have not been compared in detail. The authors surveyed first year medical students and medical school teaching faculty at one academic medical center. The response rate was 98.7% (150/152) for students and 34.2% (69/202) for faculty. Students were less likely than faculty to agree that lecturers should disclose COI to any learners (4.06 vs. 4.31, p = 0.01), but more likely to agree that COI disclosure decreases the presentation of biased material (3.80 vs. 3.21, p < 0.001). Student and faculty responses for all other questions were not different. Many of these responses suggest student and faculty support for stronger COI policy at academic medical centers. Students and faculty perceptions regarding COI and COI policy are largely similar, but differ in terms of the perceived effectiveness of COI disclosure. This study also suggests that medical students and medical school teaching faculty support for stronger COI policy at academic medical centers.

Fermentation characteristics of Korean pear (Pyrus pyrifolia Nakai ...

African Journals Online (AJOL)

USER

2010-08-30

Aug 30, 2010 ... Dong Chung Kim1, Hee Jeong Chae2,3 and Man-Jin In1*. 1Department of Human ... 0.3% proteins and 0.2% lipids (Hwang and Park, 2006). It is primarily consumed as ..... Khan SH, Ansari FA (2007). Probiotics – the friendly ...

Overexpression of CFH gene in pterygiumv patients | Bang | Tropical ...

African Journals Online (AJOL)

Overexpression of CFH gene in pterygiumv patients. Man-Seok Bang, Chang Rae Rho, Bong-Hui Kang, Kyong Jin Cho, Chung-Hun Oh. Abstract. Purpose: To investigate the expression of complement factors in pterygium tissues compared to normal conjunctival samples, using next-generation RNA sequencing. Methods: ...

The Shock and Vibration Digest. Volume 18, Number 6

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1986-06-01

linear, quadratic, or cubic. Bessel function Reed [124] reported a method for computing solutions were obtained for a truncated pyramid amplitudes of a...86-1198 A. Ragab, Chung C. Fu Seismic Analysis of a Large LMFBR with Flu- Cairo Univ., Giza , Egypt . . *. id-Structure Imteractions Computers Struc

Moment Convergence Rates in the Law of the Logarithm for ...

Indian Academy of Sciences (India)

Home; Journals; Proceedings – Mathematical Sciences; Volume 119; Issue 3. Moment Convergence Rates in the Law of the Logarithm for Dependent Sequences. Ke-Ang Fu Xiao-Rong Yang ... Keywords. The law of the logarithm; Chung-type law of the logarithm; negative association; moment convergence; tail probability.

A Modular Simulation Framework for Assessing Swarm Search Models

Science.gov (United States)

2014-09-01

SCHOOL September 2014 Author: Blake M. Wanier Approved by: Timothy H. Chung Thesis Advisor James Eagle Second Reader Robert Dell Chair, Department of...shipments of natural gas from Indonesia and Malaysia are redirected to China to support its growing domestic consumption, Japan’s discovery of large

In-situ Manipulation and Imaging of Switchable Two-dimensional Electron Gas at Oxide Heterointerfaces

Science.gov (United States)

2016-11-30

hierarchies on (001)- and (111)-oriented quantum well structures. Our results demonstrate the unprecedented capability of electron holographic...SrTiO3” Feng Bi, Mengchen Huang, Chung-Wung Bark, Sangwoo Ryu, Sanghan Lee, Chang-Beom Eom, Patrick Irvin and Jeremy Levy, J. Appl . Phys. 119

International Cultural Immersion: Assessing the Influence of a Group Intervention on Intercultural Sensitivity for Counselor Trainees

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Barden, Sejal M.; Shannonhouse, Laura; Mobley, Keith

2015-01-01

Scholars (e.g., Bemak & Chung, 2004) underscore the need for group workers to be culturally sensitive. One group training strategy, cultural immersion, is often employed to develop cultural sensitivity. However, no studies have utilized quasi-experimental methodologies to assess differences in cultural sensitivity between trainees that immerse…

Development of polymorphic microsatellite loci for Iranian river buffalo

African Journals Online (AJOL)

STORAGESEVER

2009-12-15

Dec 15, 2009 ... defining the functional composition of their genome. Microsatellites have been .... species such as fishes (Hsu et al., 2004; Sanches and. JR, 2006; Chung-Jian ... Phylogenetic study of the Iranian buffalo by microsatellite ... Molecular Ecology Laboratory, Department of Biological Sciences,. University of Hull ...

High frequency plant regeneration from mature seed- derived callus ...

African Journals Online (AJOL)

PRECIOUS

2009-12-15

Dec 15, 2009 ... Ki-Won Lee, Gi Jun Choi, Ki-Yong Kim, Hee Chung Ji, Hyung Soo Park, Sei Hyung Yoon and ... Gramineae family plants (Ha et al., 2001; Dong and Qu, ..... Lee SH, Ahsan N, Lee KW, Kim DH, Lee DG, Kwak SS, Kwon SY, ...

Disease: H00079 [KEGG MEDICUS

Lifescience Database Archive (English)

Full Text Available contribute to the recruitment of inflammatory cells, particularly eosinophils, whose proliferation and diff...erentiation from bone marrow progenitors is promoted by IL-5. The activation of eosinophils... A, Lim S, Kharitonov SA, Chung KF, Barnes PJ. ... TITLE ... Correlation between exhaled nitric oxide, sputum eosinophils

The Medical Ethics Curriculum in Medical Schools: Present and Future.

Science.gov (United States)

Giubilini, Alberto; Milnes, Sharyn; Savulescu, Julian

2016-01-01

In this review article we describe the current scope, methods, and contents of medical ethics education in medical schools in Western English speaking countries (mainly the United Kingdom, the United States, and Australia). We assess the strengths and weaknesses of current medical ethics curricula, and students' levels of satisfaction with different teaching approaches and their reported difficulties in learning medical ethics concepts and applying them in clinical practice. We identify three main challenges for medical ethics education: counteracting the bad effects of the "hidden curriculum," teaching students how to apply ethical knowledge and critical thinking to real cases in clinical practice, and shaping future doctors' right character through ethics education. We suggest ways in which these challenges could be addressed. On the basis of this analysis, we propose practical guidelines for designing, implementing, teaching, and assessing a medical ethics program within a four-year medical course. Copyright 2016 The Journal of Clinical Ethics. All rights reserved.

Knowledge of medical abortion among Brazilian medical students.

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Fernandes, Karayna Gil; Camargo, Rodrigo Pauperio Soares; Duarte, Graciana Alves; Faúndes, Anibal; Sousa, Maria Helena; Maia Filho, Nelson Lourenço; Pacagnella, Rodolfo Carvalho

2012-09-01

To assess the knowledge of Brazilian medical students regarding medical abortion (MA) and the use of misoprostol for MA, and to investigate factors influencing their knowledge. All students from 3 medical schools in São Paulo State were invited to complete a pretested structured questionnaire with precoded response categories. A set of 12 statements on the use and effects of misoprostol for MA assessed their level of knowledge. Of about 1260 students invited to participate in the study, 874 completed the questionnaire, yielding a response rate of 69%. The χ(2) test was used for the bivariate analysis, which was followed by multiple regression analysis. Although all students in their final year of medical school had heard of misoprostol for termination of pregnancy, and 88% reported having heard how to use it, only 8% showed satisfactory knowledge of its use and effects. Academic level was the only factor associated with the indicators of knowledge investigated. The very poor knowledge of misoprostol use for MA demonstrated by the medical students surveyed at 3 medical schools makes the review and updating of the curriculum urgently necessary. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Medical professionalism from a socio-cultural perspective: Evaluating medical residents communicative attitudes during the medical encounter in Malaysia

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K Ganasegeran

2014-01-01

Full Text Available Context: The practice of medicine requires good communication skills to foster excellent rapport in doctor patient relationship. Reports on communication skills learning attitude among medical professionals are key essentials toward improving patient safety and quality of care. Aims: We aimed to determine factors affecting communication skills learning attitudes among medical residents in Malaysia. Settings and Design: Cross-sectional survey, in a Malaysian public health hospital. Materials and Methods: A total of 191 medical residents across medical and surgical based rotations were included. We assessed the validated communication skills attitude scale among medical residents from different rotations. Statistical Analysis: Statistical Package of Social Sciences (SPSS® (version 16.0, IBM, Armonk, NY was used. Cronbach′s alpha was used to test the internal consistency of the scale. Descriptive analysis was conducted for all variables. Bivariate analysis was employed across the socio-demographic variables. Results: Majority of the residents believed that communication skills training should be made compulsory in Malaysia (78.5%. Medical residents agreed that acquiring good communication skills is essential to be a good doctor. However, the majority cited time pressures for not being able to learn communication skills. Significant differences in communication skills learning attitude scores were found between Malays and Chinese. Conclusion: The majority of medical residents had a positive attitude toward communication skills learning. Socio-demographic factors influenced communication skills learning attitude among medical residents. Incorporating communicative skills modules during hospital Continuous Medical Education for medical residents is essential to cultivate communicative skills attitudes for effective doctor-patient relationship during the routine medical encounters.

Medical revolution in Argentina.

Science.gov (United States)

Ballarin, V L; Isoardi, R A

2010-01-01

The paper discusses the major Argentineans contributors, medical physicists and scientists, in medical imaging and the development of medical imaging in Argentina. The following are presented: history of medical imaging in Argentina: the pioneers; medical imaging and medical revolution; nuclear medicine imaging; ultrasound imaging; and mathematics, physics, and electronics in medical image research: a multidisciplinary endeavor.

Library Collaboration with Medical Humanities in an American Medical College in Qatar

Directory of Open Access Journals (Sweden)

Sally Birch

2013-11-01

Full Text Available The medical humanities, a cross-disciplinary field of practice and research that includes medicine, literature, art, history, philosophy, and sociology, is being increasingly incorporated into medical school curricula internationally. Medical humanities courses in Writing, Literature, Medical Ethics and History can teach physicians-in-training communication skills, doctor-patient relations, and medical ethics, as well as empathy and cross-cultural understanding. In addition to providing educational breadth and variety, the medical humanities can also play a practical role in teaching critical/analytical skills. These skills are utilized in differential diagnosis and problem-based learning, as well as in developing written and oral communications. Communication skills are a required medical competency for passing medical board exams in the U.S., Canada, the UK and elsewhere. The medical library is an integral part of medical humanities training efforts. This contribution provides a case study of the Distributed eLibrary at the Weill Cornell Medical College in Qatar in Doha, and its collaboration with the Writing Program in the Premedical Program to teach and develop the medical humanities. Programs and initiatives of the DeLib library include: developing an information literacy course, course guides for specific courses, the 100 Classic Books Project, collection development of ‘doctors’ stories’ related to the practice of medicine (including medically-oriented movies and TV programs, and workshops to teach the analytical and critical thinking skills that form the basis of humanistic approaches to knowledge. This paper outlines a ‘best practices’ approach to developing the medical humanities in collaboration among the medical library, faculty and administrative stakeholders.

Library collaboration with medical humanities in an american medical college in qatar.

Science.gov (United States)

Birch, Sally; Magid, Amani; Weber, Alan

2013-11-01

The medical humanities, a cross-disciplinary field of practice and research that includes medicine, literature, art, history, philosophy, and sociology, is being increasingly incorporated into medical school curricula internationally. Medical humanities courses in Writing, Literature, Medical Ethics and History can teach physicians-in-training communication skills, doctor-patient relations, and medical ethics, as well as empathy and cross-cultural understanding. In addition to providing educational breadth and variety, the medical humanities can also play a practical role in teaching critical/analytical skills. These skills are utilized in differential diagnosis and problem-based learning, as well as in developing written and oral communications. Communication skills are a required medical competency for passing medical board exams in the U.S., Canada, the UK and elsewhere. The medical library is an integral part of medical humanities training efforts. This contribution provides a case study of the Distributed eLibrary at the Weill Cornell Medical College in Qatar in Doha, and its collaboration with the Writing Program in the Premedical Program to teach and develop the medical humanities. Programs and initiatives of the DeLib library include: developing an information literacy course, course guides for specific courses, the 100 Classic Books Project, collection development of 'doctors' stories' related to the practice of medicine (including medically-oriented movies and TV programs), and workshops to teach the analytical and critical thinking skills that form the basis of humanistic approaches to knowledge. This paper outlines a 'best practices' approach to developing the medical humanities in collaboration among the medical library, faculty and administrative stakeholders.

'The medical' and 'health' in a critical medical humanities.

Science.gov (United States)

Atkinson, Sarah; Evans, Bethan; Woods, Angela; Kearns, Robin

2015-03-01

As befits an emerging field of enquiry, there is on-going discussion about the scope, role and future of the medical humanities. One relatively recent contribution to this debate proposes a differentiation of the field into two distinct terrains, 'medical humanities' and 'health humanities,' and calls for a supersession of the former by the latter. In this paper, we revisit the conceptual underpinnings for a distinction between 'the medical' and 'health' by looking at the history of an analogous debate between 'medical geography' and 'the geographies of health' that has, over the last few years, witnessed a re-blurring of the distinction. Highlighting the value of this debate within the social sciences for the future development of the medical humanities, we call for scholars to take seriously the challenges of critical and cultural theory, community-based arts and health, and the counter-cultural creative practices and strategies of activist movements in order to meet the new research challenges and fulfill the radical potential of a critical medical humanities.

Differences of smoking knowledge, attitudes, and behaviors between medical and non-medical students.

Science.gov (United States)

Han, Min-Yan; Chen, Wei-Qing; Wen, Xiao-Zhong; Liang, Cai-Hua; Ling, Wen-Hua

2012-03-01

Previous studies in the world reported inconsistent results about the relationship of medical professional education with medical students' smoking behaviors, and no similar research had been published in China. This paper aims to explore whether the differences of smoking-related knowledge, attitudes, and behaviors existed between medical and non-medical undergraduate students. Eight thousand one hundred thirty-eight undergraduate students sampled from a university in Guangzhou were investigated with a self-administered structured questionnaire about their smoking-related knowledge, attitude and behaviors, and other relevant factors. General linear model and multinomial logistic regression were conducted to test the differences in smoking-related knowledge, attitude, and behaviors between medical and non-medical students while controlling for potential confounding variables. There was no difference in smoking-related knowledge scores between medical and non-medical freshmen, but medical sophomores and juniors had higher scores of smoking-related knowledge than their non-medical counterparts. The medical sophomores had higher mean score of attitudes towards smoking than non-medical ones. Before entering university, the difference in the prevalence of experimental and regular smoking between medical and non-medical college students was not significant. After entering university, in contrast, the overall prevalence of regular smoking was significantly higher among male non-medical college students than among male medical students. Stratified by current academic year, this difference was significant only among male sophomores. Medical students have higher smoking-related knowledge, stronger anti-smoking attitude, and lower prevalence of regular smoking than non-medical college students of similar age, which may be associated with medical professional education.

Cognitive Medical Multiagent Systems

OpenAIRE

Barna Iantovics

2010-01-01

The development of efficient and flexible agent-based medical diagnosis systems represents a recent research direction. Medical multiagent systems may improve the efficiency of traditionally developed medical computational systems, like the medical expert systems. In our previous researches, a novel cooperative medical diagnosis multiagent system called CMDS (Contract Net Based Medical Diagnosis System) was proposed. CMDS system can solve flexibly a large variety of medical diagnosis problems...

Postgraduation retention of medical students from Otago and Auckland medical programmes.

Science.gov (United States)

Shelker, William; Poole, Phillippa; Bagg, Warwick; Wood, Ian; Glue, Paul

2014-01-24

Auckland and Otago medical programmes have different methods for selecting students. This study compared postgraduate retention in New Zealand (NZ) of medical graduates from the two medical programmes, to assess whether different selection methods influenced retention. Other variables assessed included entrance category and age at graduation. Anonymised databases were created of all graduates from the Otago Faculty of Medicine (1999-2011) and the Auckland medical programme (2000-2012). Demographic and entry category data were recorded. Retention was defined as presence on the NZ Medical Register in December 2012. Risk differences (RD) were calculated to compare retention between the two medical programmes using the Mantel-Haenszel method. The influence of medical programme entrance category on retention was also tested. The influence of covariates on retaining graduates on the register was evaluated using a multiple logistic regression model. The postgraduate retention of graduates of the two medical programmes over 13 years was identical (Auckland 74.9%, Otago 73.6%, P=0.48). Retention of graduate and non-graduate entry students from both medical programmes was similar by 6 years after graduation. Age during medical school did not affect retention. University of attendance had no effect on postgraduation retention of students on the NZ Medical Register, suggesting that retention is not influenced by the different student selection methods at each programme. The data presented shows that New Zealand graduates regardless of programme completed show a similar profile in terms of retention.

Rock glaciers, Zailiysiky Range, Kungei Ranges, Tienshan, Kazakhstan, Version 1

Data.gov (United States)

National Aeronautics and Space Administration — The Zailiyskiy Alatau is the northernmost parallel latitudinal ranges of the Northern Tien Shan. The highest point of this range is the Talgar peak (4973 m a.s.l.)....

Medication communication through documentation in medical wards: knowledge and power relations.

Science.gov (United States)

Liu, Wei; Manias, Elizabeth; Gerdtz, Marie

2014-09-01

Health professionals communicate with each other about medication information using different forms of documentation. This article explores knowledge and power relations surrounding medication information exchanged through documentation among nurses, doctors and pharmacists. Ethnographic fieldwork was conducted in 2010 in two medical wards of a metropolitan hospital in Australia. Data collection methods included participant observations, field interviews, video-recordings, document retrieval and video reflexive focus groups. A critical discourse analytic framework was used to guide data analysis. The written medication chart was the main means of communicating medication decisions from doctors to nurses as compared to verbal communication. Nurses positioned themselves as auditors of the medication chart and scrutinised medical prescribing to maintain the discourse of patient safety. Pharmacists utilised the discourse of scientific judgement to guide their decision-making on the necessity of verbal communication with nurses and doctors. Targeted interdisciplinary meetings involving nurses, doctors and pharmacists should be organised in ward settings to discuss the importance of having documented medication information conveyed verbally across different disciplines. Health professionals should be encouraged to proactively seek out each other to relay changes in medication regimens and treatment goals. © 2013 John Wiley & Sons Ltd.

Medics on the Move South Africa: Access to Medical Words

OpenAIRE

Kris Van de Poel; Christine Fourie; Karen Seberechts

2013-01-01

South African medical students who are Cuban-trained and therefore Spanish- speaking, on their return to South Africa need to learn medical vocabulary, terminology, and appropriate interactional discourse in the two major languages of English and Afrikaans, in order to be able to practise professional medicine effectively and efficiently. Indeed, their language problems are further compounded by differences in medical equipment and in medical practices between Cuba and South Africa. To meet t...

Cognitive Medical Multiagent Systems

Directory of Open Access Journals (Sweden)

Barna Iantovics

2010-01-01

Full Text Available The development of efficient and flexible agent-based medical diagnosis systems represents a recent research direction. Medical multiagent systems may improve the efficiency of traditionally developed medical computational systems, like the medical expert systems. In our previous researches, a novel cooperative medical diagnosis multiagent system called CMDS (Contract Net Based Medical Diagnosis System was proposed. CMDS system can solve flexibly a large variety of medical diagnosis problems. This paper analyses the increased intelligence of the CMDS system, which motivates its use for different medical problem’s solving.

Medications (for IBS)

Medline Plus

Full Text Available ... July 2017 Print Jump to Topic Medications for IBS Laxatives Anticholinergic/Antispasmodic Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, ...

Smoking cessation medications

Science.gov (United States)

Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Smoking cessation medicines can: Help with the craving for tobacco. Help you with withdrawal symptoms. Keep you ...

Cannabinoids: Medical implications.

