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Sample records for cisg equivalence burden

  1. Understanding the CISG

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    decisions where the CISG has been held to apply, thus evidencing the conduct of countless international traders who – by default or by express choice – regularly subject their sales contracts to the Convention. The CISG has also impacted on sales legislation at national and regional (e.g. EU) levels...

  2. Understanding the CISG

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    of countless international traders who – by default or by express choice – regularly subject their sales contracts to the Convention. The CISG has also impacted on sales legislation at national and regional (e.g. EU) levels. The CISG treaty demands an international interpretation, and this fully updated Fourth...

  3. Predicting Exemptions and Hardship in CISG Context

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2016-01-01

    79 theory and practice, as well as the advent of a highly controversial conundrum: how to handle ‘hardship’ in the liability-exemptions context? By way of introduction to this particular CISG topic area, the author sketches the larger Sales Convention picture and its relationship to domestic law...

  4. Not Running Wild with the CISG

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2011-01-01

    Now in effect in more than 75 States, the Convention on Contracts for the International Sales of Goods (CISG) provides the contractual gap-filling regime for countless cross-border transactions each year. But prevalence is not necessarily a compelling success standard, and the Convention has been...

  5. Persuasive Pamesa: Not Running Wild with the CISG

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2010-01-01

    The focus of this contribution is the potential for "expansionist" lawmaking by national courts when they interpret private international legislation, in casu the United Nations Convention on Contracts for the International Sale of Goods (CISG). After surveying a number of concrete examples, both...... real and hypothetical, the author concludes that most national course are not "running wild" with the CISG....

  6. Convention on Contracts for the International Sale of Goods (CISG)

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    acceptance on a worldwide scale. The current list of some 85 Contracting States accounts for more than three-fourths of all world trade. The importance of the CISG in the international arena is underlined by thousands of reported decisions where the CISG has been held to apply, thus evidencing the conduct...... of countless international traders who – by default or by express choice – regularly subject their sales contracts to the Convention regime. The CISG has also impacted on sales legislation at national and regional (e.g. EU) levels. With this monograph as their guide, lawyers and scholars who deal...... exemptions; • Reservations under Articles 92-96. The Second Edition of this IEL monograph takes account of scholarly commentary as well as key CISG case law worldwide....

  7. THE SELLER'S OBLIGATION TO DELIVER THE GOODS ACCORDING TO CISG

    OpenAIRE

    Dan VELICU

    2017-01-01

    This article aims to analyze the seller's obligations under the Convention on International Sale of Goods (CISG) and in particular the obligation to deliver the goods showing the main issues that arise in an international sale. We also wish to point the major innovations or improvements brought by the CISG in comparison to the European civil codes regulation and to conclude if the CSIG managed to revolutionize the tradition view on this issue.

  8. THE SELLER'S OBLIGATION TO DELIVER THE GOODS ACCORDING TO CISG

    Directory of Open Access Journals (Sweden)

    Dan VELICU

    2017-05-01

    Full Text Available This article aims to analyze the seller's obligations under the Convention on International Sale of Goods (CISG and in particular the obligation to deliver the goods showing the main issues that arise in an international sale. We also wish to point the major innovations or improvements brought by the CISG in comparison to the European civil codes regulation and to conclude if the CSIG managed to revolutionize the tradition view on this issue.

  9. Shared Responsibility under Article 80 CISG

    DEFF Research Database (Denmark)

    Neumann, Thomas

    2009-01-01

    Article 80 exempts from liability in the situation where the promisor's failure to perform has been caused by the promisee. The Article has been insufficiently dealt with in the literature and has been overlooked in case law. The paper demonstrates that article 80 has an independent scope compared...... to articles 77, 79 and 80. Five areas are investigated in this regard; the placement in CISG, the focus of the Articles, the cause of the detriment or loss, the affected remedies and the duty to overcome the detriment or loss. Further more, the paper outlines the issues related to the particular situation...... of shared responsibility in which both the promisor and the promisee seem to have caused the promisor's failure to perform. Article 80 applies to three different case types. Firstly, cases of sole causation by the promisee. Secondly, cases of joint causation by both parties where the consequences of each...

  10. Convention on Contracts for the International Sale of Goods (CISG)

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    acceptance on a worldwide scale. The current list of some 77 Contracting States includes 11 of the G-12 Group, as well as China and Russia. These CISG States account for more than two-thirds of all world trade. The importance of the CISG in the international arena is underlined by thousands of reported....... With this monograph as their guide, lawyers and scholars who deal with international sales contracts and sales contract disputes will obtain an excellent overview of the Convention, as well as valuable information as to all its 101 Articles, compromising key topic areas such as the following: • Determining when......, including specific performance, damages, avoidance; • Liability exemptions; • Reservations under Articles 92-96. This IEL monograph takes account of scholarly commentary as well as key CISG case law worldwide....

  11. ZAHTEVKI KUPCA ZARADI NEIZPOLNITVE PRODAJALCA PO DUNAJSKI KONVENCIJI (CISG)

    OpenAIRE

    Žvan, Miha

    2013-01-01

    Konvencija Združenih narodov o pogodbah o mednarodni prodaji blaga (CISG), t.i. Dunajska konvencija, je bila sprejeta 11. aprila 1980 na diplomatski konferenci, ki jo je na Dunaju sklicala Organizacija združenih narodov (OZN). Konvencija vzpostavlja celovito zbirko pravnih pravil v zvezi s sklepanjem mednarodnih prodajnih pogodb, opredelitvijo obveznosti kupcev in prodajalcev ter drugih vidikov pogodb. Če imajo stranke mednarodnega poslovnega razmerja ali samo ena od njih sedež v državi, ...

  12. KONFORMITETA BLAGA TER DOLŽNOST PREGLEDA IN NOTIFIKACIJE V SKLADU Z DUNAJSKO KONVENCIJO (CISG)

    OpenAIRE

    Teršek, Ana

    2012-01-01

    Konvencija Združenih narodov o pogodbah o mednarodni prodaji blaga, drugače Dunajska konvencija (krajše CISG), zagotavlja enoten tekst prava za mednarodno prodajo blaga. Namen CISG je zagotavljati moderen, enoten in pravičen režim za mednarodne prodajne pogodbe. Tako le-ta občutno prispeva h gotovosti in trgovinski izmenjavi ter zmanjšanju stroškov transakcij. CISG je do danes uspela pridobiti odobritev po celem svetu. Doslej je bila ratificirana že v 78-ih državah, tako, da je ocenjeno, da j...

  13. The CISG Convention and Domestic Contract Law: Harmony, Cross-Inspiration, or Discord?

    DEFF Research Database (Denmark)

    The papers prepared by outstanding Nordic and International scholars in this volume cast new light on the interrelationship between key features of the United Nations Convention on Contracts for the International Sale of Goods (CISG) and domestic sales and contract law. The Nordic region has a sp...

  14. Remedies for Breach Under the United Nations Convention on Contracts for International Sale of Goods (CISG)

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2011-01-01

    For every breach of a binding contract, there must be some remedy. The gap-filling remedial structure of the 1980 Vienna Sales Convention (CISG) reflects the fact that all significant forms of remedial relief may be said to fall within three basic courses of action which modern legal systems make...

  15. General Principles and Convention on Contracts for the International Sale of Goods (CISG – Uniformity under an Interpretation Umbrella?

    Directory of Open Access Journals (Sweden)

    Laura Lassila

    2017-01-01

    Full Text Available Globalization and digitalization of international sales creates needs to harmonize rules of international commercial contracts. The question is whether the harmonization should be done by binding rules or using soft law tools or through digitalization. In this article I argue on favor of harmonization through international contracts law rules’ international interpretation.The international interpretation principles used in this article are found from on Art. 7(1 of the Convention on Contracts for the International Sale of Goods (CISG which sets three interpretation rules: international character; promoting uniformity; and observance of good faith in international trade. These principles are not only principles of the CISG, but also principles commonly recognized in international commercial practice and also in domestic contract rules. I argue that by adopting an international interpretation umbrella – the meta-principle of international interpretation, cross-border contracts could be interpreted under the same principle no matter applicable substantial law. The meta-principle functions as an interpretation umbrella covering general principles and Articles of the CISG, general principles of international commercial contracts, Lex Mercatoria, and cross-border contract provision under national law.The outcomes points out that arbitral tribunals have interpreted general principles of the CISG and Lex Mercatoria in various ways. General principles and their application in case law is analyzed in connection with the Civil Code of the Russian Federation. Tribunals found that general principles of the CISG are applicable even if the CISG is not. It follows Art.’s 7(2 logic to promote international standard to cross-border contracts where the closes connection is international commercial practice rather than any national jurisdiction.

  16. Pravna sredstva kupca po Dunajski konvenciji ( CISG) v primeru dobave neistovetnega blaga

    OpenAIRE

    Skrt, Nejc

    2012-01-01

    Konvencija Združenih narodov o pogodbah o mednarodni prodaji blaga (CISG, tudi Dunajska konvencija) predstavlja unifikacijo prava mednarodne prodaje. Kot instrument unifikacije zagotavlja enoten pravni okvir za tiste pogodbe o prodaji blaga, ki jih med seboj sklepajo poslovni subjekti s sedežem v različnih državah. Njen univerzalni značaj je utemeljen z dejstvom, da jo je ratificiralo že 74 držav z vseh petih kontinentov, ki skupaj opravijo več kot dve tretjini svetovne trgovinske menjave. CI...

  17. ARTICLE 77 CISG: REASONABLENESS OF THE MEASURES UNDERTAKEN TO MITIGATE THE LOSS

    OpenAIRE

    Rižnik, Peter

    2010-01-01

    Dolocba 77. člena Konvencije Združenih narodov o pogodbah o mednarodni prodaji blaga (CISG) od pogodbi zveste stranke zahteva, da opravi vse razumne ukrepe za zmanjšanje škode, ki izhaja iz kršitve pogodbe. Ta določba temelji na kriteriju razumnosti ukrepov, ki je podvržen različnim interpretacijam sodišč in arbitražnih tribunalov. To diplomsko delo se osredotoča predvsem na tolmačenje načela razumnosti, predvsem s predstavitvijo številnih primerov iz sodne prakse, obenem pa predstavlja ...

  18. Da desnecessidade de inadimplemento essencial para aplicação do art. 74 da cisg e dos danos efetivamente recuperáveis

    National Research Council Canada - National Science Library

    Renata Caroline Kroska

    2014-01-01

      This work was initiated by the conceptualization of contract, obligation and due performance by focusing on the choices made by the United Nations Convention on Contracts for the International Sale of Goods (CISG...

  19. Lovkommentar i Karnovs Lovsamling af Lovbekendtgørelse 2014-11-21 nr. 1224 International købelov (CISG: Convention on Contracts for the International Sale of Goods)

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2015-01-01

    CISG er en international konvention, som indeholder regler om købsaftaler i international handel mellem erhvervsdrivende. CISG regulerer blandt andet, hvornår en vare er mangelfri, hvornår den skal leveres samt købers og sælgers rettigheder og forpligtelser, hvis varen er mangelfuldt. CISG finder...... anvendelse i internationale handelsforhold, dels når såvel sælgers som købers hjemland har tiltrådt konventionen, dels når international privatrets regler fører til anvendelsen af en kontraherende stats ret.......CISG er en international konvention, som indeholder regler om købsaftaler i international handel mellem erhvervsdrivende. CISG regulerer blandt andet, hvornår en vare er mangelfri, hvornår den skal leveres samt købers og sælgers rettigheder og forpligtelser, hvis varen er mangelfuldt. CISG finder...

  20. CISG DEL II og Værneting i UfR 1998.1092 ØLK

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    1998-01-01

    I UfR 1998.1092 ØLK anvender en dansk domstol reglerne om købsaftalers indgåelse i CISG-konventionens del II. Det sker for at afgøre, om der er værneting i Danmark efter EF-domskonventionens artikel 5, nr. 1, når sagsøgte bestrider, at der er indgået en købsaftale. Sagen sætter fokus på behovet...