Science.gov (United States)

Schrot, Richard J; Hubbard, John R

2016-01-01

Herbal cannabis has been used for thousands of years for medical purposes. With elucidation of the chemical structures of tetrahydrocannabinol (THC) and cannabidiol (CBD) and with discovery of the human endocannabinoid system, the medical usefulness of cannabinoids has been more intensively explored. While more randomized clinical trials are needed for some medical conditions, other medical disorders, like chronic cancer and neuropathic pain and certain symptoms of multiple sclerosis, have substantial evidence supporting cannabinoid efficacy. While herbal cannabis has not met rigorous FDA standards for medical approval, specific well-characterized cannabinoids have met those standards. Where medical cannabis is legal, patients typically see a physician who "certifies" that a benefit may result. Physicians must consider important patient selection criteria such as failure of standard medical treatment for a debilitating medical disorder. Medical cannabis patients must be informed about potential adverse effects, such as acute impairment of memory, coordination and judgment, and possible chronic effects, such as cannabis use disorder, cognitive impairment, and chronic bronchitis. In addition, social dysfunction may result at work/school, and there is increased possibility of motor vehicle accidents. Novel ways to manipulate the endocannbinoid system are being explored to maximize benefits of cannabinoid therapy and lessen possible harmful effects.

From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic's Service Perspective.

Science.gov (United States)

Kim, Minseong; Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

2017-01-01

Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics' servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics' servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists' loyalty to a medical clinic.

Medicalization, markets and consumers.

Science.gov (United States)

Conrad, Peter; Leiter, Valerie

2004-01-01

This paper examines the impact of changes in the medical marketplace on medicalization in U.S. society. Using four cases (Viagra, Paxil, human growth hormone and in vitro fertilization), we focus on two aspects of the changing medical marketplace: the role of direct-to-consumer advertising of prescription drugs and the emergence of private medical markets. We demonstrate how consumers and pharmaceutical corporations contribute to medicalization, with physicians, insurance coverage, and changes in regulatory practices playing facilitating roles. In some cases, insurers attempt to counteract medicalization by restricting access. We distinguish mediated and private medical markets, each characterized by differing relationships with corporations, insurers, consumers, and physicians. In the changing medical environment, with medical markets as intervening factors, corporations and insurers are becoming more significant determinants in the medicalization process.

Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School

Directory of Open Access Journals (Sweden)

Olopade FE

2016-07-01

Full Text Available Funmilayo Eniola Olopade,1 Oluwatosin Adekunle Adaramoye,2 Yinusa Raji,3 Abiodun Olubayo Fasola,4 Emiola Oluwabunmi Olapade-Olaopa5 1Department of Anatomy, 2Department of Biochemistry, 3Department of Physiology, 4Department of Oral Pathology, 5Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria Abstract: The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the “old” curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula

Role of the Neddylation Enzyme Uba3, A New Estrogen Receptor Corepressor in Breast Cancer

Science.gov (United States)

2006-09-01

vs. MCF7) Gene symbol Genbank MCF7-T MCF-F Description Notch signaling pathway PSEN1 NM_007319 1.33 7.06 Presenilin 1 ( Alzheimer disease 3...Medicine Bloomington, Indiana 47405 3Department of Life Science and Institute of Molecular Biology National Chung Cheng University Chia -Yi Taiwan

Tropical Cyclone Report

Science.gov (United States)

1989-01-01

CHULALONGKORN UNIVERSITY, BANGKOK LOS ANGELES PUBLIC LIBRARY CHUNG CHENG INSTITUTE, TAIWAN MASS INST OF TECH CITIES SERVICES OIL GAS CORP MCAS FUTENMA CIUDAD ...reached the mountainous oceanic sensible and latent heat sources . The terrain of Laos. system was downgraded to a typhoon at 190600Z, and then to a

75 FR 17396 - Notice of Availability of Government-Owned Inventions; Available for Licensing

Science.gov (United States)

2010-04-06

... diagnostics and therapeutics for scrub typhus and HIV infections'', Inventors: Wei Mei Ching, Chien Chung Chao... orientia tsutsugamushi to be used as a vaccine component against scrub typhus'', Inventors: Wei Mei Ching..., ``Recombinant antigens for diagnosis and prevention of murine typhus'', Inventor: Wei Mei Ching, issued June 9...

A Videography Analysis Framework for Video Retrieval and Summarization (Open Access)

Science.gov (United States)

2012-09-07

J. S. D. Mason, and M.Pawlewski. Video genre classification using dy- namics. In IEEE ICASSP, 2001. [16] Ashutosh Saxena, Sung H. Chung, and Andrew Y...directing semantics for film shot classification. IEEE Transactions on Circuits and Systems for Video Technology (TCSVT), 19(10):1529–1542, 2009. [23

New Horizons in Education, 2000.

Science.gov (United States)

Ho, Kwok Keung, Ed.

2000-01-01

This document contains the May and November 2000 issues of "New Horizons in Education," with articles in English and Chinese. The May issue includes the following articles: "A Key to Successful Environmental Education: Teacher Trainees' Attitude, Behaviour, and Knowledge" (Kevin Chung Wai Lui, Eric Po Keung Tsang, Sing Lai…

MEDICAL SERVICES OR MEDICAL CARE – AN URGENT ISSUE FOR PUBLIC HEALTH INSTITUTIONS

Directory of Open Access Journals (Sweden)

E. V. Pesennikova

2017-01-01

Full Text Available Purpose. To consider the relationship between the concepts of “medical service” and “medical care” in the work of public medical institutions, based on the analysis of normative legal documents of the modern period.Materials and methods. In the course of the research, more than 18 legal and regulatory documents that were published during the period from 1990 to 2017 were analyzed, an analysis of judicial practice and related literature sources (periodicals was carried out.Results. The analysis made it possible to distinguish the stages in the development of the organizational and legal framework for the provision of paid medical services in the Russian Federation and the dynamics of the relationship between the terms “medical care” and “medical service”. It was revealed that the concept of “medical services” appeared much later and was associated with the development of paid medical services and the need to establish legal aspects of health care. The provision of medical assistance is regulated mainly by public law, and the provision of medical services is governed by private law. The term “medical care” is broader than the “medical service” from the standpoint of the social aspect. At the same time, the concept of “medical service” can be considered more widely than medical care in cases when it is not only about measures aimed at treating the patient, but also about providing additional services to the patient in the process of receiving medical care.Conclusion. Thus, we concluded that the categories of medical care and medical services should not be identified, but also not completely different concepts, but rather enter into a partial intersection relationship. The need to distinguish between the concepts of “medical care” and “medical service” is dictated not only by the category relations or opinion of the population and the medical community, but also by the need for legal support for the process of

Medical genetics teaching in Iranian medical schools, especially Ahvaz, south of Iran

Directory of Open Access Journals (Sweden)

MAHDI BIJANZADEH

2014-04-01

Full Text Available Introduction: Physicians have to visit, diagnose and refer patients with genetic disorders, so they need to be familiar with the basics and indications of genetic tests. In other words, they should have effective theoretical and practical knowledge about medical genetics before they do their job. Medical genetics courses at Medical Universities of Iran are generally presented as a theoretical subject in the first period of medical education. Methods: In this descriptive research, the results of interviews with teachers of medical genetics in 30 medical schools in Islamic Republic of Iran and responses to a questionnaire by 125 medical students of Ahvaz Jundishapur University of medical sciences, about presentation time, curricula and also efficacy of medical genetics courses were analyzed. The interviews with teachers were done on phone and the students’ comments were collected by a researcher-made questionnaire. The data were analyzed, using SPSS software, version 14. Results: In two thirds of medical universities, medical genetics is taught in the third or fourth semester and in 5 universities in the fifth semester. 86% of the students believed that the quality of genetics courses is moderate and such courses are same as clinical manifestation of genetic disorders are benefitial to medical students. Conclusion: This article suggests that medical genetics be offered in the second or third period of medical education (physiopathology or stagger period. Furthermore, in teaching such courses advanced educational methods (animation presentation, case-based learning, problem-based learning, etc. should be used, together with simple genetic tests in laboratories, the visit of genetic patients in hospitals, and the genetics consult.

Medical education.

Science.gov (United States)

Krishnan, P

1992-01-01

In theory, the Medical Council of India (MCI) determines the standards and qualifications of medical schools. It also sanctions curricula and ensures standards. Yet no standards exist on the mode of selection in medical schools, duration of study, course content, student stipends or period of internship. It takes 4.5 years to finish medical school. Students undergo preclinical, paraclinical, and clinical training. Most courses are in English which tends to favor the urban elite. Students cannot always communicate with patients in local languages. Textbooks often provide medical examples unrelated to India. Pedagogy consists mainly of lectures and rote learning predominates. Curricula tend not to provide courses in community health. Students pick up on the elitist attitudes of the faculty. For example, faculty do not put much emphasis on community health, individual health, equity in health care delivery, and teamwork. Further the education system is not patient oriented, but hospital or disease oriented. Faculty should train students in creating sanitation programs, knowing local nutritious foods, and in making community diagnoses. Yet they tend to be practitioners 1st then educators. Further faculty are not paid well and are not always invited to take part in improving curriculum, so morale is often low. Moreover experience in health planning and management issues is not required for administrators. In addition, medical schools are not well equipped with learning aids, libraries, or teaching staff. Tax revenues finance medical education. 75% of graduating physicians set up a private practice. Further many physicians go to urban areas. 34-57% emigrate to other countries. The problems of medical education will not be solved until the political and economic system becomes more responsive to the health needs of the people.

Medina (Medical Instant Pashmina) Hijab for Medical Personnel

OpenAIRE

Limita, Sandrarizka Yuvike; Dinarsari, Fairuz Febrita; Rona, Tiga Putu; Halimi, Achmad Aunul

2017-01-01

MEDINA (Medical Instant Pashmina) is a hijab made for medical personnel. MEDINA hijab is a hijab in instantpashmina model with a small hole near the ears but it cannot be seen from outside and the function is to makeusing stetoskop easier. The purpose of making our product is to make MEDINA as medical personnel's hijabwhich has funct ion to easily use stethoscope and still look syar'i. It is convenient with our motto: “Beauty inSyari, Luxury in Simplicit y”. There are three stages in running ...

Twelve Tips for teaching medical professionalism at all levels of medical education.

Science.gov (United States)

Al-Eraky, Mohamed Mostafa

2015-01-01

Review of studies published in medical education journals over the last decade reveals that teaching medical professionalism is essential, yet challenging. According to a recent Best Evidence in Medical Education (BEME) guide, there is no consensus on a theoretical or practical model to integrate the teaching of professionalism into medical education. The aim of this article is to outline a practical manual for teaching professionalism at all levels of medical education. Drawing from research literature and author's experience, Twelve Tips are listed and organised in four clusters with relevance to (1) the context, (2) the teachers, (3) the curriculum, and (4) the networking. With a better understanding of the guiding educational principles for teaching medical professionalism, medical educators will be able to teach one of the most challenging constructs in medical education.

[Unravelling medical leadership].

Science.gov (United States)

Voogt, Judith J; van Rensen, Elizabeth L J; Noordegraaf, Mirko; Schneider, Margriet M E

2015-01-01

Medical leadership is a popular topic in the Netherlands, and several interest groups now incorporate medical leadership into postgraduate medical education. However, there is no consensus on what this concept entails. By conducting a discourse analysis, a qualitative method which uses language and text to reveal existing viewpoints, this article reveals three perspectives on medical leadership: administrative leadership, leadership within organisations and leadership within each doctor's daily practice. Text analysis shows that the first two perspectives refer to medical leadership mainly in a defensive manner: by demonstrating medical leadership doctors could 'take the lead' once again; patient care only seems to play a small part in the process. These perspectives are not free of consequences, they will determine how the medical profession is constructed. For this reason, it is argued that there should be more emphasis on the third perspective, in which the quality of care for patients is of primary importance.

Medication reconciliation is a prerequisite for obtaining a valid medication review

DEFF Research Database (Denmark)

Bjeldbak-Olesen, Mette; Danielsen, Anja Gadsbølle; Tomsen, Dorthe Vilstrup

2013-01-01

The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-related problems (DRPs), denoted errors.......The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-related problems (DRPs), denoted errors....

Developing a competency-based medical education curriculum for the core basic medical sciences in an African Medical School.

Science.gov (United States)

Olopade, Funmilayo Eniola; Adaramoye, Oluwatosin Adekunle; Raji, Yinusa; Fasola, Abiodun Olubayo; Olapade-Olaopa, Emiola Oluwabunmi

2016-01-01

The College of Medicine of the University of Ibadan recently revised its MBBS and BDS curricula to a competency-based medical education method of instruction. This paper reports the process of revising the methods of instruction and assessment in the core basic medical sciences directed at producing medical and dental graduates with a sound knowledge of the subjects sufficient for medical and dental practice and for future postgraduate efforts in the field or related disciplines. The health needs of the community and views of stakeholders in the Ibadan medical and dental schools were determined, and the "old" curriculum was reviewed. This process was directed at identifying the strengths and weaknesses of the old curricula and the newer competences required for modern-day medical/dental practice. The admission criteria and processes and the learning methods of the students were also studied. At the end of the review, an integrated, system-based, community-oriented, person-centered, and competency-driven curriculum was produced and approved for implementation. Four sets of students have been admitted into the curriculum. There have been challenges to the implementation process, but these have been overcome by continuous faculty development and reorientation programs for the nonteaching staff and students. Two sets of students have crossed over to the clinical school, and the consensus among the clinical teachers is that their knowledge and application of the basic medical sciences are satisfactory. The Ibadan medical and dental schools are implementing their competency-based medical education curricula successfully. The modifications to the teaching and assessment of the core basic medical science subjects have resulted in improved learning and performance at the final examinations.

Medication deserts: survey of neighborhood disparities in availability of prescription medications

Science.gov (United States)

2012-01-01

Background Only a small amount of research has focused on the relationship between socio-economic status (SES) and geographic access to prescription medications at community pharmacies in North America and Europe. To examine the relationship between a community’s socio-economic context and its residents’ geographic access to common medications in pharmacies, we hypothesized that differences are present in access to pharmacies across communities with different socio-economic environments, and in availability of commonly prescribed medications within pharmacies located in communities with different socio-economic status. Methods We visited 408 pharmacies located in 168 socio-economically diverse communities to assess the availability of commonly prescribed medications. We collected the following information at each pharmacy visited: hours of operation, pharmacy type, in-store medication availability, and the cash price of the 13 most commonly prescribed medications. We calculated descriptive statistics for the sample and fitted a series of hierarchical linear models to test our hypothesis that the in-stock availability of medications differs by the socio-economic conditions of the community. This was accomplished by modeling medication availability in pharmacies on the socio-economic factors operating at the community level in a socio-economically devise urban area. Results Pharmacies in poor communities had significantly higher odds of medications being out of stock, OR=1.24, 95% CI [1.02, 1.52]. There was also a significant difference in density of smaller, independent pharmacies with very limited stock and hours of operation, and larger, chain pharmacies in poor communities as compared to the middle and low-poverty communities. Conclusions The findings suggest that geographic access to a neighborhood pharmacy, the type of pharmacy, and availability of commonly prescribed medications varies significantly across communities. In extreme cases, entire communities

Medications (for IBS)

Medline Plus

Full Text Available ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS ... Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral ...

Medication/Drug Allergy

Science.gov (United States)

... Training Home Conditions Medication/Drug Allergy Medication/Drug Allergy Make an Appointment Find a Doctor Ask a ... risk for adverse reactions to medications. Facts about Allergies The tendency to develop allergies may be inherited. ...

Medical marijuana.

OpenAIRE

Marmor, J B

1998-01-01

Although many clinical studies suggest the medical utility of marijuana for some conditions, the scientific evidence is weak. Many patients in California are self-medicating with marijuana, and physicians need data to assess the risks and benefits. The only reasonable solution to this problem is to encourage research on the medical effects of marijuana. The current regulatory system should be modified to remove barriers to clinical research with marijuana. The NIH panel has identified several...

Medical design anthropology

DEFF Research Database (Denmark)

Ventura, Jonathan; Gunn, Wendy

Barnard and Spencer define medical anthropology in the Encyclopedia of Social and Cultural Anthropology as "Medical anthropology is, as the phrase implies, unavoidably concerned with the paradigm of modern Western medicine, whether implicitly or explicitly" (2002: 541). Recently there is a new...... focus in medical sociology and anthropology, which is patient's practices and influence on wider global health environment (see for example vol. 36(2) of Sociology of Health & Illness). While various social science theoreticians have written about agentic abilities of objects, there is a gap...... in literature concerning various levels of socio-cultural influence of the medical environment through medical products. In our research we have outlined the importance of medical design anthropology (MDA) to the practice and theory of design (Ventura and Gunn, 2016). In this paper, we study the ways in which...

Guide of good practices in medical physics - French Society of Medical Physics

International Nuclear Information System (INIS)

Rosenwald, Jean-Claude; Aventin, Christophe; Coste, Frederic; Francois, Pascal; Ginestet, Chantal; Perrin, Benedicte; Salvat, Cecile; Caselles, Olivier; Dedieu, Veronique; Dejean, Catherine; Batalla, Alain; Guillaume, Bonniaud; Le Du, Dominique; Lisbona, Albert; Marchesi, Vincent; Sarrazin, Thierry; Mazeron, Jean-Jacques; Lipinski, Francis; Vera, Pierre; Vermandel, Maximilien; Ducou le Pointe, Hubert; Vidal, Vincent; Henry, Cecile; Mazeau-Woynar, Valerie; Prot, Camille; Valero, Marc; Aubert, Bernard; Etard, Cecile; Jimonet, Christine; Roue, Amelie; Sage, Julie; Bardies, Manuel; Beauvais, Helene; Bey, Pierre; Costa, Andre; Desblancs, Claire; Eudaldo, Teresa; Farman, Bardia; Ferrand, Regis; Garcia, Robin; Giraud, Jean-Yves; Husson, Francois; Koulibaly, Malick; Carlan, Loic de; Manens, Jean-Pierre; Naudy, Suzanne; Noel, Alain; Pilette, Pierre; Verdun, Francis; Bouette, Aurelien; Breen, Stephen; Bridier, Andre; Chauvenet, Bruno; Chavaudra, Jean; Gardin, Isabelle; Herlevin, Karine

2012-01-01

After a presentation of the methodological approach used to write this book, the first chapter addresses the profession of medical physicist: medical physics in France (history, evolution of the profession, of the education and of regulation), legal framework (related to the medical use of ionizing radiations, legal texts directly concerning medical physics, regulations impacting the professional practice of medical physicists), scopes of intervention of the medical physicist (context, missions, dose management, image quality, quality management and safety, relationship with the patient, education, training and research, relationships with industry, cost management), operating conditions, and good professional practices. The second chapter addresses the principles of management of quality and safety: quality management in medical physics, safety management, quality and safety in health care facilities. The third part addresses good practices in medical physics: general principles of working methods, equipment management, participation to clinic activities

Mass Medication Clinic (MMC) Patient Medical Assistant (PMA) System Training Initiative

Science.gov (United States)

2007-06-01

AD_________________ Award Number: W81XWH-06-2-0045 TITLE: Mass Medication Clinic (MMC) Patient ...SUBTITLE 5a. CONTRACT NUMBER Mass Medication Clinic (MMC) Patient Medical Assistant (PMA) System Training Initiative 5b. GRANT NUMBER W81XWH-06-2...sections will describe the events, results, and accomplishments of this study. With validation through this project the Patient Medical Assistant

Why change habits? Early modern medical innovation between medicalisation and medical culture.

Science.gov (United States)

Loetz, Francisca

2010-01-01

Based on a discussion of the concept of medicalisation and medical culture in Anglo-American, French-, and German-speaking historiography the paper argues that medical innovation in Europe from the sixteenth to the mid-nineteenth century should be approached in a different way. Instead of asking from the perspective of a too narrow concept of medicalisation why medical innovations were rejected by the population, (medical) historians should analyse medical culture and ask why people should have changed their health and illness behaviour. This conceptual argument is deduced from four empirical examples: the introduction of smallpox vaccination, "medical police," the problem of medical professionalization, and the questions arising around the relations between the healthy/sick and their practitioners.

[Medical negligence].

Science.gov (United States)

Zipper, St G

2016-06-01

Medical negligence is a matter of growing public interest. This review outlines various aspects of medical negligence: epidemiology, taxonomy, and the risks, causes, psychology, management and prevention of errors.

Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde.

Science.gov (United States)

Delgado, Antonio Pedro; Soares Martins, Antonieta; Ferrinho, Paulo

2017-10-31

Cape Verde is a small insular developing state. Its first experience of undergraduate medical education began in October 2015. The purpose of this paper is to describe and analyze the professional expectations and profile of the first class of medical students at the University of Cape Verde. A piloted, standardized questionnaire, with closed and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analyzed using SPSS. Students decided to study medicine in their mid-teens with relatives and friends having had significant influence over their decisions. Other major reasons for choosing medical training include "to take care of other people", "fascination for the subject matters of medicine" and "I have always wanted to". The degree of feminization of the student population is extremely high (20/25; 80.0%). Medical students are in general satisfied with the training program, and have expectations that the training received will allow them to be good professionals. Nevertheless, they consider the course too theoretical. Medical students know that this represents an opportunity for them to contribute to public welfare. Nonetheless, their expectations are to combine public sector practice with private work. Medical students come mostly from Santiago Island where the Capital of the Country is located. They still do not know about their future area of specialization. But all of those who want to specialize want to do so abroad. They mostly expect to follow hospital careers rather than health administration or family and community medicine. This study contributes to the growing body of knowledge about medical students' difficulties and expectations regarding medical schools or curriculums in lusophone countries. The decision to invest in the training of local physicians is justified by the need to be less dependent on foreigners. Local postgraduate medical training programs are already

Development of national competency-based learning objectives "Medical Informatics" for undergraduate medical education.

Science.gov (United States)

Röhrig, R; Stausberg, J; Dugas, M

2013-01-01

The aim of this project is to develop a catalogue of competency-based learning objectives "Medical Informatics" for undergraduate medical education (abbreviated NKLM-MI in German). The development followed a multi-level annotation and consensus process. For each learning objective a reason why a physician needs this competence was required. In addition, each objective was categorized according to the competence context (A = covered by medical informatics, B = core subject of medical informatics, C = optional subject of medical informatics), the competence level (1 = referenced knowledge, 2 = applied knowledge, 3 = routine knowledge) and a CanMEDS competence role (medical expert, communicator, collaborator, manager, health advocate, professional, scholar). Overall 42 objectives in seven areas (medical documentation and information processing, medical classifications and terminologies, information systems in healthcare, health telematics and telemedicine, data protection and security, access to medical knowledge and medical signal-/image processing) were identified, defined and consented. With the NKLM-MI the competences in the field of medical informatics vital to a first year resident physician are identified, defined and operationalized. These competencies are consistent with the recommendations of the International Medical Informatics Association (IMIA). The NKLM-MI will be submitted to the National Competence-Based Learning Objectives for Undergraduate Medical Education. The next step is implementation of these objectives by the faculties.

Implantable Medical Devices

Science.gov (United States)

... Artery Disease Venous Thromboembolism Aortic Aneurysm More Implantable Medical Devices Updated:Sep 16,2016 For Rhythm Control ... a Heart Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack ...

Value of pharmacist medication interviews on optimizing the electronic medication reconciliation process.

Science.gov (United States)

Lee, Audrey; Varma, Arjun; Boro, Maureen; Korman, Nancy

2014-06-01

Few studies have explored the impact of using different methods for obtaining accurate medication histories on medication safety. This study was conducted to compare the accuracy and clinical impact of pharmacist medication histories obtained by electronic medical record review (EMRR) alone with those obtained by direct interviews combined with EMRR. This 18-week prospective study included patients who were admitted to the Inpatient Medicine Service at the study institution and who had a pharmacist-conducted medication reconciliation EMRR within 48 hours of hospital admission. A chart review was performed to collect data to determine whether differences existed in the number of discrepancies, recommendations, and medication errors between the EMRR alone group compared to the EMRR combined with the patient interview group. Five hundred thirteen discrepancies were identified with the EMRR group compared to 986 from the combined EMRR and patient interview group (P < .001). Significantly more recommendations were made in the combination interview group compared to the EMRR alone group (260 vs 97; P < .001). Fewer medication errors were identified for the EMRR alone group compared to the combination interview group (55 vs 134; P < .001). The most common errors were omitted medications followed by extra dose/failure to discontinue therapy and wrong dose/frequency errors. Pharmacist-conducted admission medication interviews combined with EMRR can potentially identify harmful medication discrepancies and prevent medication errors.

Pediatric Nurses' Perceptions of Medication Safety and Medication Error: A Mixed Methods Study.

Science.gov (United States)

Alomari, Albara; Wilson, Val; Solman, Annette; Bajorek, Beata; Tinsley, Patricia

2017-05-30

This study aims to outline the current workplace culture of medication practice in a pediatric medical ward. The objective is to explore the perceptions of nurses in a pediatric clinical setting as to why medication administration errors occur. As nurses have a central role in the medication process, it is essential to explore nurses' perceptions of the factors influencing the medication process. Without this understanding, it is difficult to develop effective prevention strategies aimed at reducing medication administration errors. Previous studies were limited to exploring a single and specific aspect of medication safety. The methods used in these studies were limited to survey designs which may lead to incomplete or inadequate information being provided. This study is phase 1 on an action research project. Data collection included a direct observation of nurses during medication preparation and administration, audit based on the medication policy, and guidelines and focus groups with nursing staff. A thematic analysis was undertaken by each author independently to analyze the observation notes and focus group transcripts. Simple descriptive statistics were used to analyze the audit data. The study was conducted in a specialized pediatric medical ward. Four key themes were identified from the combined quantitative and qualitative data: (1) understanding medication errors, (2) the busy-ness of nurses, (3) the physical environment, and (4) compliance with medication policy and practice guidelines. Workload, frequent interruptions to process, poor physical environment design, lack of preparation space, and impractical medication policies are identified as barriers to safe medication practice. Overcoming these barriers requires organizations to review medication process policies and engage nurses more in medication safety research and in designing clinical guidelines for their own practice.

Medical Marijuana Users are More Likely to Use Prescription Drugs Medically and Nonmedically.

Science.gov (United States)

Caputi, Theodore L; Humphreys, Keith

2018-04-17

Previous studies have found a negative population-level correlation between medical marijuana availability in US states, and trends in medical and nonmedical prescription drug use. These studies have been interpreted as evidence that use of medical marijuana reduces medical and nonmedical prescription drug use. This study evaluates whether medical marijuana use is a risk or protective factor for medical and nonmedical prescription drug use. Simulations based upon logistic regression analyses of data from the 2015 National Survey on Drug Use and Health were used to compute associations between medical marijuana use, and medical and nonmedical prescription drug use. Adjusted risk ratios (RRs) were computed with controls added for age, sex, race, health status, family income, and living in a state with legalized medical marijuana. Medical marijuana users were significantly more likely (RR 1.62, 95% confidence interval [CI] 1.50-1.74) to report medical use of prescription drugs in the past 12 months. Individuals who used medical marijuana were also significantly more likely to report nonmedical use in the past 12 months of any prescription drug (RR 2.12, 95% CI 1.67-2.62), with elevated risks for pain relievers (RR 1.95, 95% CI 1.41-2.62), stimulants (RR 1.86, 95% CI 1.09-3.02), and tranquilizers (RR 2.18, 95% CI 1.45-3.16). Our findings disconfirm the hypothesis that a population-level negative correlation between medical marijuana use and prescription drug harms occurs because medical marijuana users are less likely to use prescription drugs, either medically or nonmedically. Medical marijuana users should be a target population in efforts to combat nonmedical prescription drug use.

Medical Cyclotrons

Science.gov (United States)

Friesel, D. L.; Antaya, T. A.

Particle accelerators were initially developed to address specific scientific research goals, yet they were used for practical applications, particularly medical applications, within a few years of their invention. The cyclotron's potential for producing beams for cancer therapy and medical radioisotope production was realized with the early Lawrence cyclotrons and has continued with their more technically advanced successors — synchrocyclotrons, sector-focused cyclotrons and superconducting cyclotrons. While a variety of other accelerator technologies were developed to achieve today's high energy particles, this article will chronicle the development of one type of accelerator — the cyclotron, and its medical applications. These medical and industrial applications eventually led to the commercial manufacture of both small and large cyclotrons and facilities specifically designed for applications other than scientific research.

The Tonya Harding Controversy: An Analysis of Image Restoration Strategies.

Science.gov (United States)

Benoit, William L.; Hanczor, Robert S.

1994-01-01

Analyzes Tonya Harding's defense of her image in "Eye to Eye with Connie Chung," applying the theory of image restoration discourse. Finds that the principal strategies employed in her behalf were bolstering, denial, and attacking her accuser, but that these strategies were not developed very effectively in this instance. (SR)

Assessment of time to glucose peak during an oral glucose tolerance test

DEFF Research Database (Denmark)

Hulman, Adam; Witte, Daniel R; Vistisen, Dorte

2017-01-01

We read with interest the article from Chung et al. on the association between time to glucose peak and prediabetes.(1) We agree with the authors in that the morphology of the glucose curve is worth investigating as an additional indicator of prediabetes and diabetes risk. This is a rather well...

Developmental State Policy, Educational Development, and Economic Development: Policy Processes in South Korea (1961-1979)

Science.gov (United States)

Kim, Ki Su

2012-01-01

This paper explores two inter-connected issues--the state's role in educational development and educational contribution to economic development--in the policy processes entailed by the South Korean state's pursuit of economic development during the Park Chung Hi era, 1961-1979. It disputes the statist view that South Korea's economic development…

Productivity in Educational Psychology Journals from 2003 to 2008

Science.gov (United States)

Jones, Sara J.; Fong, Carlton J.; Torres, Laura G.; Yoo, Julia H.; Decker, Mark Lowry; Robinson, Daniel H.

2010-01-01

Productivity of individuals and institutions in educational psychology journals has been previously examined in three separate studies (Hsieh et al. [Hsieh, P., Acee, T., Chung, W., Hsieh, Y., Kim, H., Thomas, G. D., et al. (2004). An alternate look at educational psychologist's productivity from 1991 to 2002. "Contemporary Educational Psychology,…

Issues of medical necessity: a medical director's guide to good faith adjudication.

Science.gov (United States)

Quinn, C

1997-06-01

The term medical necessity is difficult to define, a problem for insurers who need to clearly describe what is and is not covered in their contracts with subscribers. An unclear, vague definition of medical necessity leaves insurers vulnerable to litigation by subscribers denied care deemed medically unnecessary. To avoid lawsuits, insurers must make every effort to educate their subscribers about their medical coverage, going beyond merely providing a lengthy subscriber handbook. In decisions on medical necessity, medical directors at insurance companies play a key role. They can bolster the insurer's position in denial-of-care cases in numerous ways, including keeping meticulous records, eliminating unreasonable financial incentives, maintaining a claims denial database, and consulting with other insurers to achieve a consensus on medical necessity.

Geology, mineralization, and fluid inclusion characteristics of the Kashkasu W-Mo-Cu skarn deposit associated with a high-potassic to shoshonitic igneous suite in Kyrgyzstan, Tien Shan: Toward a diversity of W mineralization in Central Asia

Science.gov (United States)

Soloviev, Serguei G.; Kryazhev, Sergey G.

2018-03-01

The Kashkasu deposit is part of the subduction-related Late Paleozoic (Late Carboniferous) metallogenic belt of Tien Shan. It is associated with a multiphase monzodiorite-monzonite-granodiorite-granite pluton of the magnetite-series high-K calc-alkaline to shoshonitic igneous suite. The deposit contains zones of W-Mo-Cu oxidized prograde and retrograde skarns, with abundant andraditic garnet, magnetite, locally scapolite and K-feldspar, as well as scheelite, chalcopyrite, and molybdenite. Skarns are overprinted by quartz-carbonate-sericite (phyllic alteration) zones with scheelite and sulfides. Prograde calcic skarn and initial retrograde skarns were formed from a high temperature (650 °C to 450-550 °C), high pressure (2000 bars to 600-900 bars) magmatic-hydrothermal low- to high-salinity aqueous chloride fluid. The gradual fluid evolution was interrupted by the intrusion of granodiorite and likely associated release of low-salinity (∼7-8 wt% NaCl equiv.) fluid. Ascent of this fluid to shallower levels and/or its cooling to 400-500 °C has resulted in phase separation into low-salinity (2.1-3.1 wt% NaCl equiv.) vapor and coexisting brine (35-40 wt% NaCl equiv.). The boiling was coincident with most intense scheelite deposition in retrograde skarn. Later retrograde skarn assemblages were formed from a gaseous, low- to moderate-salinity (3.4-8.1 wt% NaCl equiv.) fluid and then from high salinity (37-42 wt% NaCl equiv.) aqueous chloride fluids, the latter being enriched in Ca (17-20 wt% CaCl2) that could also affect scheelite deposition. Another cycle of fluid exsolution from crystallizing magma corresponded to quartz-carbonate-sericite-scheelite-sulfide (phyllic) alteration stage, with the early low-salinity (5.3-8.4 wt% NaCl-equiv.) fluid followed by later high-salinity (33.5-38.2 wt% NaCl-equiv.) fluid. The sulfur isotope data (δ34S = +5.1 to +9.0) suggest significant sulfur sourcing from sedimentary rocks enriched in seawater sulfate, possibly evaporites.

Does medical education erode medical trainees' ethical attitude and behavior?

Science.gov (United States)

Yavari, Neda

2016-01-01

In the last few years, medical education policy makers have expressed concern about changes in the ethical attitude and behavior of medical trainees during the course of their education. They claim that newly graduated physicians (MDs) are entering residency years with inappropriate habits and attitudes earned during their education. This allegation has been supported by numerous research on the changes in the attitude and morality of medical trainees. The aim of this paper was to investigate ethical erosion among medical trainees as a serious universal problem, and to urge the authorities to take urgent preventive and corrective action. A comparison with the course of moral development in ordinary people from Kohlberg’s and Gilligan's points of view reveals that the growth of ethical attitudes and behaviors in medical students is stunted or even degraded in many medical schools. In the end, the article examines the feasibility of teaching ethics in medical schools and the best approach for this purpose. It concludes that there is considerable controversy among ethicists on whether teaching ethical virtues is plausible at all. Virtue-based ethics, principle-based ethics and ethics of care are approaches that have been considered as most applicable in this regard. PMID:28050246

Advanced Medication Dispenser

Directory of Open Access Journals (Sweden)

A.I. Alexan

2013-12-01

Full Text Available Medication dispensing is an important activity that can have major implications if done improperly. Dispensing must be done in the correct time interval, at the correct user, with the correct drug and dose. We propose a smart medication dispenser that can satisfy these needs and provide a mechanism for supervision. In order to ensure that the dispensing process is error free, the concept of a new smart medication container is used. A smart medication container is “smart” as it holds the medication dispensing parameters for the drugs it contains: dispensing time and date and name. Based on this information, the actual dispensing is done.

Chat reference service in medical libraries: part 2--Trends in medical school libraries.

Science.gov (United States)

Dee, Cheryl R

2003-01-01

An increasing number of medical school libraries offer chat service to provide immediate, high quality information at the time and point of need to students, faculty, staff, and health care professionals. Part 2 of Chat Reference Service in Medical Libraries presents a snapshot of the current trends in chat reference service in medical school libraries. In late 2002, 25 (21%) medical school libraries provided chat reference. Trends in chat reference services in medical school libraries were compiled from an exploration of medical school library Web sites and informal correspondence from medical school library personnel. Many medical libraries are actively investigating and planning new chat reference services, while others have decided not to pursue chat reference at this time. Anecdotal comments from medical school library staff provide insights into chat reference service.

STS-3 medical report

Science.gov (United States)

Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

1982-01-01

The medical operations report for STS-3, which includes a review of the health of the crew before, during, and immediately after the third Shuttle orbital flight is presented. Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical 'kit' carried in flight, tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results, hematology and immunology analyses, medical microbiology, food and nutrition, potable water, shuttle toxicology, radiological health, and cabin acoustic noise. Environmental effects of shuttle launch and landing medical information management, and management, planning, and implementation of the medical program are also dicussed.

Nanoparticles prepared from the water extract of Gusuibu (Drynaria fortunei J. Sm. protects osteoblasts against insults and promotes cell maturation

Directory of Open Access Journals (Sweden)

Hsu C-K

2011-07-01

Full Text Available Chung-King Hsu1,2, Mei-Hsiu Liao3, Yu-Tyng Tai4, Shing-Hwa Liu5, Keng-Liang Ou6, Hsu-Wei Fang7, I-Jung Lee8, Ruei-Ming Chen2,31Institute of Materials Science and Engineering, National Taipei University of Technology, 2Cell Physiology and Molecular Image Research Center, Taipei Medical University-Wan Fang Medical Center, 3Graduate Institute of Medical Sciences, Taipei Medical University, 4Department of Anesthesiology, Taipei Medical University-Wan Fang Medical Center, 5Institute of Toxicology, College of Medicine, National Taiwan University, 6Graduate Institute of Biomedical Materials and Engineering, Taipei Medical University, 7Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, 8Division of Information and Herbarium, National Research Institute of Chinese Medicine, Taipei, TaiwanAbstract: Our previous study showed that Gusuibu (Drynaria fortunei J. Sm. can stimulate osteoblast maturation. This study was further designed to evaluate the effects of nanoparticles prepared from the water extract of Gusuibu (WEG on osteoblast survival and maturation. Primary osteoblasts were exposed to 1, 10, 100, and 1000 µg/mL nanoparticles of WEG (nWEG for 24, 48, and 72 hours did not affect morphologies, viability, or apoptosis of osteoblasts. In comparison, treatment of osteoblasts with 1000 µg/mL WEG for 72 hours decreased cell viability and induced DNA fragmentation and cell apoptosis. nWEG had better antioxidant bioactivity in protecting osteoblasts from oxidative and nitrosative stress-induced apoptosis than WEG. In addition, nWEG stimulated greater osteoblast maturation than did WEG. Therefore, this study shows that WEG nanoparticles are safer to primary osteoblasts than are normal-sized products, and may promote better bone healing by protecting osteoblasts from apoptotic insults, and by promoting osteogenic maturation.Keywords: Gusuibu, nanoparticles, cell protection, osteoblast maturation

Numerical Modeling on Co-seismic Influence of Wenchuan 8.0 Earthquake in Sichuan-Yunnan Area, China

Science.gov (United States)

Chen, L.; Li, H.; Lu, Y.; Li, Y.; Ye, J.

2009-12-01

In this paper, a three dimensional finite element model for active faults which are handled by contact friction elements in Sichuan-Yunnan area is built. Applying the boundary conditions determined through GPS data, a numerical simulations on spatial patterns of stress-strain changes induced by Wenchuan Ms8.0 earthquake are performed. Some primary results are: a) the co-seismic displacements in Longmen shan fault zone by the initial cracking event benefit not only the NE-direction expanding of subsequent fracture process but also the focal mechanism conversions from thrust to right lateral strike for the most of following sub-cracking events. b) tectonic movements induced by the Wenchuan earthquake are stronger in the upper wall of Longmen shan fault belt than in the lower wall and are influenced remarkably by the northeast boundary faults of the rhombic block. c) the extrema of stress changes induced by the main shock are 106Pa and its spatial size is about 400km long and 100km wide. The total stress level is reduced in the most regions in Longmen shan fault zone, whereas stress change is rather weak in its southwest segment and possibly result in fewer aftershocks in there. d) effects induced by the Wenchuan earthquake to the major active faults are obviously different from each other. e) triggering effect of the Wenchuan earthquake to the following Huili 6.1 earthquake is very weak.