  1. Estimating equivalence with quantile regression

    Science.gov (United States)

    Cade, B.S.

    2011-01-01

    Equivalence testing and corresponding confidence interval estimates are used to provide more enlightened statistical statements about parameter estimates by relating them to intervals of effect sizes deemed to be of scientific or practical importance rather than just to an effect size of zero. Equivalence tests and confidence interval estimates are based on a null hypothesis that a parameter estimate is either outside (inequivalence hypothesis) or inside (equivalence hypothesis) an equivalence region, depending on the question of interest and assignment of risk. The former approach, often referred to as bioequivalence testing, is often used in regulatory settings because it reverses the burden of proof compared to a standard test of significance, following a precautionary principle for environmental protection. Unfortunately, many applications of equivalence testing focus on establishing average equivalence by estimating differences in means of distributions that do not have homogeneous variances. I discuss how to compare equivalence across quantiles of distributions using confidence intervals on quantile regression estimates that detect differences in heterogeneous distributions missed by focusing on means. I used one-tailed confidence intervals based on inequivalence hypotheses in a two-group treatment-control design for estimating bioequivalence of arsenic concentrations in soils at an old ammunition testing site and bioequivalence of vegetation biomass at a reclaimed mining site. Two-tailed confidence intervals based both on inequivalence and equivalence hypotheses were used to examine quantile equivalence for negligible trends over time for a continuous exponential model of amphibian abundance. ?? 2011 by the Ecological Society of America.

  2. Politico-economic equivalence

    DEFF Research Database (Denmark)

    Gonzalez Eiras, Martin; Niepelt, Dirk

    2015-01-01

    and a state are equivalent to another such pair if both pairs give rise to the same allocation in politico-economic equilibrium. The equivalence conditions help to identify factors that render institutional change non-neutral and to construct politico-economic equilibria in new policy regimes. We exemplify......Traditional "economic equivalence'' results, like the Ricardian equivalence proposition, define equivalence classes over exogenous policies. We derive "politico-economic equivalence" conditions that apply in environments where policy is endogenous and chosen sequentially. A policy regime...

  3. Solar geoengineering reduces atmospheric carbon burden

    Science.gov (United States)

    Keith, David W.; Wagner, Gernot; Zabel, Claire L.

    2017-09-01

    Solar geoengineering is no substitute for cutting emissions, but could nevertheless help reduce the atmospheric carbon burden. In the extreme, if solar geoengineering were used to hold radiative forcing constant under RCP8.5, the carbon burden may be reduced by ~100 GTC, equivalent to 12-26% of twenty-first-century emissions at a cost of under US$0.5 per tCO2.

  4. Economic burden of chronic pain.

    Science.gov (United States)

    Phillips, Ceri J

    2006-10-01

    Pain represents a major clinical, social and economic problem, with estimates of its prevalence ranging from 8 to over 60%. The impact of pain on economies is enormous, with the cost of back pain alone equivalent to more than a fifth of one country's total health expenditure and 1.5% of its annual gross domestic product, while in another, it represents three-times the total cost of all types of cancer. However, decision makers have tended to concentrate their attention on a very minor component of the cost burden, namely prescription costs, which, in the case of back pain, represent 1% of the total cost burden. In addition to its economic impact, chronic pain is probably one of the diseases with the greatest negative impact on quality of life. For example, the quality of life for those with migraine has been shown to be at best equal to that for people with arthritis, asthma, diabetes mellitus or depression. The burden that pain imposes on individuals and the enormous costs that society has to bear as a result clearly demonstrate the need for collective thinking in the decision-making process. A broad, strategic perspective - based on evidence relating to effectiveness (including tolerability), efficiency and equity - is required in determining issues relating to the provision of services and resource allocation.

  5. System equivalent model mixing

    NARCIS (Netherlands)

    Klaassen, Steven W.B.; van der Seijs, M.V.; de Klerk, D.

    2017-01-01

    This paper introduces SEMM: a method based on Frequency Based Substructuring (FBS) techniques that enables the construction of hybrid dynamic models. With System Equivalent Model Mixing (SEMM) frequency based models, either of numerical or experimental nature, can be mixed to form a hybrid model.

  6. Equivalent Quantum Circuits

    OpenAIRE

    Garcia-Escartin, Juan Carlos; Chamorro-Posada, Pedro

    2011-01-01

    Quantum algorithms and protocols are often presented as quantum circuits for a better understanding. We give a list of equivalence rules which can help in the analysis and design of quantum circuits. As example applications we study quantum teleportation and dense coding protocols in terms of a simple XOR swapping circuit and give an intuitive picture of a basic gate teleportation circuit.

  7. Equivalence Between Out-of-Sample Forecast Comparisons and Wald

    DEFF Research Database (Denmark)

    Hansen, Peter Reinhard; Timmermann, Allan

    We establish the equivalence between a commonly used out-of-sample test of equal predictive accuracy and the difference between two Wald statistics. This equivalence greatly simplifies the computational burden of calculating recursive out-of-sample tests and evaluating their critical values. Our r...... results shed new light on many aspects of the test and establishes certain weaknesses associated with using out-of-sample forecast comparison tests to conduct inference about nested regression models....

  8. Establishing Substantial Equivalence: Metabolomics

    Science.gov (United States)

    Beale, Michael H.; Ward, Jane L.; Baker, John M.

    Modern ‘metabolomic’ methods allow us to compare levels of many structurally diverse compounds in an automated fashion across a large number of samples. This technology is ideally suited to screening of populations of plants, including trials where the aim is the determination of unintended effects introduced by GM. A number of metabolomic methods have been devised for the determination of substantial equivalence. We have developed a methodology, using [1H]-NMR fingerprinting, for metabolomic screening of plants and have applied it to the study of substantial equivalence of field-grown GM wheat. We describe here the principles and detail of that protocol as applied to the analysis of flour generated from field plots of wheat. Particular emphasis is given to the downstream data processing and comparison of spectra by multivariate analysis, from which conclusions regarding metabolome changes due to the GM can be assessed against the background of natural variation due to environment.

  9. From equivalence to adaptation

    Directory of Open Access Journals (Sweden)

    Paulina Borowczyk

    2009-01-01

    Full Text Available The aim of this paper is to illustrate in which cases the translators use the adaptation when they are confronted with a term related to sociocultural aspects. We will discuss the notions of equivalence and adaptation and their limits in the translation. Some samples from Arte TV news and from the American film Shrek translated into Polish, German and French will be provided as a support for this article.

  10. Comments on TNT Equivalence

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, P.W.

    1994-07-01

    The term ``TNT Equivalence`` is used throughout the explosives and related industries to compare the effects of the output of a given explosive to that of TNT. This is done for technical design reasons in scaling calculation such as for the prediction of blast waves, craters, and structural response, and is also used as a basis for government regulations controlling the shipping, handling and storage of explosive materials, as well as for the siting and design of explosive facilities. TNT equivalence is determined experimentally by several different types of tests, the most common of which include: plate dent, ballistic mortar, trauzl, sand crush, and air blast. All of these tests do not necessarily measure the same output property of the sample explosive. As examples of this, some tests depend simply upon the CJ pressure, some depend upon the PV work in the CJ zone and in the Taylor wave behind the CJ plane, some are functions of the total work which includes that from secondary combustion in the air mixing region of the fireball and are acutely effected by the shape of the pressure-time profile of the wave. Some of the tests incorporate systematic errors which are not readily apparent, and which have a profound effect upon skewing the resultant data. Further, some of the tests produce different TNT Equivalents for the same explosive which are a function of the conditions at which the test is run. This paper describes the various tests used, discusses the results of each test and makes detailed commentary on what the test is actually measuring, how the results may be interpreted, and if and how these results can be predicted by first principals based calculations. Extensive data bases are referred to throughout the paper and used in examples for each point in the commentaries.

  11. Equivalence, commensurability, value

    DEFF Research Database (Denmark)

    Albertsen, Niels

    2017-01-01

    Deriving value in Capital Marx uses three commensurability arguments (CA1-3). CA1 establishes equivalence in exchange as exchangeability with the same third commodity. CA2 establishes value as common denominator in commodities: embodied abstract labour. CA3 establishes value substance...... as commonality of labour: physiological labour. Tensions between these logics have permeated Marxist interpretations of value. Some have supported value as embodied labour (CA2, 3), others a monetary theory of value and value as ‘pure’ societal abstraction (ultimately CA1). They all are grounded in Marx....

  12. The Global Cancer Burden

    Centers for Disease Control (CDC) Podcasts

    2012-02-02

    This podcast describes the global burden of cancer and efforts by CDC and others to reduce that burden.  Created: 2/2/2012 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 2/2/2012.

  13. CISG uygulamasında sözleşmenin ihlali halinde alıcının hakları ve özellikle alıcının tazminat talep etme hakkı

    OpenAIRE

    Dayıoğlu, Yavuz

    2010-01-01

    Milletlerarası Satım Sözleşmelerine İlişkin Birleşmiş Milletler Antlaşması (CISG) Uygulamasında sözleşmenin ihlali halinde alıcının hakları ve özellikle alıcının tazminat talep etme hakkı konulu bu tez ile CISG rejiminde sözleşmenin satıcı tarafından ihlal edilmesi üzerine alıcının sahip olduğu hakların neler olduğu ve bu bağlamda özellikle alıcının tazminat talep etme hakkının kapsamı, içeriği ve sınırlarına ilişkin düzenlemelerin takdim edilmesi amaçlanmıştır. 11 Nisan 1980 tarihinde Birleş...

  14. Establishing Substantial Equivalence: Proteomics

    Science.gov (United States)

    Lovegrove, Alison; Salt, Louise; Shewry, Peter R.

    Wheat is a major crop in world agriculture and is consumed after processing into a range of food products. It is therefore of great importance to determine the consequences (intended and unintended) of transgenesis in wheat and whether genetically modified lines are substantially equivalent to those produced by conventional plant breeding. Proteomic analysis is one of several approaches which can be used to address these questions. Two-dimensional PAGE (2D PAGE) remains the most widely available method for proteomic analysis, but is notoriously difficult to reproduce between laboratories. We therefore describe methods which have been developed as standard operating procedures in our laboratory to ensure the reproducibility of proteomic analyses of wheat using 2D PAGE analysis of grain proteins.

  15. Burden of Mental Illness

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Burden of Mental Illness Recommend on Facebook Tweet Share Compartir Depression: According ... anxiety disorder, are the most common class of mental disorders present in the general population. 5 The estimated ...

  16. Burden of Rabies

    Science.gov (United States)

    ... this? Submit Button Past Emails The Burden of Rabies Recommend on Facebook Tweet Share Compartir Learn how ... bitten by an animal that has the disease. Rabies in the U.S. Rabies continues to be a ...

  17. The economic burden of schizophrenia in Malaysia.

    Science.gov (United States)

    Teoh, Siew Li; Chong, Huey Yi; Abdul Aziz, Salina; Chemi, Norliza; Othman, Abdul Razak; Md Zaki, Nurzuriana; Vanichkulpitak, Possatorn; Chaiyakunapruk, Nathorn

    2017-01-01

    Schizophrenia (SCZ) is a highly debilitating disease despite its low prevalence. The economic burden associated with SCZ is substantial and mainly attributed to productivity loss. To improve the understanding of economic burden of SCZ in the low- and middle-income country regions, we aimed to determine the economic burden of SCZ in Malaysia. A retrospective study was conducted using a prevalence-based approach from a societal perspective in Malaysia with a 1 year period from 2013. We used micro-costing technique with bottom-up method and included direct medical cost, direct non-medical cost, and indirect cost. The main data source was medical chart review which was conducted in Hospital Kuala Lumpur (HKL). The medical charts were identified electronically by matching the unique patient's identification number registered under the National Mental Health Schizophrenia Registry and the list of patients in HKL in 2013. Other data sources were government documents, literatures, and local websites. To ensure robustness of result, probabilistic sensitivity analysis was conducted. The total estimated number of treated SCZ cases in Malaysia in 2015 was 15,104 with the total economic burden of USD 100 million (M) which was equivalent to 0.04% of the national gross domestic product. On average, the mean cost per patient was USD 6,594. Of the total economic burden of SCZ, 72% was attributed to indirect cost, costing at USD 72M, followed by direct medical cost (26%), costing at USD 26M, and direct non-medical cost (2%), costing at USD 1.7M. This study highlights the magnitude of economic burden of SCZ and informs the policy-makers that there is an inadequate support for SCZ patients. More resources should be allocated to improve the condition of SCZ patients and to reduce the economic burden.