Medical Student Attitudes about Mental Illness: Does Medical-School Education Reduce Stigma?

Science.gov (United States)

Korszun, Ania; Dinos, Sokratis; Ahmed, Kamran; Bhui, Kamaldeep

2012-01-01

Background: Reducing stigma associated with mental illness is an important aim of medical education, yet evidence indicates that medical students' attitudes toward patients with mental health problems deteriorate as they progress through medical school. Objectives: Authors examined medical students' attitudes to mental illness, as compared with…

Aldehyde Dehydrogenase 1 and Raf Kinase Inhibitor Protein ...

African Journals Online (AJOL)

Xiang-Xiu Sun1, Qing-Shan Ma2, Tian-Feng Liu1, Ying Chen1, Yan Dong1 and. Lin-Lin Zhang1* ... cancer was developed and studied by histological examination. Immunohistochemical and .... (diaminobenzidine) Kit. Western blot analysis.

Medical Illustration

Science.gov (United States)

... as medical books, journals, magazines, pharma or biotech marketing, films, online video, exhibits, posters, wall charts, educational ... of the health career profession with strong communication skills, medical illustrators work closely with clients to interpret ...

Expert Involvement and Adherence to Medical Evidence in Medical Mobile Phone Apps

DEFF Research Database (Denmark)

Subhi, Yousif; Bube, Sarah Hjartbro; Rolskov Bojsen, Signe

2015-01-01

BACKGROUND: Both clinicians and patients use medical mobile phone apps. Anyone can publish medical apps, which leads to contents with variable quality that may have a serious impact on human lives. We herein provide an overview of the prevalence of expert involvement in app development and whether...... or not app contents adhere to current medical evidence. OBJECTIVE: To systematically review studies evaluating expert involvement or adherence of app content to medical evidence in medical mobile phone apps. METHODS: We systematically searched 3 databases (PubMed, The Cochrane Library, and EMBASE......), and included studies evaluating expert involvement or adherence of app content to medical evidence in medical mobile phone apps. Two authors performed data extraction independently. Qualitative analysis of the included studies was performed. RESULTS: Based on inclusion criteria, 52 studies were included...

Medical Computational Thinking

DEFF Research Database (Denmark)

Musaeus, Peter; Tatar, Deborah Gail; Rosen, Michael A.

2017-01-01

Computational thinking (CT) in medicine means deliberating when to pursue computer-mediated solutions to medical problems and evaluating when such solutions are worth pursuing in order to assist in medical decision making. Teaching computational thinking (CT) at medical school should be aligned...

From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic’s Service Perspective

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Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

2017-01-01

Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics’ servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists’ loyalty to a medical clinic. PMID:29233057

Managed medical education?

Science.gov (United States)

Hafferty, F W

1999-09-01

The forces of rationality and commodification, hallmarks of the managed care revolution, may soon breach the walls of organized medical education. Whispers are beginning to circulate that the cost of educating future physicians is too high. Simultaneously, managed care companies are accusing medical education of turning out trainees unprepared to practice in a managed care environment. Changes evident in other occupational and service delivery sectors of U.S. society as diverse as pre-college education and prisons provide telling insights into what may be in store for medical educators. Returning to academic medicine, the author reflects that because corporate managed care is already established in teaching hospitals, and because managed research (e.g., corporate-sponsored and -run drug trials, for-profit drug-study centers, and contract research organizations) is increasing, managed medical education could become a reality as well. Medical education has made itself vulnerable to the intrusion of corporate rationalizers because it has failed to professionalism at core of its curricula-something only it is able to do--and instead has focused unduly on the transmission of esoteric knowledge and core clinical skills, a process that can be carried out more efficiently, more effectively, and less expensively by other players in the medical education marketplace such as Kaplan, Compass, or the Princeton Review. The author explains why reorganizing medical education around professional values is crucial, why the AAMC's Medical School Objectives Project offers guidance in this area, why making this change will be difficult, and why medical education must lead in establishing how to document the presence and absence of such qualities as altruism and dutifulness and the ways that appropriate medical education can foster these and similar core competencies. "Anything less and organized medicine will acknowledged... that it has abandoned its social contract and entered the

Students' medical ethics rounds: a combinatorial program for medical ethics education.

Science.gov (United States)

Beigy, Maani; Pishgahi, Ghasem; Moghaddas, Fateme; Maghbouli, Nastaran; Shirbache, Kamran; Asghari, Fariba; Abolfat-H Zadeh, Navid

2016-01-01

It has long been a common goal for both medical educators and ethicists to develop effective methods or programs for medical ethics education. The current lecture-based courses of medical ethics programs in medical schools are demonstrated as insufficient models for training "good doctors''. In this study, we introduce an innovative program for medical ethics education in an extra-curricular student-based design named Students' Medical Ethics Rounds (SMER). In SMER, a combination of educational methods, including theater-based case presentation, large group discussion, expert opinions, role playing and role modeling were employed. The pretest-posttest experimental design was used to assess the impact of interventions on the participants' knowledge and attitude regarding selected ethical topics. A total of 335 students participated in this study and 86.57% of them filled the pretest and posttest forms. We observed significant improvements in the knowledge (P educational methods were reported as helpful. We found that SMER might be an effective method of teaching medical ethics. We highly recommend the investigation of the advantages of SMER in larger studies and interdisciplinary settings.

Effects of First Diagnosed Diabetes Mellitus on Medical Visits and Medication Adherence in Korea

Science.gov (United States)

Hyeongsu, KIM; Soon-Ae, SHIN; Kunsei, LEE; Jong-Heon, PARK; Tae Hwa, HAN; Minsu, PARK; Eunyoung, Minsu; Hyoseon, JEONG; Jung-Hyun, LEE; Hyemi, AHN; Vitna, KIM

2018-01-01

Background: The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods: The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used. Total 16068 subjects were included. Visiting rate to medical institution, medication possession ratio and the rate of medication adherence of study subjects were used as the indices. Results: The visiting rates to medical institutions were 39.7%. The percentage who received a prescription for a diabetes mellitus medication from a doctor was 80.9%, the medication possession ratio was 70.8%, and the rate of medication adherence was 57.8%. Conclusion: The visiting rate, medication possession ratio and rate of medication adherence for DM medication were not high. In order to increase the visiting rate, medication possession ratio and rate of medication adherence, NHIS should support environment in which medical institutions and DM patients can do the role of each part. PMID:29445630

Comparison of medication reconciliation and medication review: errors and clinical importance

DEFF Research Database (Denmark)

Bjeldbak-Olesen, Mette; Danielsen, Anja Gadsbølle; Tomsen, Dorthe Vilstrup

2013-01-01

in the patient record and the EMS. 15% of the discrepancies were potentially serious or fatal, 62% were potentially significant and 23% were potentially non-significant. A total of 129 DRPs were identified by medication review, 1.7 per patient. The most frequent DRPs were sub therapeutic dosage, inappropriate......Introduction: The objective of this study was to compare medication reconciliation and medication review based on number, type and severity of discrepancies and drug-re­lated problems (DRPs), denoted errors. Material and methods: This was a retrospective study conducted at the Department...... of Cardiology, Hillerød Hos­pital. Medication reconciliation compared the prescriptions in patient records, an electronic medication system (EMS) and in discharge summaries (DS). The medication review was based on the EMS. The two methods were performed on the same data material. To assess the clinical...

Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre

DEFF Research Database (Denmark)

Andersen, Kasper; Mikkelsen, Søren; Jørgensen, Gitte

2018-01-01

with a supporting physician-manned mobile emergency care unit (56.4%). The classification of medical issues and the dispatched pre-hospital units varied with patient age. DISCUSSION: We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered......BACKGROUND: Little is known regarding paediatric medical emergency calls to Danish Emergency Medical Dispatch Centres (EMDC). This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies. METHODS: We...... records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies. We analysed the data using descriptive statistics. RESULTS: Of a total of 7052 emergency calls in February 2016, 485 (6.9%) concerned patients ≤ 15...

'Soft and fluffy': medical students' attitudes towards psychology in medical education.

Science.gov (United States)

Gallagher, Stephen; Wallace, Sarah; Nathan, Yoga; McGrath, Deirdre

2015-01-01

Psychology is viewed by medical students in a negative light. In order to understand this phenomenon, we interviewed 19 medical students about their experiences of psychology in medical education. Interviews were transcribed verbatim and analysed using thematic analysis. Four main themes were generated: attitudes, teaching culture, curriculum factors and future career path; negative attitudes were transmitted by teachers to students and psychology was associated with students opting for a career in general practice. In summary, appreciation of psychology in medical education will only happen if all educators involved in medical education value and respect each other's speciality and expertise. © The Author(s) 2013.

Medical Management

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... org Close Charcot-Marie-Tooth Disease (CMT) Medical Management Although there’s no cure for CMT, there are ... individualized physical therapy program. For more on medical management of CMT, see Surgery Sometimes, Bracing Often, Caution ...

[Cracow medical chamber in the special collection of the main medical library].

Science.gov (United States)

Szkudaj, T

2000-01-01

The article on Cracow Medical Chamber in the Special Collection of the Main Medical Library concerns the history of establishing medical chambers and covers the period from 1893 to 1950. It presents in detail the territorial extent of Cracow Medical Chamber, its membership and presidents' functions as well as the composition of its various boards and councils. It also talks about the legal acts regulating the functioning of medical chambers and their sphere of activity. The collection of archived records kept in the Special Collection of Main Medical Library constitutes a small percentage of the preserved records; these being mainly personal files of doctors comprising personal questionnaires, registration cards and photographs.

AsMA Medical Guidelines for Air Travel: In-Flight Medical Care.

Science.gov (United States)

Thibeault, Claude; Evans, Anthony D; Pettyjohn, Frank S; Alves, Paulo M

2015-06-01

Medical Guidelines for Airline Travel provide information that enables healthcare providers to properly advise patients who plan to travel by air. All airlines are required to provide first aid training for cabin crew, and the crew are responsible for managing any in-flight medical events. There are also regulatory requirements for the carriage of first aid and medical kits. AsMA has developed recommendations for first aid kits, emergency medical kits, and universal precaution kits.

Medical student fitness to practise committees at UK medical schools

Directory of Open Access Journals (Sweden)

Aldridge Jocelyne

2009-06-01

Full Text Available Abstract Background The aim was to explore the structures for managing student fitness to practise hearings in medical schools in the UK. We surveyed by email the named fitness to practise leads of all full members of the UK Medical Schools Council with a medical undergraduate programme. We asked whether student fitness to practise cases were considered by a committee/panel dedicated to medicine, or by one which also considered other undergraduate health and social care students. Findings All 31 medical schools responded. 19 medical schools had a fitness to practise committee dealing with medical students only. Three had a committee that dealt with students of medicine and dentistry. One had a committee that dealt with students of medicine and veterinary medicine. Eight had a committee that dealt with students of medicine and two or more other programmes, such as dentistry, nursing, midwifery, physiotherapy, dietetics, social work, pharmacy, psychology, audiology, speech therapy, operating department practice, veterinary medicine and education. Conclusion All 31 UK medical schools with undergraduate programmes have a fitness to practise committee to deal with students whose behaviour has given rise to concern about their fitness to practise. The variation in governance structures for student fitness to practise committees/panels can in part be explained by variations in University structures and the extent to which Universities co-manage undergraduate medicine with other courses.

Is medical students' moral orientation changeable after preclinical medical education?

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Lin, Chaou-Shune; Tsou, Kuo-Inn; Cho, Shu-Ling; Hsieh, Ming-Shium; Wu, Hsi-Chin; Lin, Chyi-Her

2012-03-01

Moral orientation can affect ethical decision-making. Very few studies have focused on whether medical education can change the moral orientation of the students. The purpose of the present study was to document the types of moral orientation exhibited by medical students, and to study if their moral orientation was changed after preclinical education. From 2007 to 2009, the Mojac scale was used to measure the moral orientation of Taiwan medical students. The students included 271 first-year and 109 third-year students. They were rated as a communitarian, dual, or libertarian group and followed for 2 years to monitor the changes in their Mojac scores. In both first and third-year students, the dual group after 2 years of preclinical medical education did not show any significant change. In the libertarian group, first and third-year students showed a statistically significant increase from a score of 99.4 and 101.3 to 103.0 and 105.7, respectively. In the communitarian group, first and third-year students showed a significant decline from 122.8 and 126.1 to 116.0 and 121.5, respectively. During the preclinical medical education years, students with communitarian orientation and libertarian orientation had changed in their moral orientation to become closer to dual orientation. These findings provide valuable hints to medical educators regarding bioethics education and the selection criteria of medical students for admission.

Perceptions and practices of self-medication among medical students in coastal South India.

Directory of Open Access Journals (Sweden)

Nithin Kumar

Full Text Available Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. This study assessed the prevalence of self-medication among the medical students in South India. The data was analysed using SPSS version 11.5. A total of 440 students were included in the study. The prevalence of self-medication was 78.6%. A larger number of females were self-medicating (81.2% than males (75.3%. The majority of the students self-medicated because of the illness being too trivial for consultation (70.5%. Antipyretics were most commonly self-medicated by the participants (74.8%. Only 47% of the participants opined that self-medication was a part of self-care and it needs to be encouraged. 39.3% of the participants perceived that the supply of medicine without prescription by the pharmacist can prevent the growing trend of self-medication. Easy availability and accessibility to health care facilities remains the cornerstone for reducing the practice of self-medication.

Weaving together peer assessment, audios and medical vignettes in teaching medical terms

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Khan, Lateef M.

2015-01-01

Objectives The current study aims at exploring the possibility of aligning peer assessment, audiovisuals, and medical case-report extracts (vignettes) in medical terminology teaching. In addition, the study wishes to highlight the effectiveness of audio materials and medical history vignettes in preventing medical students' comprehension, listening, writing, and pronunciation errors. The study also aims at reflecting the medical students' attitudes towards the teaching and learning process. Methods The study involved 161 medical students who received an intensive medical terminology course through audio and medical history extracts. Peer assessment and formative assessment platforms were applied through fake quizzes in a pre- and post-test manner. An 18-item survey was distributed amongst students to investigate their attitudes and feedback towards the teaching and learning process. Quantitative and qualitative data were analysed using the SPSS software. Results The students did better in the posttests than on the pretests for both the quizzes of audios and medical vignettes showing a t-test of -12.09 and -13.60 respectively. Moreover, out of the 133 students, 120 students (90.22%) responded to the survey questions. The students gave positive attitudes towards the application of audios and vignettes in the teaching and learning of medical terminology and towards the learning process. Conclusions The current study revealed that the teaching and learning of medical terminology have more room for the application of advanced technologies, effective assessment platforms, and active learning strategies in higher education. It also highlights that students are capable of carrying more responsibilities of assessment, feedback, and e-learning. PMID:26637986

Self-medication practice among undergraduate medical students of ...

African Journals Online (AJOL)

1Department of Family and Community Medicine, Faculty of Medicine, 2Faculty of Medicine, Jazan University, Jazan, Kingdom ... Results: Self-medication practice was highly prevalent among the medical students, with 87 % ... as part of self-care to improve the health care ..... No conflict of interest associated with this work.

The Geology of Burma (Myanmar): An Annotated Bibliography of Burma’s Geology, Geography and Earth Science

Science.gov (United States)

2008-09-01

Eichornia-Crassipes; Ephydatia-Fluviatilis; Hydrilla; Imperata ; Inle; Intha; Shan; Utricularia. Abstract: cultural data on the people and a bibliography...characterized by dipterocarpus Bibliography of Burman Earth Science September 2008 71 tuberculatus and associated plants; the other by imperata . The

Regulation of mTOR by Nutrients

Science.gov (United States)

2012-07-01

placed on Formvar and carbon-coated copper grids. Grids were stained with uranyl acetate and lead nitrate , and the images were obtained using a JEOL...Network Analysis to Identify Multiscale Mechanisms of Drug Action Shan Zhao and Ravi Iyengar

Role of Religiosity in Psychological Well-Being Among Medical and Non-medical Students.

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Saleem, Shemaila; Saleem, Tamkeen

2017-08-01

Religion has been generally considered as a protective factor for the psychological health of the people. As many studies have publicized a high prevalence of psychological morbidities among the medical students during their academic stages of medical schools, it is significant to investigate whether religiosity functions as a protective factor, to explore religiosity as a predictor of psychological well-being in a sample of medical students, and to compare the results of medical students as well as non-medical students with respect to religiosity and psychological well-being. The study is carried out in Federal Medical and Dental College and International Islamic University, Islamabad. The present study examined a sample of 120 medical students from Federal Medical and Dental College and 120 non-medical students from International Islamic University, Islamabad. Purposive sampling was used. The respondents completed religious orientation scale and scale of psychological well-being scale along with a demographic data sheet. In order to measure the study variables, linear regression and t test were used. The findings revealed that religiosity is a strong predictor of psychological well-being. Extrinsic and intrinsic religiosity predicts psychological well-being among the students. The results indicated a significant difference in psychological well-being between medical and non-medical students. No significant difference was found in religiosity of medical and non-medical students. The gender differences in religiosity and psychological well-being were found to be insignificant. The results emphasize that psychological well-being is prophesied by religiosity. The present research suggests further investigations and also endows with trends for psychological evaluation, development of religious beliefs, and interventions for augmenting psychological well-being among the medical students.

Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing.

Science.gov (United States)

Fried, Terri R; Niehoff, Kristina M; Street, Richard L; Charpentier, Peter A; Rajeevan, Nallakkandi; Miller, Perry L; Goldstein, Mary K; O'Leary, John R; Fenton, Brenda T

2017-10-01

To examine the effect of the Tool to Reduce Inappropriate Medications (TRIM), a web tool linking an electronic health record (EHR) to a clinical decision support system, on medication communication and prescribing. Randomized clinical trial. Primary care clinics at a Veterans Affairs Medical Center. Veterans aged 65 and older prescribed seven or more medications randomized to receipt of TRIM or usual care (N = 128). TRIM extracts information on medications and chronic conditions from the EHR and contains data entry screens for information obtained from brief chart review and telephonic patient assessment. These data serve as input for automated algorithms identifying medication reconciliation discrepancies, potentially inappropriate medications (PIMs), and potentially inappropriate regimens. Clinician feedback reports summarize discrepancies and provide recommendations for deprescribing. Patient feedback reports summarize discrepancies and self-reported medication problems. Primary: subscales of the Patient Assessment of Care for Chronic Conditions (PACIC) related to shared decision-making; clinician and patient communication. Secondary: changes in medications. 29.7% of TRIM participants and 15.6% of control participants provided the highest PACIC ratings; this difference was not significant. Adjusting for covariates and clustering of patients within clinicians, TRIM was associated with significantly more-active patient communication and facilitative clinician communication and with more medication-related communication among patients and clinicians. TRIM was significantly associated with correction of medication discrepancies but had no effect on number of medications or reduction in PIMs. TRIM improved communication about medications and accuracy of documentation. Although there was no association with prescribing, the small sample size provided limited power to examine medication-related outcomes. © 2017, Copyright the Authors Journal compilation © 2017, The

Usage of emergency contraception between medical related and non-medical related students.

LENUS (Irish Health Repository)

Khalid, A K

2009-04-01

Teenagers and young adultshave the most risk of unplanned pregnancy, due to lack of awareness to see a family planning provider after unprotected sexual intercourse. In addition, nearly one in five physicians is reluctant to provide information regarding Emergency Contraception (EC) to women and this may contribute to their lack of awareness. This study was conducted to assess the knowledge, attitudes and practices regarding the use of EC between medical related students compared to non-medical related students. Data collection was done using questionnaires distributed among students in University College Cork (UCC). 93% of medically related students were aware of EC compared to only 73.5% of non-medically related students. Medical related students also were more aware about the mechanism of action and detailed knowledge of EC compared to the non-medical students. This study has proven that medically related students have more detailed knowledge regarding EC compared to non-medical related students. However, there was no significant difference noted regarding the attitude and practice between the two groups.

Medical judgement analogue studies with applications to spaceflight crew medical officer.

Science.gov (United States)

McCarroll, Michele L; Ahmed, Rami A; Schwartz, Alan; Gothard, Michael David; Atkinson, Steven Scott; Hughes, Patrick; Brito, Jose Cepeda; Assad, Lori; Myers, Jerry; George, Richard L

2017-10-01

The National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model. An analogue population was recruited for two categories: administrative physicians (AP) representing the physician CMOs and technical professionals (TP) representing the non-physician CMOs. Participants completed four medical simulations focused on abdominal pain: cholecystitis (CH) and renal colic (RC) and chest pain: cardiac ischaemia (STEMI; ST-segment elevation myocardial infarction) and pneumothorax (PX). The Medical Judgment Metric (MJM) was used to evaluate medical decision making. There were no significant differences between the AP and TP groups in age, gender, race, ethnicity, education and baseline heart rate. Significant differences were noted in MJM average rater scores in AP versus TP in CH: 13.0 (±2.25), 4.5 (±0.48), p=<0.001; RC: 12.3 (±2.66), 4.8 (±0.94); STEMI: 12.1 (±3.33), 4.9 (±0.56); and PX: 13.5 (±2.53), 5.3 (±1.01), respectively. There could be a positive effect on crew health risk by having a physician CMO. The MJM demonstrated the ability to quantify medical judgement between the two analogue groups of spaceflight CMOs. Future studies should incorporate the MJM in a larger analogue population study to assess the medical risk for spaceflight crewmembers.

The Influence of Cognitive and Non-Cognitive Factors on the Development of Rifle Marksmanship Skills. CRESST Report 753

Science.gov (United States)

Chung, Gregory K. W. K.; Nagashima, Sam O.; Espinosa, Paul D.; Berka, Chris; Baker, Eva L.

2009-01-01

In this report, researchers examined rifle marksmanship development within a skill development framework outlined by Chung, Delacruz, de Vries, Bewley, and Baker (2006). Thirty-three novice shooters used an M4 rifle training simulator system to learn to shoot an 8-inch target at a simulated distance of 200 yards. Cognitive, psychomotor, and…

Improving Measurement of Workplace Sexual Identity Management

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Lance, Teresa S.; Anderson, Mary Z.; Croteau, James M.

2010-01-01

The purpose of this study was to advance measurement of sexual identity management for lesbian, gay, and bisexual workers. Psychometric properties of a revised version of the Workplace Sexual Identity Management Measure (WSIMM; Anderson, Croteau, Chung, & DiStefano, 2001) were examined on a sample of 64 predominantly White K-12 teachers.…

Supplementary data: Association of CTLA4, CD28 and ICOS gene ...

Indian Academy of Sciences (India)

Supplementary data: Association of CTLA4, CD28 and ICOS gene polymorphisms with clinicopathologic characteristics of childhood IgA nephropathy in Korean population. Hak-Jae Kim, Joo-Ho Chung, Sungwook Kang, Su-Kang Kim, Byoung-Soo Cho, Sung-Do Kim and Won-Ho Hahn. J. Genet. 90, 151–155. Table 1.

Sahel Medical Journal

African Journals Online (AJOL)

Sahel Medical Journal is a quarterly international Journal devoted solely to (1) dissemination of information about medical sciences in Nigeria, particularly the Sahel zone, Africa and the rest of the world, (2) to provide a medium where national and international medical and health organizations may relay information to ...

Medical equipment management

CERN Document Server

Willson, Keith; Tabakov, Slavik

2013-01-01

Know What to Expect When Managing Medical Equipment and Healthcare Technology in Your Organization As medical technology in clinical care becomes more complex, clinical professionals and support staff must know how to keep patients safe and equipment working in the clinical environment. Accessible to all healthcare professionals and managers, Medical Equipment Management presents an integrated approach to managing medical equipment in healthcare organizations. The book explains the underlying principles and requirements and raises awareness of what needs to be done and what questions to ask. I

Organising medication discontinuation

DEFF Research Database (Denmark)

Nixon, Michael; Kousgaard, Marius Brostrøm

2016-01-01

medication? Methods: Twenty four GPs were interviewed using a maximum variation sample strategy. Participant observations were done in three general practices, for one day each, totalling approximately 30 consultations. Results: The results show that different discontinuation cues (related to the type...... a medication, in agreement with the patients, from a professional perspective. Three research questions were examined in this study: when does medication discontinuation occur in general practice, how is discontinuing medication handled in the GP’s practice and how do GPs make decisions about discontinuing...

Secretarial Administration: Medical Terminology: Building Block of the Medical Secretary Program.

Science.gov (United States)

Sormunen, Carolee

1980-01-01

With the growing number of employment opportunities available in the medical field, business educators need to reevaluate existing medical secretary programs. Areas that need special attention are medical terminology (anatomy, laboratory language, etc.), report formats, and the importance of confidentiality of patient information. (CT)

Professional identity in medical students: pedagogical challenges to medical education.

Science.gov (United States)

Wilson, Ian; Cowin, Leanne S; Johnson, Maree; Young, Helen

2013-01-01

Professional identity, or how a doctor thinks of himself or herself as a doctor, is considered to be as critical to medical education as the acquisition of skills and knowledge relevant to patient care. This article examines contemporary literature on the development of professional identity within medicine. Relevant theories of identity construction are explored and their application to medical education and pedagogical approaches to enhancing students' professional identity are proposed. The influence of communities of practice, role models, and narrative reflection within curricula are examined. Medical education needs to be responsive to changes in professional identity being generated from factors within medical student experiences and within contemporary society.

Andragogy and medical education: are medical students internally motivated to learn?

Science.gov (United States)

Misch, Donald A

2002-01-01

Andragogy - the study of adult education - has been endorsed by many medical educators throughout North America. There remains, however, considerable controversy as to the validity and utility of adult education principles as espoused by the field's founder, Malcolm Knowles. Whatever the utility of andragogic doctrine in general education settings, there is reason to doubt its wholesale applicability to the training of medical professionals. Malcolm Knowles' last tenet of andragogy holds that adult learners are more motivated by internal than by external factors. The validity of this hypothesis in medical education is examined, and it is demonstrated that medical students' internal and external motivation are context-dependent, not easily distinguishable, and interrelate with one another in complex ways. Furthermore, the psychological motivation for medical student learning is determined by a variety of factors that range from internal to external, unconscious to conscious, and individual to societal. The andragogic hypothesis of increased internal motivation to learn on the part of adults in general, and medical trainees in particular, is rejected as simplistic, misleading, and counterproductive to developing a greater understanding of the forces that drive medical students to learn.

[Ethic review on clinical experiments of medical devices in medical institutions].

Science.gov (United States)

Shuai, Wanjun; Chao, Yong; Wang, Ning; Xu, Shining

2011-07-01

Clinical experiments are always used to evaluate the safety and validity of medical devices. The experiments have two types of clinical trying and testing. Ethic review must be done by the ethics committee of the medical department with the qualification of clinical research, and the approval must be made before the experiments. In order to ensure the safety and validity of clinical experiments of medical devices in medical institutions, the contents, process and approval criterions of the ethic review were analyzed and discussed.

Marijuana: modern medical chimaera.

Science.gov (United States)

Lamarine, Roland J

2012-01-01

Marijuana has been used medically since antiquity. In recent years there has been a resurgence of interest in medical applications of various cannabis preparations. These drugs have been cited in the medical literature as potential secondary treatment agents for severe pain, muscle spasticity, anorexia, nausea, sleep disturbances, and numerous other uses. This article reviews the research literature related to medical applications of various forms of cannabis. Benefits related to medical use of cannabinoids are examined and a number of potential risks associated with cannabis use, both medical and recreational, are considered. There is a clearly identified need for further research to isolate significant benefits from the medical application of cannabinoids and to establish dosage levels, appropriate delivery mechanisms and formulations, and to determine what role, if any, cannabinoids might play in legitimate medical applications. It is also imperative to determine if reported dangers pose a significant health risks to users.

Medical marijuana: Medical necessity versus political agenda

OpenAIRE

Clark, Peter A.; Capuzzi, Kevin; Fick, Cameron

2011-01-01

Summary Marijuana is classified by the Drug Enforcement Agency (DEA) as an illegal Schedule I drug which has no accepted medical use. However, recent studies have shown that medical marijuana is effective in controlling chronic non-cancer pain, alleviating nausea and vomiting associated with chemotherapy, treating wasting syndrome associated with AIDS, and controlling muscle spasms due to multiple sclerosis. These studies state that the alleviating benefits of marijuana outweigh the negative ...

Medical Rituals and Media Rituals

OpenAIRE

Zoltán Zsinkó-Szabó

2013-01-01

In the present article the author examines the ritual elements of theprofessionalization during medical studies, and its interference with media content of medical significance, comparing the role of medical and media rituals on the way of becoming a doctor. It is to be explored how these medical soap operas, medical dramas, medical thrillers or crime stories do exert influence on medical identity and role expectations. Do medical students and their relatives (withmedical expertise frequently...

A guide for good practices in medical physics - French Society of Medical Physics

International Nuclear Information System (INIS)

Rosenwald, Jean-Claude; Aventin, Christophe; Coste, Frederic; Francois, Pascal; Ginestet, Chantal; Perrin, Benedicte; Salvat, Cecile; Caselles, Olivier; Dedieu, Veronique; Dejean, Catherine; Batalla, Alain; Guillaume, Bonniaud; LeDu, Dominique; Lisbona, Albert; Marchesi, Vincent; Sarrazin, Thierry; Mazeron, Jean-Jacques; Lipinski, Francis; Vera, Pierre; Maximilien Vermandel; Ducou le Pointe, Hubert; Vidal, Vincent; Henry, Cecile; Mazeau-Woynar, Valerie; Prot, Camille; Valero, Marc; Aubert, Bernard; Etard, Cecile; Jimonet, Christine; Roue, Amelie; Sage, Julie; Bardies, Manuel; Beauvais, Helene; Bey, Pierre; Costa, Andre; Desblancs, Claire; Eudaldo, Teresa; Farman, Bardia; Ferrand, Regis; Garcia, Robin; Giraud, Jean-Yves; Husson, Francois; Koulibaly, Malick; Carlan, Loic de; Manens, Jean-Pierre; Naudy, Suzanne; Noel, Alain; Pilette, Pierre; Verdun, Francis

2012-12-01

After a presentation of the methodological approach used to write this book, the first chapter addresses the profession of medical physicist: medical physics in France (history, evolution of the profession, of the education and of regulation), legal framework (related to the medical use of ionizing radiations, legal texts directly concerning medical physics, regulations impacting the professional practice of medical physicists), scopes of intervention of the medical physicist (context, missions, dose management, image quality, quality management and safety, relationship with the patient, education, training and research, relationships with industry, cost management), operating conditions, and good professional practices. The second chapter addresses the principles of management of quality and safety: quality management in medical physics, safety management, quality and safety in health care facilities. The third part addresses good practices in medical physics: general principles of working methods, equipment management, participation to clinic activities

African Journal of Biotechnology - Vol 11, No 16 (2012)

African Journals Online (AJOL)

Subcellular localization of cadmium in hyperaccumulator Populus × canescens · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. HP Dai, C Shan, Y Wei, JG Liang, TX Yang, WQ Sa, AZ Wei, 3779-3787 ...

Ductile bookshelf faulting: A new kinematic model for Cenozoic deformation in northern Tibet

Science.gov (United States)

Zuza, A. V.; Yin, A.

2013-12-01

It has been long recognized that the most dominant features on the northern Tibetan Plateau are the >1000 km left-slip strike-slip faults (e.g., the Atyn Tagh, Kunlun, and Haiyuan faults). Early workers used the presence of these faults, especially the Kunlun and Haiyuan faults, as evidence for eastward lateral extrusion of the plateau, but their low documented offsets--100s of km or less--can not account for the 2500 km of convergence between India and Asia. Instead, these faults may result from north-south right-lateral simple shear due to the northward indentation of India, which leads to the clockwise rotation of the strike-slip faults and left-lateral slip (i.e., bookshelf faulting). With this idea, deformation is still localized on discrete fault planes, and 'microplates' or blocks rotate and/or translate with little internal deformation. As significant internal deformation occurs across northern Tibet within strike-slip-bounded domains, there is need for a coherent model to describe all of the deformational features. We also note the following: (1) geologic offsets and Quaternary slip rates of both the Kunlun and Haiyuan faults vary along strike and appear to diminish to the east, (2) the faults appear to kinematically link with thrust belts (e.g., Qilian Shan, Liupan Shan, Longmen Shan, and Qimen Tagh) and extensional zones (e.g., Shanxi, Yinchuan, and Qinling grabens), and (3) temporal relationships between the major deformation zones and the strike-slip faults (e.g., simultaneous enhanced deformation and offset in the Qilian Shan and Liupan Shan, and the Haiyuan fault, at 8 Ma). We propose a new kinematic model to describe the active deformation in northern Tibet: a ductile-bookshelf-faulting model. With this model, right-lateral simple shear leads to clockwise vertical axis rotation of the Qaidam and Qilian blocks, and left-slip faulting. This motion creates regions of compression and extension, dependent on the local boundary conditions (e.g., rigid

The Hei River Basin in northwestern China - tectonics, sedimentary processes and pathways

Science.gov (United States)

Rudersdorf, Andreas; Nottebaum, Veit; Schimpf, Stefan; Yu, Kaifeng; Hartmann, Kai; Stauch, Georg; Wünnemann, Bernd; Reicherter, Klaus; Diekmann, Bernhard; Lehmkuhl, Frank

2014-05-01

The Hei River Basin (catchment area of c. 130,000 km²) is situated at the transition between the northern margin of the Tibetan Plateau and the southern slopes of Gobi-Tien-Shan. As part of the northwestern Chinese deserts, the Ejina Basin (Gaxun Nur Basin) constitutes the endorheic erosion base of the drainage system. The basin - hosting the second largest continental alluvial fans in the world, is tectonically strongly shaped by the Gobi belt of left-lateral transpression. The tectonic setting in combination with competing climatic driving forces (Westerlies and summer/winter monsoon currents) has supported the formation of a valuable long-time sediment archive comprises at least the last 250,000 yrs. of deposition. It is composed by the interplay of eolian, fluvial and lacustrine sedimentation cycles and today is dominated by widespread (gravel) gobi surfaces, insular dune fields and shallow evaporitic playa areas. Thus, it provides excellent conditions to investigate tectonic evolution and Quaternary environmental changes. Recently, geomorphological, geophysical, neotectonic and mineralogical studies have enhanced the understanding of the environmental history and the modern depositional environment. Moreover, the role of the Hei River Basin as an important source area of silt particles which were later deposited on the Chinese Loess Plateau is evaluated. Therefore, a 230 m long drill core, sediment sections and ca. 700 surface samples throughout the whole catchment and basin were analyzed. Instrumental and historical seismicity are very low, but the proximity to active fault zones and dating irregularities in earlier publications indicate evidence for deformation in the study area. Despite flat topography, indications of active tectonics such as fault-related large-scale lineations can be observed. Seismically deformed unconsolidated lacustrine deposits (seismites), presumably of Holocene age, are evident and must be related to the nearby faults. The upper

Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde

Directory of Open Access Journals (Sweden)

Antonio Pedro Delgado

2017-10-01

Conclusion: Cape Verde is pursuing a bold strategy to deal with a shortage of medical doctors. The problems experienced by medical students provide an important insight to help the new medical school to provide a better learning environment for students. The fact that students are not sure about their future area of specialization is an opportunity to guide them towards the areas of the health system with pressing needs. The current feminization of the medical workforce will be sustained with the profile of the present intake, hence the need to take this into account in workforce planning.

STS-1 medical report

Science.gov (United States)

Pool, S. L. (Editor); Johnson, P. C., Jr. (Editor); Mason, J. A. (Editor)

1981-01-01

The report includes a review of the health of the crew before, during and immediately after the first Shuttle orbital flight (April 12-14, 1981). Areas reviewed include: health evaluation, medical debriefing of crewmembers, health stabilization program, medical training, medical kit carried inflight; tests and countermeasures for space motion sickness, cardiovascular profile, biochemistry and endocrinology results; hematology and immunology analyses; medical microbiology; food and nutrition; potable water; shuttle toxicology; radiological health; cabin acoustical noise. Also included is information on: environmental effects of Shuttle launch and landing, medical information management; and management, planning and implementation of the medical program.

Self-Medication

African Journals Online (AJOL)

2012-09-19

Sep 19, 2012 ... Key words: Self-medication, hazards, pregnant women, Nigeria ... these substances range from protection from witches and witchcrafts, preventing ... is common among pregnant women in our environment. .... Although earlier studies have association self-medication with factors such as self-employment, ...

Needs, conditions of intervention and staff in medical physics for medical imagery

International Nuclear Information System (INIS)

Salvat, Cecile; Dieudonne, Arnaud; Guilhem, Marie-Therese; Le Du, Dominique; Pierrat, Noelle; Isambert, Aurelie; Valero, Marc; Blanchard, Vincent

2013-04-01

This guide proposes information on the types and quantification of medical physics tasks to be performed when performing medical imagery using ionizing radiations. It gives recommendations about the commitment of medical physicists (with or without support staff) and the required staff in nuclear medicine and, more generally in imagery (interventional radiology, scanography, conventional radiology). It first gives an overview of the situation in France in 2012 in terms of observations made by the ASN during inspections, and of results of a survey conducted among medical physicists involved in medical imagery. It indicates the current regulatory requirements, and international and national recommendations, and describes the commitment in imagery of medical physicists in three countries (Spain, Belgium and Germany). It analyses and describes the fields of intervention of medical physicists in imagery and identifies associated tasks in France (in equipment purchasing, equipment installation, equipment routine usage, patient care, nuclear medicine or internal vectorized radiotherapy, or staff training). Recommendations of a work-group about sizing criteria are proposed

The medical-industrial complex, professional medical associations, and continuing medical education.

Science.gov (United States)

Schofferman, Jerome

2011-12-01

Financial relationships among the biomedical industries, physicians, and professional medical associations (PMAs) can be professional, ethical, mutually beneficial, and, most importantly, can lead to improved medical care. However, such relationships, by their very nature, present conflicts of interest (COIs). One of the greatest concerns regarding COI is continuing medical education (CME), especially because currently industry funds 40-60% of CME. COIs have the potential to bias physicians in practice, educators, and those in leadership positions of PMAs and well as the staff of a PMA. These conflicts lead to the potential to bias the content and type of CME presentations and thereby influence physicians' practice patterns and patient care. Physicians are generally aware of the potential for bias when industry contributes funding for CME, but they are most often unable to detect the bias. This may because it is very subtle and/or the educators themselves may not realize that they have been influenced by their relationships with industry. Following Accreditation Council for Continuing Medical Education guidelines and mandating disclosure that is transparent and complete have become the fallback positions to manage COIs, but such disclosure does not really mitigate the conflict. The eventual and best solutions to ensure evidence-based education are complete divestment by educators and leaders of PMAs, minimal and highly controlled industry funding of PMAs, blind pooling of any industry contributions to PMAs and CME, strict verification of disclosures, clear separation of marketing from education at CME events, and strict oversight of presentations for the presence of bias. Wiley Periodicals, Inc.