  18. Biomonitoring Equivalents for selenium.

    Science.gov (United States)

    Hays, Sean M; Macey, Kristin; Nong, Andy; Aylward, Lesa L

    2014-10-01

    Selenium is an essential nutrient for human health with a narrow range between essentiality and toxicity. Selenium is incorporated into several proteins that perform important functions in the body. With insufficient selenium intake, the most notable effect is Keshan disease, an endemic cardiomyopathy in children. Conversely, excessive selenium intake can result in selenosis, manifested as brittle nails and hair and gastro-intestinal disorders. As such, guidance values have been established to protect against both insufficient and excessive selenium exposures. Dietary Reference Intakes (DRIs) have been established as standard reference values for nutritional adequacy in North America. To protect against selenosis resulting from exposure to excessive amounts of selenium, several government and non-governmental agencies have established a range of guidance values. Exposure to selenium is primarily through the diet, but monitoring selenium intake is difficult. Biomonitoring is a useful means of assessing and monitoring selenium status for both insufficient and excessive exposures. However, to be able to interpret selenium biomonitoring data, levels associated with both DRIs and toxicity guidance values are required. Biomonitoring Equivalents (BEs) were developed for selenium in whole blood, plasma and urine. The BEs associated with assuring adequate selenium intake (Estimated Average Requirements - EAR) are 100, 80 and 10μg/L in whole blood, plasma and urine, respectively. The BEs associated with protection against selenosis range from 400 to 480μg/L in whole blood, 180-230μg/L in plasma, and 90-110μg/L in urine. These BE values can be used by both regulatory agencies and public health officials to interpret selenium biomonitoring data in a health risk context. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Equivalence principle and gravitational redshift.

    Science.gov (United States)

    Hohensee, Michael A; Chu, Steven; Peters, Achim; Müller, Holger

    2011-04-15

    We investigate leading order deviations from general relativity that violate the Einstein equivalence principle in the gravitational standard model extension. We show that redshift experiments based on matter waves and clock comparisons are equivalent to one another. Consideration of torsion balance tests, along with matter-wave, microwave, optical, and Mössbauer clock tests, yields comprehensive limits on spin-independent Einstein equivalence principle-violating standard model extension terms at the 10(-6) level.

  20. Testing statistical hypotheses of equivalence

    CERN Document Server

    Wellek, Stefan

    2010-01-01

    Equivalence testing has grown significantly in importance over the last two decades, especially as its relevance to a variety of applications has become understood. Yet published work on the general methodology remains scattered in specialists' journals, and for the most part, it focuses on the relatively narrow topic of bioequivalence assessment.With a far broader perspective, Testing Statistical Hypotheses of Equivalence provides the first comprehensive treatment of statistical equivalence testing. The author addresses a spectrum of specific, two-sided equivalence testing problems, from the

  1. The economic burden of schizophrenia in Malaysia

    Directory of Open Access Journals (Sweden)

    Teoh SL

    2017-07-01

    (M which was equivalent to 0.04% of the national gross domestic product. On average, the mean cost per patient was USD 6,594. Of the total economic burden of SCZ, 72% was attributed to indirect cost, costing at USD 72M, followed by direct medical cost (26%, costing at USD 26M, and direct non-medical cost (2%, costing at USD 1.7M.Conclusion: This study highlights the magnitude of economic burden of SCZ and informs the policy-makers that there is an inadequate support for SCZ patients. More resources should be allocated to improve the condition of SCZ patients and to reduce the economic burden.Keywords: economic burden, schizophrenia, Malaysia, cost of illness, lower-income countries, middle-income countries, societal perspective

  2. Full Static Output Feedback Equivalence

    Directory of Open Access Journals (Sweden)

    Aristotle G. Yannakoudakis

    2013-01-01

    Full Text Available We present a constructive solution to the problem of full output feedback equivalence, of linear, minimal, time-invariant systems. The equivalence relation on the set of systems is transformed to another on the set of invertible block Bezout/Hankel matrices using the isotropy subgroups of the full state feedback group and the full output injection group. The transformation achieving equivalence is calculated solving linear systems of equations. We give a polynomial version of the results proving that two systems are full output feedback equivalent, if and only if they have the same family of generalized Bezoutians. We present a new set of output feedback invariant polynomials that generalize the breakaway polynomial of scalar systems.

  3. The paradox of energy equivalence

    OpenAIRE

    Isaac, Nick J. B.; Storch, David; Carbone, Chris

    2013-01-01

    Energy equivalence, the notion that population energy flux is independent of body mass, has become a key concept in ecology. We argue that energy equivalence is not an ecological ‘rule’, as claimed, but a flawed concept beset by circular reasoning. In fact, the independence of mass and energy flux is a null hypothesis. We show that our mechanistic understanding of size–density relationships (SDRs) follows directly from this null model and the assumption that energy limits abundance. Paradoxic...

  4. Components of Burden: Interventive Implications.

    Science.gov (United States)

    Kosberg, Jordan I.; And Others

    1990-01-01

    Studied 127 informal caregivers of Alzheimer's disease patients to determine correlates of 5 components of burden as measured by Cost of Care Index. Significant relationships between predictor variables and burden components suggest that global scores and measures of burden do not identify specific problem areas relative to various components of…

  5. Matching of equivalent field regions

    DEFF Research Database (Denmark)

    Appel-Hansen, Jørgen; Rengarajan, S.B.

    2005-01-01

    screen, having the same homogeneous medium on both sides and an impressed current on one aide, an alternative procedure is relevant. We make use of the fact that in the aperture the tangential component of the magnetic field due to the induced currents in the screen is zero. The use of such a procedure......In aperture problems, integral equations for equivalent currents are often found by enforcing matching of equivalent fields. The enforcement is made in the aperture surface region adjoining the two volumes on each side of the aperture. In the case of an aperture in a planar perfectly conducting...... shows that equivalent currents can be found by a consideration of only one of the two volumes into which the aperture plane divides the space. Furthermore, from a consideration of an automatic matching at the aperture, additional information about tangential as well as normal field components...

  6. Equivalent linearization of nonlinear forces

    Science.gov (United States)

    Meng, Guang; Xue, Zhongqing

    1987-07-01

    A method used for equivalent linearization of the two orthogonal squeeze-film forces is extended here to the general case of n degrees of freedom and n components of nonlinear forces, and the expressions for equivalent linear coefficients are derived. Nonlinear forces can be linearized by the methods of Fourier expansion, active and reactive powers, or mean-square error. The n components of nonlinear forces can all be expressed formally as the sum of an average force, a linear spring force, and a linear damping force. This paper also gives a flow chart for calculating the steady-state responses of a nonlinear system with many degrees of freedom, using the method of equivalent linearization. The resulting saving in computation time is demonstrated by a numerical example of a flexible rotor-bearing system with a noncentralized squeeze-film damper.

  7. The CISG in Denmark and Danish Courts

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2011-01-01

    created by Denmark’s refusal to ratify Part II of the Convention that regulates sales contract formation. The author then proceeds to investigate Denmark’s obligation to have regard to the international character of the Convention and the need to promote uniformity in its application, underlying...

  8. CISG Part II in Nordic Context

    DEFF Research Database (Denmark)

    Lookofsky, Joseph

    2015-01-01

    In 2015, as the Nordic countries celebrate the 100th anniversary of the Nordic Contract Act (NCA), there is also good reason to celebrate the fact that - due to recent developments - the original field of NCA application has been narrowed in one important respect. In particular, the contract...... formation rules in NCA Chapter I – which for nearly 100 years applied by default to all contracts – no longer apply to contracts for the international sale of goods. As regards this latter significant contract category, Chapter I of the NCA has (except for inter-Nordic sales) been pre-empted, i.e. replaced...

  9. TNT Equivalency of Bulk Nitrocellulose

    Science.gov (United States)

    1981-03-01

    Whien Dato Enlotod) &,1W SUMMARY Nitrocellulose, 13.157 nitrogen MIL-N-244A Grade C (Lot number RAD78F0015027) was detonated in configurations...weight factored out, the calculated TNT equivalencies were tabularized and plotted as functions of sample scaled distance. TEST RESULTS Data sheets for

  10. Comments on field equivalence principles

    DEFF Research Database (Denmark)

    Appel-Hansen, Jørgen

    1987-01-01

    It is pointed Out that often-used arguments based on a short-circuit concept in presentations of field equivalence principles are not correct. An alternative presentation based on the uniqueness theorem is given. It does not contradict the results obtained by using the short-circuit concept...

  11. EQUIVALENCE VERSUS NON-EQUIVALENCE IN ECONOMIC TRANSLATION

    Directory of Open Access Journals (Sweden)

    Cristina, Chifane

    2012-01-01

    Full Text Available This paper aims at highlighting the fact that “equivalence” represents a concept worth revisiting and detailing upon when tackling the translation process of economic texts both from English into Romanian and from Romanian into English. Far from being exhaustive, our analysis will focus upon the problems arising from the lack of equivalence at the word level. Consequently, relevant examples from the economic field will be provided to account for the following types of non-equivalence at word level: culturespecific concepts; the source language concept is not lexicalised in the target language; the source language word is semantically complex; differences in physical and interpersonal perspective; differences in expressive meaning; differences in form; differences in frequency and purpose of using specific forms and the use of loan words in the source text. Likewise, we shall illustrate a number of translation strategies necessary to deal with the afore-mentioned cases of non-equivalence: translation by a more general word (superordinate; translation by a more neutral/less expressive word; translation by cultural substitution; translation using a loan word or loan word plus explanation; translation by paraphrase using a related word; translation by paraphrase using unrelated words; translation by omission and translation by illustration.

  12. Equivalent statistics and data interpretation.

    Science.gov (United States)

    Francis, Gregory

    2017-08-01

    Recent reform efforts in psychological science have led to a plethora of choices for scientists to analyze their data. A scientist making an inference about their data must now decide whether to report a p value, summarize the data with a standardized effect size and its confidence interval, report a Bayes Factor, or use other model comparison methods. To make good choices among these options, it is necessary for researchers to understand the characteristics of the various statistics used by the different analysis frameworks. Toward that end, this paper makes two contributions. First, it shows that for the case of a two-sample t test with known sample sizes, many different summary statistics are mathematically equivalent in the sense that they are based on the very same information in the data set. When the sample sizes are known, the p value provides as much information about a data set as the confidence interval of Cohen's d or a JZS Bayes factor. Second, this equivalence means that different analysis methods differ only in their interpretation of the empirical data. At first glance, it might seem that mathematical equivalence of the statistics suggests that it does not matter much which statistic is reported, but the opposite is true because the appropriateness of a reported statistic is relative to the inference it promotes. Accordingly, scientists should choose an analysis method appropriate for their scientific investigation. A direct comparison of the different inferential frameworks provides some guidance for scientists to make good choices and improve scientific practice.

  13. Equivalence relations of AF-algebra extensions

    Indian Academy of Sciences (India)

    In this paper, we consider equivalence relations of *-algebra extensions and describe the relationship between the isomorphism equivalence and the unitary equivalence. We also show that a certain group homomorphism is the obstruction for these equivalence relations to be the same.