Influence of the medication environment on the unsafe medication behavior of nurses: A path analysis.

Science.gov (United States)

Yu, Xi; Li, Ce; Gao, Xueqin; Liu, Furong; Lin, Ping

2018-04-20

To explore the relationship between the medication environment and the unsafe medication behavior of nurses and to analyze its influence path. Unsafe medication behavior is the direct cause of medication error. The organizational environment is the foundation of and plays a guiding role in work behavior. Whether the medication environment correlates with the unsafe medication behavior of nurses remains unclear. This study used a correlative design with self-administered questionnaires, and the SHEL model, an acronym of its elements of software, hardware, environment, and liveware, was used as the framework for the medication environment. A survey was conducted among 1012 clinical nurses from five tertiary hospitals in China using the nurse unsafe medication behavior scale (NUMBS) and the nurses' perceptions of the medication environment scale (NPMES). Data were collected from January to February 2017. Path analyses were used to examine the hypothesized model. The medication environment correlated negatively with unsafe medication behavior (r=-0.48, pbehavior. Software, hardware and the environment indirectly influenced unsafe medication behavior, and nurses' personal factors played a mediating role in the relationships of unsafe medication behavior with software, hardware, and the environment. The unsafe medication behavior of nurses should be further improved. The medication environment was a predictor of unsafe medication behavior. Care managers should actively improve the medication environment to reduce the incidence of unsafe medication behaviors. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Ghana Medical Journal

African Journals Online (AJOL)

The Ghana Medical Journal is a peer-reviewed, open access journal published by the Ghana Medical Association. It was established in 1962 It publishes quality manuscripts in in all aspects of health, health care and the medical sciences. The full text of published articles are available online at this website and at African ...

Technologies for Medical Sciences

CERN Document Server

Tavares, João; Barbosa, Marcos; Slade, AP

2012-01-01

This book presents novel and advanced technologies for medical sciences in order to solidify knowledge in the related fields and define their key stakeholders.   The fifteen papers included in this book were written by invited experts of international stature and address important technologies for medical sciences, including: computational modeling and simulation, image processing and analysis, medical imaging, human motion and posture, tissue engineering, design and development medical devices, and mechanic biology. Different applications are treated in such diverse fields as biomechanical studies, prosthesis and orthosis, medical diagnosis, sport, and virtual reality.   This book is of interest to researchers, students and manufacturers from  a wide range of disciplines related to bioengineering, biomechanics, computational mechanics, computational vision, human motion, mathematics, medical devices, medical image, medicine and physics.

Medical tourism: the trend toward outsourcing medical procedures to foreign countries.

Science.gov (United States)

York, Diane

2008-01-01

The rising costs of medical treatment in the United States are fueling a movement to outsource medical treatment. Estimates of the number of Americans traveling overseas for treatment range from 50,000 to 500,000. Charges for common procedures such as heart bypass can be $11,000 in Thailand compared to $130,000 in the United States. Knee replacement in the United States can cost $40,000 compared to $13,000 in Singapore.A new industry, medical tourism, has been created to advise patients on the appropriate facility in the right country for their condition, handle all travel arrangements, teleconference with physicians, and send medical records. To respond to the growth in medical travel, the Joint Commission (formerly the Joint Commission on Accreditation of Health Care Organizations) initiated the Joint Commission International (JCI) to accredit hospitals worldwide. Although outcome statistics from hospitals outside the United States are rare, first-person reports on quality are numerous. Making surgery possible for uninsured and underinsured individuals or self-insured state, municipal, and private entities is a major benefit of medical tourism. Mitigating against medical travel are the lack of legal remedies in place for malpractice and the possibility that travel itself can impose risk to patients. For example, lengthy air flights where the patient is in a fixed position for hours at a time can cause embolisms. If the trend toward medical tourism continues, continuing education, credentialing, and certification services may be required to help assure patient safety.

Medical device development.

Science.gov (United States)

Panescu, Dorin

2009-01-01

The development of a successful medical product requires not only engineering design efforts, but also clinical, regulatory, marketing and business expertise. This paper reviews items related to the process of designing medical devices. It discusses the steps required to take a medical product idea from concept, through development, verification and validation, regulatory approvals and market release.

Medical visas mark growth of Indian medical tourism

OpenAIRE

Chinai, Rupa; Goswami, Rahul

2007-01-01

India’s medical tourism sector is a growing source of foreign exchange as well as prestige and goodwill outside the country. Having supported medical tourism’s rapid growth, the government is under pressure to find ways to make the sector of benefit to public health services that are used by most of India’s 1.1 billion population.

Port Harcourt Medical Journal

African Journals Online (AJOL)

Port Harcourt Medical Journal's objectives are to disseminate medical information from the College of Health Sciences, University of Port Harcourt and the rest of the national and international medical community; act as a medium for the articulation of research and findings from same as well as proceedings of medical ...

Provider Education about Glaucoma and Glaucoma Medications during Videotaped Medical Visits

Directory of Open Access Journals (Sweden)

Betsy Sleath

2014-01-01

Full Text Available Objective. The purpose of this study was to examine how patient, physician, and situational factors are associated with the extent to which providers educate patients about glaucoma and glaucoma medications, and which patient and provider characteristics are associated with whether providers educate patients about glaucoma and glaucoma medications. Methods. Patients with glaucoma who were newly prescribed or on glaucoma medications were recruited and a cross-sectional study was conducted at six ophthalmology clinics. Patients’ visits were videotape recorded and patients were interviewed after visits. Generalized estimating equations were used to analyze the data. Results. Two hundred and seventy-nine patients participated. Providers were significantly more likely to educate patients about glaucoma and glaucoma medications if they were newly prescribed glaucoma medications. Providers were significantly less likely to educate African American patients about glaucoma. Providers were significantly less likely to educate patients of lower health literacy about glaucoma medications. Conclusion. Eye care providers did not always educate patients about glaucoma or glaucoma medications. Practice Implications. Providers should consider educating more patients about what glaucoma is and how it is treated so that glaucoma patients can better understand their disease. Even if a patient has already been educated once, it is important to reinforce what has been taught before.

Perceptions of personal health risks by medical and non-medical workers in a university medical center: a survey study

Directory of Open Access Journals (Sweden)

Nap Raoul E

2010-11-01

Full Text Available Abstract Background Health care workers (HCWs are faced with many work-related choices which may depend on how they perceive risk, such as whether or not to comply with safety regulations. Little research has investigated risk perception in medical workers in comparison with non-medical workers and the extent to which risk perception differs in these groups. The current study thus investigates risk perception of medical and non-medical workers to inform and complement future research on safety compliance. The study has implications for the design of intervention programmes to increase the level of compliance of HCWs. Methods A survey study was conducted in which questionnaires were distributed to 6380 HCWs. The questionnaire asked for ratings of risk perception for cold, annual influenza, pandemic influenza, cancer, heart attack and food poisoning. Of 2495 returned questionnaires (response rate: 39%, 61.40% were from medical workers (24.1% of these were from physicians, 39.7% from nurses and 36.2% from paramedics and 38.60% were from non-medical workers. Results Medical workers gave lower risk perception ratings than did non-medical workers for cancer, but not for other health risks. Within the medical workers, physicians rated the risk of getting a cold as higher, but of having a heart attack as lower than did nurses and paramedics; physicians also rated their risk of getting cancer as lower than did nurses. Perceived risk was higher as a function of age for pandemic influenza, cancer and heart attack, but lower for cold and annual influenza. HCWs who lived with a partner and children rated the risk of getting a cold or annual influenza higher than those who lived alone or with a partner only. Full-time HCWs gave lower ratings for annual influenza than did part-time HCWs. Conclusions Different base levels of risk perception between medical and non-medical workers need to be taken into account for successful implementation of safety regulations

KNOWLEDGE, ATTITUDE AND PRACTICE OF SELF-MEDICATION AMONG MEDICAL COLLEGE STUDENTS IN KERALA

Directory of Open Access Journals (Sweden)

Messaline

2016-05-01

Full Text Available BACKGROUND & RATIONALE Self-medication is defined as the selection and use of medicines by individuals to treat self-recognised illness or symptoms. Practice of self-medication, especially by medical students can cause wastage of resources, bacterial resistance, drug addiction and serious adverse drug reactions. The objective of our study is to evaluate the knowledge, attitude and practice of selfmedication among medical college students in Kerala. METHODS AND MATERIAL MBBS students of a private medical college were included in the study. The students filled a structured pretested questionnaire and descriptive statistics was applied to the data with SPSS version 20. RESULTS Out of 300, 264 (88% students had taken self-medication over the past 1 year. Past exposure with the same drug was the significant source of information for the drugs (49.2% and the drugs frequently self-medicated were analgesics 34.4% (91 and antipyretics 30.3% (80. More than half of the students, 66% (198 students had expressed positive and 34% (102 students had expressed negative attitude towards self-medication. Around 66% students declared that they were not aware of the dose, frequency and adverse effects of the drugs. CONCLUSION The pattern of self-medication practice from our study was similar to other studies done in various parts of India. Similar studies in future will provide adequate information to regulatory authorities to implement these results on strict drug dispensing and drug advertising policies. KEYWORDS Self-medication, Medical College Students, Kerala.

Chemical solution deposition of CaCu3Ti4O12 thin film

Indian Academy of Sciences (India)

Administrator

CaCu3Ti4O12; thin film; chemical solution deposition; dielectric properties. 1. Introduction. The CaCu3Ti4O12. (CCTO) compound has recently attracted considerable ... and Kelvin probe force microscopy (Chung et al 2004). Intrinsic .... SEM images of CCTO thin films as a function of sintering temperature. silicon based ...

Compound mitochondrial DNA mutations in a neurological patient ...

Indian Academy of Sciences (India)

Compound mitochondrial DNA mutations in a neurological patient with ataxia, myoclonus and deafness. Ji Hoon Park, Bo Ram Yoon, Hye Jin Kim, Phil Hyu Lee, Byung-Ok Choi and Ki Wha Chung. J. Genet. 93, 173–177. Table 1. Variations from the whole mtDNA sequence in the AMDF patient. Mutation. Report. Locus/ ...

Moment convergence rates in the law of the logarithm for dependent ...

Indian Academy of Sciences (India)

Inspired by Chow [3] and Jiang et al [6], here we consider the exact convergence rates in the law of the logarithm and Chung-type law of the logarithm for negatively associated. (NA) random variables including partial sums and the maximum of the partial sums. First, we shall give the definition of negatively associated ...

Theory of direct-interband-transition line shapes based on Mori's method

International Nuclear Information System (INIS)

Sam Nyung Yi; Jai Yon Ryu; Ok Hee Chung; Joung Young Sug; Sang Don Choi; Yeon Choon Chung

1987-01-01

A theory of direct interband optical transition in the electron-phonon system is introduced on the basis of the Kubo formalism and by using Mori's method of calculation. The line shape functions are introduced in two different ways and are compared with those obtained by Choi and Chung based on Argyres and Sigel's projection technique

Biomass production of Lactobacillus plantarum LP02 isolated from ...

African Journals Online (AJOL)

Jane

2011-07-18

Jul 18, 2011 ... 1Department of Food Science and Technology, HungKuang University, No. 34, Chung-Chie Road, Shalu ... tions for LAB industrial production are rarely reported due to the commercial advantage for the company marketing the strains. .... blowing N2 gas during incubation in a 60°C water bath. Next, 4 ml of.

Generic medications for you, but brand-name medications for me.

Science.gov (United States)

Keenum, Amy J; Devoe, Jennifer E; Chisolm, Deena J; Wallace, Lorraine S

2012-01-01

Because generic medications are less expensive than brand-name medications, government and private insurers have encouraged and/or mandated the use of generics. This study aimed at evaluating perceptions about generic medications among English-speaking women of childbearing age currently enrolled in U.S. TennCare (Medicaid). We recruited a convenience sample of patients from the waiting room of a primary care/gynecology health clinic, with 80% recruitment rate among those approached. We orally administered a 25-item questionnaire to gather sociodemographic information and to assess beliefs regarding the efficacy, safety, cost, and preferences for personal use of generic medications. The average age of the women (n=172) was 28.8 ± 6.4 years, and most were white (82.0%) and currently married (58.1%). Nearly one-fifth (19.2%) had not completed high school. Most women believed that generic medications were less expensive (97.6%) and better value (60.5%) than brand-name medications, but only 45.3% preferred to take generics themselves. About a quarter (23.3%) believed that brand-name medications were more effective than generics, whereas 13.4% believed that generics caused more side effects. Few women reported that their doctor (29.7%) and/or pharmacist (35.5%) had ever talked to them about taking generics. Awareness of the benefits of generics did not equal preferences for personal use of generics among this sample of women enrolled in U.S. TennCare. Furthermore, women reported that providers-both physicians and pharmacists-infrequently discussed generic substitution with them. Copyright © 2012 Elsevier Inc. All rights reserved.

Research on Practice Carrier and Method Formed by Medical Humanistic Spirit for Medical Students: Tianjin Medical University as a Case in Point

Science.gov (United States)

Hou, Jie; Geng, Xin; Su, Zhenxing; Wang, Yutao

2014-01-01

Medical humanistic quality is an indispensable quality that eligible doctors should possess, and medical humanism is strongly advocated and carried forward by contemporary medicine. These are commonly understood worldwide, and formed by reflection on medicine and medical education. Cultivation of medical humanism requires in-depth discussions of…

From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic’s Service Perspective

OpenAIRE

Kim, Minseong; Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

2017-01-01

Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic en...

Aeromedical Hazard Comparison of FAA Medically Certified Third-Class and Medically Uncertified Pilots.

Science.gov (United States)

Ricaurte, Eduard M; Mills, William D; DeJohn, Charles A; Laverde-Lopez, Maria C; Porras-Sanchez, Daniel F

2016-07-01

Since 2004, in the United States, light sport aircraft (LSA) and some aircraft with standard airworthiness certificates can be operated for recreational purposes with a valid state driver's license rather than a Federal Aviation Administration (FAA)-issued aeromedical certificate. There have been recent efforts to allow operation of much larger, heavier, faster, and more complex aircraft without requiring a medical certificate. The primary objective of this research was to compare hazards to flight safety identified in fatally injured pilots required to possess a valid FAA third-class medical certificate to hazards in fatally injured pilots who were not required to possess a valid medical certificate. A search of all fatal U.S. aircraft accidents in the FAA Medical ANalysis and TRAcking (MANTRA) registry between January 1, 2011, and April 30, 2014, identified 1084 individuals. A review of accident pilots' medical, autopsy, and toxicological data was conducted. After applying exclusion criteria, 467 pilots remained, including 403 medically certified and 64 medically uncertified pilots. A significant difference was found in a surrogate measure for risk between medically certified and uncertified pilots (25% vs. 59%). This difference remained significant after adjustment for age. No significant difference was found in the proportions of hazards identified on toxicological review. The results of this study suggest that the risk of an adverse medical event is reduced in pilots required to possess a valid medical certificate. Ricaurte EM, Mills WD, DeJohn CA, Laverde-Lopez MC, Porras-Sanchez DF. Aeromedical hazard comparison of FAA medically certified third-class and medically uncertified pilots. Aerosp Med Hum Perform. 2016; 87(7):618-621.

Introducing medical humanities in the medical curriculum in Saudi Arabia: A pedagogical experiment

Directory of Open Access Journals (Sweden)

Rabie E Abdel-Halim

2012-01-01

Full Text Available In a marked shift from the modern positivist materialist philosophy that influenced medical education for more than a century, Western medical educators are now beginning to realize the significance of the spiritual element of human nature. Consensus is currently building up in Europe and North America on the need to give more emphasis to the study of humanities disciplines such as history of medicine, ethics, religion, philosophy, medically related poetry, literature, arts and medical sociology in medical colleges with the aim of allowing graduates to reach to the heart of human learning about meaning of life and death and to become kinder, more reflective practitioners. The medicine taught and practiced during the Islamic civilization era was a vivid example of the unity of the two components of medical knowledge: natural sciences and humanities. It was also a brilliant illustration of medical ethics driven by a divine moral code. This historical fact formed the foundation for the three medical humanities courses presented in this article reporting a pedagogical experiment in preparation for starting a humanities program in Alfaisal University Medical College in Riyadh. In a series of lectures alternating with interactive sessions, active learning strategies were employed in teaching a course on history of medicine during the Islamic era and another on Islamic medical ethics. Furthermore, a third course on medically relevant Arabic poetry was designed and prepared in a similar way. The end-of-the-course feedback comments reflected effectiveness of the courses and highlighted the importance of employing student-centered learning techniques in order to motivate medical students to become critical thinkers, problem solvers, life-long learners and self-learners.

Geographical variations in Sr and Nd isotopic ratios of cryoconite on Asian glaciers

International Nuclear Information System (INIS)

Nagatsuka, Naoko; Takeuchi, Nozomu; Nakano, Takanori; Shin, Kicheol; Kokado, Emi

2014-01-01

Cryoconite is a dark-coloured surface dust deposited on glaciers that consists of wind-blown mineral particles, as well as organic matter derived from microbes living on glaciers. In this paper, we analyse the Sr and Nd isotopic ratios of four mineral fractions (i.e., the saline, carbonate, phosphate, and silicate mineral fractions), as well as the organic fraction, of cryoconite samples obtained from six Asian glaciers (the Altai, Pamir, Tien Shan, Qillian Shan, and Himalayan regions), and discuss their geographical variations in terms of the geological origins of the mineral particles and the biogeochemical processes on the glaciers. The silicate mineral fraction showed lower Sr and higher Nd ratios for the glaciers located to the north (Altai, 87 Sr/ 86 Sr: 0.713 490–0.715 284, εNd(0): −6.4 to −5.6), while higher Sr and lower Nd ratios for the glaciers located to the south (Himalayas, 87 Sr/ 86 Sr: 0.740 121–0.742 088, εNd(0): −16.4 to −15.7); the ratios were similar to those of desert sand, loess, and river sediments in the respective regions of the glaciers. This result suggests that the silicate minerals within the cryoconites were derived from different sources depending on the geographical locations of the glaciers. The isotopic ratios of the saline, carbonate, and phosphate mineral fractions were distinct from those of the silicate fraction, and were similar to those of evaporites and apatite deposits from the Asian deserts, but also varied geographically, indicating that they are likely to reflect their geological origin. The Sr isotopic ratios of the organic fraction were similar to those of the saline and carbonate fractions from glaciers in the central area (Tien Shan and Qillian Shan), but were higher than those of the saline and carbonate fractions, and lower than the phosphate mineral fraction, in the northern and southern areas. The ratios of organic fraction may be determined from the mixing ratio of calcium sources

Medical audit: threat or opportunity for the medical profession. A comparative study of medical audit among medical specialists in general hospitals in The Netherlands and England, 1970-1999

NARCIS (Netherlands)

van Herk, R.; Klazinga, N. S.; Schepers, R. M.; Casparie, A. F.

2001-01-01

Medical audit has been introduced among hospital specialists in both the Netherlands and England. In the Netherlands following some local experiments, medical audit was promoted nationally as early as 1976 by the medical profession itself and became a mandatory activity under the Hospital Licensing

Business continuity after catastrophic medical events: the Joplin medical business continuity report.