  14. Carbon Equivalent and Maximum Hardness

    OpenAIRE

    Haruyoshi, Suzuki; Head Office, Nippon Steel Corporation

    1984-01-01

    The accuracy of formulae for estimating the maximum hardness values of the HAZ from chemical composition and cooling time for welds in high strength steel is discussed and a new formula. NSC-S, is proposed which uses only C%, Pcm% and cooling time for the purpose of satisfactory accuracy. IIW CE and Ito-Bessyo Pcm carbon equivalent alone are not satisfactory in establishing Hmax values. The former is good only for slow cooling, t8/5 longer than 10 seconds, while the latter is good only for fa...

  15. [Lscr]0-equivalence of maps

    Science.gov (United States)

    Gaffney, Terence

    2000-05-01

    We use the theory of the integral closure of an ideal to study the equivalence of map-germs under C0 coordinate changes in the target. We also derive a formula for the number of double points of a map germ from Cn [rightward arrow] C2n in terms of the Segre number of dimension 0 of an ideal associated to the double point locus of f, and the number of Whitney umbrellas of the composition of f with a generic projection to C2n[minus sign]1.

  16. Burden in the main caregiver

    Directory of Open Access Journals (Sweden)

    Fabiola Yonte Huete

    2010-09-01

    Full Text Available Objectives: The main objective is to determine the degree of burden in the main caregivers of dependent patients, to analyse the profile of informal caregivers and dependent patients. Their claims and help received with caring, the influence of mental deteriorate and duration of care giving regarding the burden of caregivers.Methods: Descriptive cross-sectional observational study amongst 50 caregivers and dependents. We used descriptive statistics and correlational studies. Results: 86 % of caregivers were women, middle aged, son/daughter of the dependent, married, with basic studies, no work outside the home, the average time in the role of caregiver was 16,96 hours a day and 2,1 free hours a day. 64 % of them received family support and 68 % wish to receive economic aid. It was found that for 38 % of the caregivers there was no burden at all, 34 % of them had a minimum burden and 28 % a greater burden.Conclusion: There are some caregivers with moderate or great burden. Our caregiver wishes to receive economic help. Our research shows that the decrease of mental health and the years of evolution do not have a significant statistically influence on caregivers. It is necessary prioritize the interventions and its recipients, provide solutions for caregivers with a greater burden, trying to keep away “caregiver syndrome”.

  17. The prevalence and burden of bipolar disorder: findings from the Global Burden of Disease Study 2013.

    Science.gov (United States)

    Ferrari, Alize J; Stockings, Emily; Khoo, Jon-Paul; Erskine, Holly E; Degenhardt, Louisa; Vos, Theo; Whiteford, Harvey A

    2016-08-01

    We present the global burden of bipolar disorder based on findings from the Global Burden of Disease Study 2013 (GBD 2013). Data on the epidemiology of bipolar disorder were obtained from a systematic literature review and assembled using Bayesian meta-regression modelling to produce prevalence by country, age, sex and year. Years lived with disability (YLDs) were estimated by multiplying prevalence by disability weights quantifying the severity of the health loss associated with bipolar disorder. As there were no years of life lost (YLLs) attributed to bipolar disorder, YLDs equated to disability-adjusted life years (DALYs) as a measure of total burden. There were 32.7 million cases of bipolar disorder globally in 1990 and 48.8 million in 2013; equivalent to a 49.1% increase in prevalent cases, all accounted for by population increase and ageing. Bipolar disorder accounted for 9.9 million DALYs in 2013, explaining 0.4% of total DALYs and 1.3% of total YLDs. There were 5.5 million DALYs recorded for female individuals and 4.4 million for male individuals. DALYs were evident from age 10 years, peaked in the 20s, and decreased thereafter. DALYs were relatively constant geographically. Despite being relatively rare, bipolar disorder is a disabling illness due to its early onset, severity and chronicity. Population growth and aging are leading to an increase in the burden of bipolar disorder over time. It is important that resources be directed towards improving the coverage of evidence-based intervention strategies for bipolar disorder and establishing strategies to prevent new cases of the disorder. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. HIV / AIDS: An Unequal Burden

    Science.gov (United States)

    Skip Navigation Bar Home Current Issue Past Issues HIV / AIDS HIV / AIDS: An Unequal Burden Past Issues / Summer 2009 ... high-risk category, emphasizes Dr. Cargill. Photo: iStock HIV and Pregnancy Are there ways to help HIV- ...

  19. ROMANIC EQUIVALENTS FOR LATIN IDIOMS

    Directory of Open Access Journals (Sweden)

    Dr. Stefan DUMITRU

    2010-11-01

    Full Text Available In this study we set forth to present several of the most important aspects regarding the contrastive analysis of a well-defined number of Latin idioms in parallel with their Romanic counterparts (in French, Italian, Spanish and Romanian. Our intent was not to discover, in the Romanic space, all the equivalents of the phrases that form the corpus we work with, for reasons pertaining to material restrictions, but to discuss, based on a certain number of units, the different types of issues they may point to. The most important is to establish the relation between the idiomatic expressions in Latin and their correspondents in the above mentioned languages, regarding their inner form, their meaning and their structure.

  20. Socioeconomic burden of hereditary angioedema

    DEFF Research Database (Denmark)

    Aygören-Pürsün, Emel; Bygum, Anette; Beusterien, Kathleen

    2014-01-01

    who were working or in school (n = 120), 72 provided work/school absenteeism data, resulting in an estimated 20 days missing from work/school on average per year; 51% (n = 84) indicated that HAE has hindered their career/educational advancement. CONCLUSION: HAE poses a considerable burden on patients...... and their families in terms of direct medical costs and indirect costs related to lost productivity. This burden is substantial at the time of attacks and in between attacks....

  1. Expanding the Interaction Equivalency Theorem

    Directory of Open Access Journals (Sweden)

    Brenda Cecilia Padilla Rodriguez

    2015-06-01

    Full Text Available Although interaction is recognised as a key element for learning, its incorporation in online courses can be challenging. The interaction equivalency theorem provides guidelines: Meaningful learning can be supported as long as one of three types of interactions (learner-content, learner-teacher and learner-learner is present at a high level. This study sought to apply this theorem to the corporate sector, and to expand it to include other indicators of course effectiveness: satisfaction, knowledge transfer, business results and return on expectations. A large Mexican organisation participated in this research, with 146 learners, 30 teachers and 3 academic assistants. Three versions of an online course were designed, each emphasising a different type of interaction. Data were collected through surveys, exams, observations, activity logs, think aloud protocols and sales records. All course versions yielded high levels of effectiveness, in terms of satisfaction, learning and return on expectations. Yet, course design did not dictate the types of interactions in which students engaged within the courses. Findings suggest that the interaction equivalency theorem can be reformulated as follows: In corporate settings, an online course can be effective in terms of satisfaction, learning, knowledge transfer, business results and return on expectations, as long as (a at least one of three types of interaction (learner-content, learner-teacher or learner-learner features prominently in the design of the course, and (b course delivery is consistent with the chosen type of interaction. Focusing on only one type of interaction carries a high risk of confusion, disengagement or missed learning opportunities, which can be managed by incorporating other forms of interactions.

  2. Economic and disease burden of dengue in Southeast Asia.

    Directory of Open Access Journals (Sweden)

    Donald S Shepard

    Full Text Available BACKGROUND: Dengue poses a substantial economic and disease burden in Southeast Asia (SEA. Quantifying this burden is critical to set policy priorities and disease-control strategies. METHODS AND FINDINGS: We estimated the economic and disease burden of dengue in 12 countries in SEA: Bhutan, Brunei, Cambodia, East-Timor, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, and Viet Nam. We obtained reported cases from multiple sources--surveillance data, World Health Organization (WHO, and published studies--and adjusted for underreporting using expansion factors from previous literature. We obtained unit costs per episode through a systematic literature review, and completed missing data using linear regressions. We excluded costs such as prevention and vector control, and long-term sequelae of dengue. Over the decade of 2001-2010, we obtained an annual average of 2.9 million (m dengue episodes and 5,906 deaths. The annual economic burden (with 95% certainty levels was US$950m (US$610m-US$1,384m or about US$1.65 (US$1.06-US$2.41 per capita. The annual number of disability-adjusted life years (DALYs, based on the original 1994 definition, was 214,000 (120,000-299,000, which is equivalent to 372 (210-520 DALYs per million inhabitants. CONCLUSION: Dengue poses a substantial economic and disease burden in SEA with a DALY burden per million inhabitants in the region. This burden is higher than that of 17 other conditions, including Japanese encephalitis, upper respiratory infections, and hepatitis B.

  3. Equivalence of recursive specifications in process algebra

    NARCIS (Netherlands)

    A.J. van der Poorten (Alf); Y.S. Usenko (Yaroslav)

    2001-01-01

    textabstractWe define an equivalence relation on recursive specifications in process algebra that is model-independent and does not involve an explicit notion of solution. Then we extend this equivalence to the specification language $mu$CRL.

  4. Equivalent damage of loads on pavements

    CSIR Research Space (South Africa)

    Prozzi, JA

    2009-05-26

    Full Text Available This report describes a new methodology for the determination of Equivalent Damage Factors (EDFs) of vehicles with multiple axle and wheel configurations on pavements. The basic premise of this new procedure is that "equivalent pavement response...

  5. Behavioural equivalence for infinite systems - Partially decidable!

    DEFF Research Database (Denmark)

    Sunesen, Kim; Nielsen, Mogens

    1996-01-01

    languages with two generalizations based on traditional approaches capturing non-interleaving behaviour, pomsets representing global causal dependency, and locality representing spatial distribution of events. We first study equivalences on Basic Parallel Processes, BPP, a process calculus equivalent...

  6. Discovering Classes of Strongly Equivalent Logic Programs

    OpenAIRE

    Chen, Y.; Lin, F.

    2011-01-01

    In this paper we apply computer-aided theorem discovery technique to discover theorems about strongly equivalent logic programs under the answer set semantics. Our discovered theorems capture new classes of strongly equivalent logic programs that can lead to new program simplification rules that preserve strong equivalence. Specifically, with the help of computers, we discovered exact conditions that capture the strong equivalence between a rule and the empty set, between two rules, between t...

  7. Modeling Stochastic Route Choice Behaviors with Equivalent Impedance

    Directory of Open Access Journals (Sweden)

    Jun Li

    2015-01-01

    Full Text Available A Logit-based route choice model is proposed to address the overlapping and scaling problems in the traditional multinomial Logit model. The nonoverlapping links are defined as a subnetwork, and its equivalent impedance is explicitly calculated in order to simply network analyzing. The overlapping links are repeatedly merged into subnetworks with Logit-based equivalent travel costs. The choice set at each intersection comprises only the virtual equivalent route without overlapping. In order to capture heterogeneity in perception errors of different sizes of networks, different scale parameters are assigned to subnetworks and they are linked to the topological relationships to avoid estimation burden. The proposed model provides an alternative method to model the stochastic route choice behaviors without the overlapping and scaling problems, and it still maintains the simple and closed-form expression from the MNL model. A link-based loading algorithm based on Dial’s algorithm is proposed to obviate route enumeration and it is suitable to be applied on large-scale networks. Finally a comparison between the proposed model and other route choice models is given by numerical examples.

  8. An Equivalent Fracture Modeling Method

    Science.gov (United States)

    Li, Shaohua; Zhang, Shujuan; Yu, Gaoming; Xu, Aiyun

    2017-12-01

    3D fracture network model is built based on discrete fracture surfaces, which are simulated based on fracture length, dip, aperture, height and so on. The interesting area of Wumishan Formation of Renqiu buried hill reservoir is about 57 square kilometer and the thickness of target strata is more than 2000 meters. In addition with great fracture density, the fracture simulation and upscaling of discrete fracture network model of Wumishan Formation are very intense computing. In order to solve this problem, a method of equivalent fracture modeling is proposed. First of all, taking the fracture interpretation data obtained from imaging logging and conventional logging as the basic data, establish the reservoir level model, and then under the constraint of reservoir level model, take fault distance analysis model as the second variable, establish fracture density model by Sequential Gaussian Simulation method. Increasing the width, height and length of fracture, at the same time decreasing its density in order to keep the similar porosity and permeability after upscaling discrete fracture network model. In this way, the fracture model of whole interesting area can be built within an accepted time.

  9. Caregiver Burden in Chronic Diseases

    Directory of Open Access Journals (Sweden)

    Murat Ilhan Atagun

    2011-09-01

    Full Text Available Duration of human life has been substantially increased in the last fifty years. Survivals of diseases have been prolonged through the advances in medicine. Together with these gratifying consequences, there appeared novel difficulties to cope with. Furthermore developments including globalization, industrialization and transition from rural to urban life occurred during the last century; so family units became smaller and numbers of members on employment in family units increased. As a result numbers of family members to undertake the responsibility of care decreased. As a concept, caregiver burden expresses physical, psychosocial and financial reactions during the course of care providing. Distinct factors including structures of social, cultural and family units and health care systems may affect conditions of care. Caregiver’s age, gender, ethnicity, education, relationship with the patient, attitude towards providing care, financial situation, coping abilities, her own health, beliefs, social support and cultural pattern are the personal factors that are related to perception of caregiver burden. Burden of care giving is geared to differential aspects of care needs. For instance care needs of physically disabled and medical care requiring patients with spinal cord injuries may differ from care needs of chronic psychiatric disorders, demented patients in advanced age of their lives or cancer patients in terminal periods. Strain due to care giving may differ as a result of properties of care demands. It is aimed to review the burden of caregivers in different medical and psychiatric care requiring conditions and to introduce differential aspects of caregiver burden in these different conditions.

  10. Burden of Proof in Bioethics.

    Science.gov (United States)

    Koplin, Julian J; Selgelid, Michael J

    2015-11-01

    A common strategy in bioethics is to posit a prima facie case in favour of one policy, and to then claim that the burden of proof (that this policy should be rejected) falls on those with opposing views. If the burden of proof is not met, it is claimed, then the policy in question should be accepted. This article illustrates, and critically evaluates, examples of this strategy in debates about the sale of organs by living donors, human enhancement, and the precautionary principle. We highlight general problems with this style of argument, and particular problems with its use in specific cases. We conclude that the burden ultimately falls on decision-makers (i.e. policy-makers) to choose the policy supported by the best reasons. © 2015 John Wiley & Sons Ltd.

  11. Joint audits - benefit or burden?

    DEFF Research Database (Denmark)

    Holm, Claus; Thinggaard, Frank

    In this paper we examine whether there are perceived and observed benefits or burdens from using two audit firms instead of one. In 2005 the mandatory joint audit requirement was abolished in Denmark. This provides a unique setting for studying the consequences and implications of going from...... a joint audit regime to a single auditor/voluntary joint audit regime. The dataset used in this paper has been collected for the full population of non-financial Danish companies listed on the Copenhagen Stock Exchange (CSE) in the years 2004 and 2005. We find that a majority of firms perceive joint...... audits to be a net burden. Furthermore, based on DeAngelo's (1981) initial audit pricing model and legislators' claim that joint audits are an unnecessary economic burden to the companies we predict and find discounts (of around 25%) in audit fees in companies that change to single audits. The primary...

  12. Burden of allergic respiratory disease

    DEFF Research Database (Denmark)

    Linneberg, Allan René; Dam Petersen, K; Hahn-Pedersen, J

    2016-01-01

    the disease-specific rhinitis quality of life questionnaire or generic instruments (SF-36 and SF-12). Summary estimates obtained by meta-analysis showed that HRQL in patients with perennial HDM allergy was significantly worse than that of patients with seasonal pollen allergy, when measured by both disease......; there was little or no evidence of increasing or decreasing cost trends. Increased awareness of the detrimental effects of AR and/or AA on patients' HRQL and its considerable cost burden might encourage early diagnosis and treatment, in order to minimize the disease burden and ensure beneficial and cost...

  13. The effective theory of Borel equivalence relations

    DEFF Research Database (Denmark)

    Fokina, E.B.; Friedman, S.-D.; Törnquist, Asger Dag

    2010-01-01

    equality on ω is above equality on P (ω), the power set of ω, and any Borel equivalence relation strictly above equality on the reals is above equality modulo finite on P (ω). In this article we examine the effective content of these and related results by studying effectively Borel equivalence relations......The study of Borel equivalence relations under Borel reducibility has developed into an important area of descriptive set theory. The dichotomies of Silver [20] and Harrington, Kechris and Louveau [6] show that with respect to Borel reducibility, any Borel equivalence relation strictly above...... under effectively Borel reducibility. The resulting structure is complex, even for equivalence relations with finitely many equivalence classes. However use of Kleene's O as a parameter is sufficient to restore the picture from the noneffective setting. A key lemma is that of the existence of two...

  14. The Physical Burdens of Secrecy

    Science.gov (United States)

    Slepian, Michael L.; Masicampo, E. J.; Toosi, Negin R.; Ambady, Nalini

    2012-01-01

    The present work examined whether secrets are experienced as physical burdens, thereby influencing perception and action. Four studies examined the behavior of people who harbored important secrets, such as secrets concerning infidelity and sexual orientation. People who recalled, were preoccupied with, or suppressed an important secret estimated…

  15. Indigenous identity: burden or liberation?

    DEFF Research Database (Denmark)

    Steur, Luisa Johanna

    2010-01-01

    With the rise of ‘adivasi’ (‘indigenous’ or ‘tribal’) movements in different parts of South Asia in the past two decades, the question of how to understand ‘adivasi identity’ has become hotly debated: is it a burden, inviting distorted stereotypical depictions of subaltern people...

  16. The Complexity of Identifying Large Equivalence Classes

    DEFF Research Database (Denmark)

    Skyum, Sven; Frandsen, Gudmund Skovbjerg; Miltersen, Peter Bro

    1999-01-01

    We prove that at least 3k−4/k(2k−3)(n/2) – O(k)equivalence tests and no more than 2/k (n/2) + O(n) equivalence tests are needed in the worst case to identify the equivalence classes with at least k members in set of n elements. The upper bound is an improvement by a factor 2 compared to known res...

  17. 21 CFR 26.9 - Equivalence determination.

    Science.gov (United States)

    2010-04-01

    ... RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS... Specific Sector Provisions for Pharmaceutical Good Manufacturing Practices § 26.9 Equivalence determination...

  18. 21 CFR 26.6 - Equivalence assessment.

    Science.gov (United States)

    2010-04-01

    ... OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS... Specific Sector Provisions for Pharmaceutical Good Manufacturing Practices § 26.6 Equivalence assessment...

  19. A choice experiment on tax: Are income and consumption taxes equivalent?

    OpenAIRE

    Kurokawa, Hirofumi; MORI Tomoharu; OHTAKE, Fumio

    2016-01-01

    We test the equivalence of income and consumption taxes through a choice experiment. Under a given set of income and consumption parameters, subjects were asked to choose among an income tax of 20%, a consumption tax of 25% (which is an equivalent tax burden), a consumption tax of 22%, and a consumption tax of 20%. Our results showed that subjects prefer income tax to consumption tax when the nominal consumption tax rate is higher than the nominal income tax rate. However, subjects tend to pr...

  20. The Learning Burden of Collocations: The Role of Interlexical and Intralexical Factors

    Science.gov (United States)

    Peters, Elke

    2016-01-01

    This study investigates whether congruency (+/- literal translation equivalent), collocate-node relationship (adjective-noun, verb-noun, phrasal-verb-noun collocations), and word length influence the learning burden of EFL learners' learning collocations at the initial stage of form-meaning mapping. Eighteen collocations were selected on the basis…

  1. The economic burden of sunscreen usage.

    Science.gov (United States)

    Johal, Ritika; Leo, Michael S; Ma, Brian; Sivamani, Raja K

    2014-06-15

    Excessive sun exposure is known to be the leading cause of skin cancer. The direct cellular damage inflicted by the ultraviolet (UV) radiation from the sun results in premature aging, DNA damage, and mutations that ultimately lead to skin cancer. Sunscreens are highly recommended to protect against UV radiation. However, little research has been conducted on the economic burden of sunscreen use. In this study, we aimed to evaluate the annual cost of sunscreen under both ideal and actual use conditions while stratifying for the sun protection factor (SPF) and by the name brand or equivalent store brand sunscreen. Pricing data was collected for sunscreens of SPF 30, 50, 70, and 100. For each type of sunscreen, the size and price of the container were recorded. Our results demonstrated that sunscreen prices increased with SPF but purchasing a generic sunscreen resulted in savings of 40%-50%. Our estimates reveal that sunscreens are affordable with annual expenditures ranging from $30.21 to $61.94, depending on brand, for SPF 50 sunscreens used with minimal application density for the average person.

  2. 46 CFR 176.930 - Equivalents.

    Science.gov (United States)

    2010-10-01

    ...) INSPECTION AND CERTIFICATION International Convention for Safety of Life at Sea, 1974, as Amended (SOLAS) § 176.930 Equivalents. As outlined in Chapter I (General Provisions) Regulation 5, of SOLAS, the... required by SOLAS regulations if satisfied that such equivalent is at least as effective as that required...

  3. 46 CFR 115.930 - Equivalents.

    Science.gov (United States)

    2010-10-01

    ... International Convention for Safety of Life at Sea, 1974, as Amended (SOLAS) § 115.930 Equivalents. In accordance with Chapter I (General Provisions) Regulation 5, of SOLAS, the Commandant may accept an... the SOLAS regulations if satisfied that such equivalent is at least as effective as that required by...

  4. Flow equivalence and isotopy for subshifts

    DEFF Research Database (Denmark)

    Boyle, Mike; Carlsen, Toke Meier; Eilers, Søren

    2017-01-01

    We study basic properties of flow equivalence on one-dimensional compact metric spaces with a particular emphasis on isotopy in the group of (self-) flow equivalences on such a space. In particular, we show that such an orbit-preserving map is not always an isotopy, but that this always is the case...

  5. What is Metaphysical Equivalence? | Miller | Philosophical Papers

    African Journals Online (AJOL)

    In this paper I argue that if we are judiciously to resolve disputes about whether theories are equivalent or not, we need to develop testable criteria that will give us epistemic access to the obtaining of the relation of metaphysical equivalence holding between those theories. I develop such 'diagnostic' criteria. I argue that ...

  6. What is Metaphysical Equivalence? | Miller | Philosophical Papers

    African Journals Online (AJOL)

    Theories are metaphysically equivalent just if there is no fact of the matter that could render one theory true and the other false. In this paper I argue that if we are judiciously to resolve disputes about whether theories are equivalent or not, we need to develop testable criteria that will give us epistemic access to the obtaining ...

  7. 49 CFR 38.2 - Equivalent facilitation.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Equivalent facilitation. 38.2 Section 38.2 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES General § 38.2 Equivalent facilitation. Departures from particular...

  8. Beyond Language Equivalence on Visibly Pushdown Automata

    DEFF Research Database (Denmark)

    Srba, Jiri

    2009-01-01

    We study (bi)simulation-like preorder/equivalence checking on the class of visibly pushdown automata and its natural subclasses visibly BPA (Basic Process Algebra) and visibly one-counter automata. We describe generic methods for proving complexity upper and lower bounds for a number of studied...... preorders and equivalences like simulation, completed simulation, ready simulation, 2-nested simulation preorders/equivalences and bisimulation equivalence. Our main results are that all the mentioned equivalences and preorders are EXPTIME-complete on visibly pushdown automata, PSPACE-complete on visibly...... one-counter automata and P-complete on visibly BPA. Our PSPACE lower bound for visibly one-counter automata improves also the previously known DP-hardness results for ordinary one-counter automata and one-counter nets. Finally, we study regularity checking problems for visibly pushdown automata...