Science.gov (United States)

Carlton, Paul K; Bringle, Dottie

2012-01-01

On May 22, 2011, The St Johns Mercy Medical Center in Joplin, MO, was destroyed by an F-5 tornado. There were 183 patients in the building at that time in this 367-bed Medical Center. The preparation and response were superbly done and resulted in many lives saved. This report is focused on the reconstitution phase of this disaster response, which includes how to restore business continuity. As 95 percent of our medical capacity resides in the private sector in the United States, we must have a proper plan for how to restore business continuity or face the reality of the medical business failing and not providing critical medical services to the community. A tornado in 2007 destroyed a medical center in Sumter County, GA, and it took more than 365 days to restore business continuity at a cost of $18M. The plan executed by the Mercy Medical System after the disaster in Joplin restored business continuity in 88 days and cost a total of $6.6M, with all assets being reusable. The recommendation from these lessons learned is that every county, state, and Federal Emergency Management Agency region has a plan on the shelf to restore business continuity and the means to be able to do so. The hard work that the State of Missouri and the Mercy Medical System did after this disaster can serve as a model for the nation in how to quickly recover from any loss of medical capability.

High prevalence of self-medication practices among medical and pharmacy students: a study from Jordan.

Science.gov (United States)

Alkhatatbeh, Mohammad J; Alefan, Qais; Alqudah, Mohammad A Y

2016-05-01

To assess self-medication practices and to evaluate the impact of obtaining medical knowledge on self-medication among medical and pharmacy students at Jordan University of Science and Technology. This was a cross-sectional study. A well-validated questionnaire that included 3 sections about self-medication was administered to the subjects after introducing the term "self-medication" verbally. 1,317 students had participated in the study and were subgrouped according to their academic level into seniors and juniors. Compared to the general population rate of 42.5%, self-medication practice was reported by (1,034, 78.5%) of the students and most common amongst pharmacy students (n = 369, 82.9%) compared to Pharm.D. (n = 357, 77.9%) and medical students (n = 308, 74.4%) (p = 0.009). There was no significant difference between juniors and seniors (557, 79.1% vs. 477, 77.8%, p = 0.59, respectively). Headache (71.2%) and common cold (56.5%) were frequent ailments that provoked self-medication. Analgesics (79.9%) and antibiotics (59.8%) were frequently used to self-treat these aliments. Reasons for self-medication included previous disease experience (55.7%); minor aliments (55.3%); and having enough medical knowledge (32.1%). Medicines were used according to instructions obtained mainly from the leaflet (28.8%); pharmacist (20.7%); and university courses (19.7%). Senior students were more aware of the risk of self-medication than junior students. The majority of students frequently advise other people about self-medication (83.6%). Self-medication was common among students irrespective to their level of medical knowledge. Obtaining medical knowledge increased the students' awareness of the risk of self-medication which may result in practicing responsible self-medication. However, medical teaching institutions need to educate students about the proper use of medicines as a therapeutic tool.

Digital medical imaging

International Nuclear Information System (INIS)

Goeringer, F.; Mun, S.K.; Kerlin, B.D.

1989-01-01

In formulating an implementation strategy for digital medical imaging, three interrelated thrusts have emerged for the defense medical establishment. These thrusts: totally filmless medical imaging on the battlefield, teleradiology, and DIN/PACS for peacetime military health care are discussed. They have implications in their fully developed form as resource savers and quality improvers for the unique aspects of military health care

Introducing quality assurance and medical audit into the UCSF medical center curriculum.

Science.gov (United States)

Barbaccia, J C

1976-05-01

The experience gained by a medical school faculty in developing and piloting a course for undergraduate medical students in medical care evaluation led to a similar effort for house staff. It is recognized that if the profession is to fulfill the demand by society for social accountability in the use of resources for health care, medical care assessment and quality assurance mechanisms must become an intimate part of the clinical experience of medical students and house officers. Teaching these subjects requires a theoretical framework; introduction of content and skills appropriate to the level of the student and continuation of progressively more advanced training throughout medical education; use of assessment and quality assurance techniques by clinician-teachers themselves to provide models for the student; and continued evolution of pedagogic approach and course content based on developments in the area.

[Cryptococcus neoformans chemotyping. Review of the literature. New epidemiologic data on cryptococcosis. Our experience with the use of C.G.B. media in the study of this yeast].

Science.gov (United States)

de Melo, N T; Lacaz, C da S; Charbel, C E; Pereira, A D; Heins-Vaccari, E M; França-Netto, A S; Machado, L dos R; Livramento, J A

1993-01-01

The purpose of this work was to collect the main information from the literature about the biotyping of Cryptococcus neoformans. The more up-to date research concerning the epidemiology of cryptococcosis comprising quite a few articles, mainly after the advent of AIDS, was also reviewed. The Cryptococcus neoformans varieties neoformans and gattii are well defined biochemically nowadays chiefly through the C.G.B. medium, according to Kwon-Chung et al. (1982). The isolation of C. neoformans var. gattii from flowers and leaves of Eucalyptus camaldulensis and Eucalyptus tereticornis, specially in Australia, through the works of Ellis & Pfeiffer (1990) and Pfeiffer & Ellis (1992) permitted very interesting epidemiological investigations on C. neoformans, a capsulated yeast by which Sanfelice, in Italy (1894; 1895) attracted attention of medical class. Busse, in 1894, described the first human case of cryptococcosis under the presentation of a bone lesion simulating sarcoma. In this paper, the Brazilian researchers focused on this subject were pointed out, followed by the Author's experience with the C.G.B. medium (L-canavanine, glycine and bromothymol blue) proposed by Kwon-Chung et al. (1982) with very good results. It was possible with such medium the study of 50 C.N.S. liquor samples, being 39 from AIDS patients (78%) and 11 from non-AIDS ones (22%). Thirty-seven out of the 39 HIV-positive patients (74%) were identified as C. neoformans var. gattii. From the negative HIV, 8 (16%) were classified as C. neoformans var. neoformans and 3 (6%) as C. neoformans var. gattii. We could not perform the serotyping of the above referred samples. It is evident anyway that in Brazil there exist both varieties gattii and neoformans, agents of neurocryptococcosis, including AIDS patients. The importance of neurocryptococcosis, mainly among AIDS patients, is stressed here, showing once more the value of C.G.B. medium in the typing of C. neoformans in its two varieties. Also, it is of

Medical ADP Systems: Automated Medical Records Hold Promise to Improve Patient Care

Science.gov (United States)

1991-01-01

automated medical records. The report discusses the potential benefits that automation could make to the quality of patient care and the factors that impede...information systems, but no organization has fully automated one of the most critical types of information, patient medical records. The patient medical record...its review of automated medical records. GAO’s objectives in this study were to identify the (1) benefits of automating patient records and (2) factors

Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use.

Directory of Open Access Journals (Sweden)

Chun-Hsien Lee

Full Text Available While self-medication is common, inappropriate self-medication has potential risks. This study assesses inappropriate self-medication among adolescents and examines the relationships among medication literacy, substance use, and inappropriate self-medication.In 2016, a national representative sample of 6,226 students from 99 primary, middle, and high schools completed an online self-administered questionnaire. Multiple logistic regression analysis was used to examine factors related to inappropriate self-medication.The prevalence of self-medication in the past year among the adolescents surveyed was 45.8%, and the most frequently reported drugs for self-medication included nonsteroidal anti-inflammatory drugs or pain relievers (prevalence = 31.1%, cold or cough medicines (prevalence = 21.6%, analgesics (prevalence = 19.3%, and antacids (prevalence = 17.3%. Of the participants who practiced self-medication, the prevalence of inappropriate self-medication behaviors included not reading drug labels or instructions (10.1%, using excessive dosages (21.6%, and using prescription and nonprescription medicine simultaneously without advice from a health provider (polypharmacy (30.3%. The results of multiple logistic regression analysis showed that after controlling for school level, gender, and chronic diseases, the participants with lower medication knowledge, lower self-efficacy, lower medication literacy, and who consumed tobacco or alcohol were more likely to engage in inappropriate self-medication.Lower medication literacy and substance use were associated with inappropriate self-medication among adolescents.

Medical x-ray

International Nuclear Information System (INIS)

Abd Aziz Mhd Ramli; Gui Ah Auu; Husaini Salleh; Idris Besar; Mohd Ashhar Khalid; Muhammad Jamal Md Isa; Shaharuddin Mohd; Siti Najila Mohd Janib; Mohamed Ali Abdul Khader; Mahalatchimi Dave; Mohd Fazly Abdul Rahim; Ng Chee Moon; Ram Piari; Teoh Hoon Heng; Lee Peter

2004-01-01

This book describes the fundamental subject about medical radiography. It is a multidisciplinary field that requires cross professional input from scientists, engineers and medical doctors. However, it is presented in simple language to suit different levels of readers from x-ray operators and radiographers to physists, general practitioners and radiology specialists.The book is written in accordance to the requirements of the standard syllabus approved by the Ministry of Health Malaysia for the training of medical x-ray operator and general practitioners. In general, the content is not only designed to provide relevant and essential subject for related professionals in medical radiological services such as x-ray operator, radiographer and radiologists, but also to address those in associated radiological services including nurses, medical technologists and physicists.The book is organized and arranged sequentially into 3 parts for easy reference: Radiation safety; X-ray equipment and associated facilities; Radiography practices. With proper grasping of all these parts, the radiological services could be provided with confident and the highest professional standard. Thus, medical imaging with highest quality that can provide useful diagnostic information at minimum doses and at cost effective could be assured

Medications (for IBS)

Medline Plus

Full Text Available ... Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation Techniques for ...

Furthering Medical Education in Texas.

Science.gov (United States)

Varma, Surendra K; Jennings, John

2016-02-01

Medical education in Texas is moving in the right direction. The Texas Medical Association has been a major partner in advancing medical education initiatives. This special symposium issue on medical education examines residency training costs, the Next Accreditation System, graduate medical education in rural Texas, Texas' physician workforce needs, the current state of education reform, and efforts to retain medical graduates in Texas.

The Muddle of Medicalization

DEFF Research Database (Denmark)

Sholl, Jonathan

2017-01-01

to describe inappropriate or abusive instances of medical authority. Yet, while this standard approach claims that medicalization is a growing problem, it assumes that there is simply one “medical model” and that the expanding realm of “the medical” can be more or less clearly delineated. Moreover, while...... of medical discourse. In doing so, I will explore the distinction between medicalization and pathologization, a distinction that is often overlooked and that brings with it many conceptual and practical implications. After defining these terms, I will use some examples to show that while pathologizing...

[Research in medical education

DEFF Research Database (Denmark)

Ringsted, Charlotte Vibeke

2008-01-01

Research in medical education is a relatively new discipline. Over the past 30 years, the discipline has experienced a tremendous growth, which is reflected in an increase in the number of publications in both medical education journals and medical science journals. However, recent reviews...... of articles on medical education studies indicate a need for improvement of the quality of medical education research in order to contribute to the advancement of educational practice as well as educational research. In particular, there is a need to embed studies in a conceptual theoretical framework...

Determinants of depression among medical students in two medical ...

African Journals Online (AJOL)

Objectives: This study aims to assess the susceptibility of depression among clinical students from two medical schools from South East Nigeria, using a screening test questionnaire. Methods: A total of 352 clinical medical students from two universities were enrolled by simple random sampling. A pretested ...

What is a medical physicist?

International Nuclear Information System (INIS)

Endo, Masahiro

2011-01-01

The modern radiotherapy requires a medical physicist who optimizes treatment plans, assures delivered dose equal to prescription, and performs QA (quality assurance) of radiotherapy equipments. However, medical physicist has not been established as a medical profession in Japan mainly because importance of radiotherapy was not sufficiently recognized until recently. Between 2000 and 2004, several accidents of radiotherapy including hundreds of patients were found and these accidents were mainly caused by lack of QA. The necessity and importance of medical physicist were recognized by these accidents as well as by the advent of high-precision radiotherapy such as IMRT (intensity modulation radiation therapy). JRS (Japan Radiological Society) that certified medical physicists with the help of JSMP (Japan Society of Medical Physics), decided to extend eligibility in order to increase certified medical physicists rapidly in 2003. After the decision certified medical physicists were rapidly increased in number. The government supports this tendency to enact that certified medical physicists is necessary to reimbursement for high-precision therapy. It also started to supply grants for medical physics training in physical and health science graduate schools. In this program several universities have started medical physics course in their graduate schools. If these movements continue, medical physicist will be established as a medical profession in the near future. (author)

Medical Terminology.

Science.gov (United States)

Mercer County Community Coll., Trenton, NJ.

This document is one of a series of student workbooks developed for workplace skill development courses or workshops by Mercer County Community College (New Jersey) and its partners. Designed to help employees of medical establishments learn medical terminology, this course provides information on basic word structure, body parts, suffixes and…

Structural Heterogeneities in Southeast Tibet: Implications for Regional Flow in the Lower Crust and Upper Mantle

Directory of Open Access Journals (Sweden)

Zhi Wang

2012-01-01

Full Text Available Our seismic study together with the MT analysis reveal a “R-shape” flow existing in both the lower crust and uppermost mantle, which suggests the crustal deformation along the deep, large sutures (such as the Longmen Shan fault and the Anninghe Fault under the southeastern Tibetan Plateau is maintained by dynamic pressure from the regional flow intermingled with the hot upwelling asthenosphere. The material in the lower crust and uppermost mantle flowing outward from the center of the plateau is buttressed by the old, strong lithosphere that underlies the Sichuan basin, pushing up on the crust above and maintaining steep orogenic belt through dynamic pressure. We therefore consider that the “R-shape” regional flow played a key role in the crustal deformation along the deep suture zones of the Bangong-Nujiang, the Longmen-Shan faults, and other local heavily faulted zones beneath the southeastern Tibetan Plateau.

Role of illness perceptions and medication beliefs on medication compliance of elderly hypertensive cohorts.

Science.gov (United States)

Rajpura, Jigar R; Nayak, Rajesh

2014-02-01

Poor compliance with antihypertensive medications is one possible reason why its success in clinical trials has not been translated into everyday practice. In addition, medication noncompliance in elderly leads to increased hospitalizations, physician visits, and higher health care costs. The study assessed influence of illness perceptions and medications beliefs on medication compliance of elderly hypertensive cohorts. A cross-sectional survey research design, utilizing self-administered health surveys, was adapted to address key study objectives. Conceptualized associations among the study variables were explored to assess their individual as well as their collective impact on the medication compliance. A total of 78 (66%) study samples were found to be noncompliant with their medications. Analysis revealed that perceptions about illness and beliefs about medication jointly played a significant role in the prediction of medication compliance (F = 5.966, P compliance building in elderly populations having hypertension by incorporating the value and importance of patient perceptions of illness and medications in order to achieve desired patient outcomes.

Establishment of a Quantitative Medical Technology Evaluation System and Indicators within Medical Institutions.

Science.gov (United States)

Wu, Suo-Wei; Chen, Tong; Pan, Qi; Wei, Liang-Yu; Wang, Qin; Li, Chao; Song, Jing-Chen; Luo, Ji

2018-06-05

The development and application of medical technologies reflect the medical quality and clinical capacity of a hospital. It is also an effective approach in upgrading medical service and core competitiveness among medical institutions. This study aimed to build a quantitative medical technology evaluation system through questionnaire survey within medical institutions to perform an assessment to medical technologies more objectively and accurately, and promote the management of medical quality technologies and ensure the medical safety of various operations among the hospitals. A two-leveled quantitative medical technology evaluation system was built through a two-round questionnaire survey of chosen experts. The Delphi method was applied in identifying the structure of evaluation system and indicators. The judgment of the experts on the indicators was adopted in building the matrix so that the weight coefficient and maximum eigenvalue (λ max), consistency index (CI), and random consistency ratio (CR) could be obtained and collected. The results were verified through consistency tests, and the index weight coefficient of each indicator was conducted and calculated through analytical hierarchy process. Twenty-six experts of different medical fields were involved in the questionnaire survey, 25 of whom successfully responded to the two-round research. Altogether, 4 primary indicators (safety, effectiveness, innovativeness, and benefits), as well as 13 secondary indicators, were included in the evaluation system. The matrix is built to conduct the λ max, CI, and CR of each expert in the survey, and the index weight coefficients of primary indicators were 0.33, 0.28, 0.27, and 0.12, respectively, and the index weight coefficients of secondary indicators were conducted and calculated accordingly. As the two-round questionnaire survey of experts and statistical analysis were performed and credibility of the results was verified through consistency evaluation test, the

Medical alert bracelet (image)

Science.gov (United States)

People with diabetes should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an ...

Medical Data Architecture Project Status

Science.gov (United States)

Krihak, M.; Middour, C.; Gurram, M.; Wolfe, S.; Marker, N.; Winther, S.; Ronzano, K.; Bolles, D.; Toscano, W.; Shaw, T.

2018-01-01

The Medical Data Architecture (MDA) project supports the Exploration Medical Capability (ExMC) risk to minimize or reduce the risk of adverse health outcomes and decrements in performance due to in-flight medical capabilities on human exploration missions. To mitigate this risk, the ExMC MDA project addresses the technical limitations identified in ExMC Gap Med 07: We do not have the capability to comprehensively process medically-relevant information to support medical operations during exploration missions. This gap identifies that the current in-flight medical data management includes a combination of data collection and distribution methods that are minimally integrated with on-board medical devices and systems. Furthermore, there are a variety of data sources and methods of data collection. For an exploration mission, the seamless management of such data will enable a more medically autonomous crew than the current paradigm. The medical system requirements are being developed in parallel with the exploration mission architecture and vehicle design. ExMC has recognized that in order to make informed decisions about a medical data architecture framework, current methods for medical data management must not only be understood, but an architecture must also be identified that provides the crew with actionable insight to medical conditions. This medical data architecture will provide the necessary functionality to address the challenges of executing a self-contained medical system that approaches crew health care delivery without assistance from ground support. Hence, the products supported by current prototype development will directly inform exploration medical system requirements.

View point of medical exposure

International Nuclear Information System (INIS)

Akahane, Keiichi

2008-01-01

This text contains the following subjects. (1) Introduction, (2) Progress of medical examinations by radiation, (2-1) Decision of applying radiation, (2-2) Irradiation method, (2-3) Irradiation dose, (3) Exposure at medical examinations by radiation, (3-1) Dose to express the exposure, (3-2) Dose at medical exposure, (4) Types of medical examinations by radiation, (4-1) Radiation diagnosis, (4-2) Radiation therapy, (4-3) Nuclear medicine, (5) Radiation effects, (5-1) Types of radiation effect, (5-2) Effects of medical exposure, (6) Present status of medical examination by radiation, (6-1) Actual status of medical exposure, (6-2) Medical examinations by radiation in Japan, (7) Assessment of medical exposure, (7-1) Exposure dose, (7-2) Papers on radiation risk, and (7-3) Radiation protection. (K.Y.)

"Medical writing" and ghostwriting as ethical challenges in medical communication.

Science.gov (United States)

Górski, A; Letkiewicz, S

2010-10-01

In the past years, it has become increasingly apparent that ghostwriting may erode the public trust in medical science and scientific publishing. It is estimated that approximately 10% of articles published in reputed journals are ghostwritten, and this rate may be even higher in some medical specialties. Although this practice is rather universally condemned, the propriety of participation of professional writers in producing papers remains an open question. Although some believe this practice should also be banned, others argue that such stringent policy would increase nonpublication and rather encourage disclosure; but should medical writers be included as authors on the final version of manuscripts? These and other questions should be solved to maintain the high scientific and ethical standards of medical communication and public trust in medicine. Copyright © 2010 Elsevier Inc. All rights reserved.

[Delegation of medical responsibilities to non-medical personnel. Options and limits from a legal viewpoint].