  9. Equivalence in Ventilation and Indoor Air Quality

    Energy Technology Data Exchange (ETDEWEB)

    Sherman, Max; Walker, Iain; Logue, Jennifer

    2011-08-01

    We ventilate buildings to provide acceptable indoor air quality (IAQ). Ventilation standards (such as American Society of Heating, Refrigerating, and Air-Conditioning Enginners [ASHRAE] Standard 62) specify minimum ventilation rates without taking into account the impact of those rates on IAQ. Innovative ventilation management is often a desirable element of reducing energy consumption or improving IAQ or comfort. Variable ventilation is one innovative strategy. To use variable ventilation in a way that meets standards, it is necessary to have a method for determining equivalence in terms of either ventilation or indoor air quality. This study develops methods to calculate either equivalent ventilation or equivalent IAQ. We demonstrate that equivalent ventilation can be used as the basis for dynamic ventilation control, reducing peak load and infiltration of outdoor contaminants. We also show that equivalent IAQ could allow some contaminants to exceed current standards if other contaminants are more stringently controlled.

  10. Burden of COPD in Nepal

    DEFF Research Database (Denmark)

    Adhikari, Tara Ballav; Neupane, Dinesh; Kallestrup, Per

    2018-01-01

    Background: COPD is a globally significant public health problem and is the second leading cause of mortality. This study presents the health burden of COPD in Nepal using the Global Burden of Disease (GBD) study 2016 dataset. Methods: This study used the data from the GBD repository presenting...... morbidity and mortality attributed to COPD, by sex and age. In GBD 2016, due to a lack of the primary source of data in Nepal, estimations on morbidity and mortality of COPD were based on its predictive covariates. Years of life lost (YLLs) were calculated based on the cause of death estimations, applying...... age-standardized mortality rate due to COPD was decreasing for both genders, but the decline was much higher among males. Unlike the high rate of incidence among males, the age-standardized DALYs were found to be high among females (2,274.9 [95% UI: 1,702.0-2,881.5] per 100,000). YLLs contributed...

  11. Burden of epilepsy in Colombia.

    Science.gov (United States)

    Méndez-Ayala, Alejandro; Nariño, Daniel; Rosselli, Diego

    2015-01-01

    Epilepsy lays an important burden on healthcare systems and society in general. Disability adjusted life years (DALYs) have been developed to compare the burden of this disease both between conditions and between geographical boundaries. With improving data on disease incidence and prevalence in Colombia, we can refine our DALYs-based estimates. Using different strategies, including the official healthcare provision database and death certificates, as well as extrapolation from published neuroepidemiologic studies, we estimated the incidence and prevalence by age groups, disease duration and attributable mortality. With this information we calculated DALYs for the year 2012. Overall, it was found that epilepsy was responsible for 0.88% of all deaths in Colombia. A total of 5.25 DALYs per 1,000 person-years are lost due to epilepsy in Colombia, 75% of which (3.91 DALYs) are due to premature mortality, with a higher burden in men (6.12 DALYs) than in women (4.41 DALYs). We reported new estimations on epilepsy incidence and prevalence by age groups in Colombia and conclude that DALYs lost due to epilepsy in Colombia are almost double the previous figure, mostly because of the underestimation of attributable mortality. With this figure, epilepsy ranks 12th instead of 19th in the list of the most important causes of DALYs lost. © 2015 S. Karger AG, Basel.

  12. Studies on the Neutron Radiation Damage Equivalence

    Directory of Open Access Journals (Sweden)

    ZOU De-hui

    2015-01-01

    Full Text Available To establish a unified standard of the evaluation of different sources of radiation damage, the neutron radiation damage equivalent standard source was determined both at home and abroad, and a lot of equivalence research work was done for making weapons anti neutron radiation performance examination and acceptance basis. The theoretical research progress was combed according to the relationship between the displacement damage function and the radiation source spectra ,and the experimental research progress was combed from the basic experimental methods, the controlling trend of effect parameters and field parameters. The experiment method to reduce the uncertainty was discussed, and present the research directions of radiation damage equivalence.

  13. Distinguishing Provenance Equivalence of Earth Science Data

    Science.gov (United States)

    Tilmes, Curt; Yesha, Ye; Halem, M.

    2010-01-01

    Reproducibility of scientific research relies on accurate and precise citation of data and the provenance of that data. Earth science data are often the result of applying complex data transformation and analysis workflows to vast quantities of data. Provenance information of data processing is used for a variety of purposes, including understanding the process and auditing as well as reproducibility. Certain provenance information is essential for producing scientifically equivalent data. Capturing and representing that provenance information and assigning identifiers suitable for precisely distinguishing data granules and datasets is needed for accurate comparisons. This paper discusses scientific equivalence and essential provenance for scientific reproducibility. We use the example of an operational earth science data processing system to illustrate the application of the technique of cascading digital signatures or hash chains to precisely identify sets of granules and as provenance equivalence identifiers to distinguish data made in an an equivalent manner.

  14. Nuclear Regulatory Commission equivalency evaluation report

    Energy Technology Data Exchange (ETDEWEB)

    Garvin, L.J.

    1995-10-01

    This paper provides the basis for concluding that using the seismic design criteria, defined in DOE order 4580.28, Natural Phenomena Hazards Mitigation, and its implementing standards provides safety equivalent to NRC criteria.

  15. Equivalence Principle, Higgs Boson and Cosmology

    Directory of Open Access Journals (Sweden)

    Mauro Francaviglia

    2013-05-01

    Full Text Available We discuss here possible tests for Palatini f(R-theories together with their implications for different formulations of the Equivalence Principle. We shall show that Palatini f(R-theories obey the Weak Equivalence Principle and violate the Strong Equivalence Principle. The violations of the Strong Equivalence Principle vanish in vacuum (and purely electromagnetic solutions as well as on short time scales with respect to the age of the universe. However, we suggest that a framework based on Palatini f(R-theories is more general than standard General Relativity (GR and it sheds light on the interpretation of data and results in a way which is more model independent than standard GR itself.

  16. Equivalence principle and bound kinetic energy.

    Science.gov (United States)

    Hohensee, Michael A; Müller, Holger; Wiringa, R B

    2013-10-11

    We consider the role of the internal kinetic energy of bound systems of matter in tests of the Einstein equivalence principle. Using the gravitational sector of the standard model extension, we show that stringent limits on equivalence principle violations in antimatter can be indirectly obtained from tests using bound systems of normal matter. We estimate the bound kinetic energy of nucleons in a range of light atomic species using Green's function Monte Carlo calculations, and for heavier species using a Woods-Saxon model. We survey the sensitivities of existing and planned experimental tests of the equivalence principle, and report new constraints at the level of between a few parts in 10(6) and parts in 10(8) on violations of the equivalence principle for matter and antimatter.

  17. REFractions: The Representing Equivalent Fractions Game

    Science.gov (United States)

    Tucker, Stephen I.

    2014-01-01

    Stephen Tucker presents a fractions game that addresses a range of fraction concepts including equivalence and computation. The REFractions game also improves students' fluency with representing, comparing and adding fractions.

  18. The increasing burden of depression

    Directory of Open Access Journals (Sweden)

    Lépine J-P

    2011-05-01

    Full Text Available Jean-Pierre Lépine1, Mike Briley21Hôpital Lariboisière Fernand Widal, Assistance Publique Hôpitaux de Paris Unité INSERM 705 CNRS UMR 8206, Université Paris Diderot, Paris, France; 2NeuroBiz Consulting and Communication, Castres, FranceAbstract: Recent epidemiological surveys conducted in general populations have found that the lifetime prevalence of depression is in the range of 10% to 15%. Mood disorders, as defined by the World Mental Health and the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, have a 12-month prevalence which varies from 3% in Japan to over 9% in the US. A recent American survey found the prevalence of current depression to be 9% and the rate of current major depression to be 3.4%. All studies of depressive disorders have stressed the importance of the mortality and morbidity associated with depression. The mortality risk for suicide in depressed patients is more than 20-fold greater than in the general population. Recent studies have also shown the importance of depression as a risk factor for cardiovascular death. The risk of cardiac mortality after an initial myocardial infarction is greater in patients with depression and related to the severity of the depressive episode. Greater severity of depressive symptoms has been found to be associated with significantly higher risk of all-cause mortality including cardiovascular death and stroke. In addition to mortality, functional impairment and disability associated with depression have been consistently reported. Depression increases the risk of decreased workplace productivity and absenteeism resulting in lowered income or unemployment. Absenteeism and presenteeism (being physically present at work but functioning suboptimally have been estimated to result in a loss of $36.6 billion per year in the US. Worldwide projections by the World Health Organization for the year 2030 identify unipolar major depression as the leading cause of disease burden

  19. Patient Burden of Atopic Dermatitis.

    Science.gov (United States)

    Sibbald, Cathryn; Drucker, Aaron M

    2017-07-01

    Atopic dermatitis is associated with significant patient burden, with impacts from symptoms and visible physical manifestations of the disease. Consequences include detrimental effects on quality of life (QoL), sleep, self-esteem, interpersonal relationships, participation in leisure and sports, and attendance or performance at school or work. Patients also spend a significant amount of time on treatments and care. Worsening severity of disease appears to be associated with a higher risk of impaired QoL, and pharmacologic and educational interventions that improve disease severity appear to, for the most part, simultaneously improve QoL. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Dark matter and the equivalence principle

    Science.gov (United States)

    Frieman, Joshua A.; Gradwohl, Ben-Ami

    1993-01-01

    A survey is presented of the current understanding of dark matter invoked by astrophysical theory and cosmology. Einstein's equivalence principle asserts that local measurements cannot distinguish a system at rest in a gravitational field from one that is in uniform acceleration in empty space. Recent test-methods for the equivalence principle are presently discussed as bases for testing of dark matter scenarios involving the long-range forces between either baryonic or nonbaryonic dark matter and ordinary matter.

  1. 45 CFR 672.17 - Burden of presentation; burden of persuasion.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Burden of presentation; burden of persuasion. 672.17 Section 672.17 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING PROCEDURES § 672.17 Burden of presentation; burden of persuasion. The...

  2. 40 CFR 305.33 - Burden of presentation; burden of persuasion.

    Science.gov (United States)

    2010-07-01

    ... persuasion. 305.33 Section 305.33 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Hearing Procedure § 305.33 Burden of presentation; burden of persuasion. The Requestor has the burden of... justified. Accordingly, the Requestor bears the burdens of presentation and persuasion. Following the...

  3. The burden of allergic rhinitis.

    Science.gov (United States)

    Nathan, Robert A

    2007-01-01

    Although formerly regarded as a nuisance disease, allergic rhinitis (AR) has a considerable effect on quality of life and can have significant consequences if left untreated. The total burden of this disease lies not only in impaired physical and social functioning but also in a financial burden made greater when considering evidence that AR is a possible causal factor in comorbid diseases such as asthma or sinusitis. Compared with matched controls, patients with AR have an approximate twofold increase in medication costs and 1.8-fold the number of visits to health practitioners. Hidden direct costs include the treatment of comorbid asthma, chronic sinusitis, otitis media, upper respiratory infection, and nasal polyposis. Nasal congestion, the most prominent symptom in AR, is associated with sleep-disordered breathing, a condition that can have a profound effect on mental health, including increased psychiatric disorders, depression, anxiety, and alcohol abuse. Furthermore, sleep-disordered breathing in childhood and adolescence is associated with increased disorders of learning performance, behavior, and attention. In the United States, AR results in 3.5 million lost workdays and 2 million lost schooldays annually. Patients struggle to alleviate their misery, frequently self-adjusting their treatment regimen of over-the-counter and prescription medications because of lack of efficacy, deterioration of efficacy, lack of 24-hour relief, and bothersome side effects. Ironically, health care providers overestimate patient satisfaction with therapy. Therefore, improvement in patient-practitioner communication may enhance patient adherence with prescribed regimens.

  4. The principle of equivalence reconsidered: assessing the relevance of the principle of equivalence in prison medicine.

    Science.gov (United States)

    Jotterand, Fabrice; Wangmo, Tenzin

    2014-01-01

    In this article we critically examine the principle of equivalence of care in prison medicine. First, we provide an overview of how the principle of equivalence is utilized in various national and international guidelines on health care provision to prisoners. Second, we outline some of the problems associated with its applications, and argue that the principle of equivalence should go beyond equivalence to access and include equivalence of outcomes. However, because of the particular context of the prison environment, third, we contend that the concept of "health" in equivalence of health outcomes needs conceptual clarity; otherwise, it fails to provide a threshold for healthy states among inmates. We accomplish this by examining common understandings of the concepts of health and disease. We conclude our article by showing why the conceptualization of diseases as clinical problems provides a helpful approach in the delivery of health care in prison.

  5. Prognostic significance of tumour burden in Hodgkin's disease PS I and II

    DEFF Research Database (Denmark)

    Specht, L; Nissen, N I

    1986-01-01

    of infradiaphragmatic lymph nodes), while the other 47 had been treated with mantle field irradiation plus 6 cycles of combination chemotherapy (MOPP or an equivalent regimen). Of the patients treated with radiotherapy alone, 13 relapsed whereas only 1 of the patients treated with radiotherapy plus combination...... chemotherapy relapsed. The initial tumour burden of each patient was estimated, combining tumour size of each involved area and number of sites involved. For patients treated with radiotherapy alone, a large tumour burden singled out the patients destined to relapse more accurately than other prognostic...

  6. The global burden of cholera.

    Science.gov (United States)

    Ali, Mohammad; Lopez, Anna Lena; You, Young Ae; Kim, Young Eun; Sah, Binod; Maskery, Brian; Clemens, John

    2012-03-01

    To estimate the global burden of cholera using population-based incidence data and reports. Countries with a recent history of cholera were classified as endemic or non-endemic, depending on whether they had reported cholera cases in at least three of the five most recent years. The percentages of the population in each country that lacked access to improved sanitation were used to compute the populations at risk for cholera, and incidence rates from published studies were applied to groups of countries to estimate the annual number of cholera cases in endemic countries. The estimates of cholera cases in non-endemic countries were based on the average numbers of cases reported from 2000 to 2008. Literature-based estimates of cholera case-fatality rates (CFRs) were used to compute the variance-weighted average cholera CFRs for estimating the number of cholera deaths. About 1.4 billion people are at risk for cholera in endemic countries. An estimated 2.8 million cholera cases occur annually in such countries (uncertainty range: 1.4-4.3) and an estimated 87,000 cholera cases occur in non-endemic countries. The incidence is estimated to be greatest in children less than 5 years of age. Every year about 91,000 people (uncertainty range: 28,000 to 142,000) die of cholera in endemic countries and 2500 people die of the disease in non-endemic countries. The global burden of cholera, as determined through a systematic review with clearly stated assumptions, is high. The findings of this study provide a contemporary basis for planning public health interventions to control cholera.

  7. The global burden of cholera

    Science.gov (United States)

    Lopez, Anna Lena; You, Young Ae; Kim, Young Eun; Sah, Binod; Maskery, Brian; Clemens, John

    2012-01-01

    Abstract Objective To estimate the global burden of cholera using population-based incidence data and reports. Methods Countries with a recent history of cholera were classified as endemic or non-endemic, depending on whether they had reported cholera cases in at least three of the five most recent years. The percentages of the population in each country that lacked access to improved sanitation were used to compute the populations at risk for cholera, and incidence rates from published studies were applied to groups of countries to estimate the annual number of cholera cases in endemic countries. The estimates of cholera cases in non-endemic countries were based on the average numbers of cases reported from 2000 to 2008. Literature-based estimates of cholera case-fatality rates (CFRs) were used to compute the variance-weighted average cholera CFRs for estimating the number of cholera deaths. Findings About 1.4 billion people are at risk for cholera in endemic countries. An estimated 2.8 million cholera cases occur annually in such countries (uncertainty range: 1.4–4.3) and an estimated 87 000 cholera cases occur in non-endemic countries. The incidence is estimated to be greatest in children less than 5 years of age. Every year about 91 000 people (uncertainty range: 28 000 to 142 000) die of cholera in endemic countries and 2500 people die of the disease in non-endemic countries. Conclusion The global burden of cholera, as determined through a systematic review with clearly stated assumptions, is high. The findings of this study provide a contemporary basis for planning public health interventions to control cholera. PMID:22461716

  8. Orientifold Planar Equivalence: The Chiral Condensate

    DEFF Research Database (Denmark)

    Armoni, Adi; Lucini, Biagio; Patella, Agostino

    2008-01-01

    in SU($N$) Yang-Mills in the large $N$ limit. Then, we compute numerically those quenched condensates for $N$ up to 8. After separating the even from the odd corrections in $1/N$, we are able to show that our data support the equivalence; however, unlike other quenched observables, subleading terms......The recently introduced orientifold planar equivalence is a promising tool for solving non-perturbative problems in QCD. One of the predictions of orientifold planar equivalence is that the chiral condensates of a theory with $N_f$ flavours of Dirac fermions in the symmetric (or antisymmetric......) representation and $N_f$ flavours of Majorana fermions in the adjoint representation have the same large $N$ value for any value of the mass of the (degenerate) fermions. Assuming the invariance of the theory under charge conjugation, we prove this statement on the lattice for staggered quenched condensates...

  9. Equivalent circuit analysis of terahertz metamaterial filters

    KAUST Repository

    Zhang, Xueqian

    2011-01-01

    An equivalent circuit model for the analysis and design of terahertz (THz) metamaterial filters is presented. The proposed model, derived based on LMC equivalent circuits, takes into account the detailed geometrical parameters and the presence of a dielectric substrate with the existing analytic expressions for self-inductance, mutual inductance, and capacitance. The model is in good agreement with the experimental measurements and full-wave simulations. Exploiting the circuit model has made it possible to predict accurately the resonance frequency of the proposed structures and thus, quick and accurate process of designing THz device from artificial metamaterials is offered. ©2011 Chinese Optics Letters.

  10. Fiscal adjustments in Europe and Ricardian equivalence

    Directory of Open Access Journals (Sweden)

    V. DE BONIS

    1998-09-01

    Full Text Available According to the ‘Ricardian’ equivalence hypothesis, consumption is dependent on permanent disposable income and current deficits are equivalent to future tax payments. This hypothesis is tested on 14 European countries in the 1990s. The relationships between private sector savings and general government deficit, and the GDP growth rate and the unemployment rate are determined. The results show the change in consumers' behaviour with respect to government deficit, and that expectations of an increase in future wealth are no longer associated with a decrease in deficit.

  11. TRANSLATION EQUIVALENCE AND CONTEXT CONSIDERATION IN GOOGLE

    Directory of Open Access Journals (Sweden)

    I Made Sena Darmasetiyawan

    2014-05-01

    Full Text Available This article aims at describing the translation methods of this tool through equivalence and context consideration which also suggest the account of language database within. The data was taken from Google Translate because it is one of the most reliable tools of translation through internet service. Results showed that there are three basic reference methods of frequency, graphology, and contextual matching database in the translation. Context in discourse and equivalence in translation are used in order to analyze the extent of this consideration.

  12. A Logical Characterisation of Static Equivalence

    DEFF Research Database (Denmark)

    Hüttel, Hans; Pedersen, Michael D.

    2007-01-01

    The work of Abadi and Fournet introduces the notion of a frame to describe the knowledge of the environment of a cryptographic protocol. Frames are lists of terms; two frames are indistinguishable under the notion of static equivalence if they satisfy the same equations on terms. We present a first......-order logic for frames with quantification over environment knowledge which, under certain general conditions, characterizes static equivalence and is amenable to construction of characteristic formulae. The logic can be used to reason about environment knowledge and can be adapted to a particular application...

  13. Caregiver Burden in Alcohol Dependence Syndrome

    OpenAIRE

    Ramanujam Vaishnavi; Murugan Selvaraj Karthik; Ramasamy Balakrishnan; Ramanathan Sathianathan

    2017-01-01

    Background. Alcoholism is a major threat to the individual as well as the society and the maximum burden of the illness is borne by the family. Aim. The study is aimed at assessing the pattern of burden on the caregivers of alcohol dependent patients and at assessing the relationship between the severity of dependence and the burden on caregivers. Settings and Design. Cross-sectional descriptive study conducted in the Department of Psychiatry, Sri Ramachandra Medical College and Research Inst...

  14. Caregiver Burden in Alcohol Dependence Syndrome

    Directory of Open Access Journals (Sweden)

    Ramanujam Vaishnavi

    2017-01-01

    Full Text Available Background. Alcoholism is a major threat to the individual as well as the society and the maximum burden of the illness is borne by the family. Aim. The study is aimed at assessing the pattern of burden on the caregivers of alcohol dependent patients and at assessing the relationship between the severity of dependence and the burden on caregivers. Settings and Design. Cross-sectional descriptive study conducted in the Department of Psychiatry, Sri Ramachandra Medical College and Research Institute. Materials and Methods. A cross-sectional assessment was done in 200 patients with alcohol dependence and their caregivers. The severity of dependence and the pattern of burden on caregivers were assessed. Statistical Analysis. The data thus collected was analyzed using SPSS version 20. Results. The study demonstrates that caregivers of alcohol dependent patients reported significant objective burden and subjective burden. Furthermore, the severity of alcohol dependence and the domains of burden such as financial burden, disruption of family interaction, and disruption of family routine activities were positively correlated with high level of significance. Conclusion. The current study has illustrated that all the caregivers experienced significant amount of burden which has to be addressed for better treatment outcome of the patients.

  15. High School Equivalency Testing in Arizona. Forum: Responding to Changes in High School Equivalency Testing

    Science.gov (United States)

    Hart, Sheryl

    2015-01-01

    For decades, the state of Arizona has used the General Educational Development (GED) Test to award the Arizona High School Equivalency (HSE) Diploma, as the GED Test was the only test available, recognized and accepted in the United States as the measure by which adults could demonstrate the educational attainment equivalent to high school…

  16. Fuel Cell Equivalent Electric Circuit Parameter Mapping

    DEFF Research Database (Denmark)

    Jeppesen, Christian; Zhou, Fan; Andreasen, Søren Juhl

    In this work a simple model for a fuel cell is investigated for diagnostic purpose. The fuel cell is characterized, with respect to the electrical impedance of the fuel cell at non-faulty conditions and under variations in load current. Based on this the equivalent electrical circuit parameters can...

  17. Identifiability and Equivalence of GLLIRM Models

    Science.gov (United States)

    Revuelta, Javier

    2009-01-01

    The generalized logit-linear item response model (GLLIRM) is a linearly constrained nominal categories model (NCM) that computes the scale and intercept parameters for categories as a weighted sum of basic parameters. This paper addresses the problems of the identifiability of the basic parameters and the equivalence between different GLLIRM…

  18. Confluence Modulo Equivalence in Constraint Handling Rules

    DEFF Research Database (Denmark)

    Christiansen, Henning; Kirkeby, Maja Hanne

    2014-01-01

    Previous results on confluence for Constraint Handling Rules, CHR, are generalized to take into account user-defined state equivalence relations. This allows a much larger class of programs to enjoy the ad- vantages of confluence, which include various optimization techniques and simplified corre...

  19. interpratation: of equivalences and cultural untranslatability

    African Journals Online (AJOL)

    jgmweri

    interpretation?; How does lack of equivalences affect interpretation? Key words: Sign Language, Interpretation, Translation, linguistics, context ... World Federation of the Deaf (WFD's) vision 2020 in which it envisions that by the year ... sign 1b) can mean MANY or A LOT: 1c) can have three meaning i.e. FOR EXAMPLE,.

  20. An Equivalent Circuit for Landau Damping

    DEFF Research Database (Denmark)

    Pécseli, Hans

    1976-01-01

    An equivalent circuit simulating the effect of Landau damping in a stable plasma‐loaded parallel‐plate capacitor is presented. The circuit contains a double infinity of LC components. The transition from stable to unstable plasmas is simulated by the introduction of active elements into the circuit....