Science.gov (United States)

Ulsenheimer, K

2009-05-01

Increasing specialization and growing mechanization in medicine have strongly supported the transfer of originally medical responsibilities to non-medical personnel. The enormous pressure of costs as a result of limited financial resources in the health system make the delegation of previously medical functions to cheaper non-medical ancillary staff expedient and the sometimes obvious lack of physicians also gains importance by the delegation of many activities away from medical staff. In the German health system there is no legal norm which clearly and definitively describes the field of activity of a medical doctor. Fundamental for a reform of the areas of responsibility between physicians and non-medical personnel is a terminological differentiation between instruction-dependent, subordinate, non-independent assistance and the delegation of medical responsibilities which are transferred to non-medical personnel for independent and self-determined completion under the supervision and control of a physician. The inclination towards risk of medical activities, the need of protection of the patient and the intellectual prerequisites required for carrying out the necessary measures define the limitations for the delegation of medical responsibilities to non-medical ancillary staff. These criteria demarcate by expert assessment the exclusively medical field of activity in a sufficiently exact and convincing manner.

Medical ethics in an era of bioethics: resetting the medical profession's compass.

Science.gov (United States)

Pellegrino, Edmund D

2012-02-01

What it means to be a medical professional has been defined by medical ethicists throughout history and remains a contemporary concern addressed by this paper. A medical professional is generally considered to be one who makes a public promise to fulfill the ethical obligations expressed in the Hippocratic Code. This presentation summarizes the history of medical professionalism and refocuses attention on the interpersonal relationship of doctor and patient. This keynote address was delivered at the Founders of Bioethics International Congress (June, 2010).

Working with the medical equipment: the status of the medical physicist in Romania today

International Nuclear Information System (INIS)

Leanca, Valeria

2008-01-01

Full text: The presentation will emphasize on the following points: a) General Information; b) Medical Physics activities in the following fields; c) Role of the medical physicist; d) The National Government Organization and the implementation of the status of the medical physicist working in the hospitals in Romania; e) Organizational Structure; f) Purpose; g) Aims; h) Legislation of Medical Physics; i) Medical equipment in Romania (author)

Catalytic Performance for Hydrocarbon Production from Syngas on the Promoted Co-Based Hybrid Catalysts; Influence of Pt Contents

Directory of Open Access Journals (Sweden)

Suk-Hwan Kang

2017-10-01

How to Cite: Kang, S.H., Ryu, J.H., Kim, J.H., Kim, H.S., Yang, H.C., Chung, D.Y. (2017. Catalytic Performance for Hydrocarbon Production from Syngas on the Promoted Co-Based Hybrid Catalysts; Influence of Pt Contents. Bulletin of Chemical Reaction Engineering & Catalysis, 12 (3: 452-459 (doi:10.9767/bcrec.12.3.592.452-459

Anisotropic Dislocation Line Energy and Crack Tip Dislocation Nucleation in (alpha)RDX

Science.gov (United States)

2013-11-01

Mitchell, R.L.; Knap, J.; Chung, P.W., Role of molecule flexibility on the nucleation of dislocations in molecular crystals. App. Phys. Lett. 2013...uniform stres , under-estimate of stressses (Get from S) Br=0; for i=1:3 Br=Br+sum(S(i,1:3)); end Br=1/Br; % Shear Modulus Gr=4/15*(S(1,1

Preemia Marko Laimrele / Mare Pedanik

Index Scriptorium Estoniae

Pedanik, Mare, 1962-

1999-01-01

XXIII rahvusvaheline graafikabiennaal Ljubljanas 19. VI-30. IX. Eesti kuraator Eha Komissarov, kujundaja Liina Siib. Elutöö preemia ئ Lojze Spacal, grand prix ئ Richard Hamilton, peaauhind ئ Sang-Gon Chung, üks kolmest hõbemedalist ئ Marko Laimre installatsioon "Verelilled" (digitaaltrükk, segatehnika, 1999). Andres Tali, Liina Siibi, Marko Mäetamme väljapanekust

Rahvaste õigused - ideaalid ja tegelikkus / Toomas Trapido

Index Scriptorium Estoniae

Trapido, Toomas, 1972-

2004-01-01

21. aug. 2004 Tallinnas toimunud Esindamata Rahvaste Organisatsiooni, Justiitministeeriumi, Sisekaitseakadeeemia ja Rahvaste Õiguste Instituudi poolt korraldatud konverentsist. Artikkel koosneb konverentsil esitatud tsitaatidest, sõnavõtjad: Andres Herkel, Tiit Matsulevitsh, Marino Busdachin. Linnart Mäll, Chen Hsi-chung, Peeter Järvelaid, Ken-Marti Vaher, Bata Bayartuev, Vladimir Bagai-Ool. Lisa: Esindamata Rahvaste Organisatsioon : lühiülevaade

Asthma Medications and Pregnancy

Science.gov (United States)

... Asthma Associated Conditions Asthma & Pregnancy Asthma & Pregnancy: Medications Asthma & Pregnancy: Medications Make an Appointment Refer a Patient ... make sure you are using it correctly. Other Asthma Related Medication Treatment Annual influenza vaccine (flu shot) ...

Medications (for IBS)

Medline Plus

Full Text Available ... Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological Treatments Understanding Stress Cognitive Behavioral Therapy Relaxation Techniques for IBS Take Part in Online ...

Consultant medical trainers, modernising medical careers (MMC and the European time directive (EWTD: tensions and challenges in a changing medical education context

Directory of Open Access Journals (Sweden)

Payne Heather

2008-05-01

Full Text Available Abstract Background We analysed the learning and professional development narratives of Hospital Consultants training junior staff ('Consultant Trainers' in order to identify impediments to successful postgraduate medical training in the UK, in the context of Modernising Medical Careers (MMC and the European Working Time Directive (EWTD. Methods Qualitative study. Learning and continuing professional development (CPD, were discussed in the context of Consultant Trainers' personal biographies, organisational culture and medical education practices. We conducted life story interviews with 20 Hospital Consultants in six NHS Trusts in Wales in 2005. Results Consultant Trainers felt that new working patterns resulting from the EWTD and MMC have changed the nature of medical education. Loss of continuity of care, reduced clinical exposure of medical trainees and loss of the popular apprenticeship model were seen as detrimental for the quality of medical training and patient care. Consultant Trainers' perceptions of medical education were embedded in a traditional medical education culture, which expected long hours' availability, personal sacrifices and learning without formal educational support and supervision. Over-reliance on apprenticeship in combination with lack of organisational support for Consultant Trainers' new responsibilities, resulting from the introduction of MMC, and lack of interest in pursuing training in teaching, supervision and assessment represent potentially significant barriers to progress. Conclusion This study identifies issues with significant implications for the implementation of MMC within the context of EWTD. Postgraduate Deaneries, NHS Trusts and the new body; NHS: Medical Education England should deal with the deficiencies of MMC and challenges of ETWD and aspire to excellence. Further research is needed to investigate the views and educational practices of Consultant Medical Trainers and medical trainees.

[Information technology in medical education].

Science.gov (United States)

Ramić, A

1999-01-01

The role of information technology in educational models of under-graduate and post-graduate medical education is growing in 1980's influenced by PC's break-in in medical practice and creating relevant data basis, and, particularly, in 1990's by integration of information technology on international level, development of international network, Internet, Telemedicin, etc. The development of new educational information technology is evident, proving that information in transfer of medical knowledge, medical informatics and communication systems represent the base of medical practice, medical education and research in medical sciences. In relation to the traditional approaches in concept, contents and techniques of medical education, new models of education in training of health professionals, using new information technology, offer a number of benefits, such as: decentralization and access to relevant data sources, collecting and updating of data, multidisciplinary approach in solving problems and effective decision-making, and affirmation of team work within medical and non-medical disciplines. Without regard to the dynamics of change and progressive reform orientation within health sector, the development of modern medical education is inevitable for all systems a in which information technology and available data basis, as a base of effective and scientifically based medical education of health care providers, give guarantees for efficient health care and improvement of health of population.

Medical tourism

Directory of Open Access Journals (Sweden)

Abbas Ghanbari

2014-08-01

Full Text Available Medical tourism is considered as one of the tourism dimensions and it can contribute to the stabilized and dynamic development of a country's economy. Since it is cost-effective industry, most developing countries have focused on this industry and they are planning to develop this industry. Not only does Zanjan province, as the central region in medicine services, enjoy different kinds of variety and acceptable medical specialties but also it has historical, natural, and religious tourism potentials. In this survey, the researcher investigated the existing potentials of Zanjan province based on descriptive - analytical tourism in offering and providing medical services and accommodation. The survey reports that offered services in tourism were not acceptable and satisfactory.

Translating medical documents into plain language enhances communication skills in medical students--A pilot study.

Science.gov (United States)

Bittner, Anja; Jonietz, Ansgar; Bittner, Johannes; Beickert, Luise; Harendza, Sigrid

2015-09-01

To train and assess undergraduate medical students' written communication skills by exercises in translating medical reports into plain language for real patients. 27 medical students participated in a newly developed communication course. They attended a 3-h seminar including a briefing on patient-centered communication and an introduction to working with the internet platform http://washabich.de. In the following ten weeks, participants "translated" one medical report every fortnight on this platform receiving feedback by a near-peer supervisor. A pre- and post-course assignment consisted of a self-assessment questionnaire on communication skills, analysis of a medical text with respect to medical jargon, and the translation of a medical report into plain language. In the self-assessment, students rated themselves in most aspects of patient-centered communication significantly higher after attending the course. After the course they marked significantly more medical jargon terms correctly than before (pcommunicative aspects (pcommunication skills and medical knowledge in undergraduate medical students. To include translation exercises in the undergraduate medical curriculum. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Bioethics and transnational medical travel: India,"medical tourism," and the globalisation of healthcare.

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Runnels, Vivien; Turner, Leigh

2011-01-01

Health-related travel, also referred to as "medical tourism" is historically well-known. Its emerging contemporary form suggests the development of a form of globalised for-profit healthcare. Medical tourism to India, the focus of a recent conference in Canada, provides an example of the globalisation of healthcare. By positioning itself as a low-cost, high-tech, fast-access and high-quality healthcare destination country, India offers healthcare to medical travellers who are frustrated with waiting lists and the limited availability of some procedures in Canada. Although patients have the right to travel and seek care at international medical facilities, there are a number of dimensions of medical tourism that are disturbing. The diversion of public investments in healthcare to the private sector, in order to serve medical travellers, perversely transfers public resources to international patients at a time when the Indian public healthcare system fails to provide primary healthcare to its own citizens. Further, little is known about patient safety and quality care in transnational medical travel. Countries that are departure points as well as destination countries need to carefully explore the ethical, social, cultural, and economic consequences of the growing phenomenon of for-profit international medical travel.

Medications (for IBS)

Medline Plus

Full Text Available ... Anthony J. Lembo, MD, Instructor of Medicine, Harvard Medical School; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA. Last modified on February 23, ...

SMS-Based Medical Diagnostic Telemetry Data Transmission Protocol for Medical Sensors

Science.gov (United States)

Townsend, Ben; Abawajy, Jemal; Kim, Tai-Hoon

2011-01-01

People with special medical monitoring needs can, these days, be sent home and remotely monitored through the use of data logging medical sensors and a transmission base-station. While this can improve quality of life by allowing the patient to spend most of their time at home, most current technologies rely on hardwired landline technology or expensive mobile data transmissions to transmit data to a medical facility. The aim of this paper is to investigate and develop an approach to increase the freedom of a monitored patient and decrease costs by utilising mobile technologies and SMS messaging to transmit data from patient to medico. To this end, we evaluated the capabilities of SMS and propose a generic communications protocol which can work within the constraints of the SMS format, but provide the necessary redundancy and robustness to be used for the transmission of non-critical medical telemetry from data logging medical sensors. PMID:22163845

SMS-Based Medical Diagnostic Telemetry Data Transmission Protocol for Medical Sensors

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Tai-Hoon Kim

2011-04-01

Full Text Available People with special medical monitoring needs can, these days, be sent home and remotely monitored through the use of data logging medical sensors and a transmission base-station. While this can improve quality of life by allowing the patient to spend most of their time at home, most current technologies rely on hardwired landline technology or expensive mobile data transmissions to transmit data to a medical facility. The aim of this paper is to investigate and develop an approach to increase the freedom of a monitored patient and decrease costs by utilising mobile technologies and SMS messaging to transmit data from patient to medico. To this end, we evaluated the capabilities of SMS and propose a generic communications protocol which can work within the constraints of the SMS format, but provide the necessary redundancy and robustness to be used for the transmission of non-critical medical telemetry from data logging medical sensors.

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Indian Academy of Sciences (India)

Shannon's land- mark contribution is in his use of probability theory ... be seminal and opened up a new line of thought which ... reduces one's uncertainty about a situation. As Shan- .... Then it would cut costs to encode M I by a single 0 and.

Contact angle determination in multicomponent lattice Boltzmann simultations

NARCIS (Netherlands)

Schmieschek, S.M.P.; Harting, J.D.R.

2011-01-01

Droplets on hydrophobic surfaces are ubiquitous in microfluidic applications and there exists a number of commonly used multicomponent and multiphase lattice Boltzmann schemes to study such systems. In this paper we focus on a popular implementation of a multicomponent model as introduced by Shan

Living with four polities : States and cross-border flows in the Myanmar-Thailand borderland

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Lertchavalitsakul, B.

2017-01-01

Living with Four Polities: States and Cross-border Flows in the Myanmar-Thailand Borderland detangles the multifacetedness of one of Asia’s most dynamic borderlands. Based on 12-months ethnographic fieldwork on the border between Myanmar’s southern Shan State and northwest Thailand, this

Medical care at mass gatherings: emergency medical services at large-scale rave events.

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Krul, Jan; Sanou, Björn; Swart, Eleonara L; Girbes, Armand R J

2012-02-01

The objective of this study was to develop comprehensive guidelines for medical care during mass gatherings based on the experience of providing medical support during rave parties. Study design was a prospective, observational study of self-referred patients who reported to First Aid Stations (FASs) during Dutch rave parties. All users of medical care were registered on an existing standard questionnaire. Health problems were categorized as medical, trauma, psychological, or miscellaneous. Severity was assessed based on the Emergency Severity Index. Qualified nurses, paramedics, and doctors conducted the study after training in the use of the study questionnaire. Total number of visitors was reported by type of event. During the 2006-2010 study period, 7,089 persons presented to FASs for medical aid during rave parties. Most of the problems (91.1%) were categorized as medical or trauma, and classified as mild. The most common medical complaints were general unwell-being, nausea, dizziness, and vomiting. Contusions, strains and sprains, wounds, lacerations, and blisters were the most common traumas. A small portion (2.4%) of the emergency aid was classified as moderate (professional medical care required), including two cases (0.03%) that were considered life-threatening. Hospital admission occurred in 2.2% of the patients. Fewer than half of all patients presenting for aid were transported by ambulance. More than a quarter of all cases (27.4%) were related to recreational drugs. During a five-year field research period at rave dance parties, most presentations on-site for medical evaluation were for mild conditions. A medical team of six healthcare workers for every 10,000 rave party visitors is recommended. On-site medical staff should consist primarily of first aid providers, along with nurses who have event-specific training on advanced life support, event-specific injuries and incidents, health education related to self-care deficits, interventions for

MEDICAL LAW AND ETHICS

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Sunčica Ivanović

2013-09-01

Full Text Available The subject of interest in this article is the importance of knowing and connecting medical ethics and medical law for the category of health workers. The author believes that knowledge of bioethics which as a discipline deals with the study of ethical issues and health care law as a legal discipline, as well as medical activity in general, result in the awareness of health professionals of human rights, and since the performance of activities of health workers is almost always linked to the question of life and death, then the lack of knowledge of basic legal acts would not be justified at all. The aim of the paper was to present the importance of medical ethics and medical law among the medical staff. A retrospective analysis of the medical literature available on the indexed base KOBSON for the period 2005-2010 was applied. Analysis of all work leads to the conclusion that the balance between ethical principles and knowledge of medical law, trust and cooperation between the two sides that appear over health care can be considered a goal that every health care worker should strive for. This study supports the attitude that lack of knowledge and non-compliance with the ethical principles and medical law when put together can only harm the health care worker. In a way, this is the message to health care professionals that there is a need for the adoption of ethical principles and knowledge of medical law, because the most important position of all health workers is their dedication to the patient as a primary objective and the starting point of ethics.

Enhancement of medication recall using medication pictures and lists in telephone interviews.

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Kimmel, Stephen E; Lewis, James D; Jaskowiak, Jane; Kishel, Lori; Hennessy, Sean

2003-01-01

To determine the effect of reading medication lists and providing medication pictures on recall of non-aspirin non-steroidal anti-inflammatory drugs (NANSAIDs) during telephone interviews in a case-control study. After a series of indication-specific questions, a list of all available NANSAIDs was read to study participants and a series of pictures was reviewed when available. Recall was defined as enhanced if a participant recalled NANSAID use only after the memory aids. Among the 1484 participants who reported NANSAID use, 94 (6.3%) recalled their NANSAID use only after the memory aids. Several groups demonstrated enhanced recall following the memory aids: men (odds ratio (OR): 1.73; 95% confidence interval (CI): 1.11, 2.69), users of non-prescription versus prescription NANSAIDs (OR 2.28; 95% CI: 1.21, 4.30), those using > 2 other medications (OR 1.69; 95% CI: 1.06, 2.69), those who did not have all of their medication containers available during the interview (OR 1.58; 95% CI: 1.03, 2.42) and cases versus controls (OR 1.90; 95% CI: 1.11, 3.28). The reading of medication names with the availability of medication photographs enhanced recall by approximately 6%. The use of this type of memory aid may reduce recall bias in case-control studies that rely on medication recall, depending on the overall prevalence of medication use and the effect size of the drug on the outcome.

Medical Rituals and Media Rituals

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Zoltán Zsinkó-Szabó

2013-01-01

Full Text Available In the present article the author examines the ritual elements of theprofessionalization during medical studies, and its interference with media content of medical significance, comparing the role of medical and media rituals on the way of becoming a doctor. It is to be explored how these medical soap operas, medical dramas, medical thrillers or crime stories do exert influence on medical identity and role expectations. Do medical students and their relatives (withmedical expertise frequently identify themselves with these roles? Is their way of reception critical or naïve? How media rituals are organizing, modulating the students’ medical perception and expectations. Is there a mediated “shadow initiation” via media or it is excluded and denied? Does it perfuse the common social experience of becoming a doctor via peer communication and peer shapingof model behavior? We search the answers in the context of a theory of media rituals.

Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds.

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Miller, Daniel F; Fortier, Christopher R; Garrison, Kelli L

2011-02-01

Bar code medication administration (BCMA) technology is gaining acceptance for its ability to prevent medication administration errors. However, studies suggest that improper use of BCMA technology can yield unsatisfactory error prevention and introduction of new potential medication errors. To evaluate the incidence of high-alert medication BCMA triggers and alert types and discuss the type of nursing and pharmacy workarounds occurring with the use of BCMA technology and the electronic medication administration record (eMAR). Medication scanning and override reports from January 1, 2008, through November 30, 2008, for all adult medical/surgical units were retrospectively evaluated for high-alert medication system triggers, alert types, and override reason documentation. An observational study of nursing workarounds on an adult medicine step-down unit was performed and an analysis of potential pharmacy workarounds affecting BCMA and the eMAR was also conducted. Seventeen percent of scanned medications triggered an error alert of which 55% were for high-alert medications. Insulin aspart, NPH insulin, hydromorphone, potassium chloride, and morphine were the top 5 high-alert medications that generated alert messages. Clinician override reasons for alerts were documented in only 23% of administrations. Observational studies assessing for nursing workarounds revealed a median of 3 clinician workarounds per administration. Specific nursing workarounds included a failure to scan medications/patient armband and scanning the bar code once the dosage has been removed from the unit-dose packaging. Analysis of pharmacy order entry process workarounds revealed the potential for missed doses, duplicate doses, and doses being scheduled at the wrong time. BCMA has the potential to prevent high-alert medication errors by alerting clinicians through alert messages. Nursing and pharmacy workarounds can limit the recognition of optimal safety outcomes and therefore workflow processes