  1. On Behavioral Equivalence of Rational Representations

    NARCIS (Netherlands)

    Trentelman, Harry L.; Willems, JC; Hara, S; Ohta, Y; Fujioka, H

    2010-01-01

    This article deals with the equivalence of representations of behaviors of linear differential systems In general. the behavior of a given linear differential system has many different representations. In this paper we restrict ourselves to kernel representations and image representations Two kernel

  2. Equivalence domination in graphs | Arumugam | Quaestiones ...

    African Journals Online (AJOL)

    Click on the link to view the abstract. Keywords: Equivalence domination, total domination, P3-forming set. Quaestiones Mathematicae 36(2013), 331-340. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.2989/16073606.2013.779959 · AJOL African ...

  3. A Criticism of Healthy-years Equivalents

    NARCIS (Netherlands)

    P.P. Wakker (Peter)

    1996-01-01

    textabstractThe following questions describe the scope of this paper. When decision trees are used to analyze optimal decisions, should end nodes be evaluated on the basis of QALYs or on the basis of healthy-years equivalents? Which measures should be used in communications with others, e.g.,

  4. A criticism of healthy-years equivalents

    NARCIS (Netherlands)

    Wakker, P.P.

    1996-01-01

    The following questions describe the scope of this paper. When decision trees are used to analyze optimal decisions, should end nodes be evaluated on the basis of QALYs or on the basis of healthy-years equivalents? Which measures should be used in communication with others, e.g., patients? Which of

  5. Conservation Laws, Equivalence Principle and Forbidden Radiation ...

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 17; Issue 3. Conservation Laws, Equivalence Principle and Forbidden Radiation Modes. Cihan Saçlioğlu. General ... Author Affiliations. Cihan Saçlioğlu1. Faculty of Engineering and Natural Sciences, Sabanci University, 81474 Tuzla, Istanbul, Turkey.

  6. Conservation Laws, Equivalence Principle and Forbidden Radiation ...

    Indian Academy of Sciences (India)

    There are standard proofs showing there can be no monopole electromagnetic radiation and no dipole gravitational radiation. We supplement these with a global topological argument for the former, and a local argument based directly on the principle of equivalence for the latter. 1. Introduction: Wave and Particle Pictures ...

  7. Bilingual Dictionaries and Communicative Equivalence for a ...

    African Journals Online (AJOL)

    Speakers in a multilingual society often employ a bilingual dictionary as the only instrument to meet their lexicographic needs. This implies that a bilingual dictionary becomes a poly functional instrument, presenting more information than just translation equivalents. This article focuses on the contents and the presentation ...

  8. Stimulus Equivalence in Rudimentary Reading and Spelling.

    Science.gov (United States)

    Mackay, Harry A.

    1985-01-01

    Programs were designed to teach three severely retarded adolescents to use individual anagram letters to construct the appropriate color words when shown color patches. After learning visual equivalences between colors and printed words, Ss demonstrated auditory reading-comprehension (matching printed words to dictated words) and oral reading…

  9. 21 CFR 26.39 - Equivalence assessment.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Equivalence assessment. 26.39 Section 26.39 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT...

  10. CP Violation, Neutral Currents, and Weak Equivalence

    Science.gov (United States)

    Fitch, V. L.

    1972-03-23

    Within the past few months two excellent summaries of the state of our knowledge of the weak interactions have been presented. Correspondingly, we will not attempt a comprehensive review but instead concentrate this discussion on the status of CP violation, the question of the neutral currents, and the weak equivalence principle.

  11. Confluence Modulo Equivalence in Constraint Handling Rules

    DEFF Research Database (Denmark)

    Christiansen, Henning; Kirkeby, Maja Hanne

    2015-01-01

    Previous results on confluence for Constraint Handling Rules, CHR, are generalized to take into account user-defined state equivalence relations. This allows a much larger class of programs to enjoy the advantages of confluence, which include various optimization techniques and simplified...

  12. interpratation: of equivalences and cultural untranslatability

    African Journals Online (AJOL)

    jgmweri

    communicative situation – this involves not only linguistic and cultural competence but ... Diversity in language use – how does it affect interpretation? ; Does direct and indirect use of language, social customs and relationships, how people express emotions have any ..... 1.3.3 Grammatical- Syntactical Equivalences.

  13. Chemical equivalence assessment of three brands of ...

    African Journals Online (AJOL)

    Assay for content of active ingredients is a critical test of drug quality; failure to meet up the standard for content of active ingredients will result to sub therapeutic quantities. Three brands (A, B and C) of carbamazepine were assayed to determine their chemical equivalence as well as their anticonvulsant activities. This was ...

  14. Four equivalent lot-sizing models

    NARCIS (Netherlands)

    W. van den Heuvel (Wilco); A.P.M. Wagelmans (Albert)

    2007-01-01

    textabstractWe study the following lot-sizing models that recently appeared in the literature: a lot-sizing model with a remanufacturing option, a lot-sizing model with production time windows, and a lot-sizing model with cumulative capacities. We show the equivalence of these models with a

  15. Contextual dependencies in a stimulus equivalence paradigm

    NARCIS (Netherlands)

    Dibbets, P.; Maes, J.H.R.; Vossen, J.M.H.

    2002-01-01

    Two experiments with human subjects assessed contextual dependencies in a stimulus equivalence paradigm. Subjects learned to form two sets of stimuli in a matching-to-sample training procedure. Each set was presented against one of two different background colours, the contextual cues. At test, the

  16. Metabolic equivalent determination in the cultural dance of hula.

    Science.gov (United States)

    Usagawa, T; Look, M; de Silva, M; Stickley, C; Kaholokula, J K; Seto, T; Mau, M

    2014-05-01

    Ethnic minorities share an unequal burden of cardiometabolic syndrome. Physical activity (PA) has been shown to be an important factor for improving the outcomes of these diseases. While metabolic equivalents (METs) have been calculated for diverse activities, most cultural activities have not been evaluated. Hula, the traditional dance of Native Hawaiians, is practiced by men and women of all ages but its MET value is unknown. To our knowledge, this is the first scientific evaluation of energy expenditure of hula. 19 competitive hula dancers performed 2 dance sets of low- and high-intensity hula. METs were measured with a portable indirect calorimetry device. Mean and standard deviations were calculated for all the variables. A 2-way ANOVA was conducted to identify differences for gender and intensity. The mean MET were 5.7 (range 3.17-9.77) and 7.55 (range 4.43-12.0) for low-intensity and high-intensity, respectively. There was a significant difference between intensities and no significant difference between genders. This study demonstrates that the energy expenditure of both low- and high-intensity hula met the recommended guidelines for moderate and vigorous intensity exercise, respectively, and that hula can be utilized as a prescribed PA. © Georg Thieme Verlag KG Stuttgart · New York.

  17. The validity and reliability of a Chinese version of the family burden interview schedule.

    Science.gov (United States)

    Chien, Wai-Tong; Norman, Ian

    2004-01-01

    The caregiver burden within the family is one of the most commonly used outcome variables in research studies of patient care provision. However, few measures of family caregiver burden have been validated for use with Asian populations. To examine the reliability and validity of the Chinese version of the Family Burden Interview Schedule. The first phase of the investigation involved translation and back translation of the measure for burden and a review by an expert panel. In this phase, equivalence between the Chinese and English versions, content validity, and test-retest reliability of the Family Burden Interview Schedule were assessed using a sample including 30 family caregivers of mental patients. The second phase established the internal consistency and construct validity of the scale using a sample comprising 185 family caregivers of patients with schizophrenia. Sensitivity of the scale for families of schizophrenic patients was examined through comparison with 40 caregivers of patients who had major affective disorder. The Chinese version of the Family Burden Interview Schedule adequately addressed the original concepts and dimensions, achieving 96% on the Content Validity Index. These results demonstrated high levels of equivalence with the original English version (intra-class correlation [ICC] of .87 for the overall scale and.80-.89 for the six domains). It also demonstrated a high internal consistency (Cronbach alpha of .87 for the scale and .78-.88 for the domains) and adequate test - retest response stability (r = .83 for the scale and r = .88-.92 for the domains). The mean scores for the overall scale and domains of the Family Burden Interview Schedule differed significantly between the family providers of care for the two illness groups and between the groups with high and low time involvement in caregiving. The principal components analysis showed the presence of five factors that together explained 65.85% of the variance. It also demonstrated

  18. Neuropsychiatric Burden in Huntington's Disease.

    Science.gov (United States)

    Paoli, Ricardo Augusto; Botturi, Andrea; Ciammola, Andrea; Silani, Vincenzo; Prunas, Cecilia; Lucchiari, Claudio; Zugno, Elisa; Caletti, Elisabetta

    2017-06-16

    Huntington's disease is a disorder that results in motor, cognitive, and psychiatric problems. The symptoms often take different forms and the presence of disturbances of the psychic sphere reduces patients' autonomy and quality of life, also impacting patients' social life. It is estimated that a prevalence between 33% and 76% of the main psychiatric syndromes may arise in different phases of the disease, often in atypical form, even 20 years before the onset of chorea and dementia. We present a narrative review of the literature describing the main psychopathological patterns that may be found in Huntington's disease, searching for a related article in the main database sources (Medline, ISI Web of Knowledge, Scopus, and Medscape). Psychiatric conditions were classified into two main categories: affective and nonaffective disorders/symptoms; and anxiety and neuropsychiatric features such as apathy and irritability. Though the literature is extensive, it is not always convergent, probably due to the high heterogeneity of methods used. We summarize main papers for pathology and sample size, in order to present a synoptic vision of the argument. Since the association between Huntington's disease and psychiatric symptoms was demonstrated, we argue that the prevalent and more invalidating psychiatric components should be recognized as early as possible during the disease course in order to best address psychopharmacological therapy, improve quality of life, and also reduce burden on caregivers.

  19. Diet, Lifestyle and Chronic disease burden

    NARCIS (Netherlands)

    Struijk, E.A.

    2014-01-01

    Background Diet, Body Mass Index (BMI), physical activity and smoking are among the most important lifestyle factors that influence global disease burden. In this thesis we investigate the relations of these factors with total disease burden in a large Dutch population, the EPIC-NL cohort. In this

  20. Pneumococcal infection in adults: burden of disease

    NARCIS (Netherlands)

    Drijkoningen, J.J.; Rohde, G.G.

    2014-01-01

    To overview the present global burden of pneumococcal disease is important because new preventive measures such as the pneumococcal conjugate vaccine 13 are currently being evaluated. Pneumococcal disease is roughly divided into non-invasive and invasive disease. The burden of non-invasive

  1. Terminology and the Psychosocial Burden of Blindness

    Science.gov (United States)

    Bolt, David

    2004-01-01

    Various denotations and connotations of the word "blindness" are examined and the inference is drawn that they constitute a psychosocial burden that perpetuates prejudice. The analysis leads on to a hypothesis in which a more progressive terminology could lead to reduction of this burden.

  2. 40 CFR 179.91 - Burden of going forward; burden of persuasion.

    Science.gov (United States)

    2010-07-01

    ... persuasion. 179.91 Section 179.91 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED...; burden of persuasion. (a) The party whose request for an evidentiary hearing was granted has the burden... FFDCA has the burden of persuasion in the hearing on that issue, whether the proceeding concerns the...

  3. 40 CFR 22.24 - Burden of presentation; burden of persuasion; preponderance of the evidence standard.

    Science.gov (United States)

    2010-07-01

    ... persuasion; preponderance of the evidence standard. 22.24 Section 22.24 Protection of Environment... Burden of presentation; burden of persuasion; preponderance of the evidence standard. (a) The complainant has the burdens of presentation and persuasion that the violation occurred as set forth in the...

  4. The global burden of dengue: an analysis from the Global Burden of Disease Study 2013

    NARCIS (Netherlands)

    J.D. Stanaway (Jeffrey D.); D.S. Shepard (Donald); E.A. Undurraga (Eduardo); Halasa, Y.A. (Yara A); L.E. Coffeng (Luc); Brady, O.J. (Oliver J); Hay, S.I. (Simon I); Bedi, N. (Neeraj); I.M. Bensenor (Isabela M.); C.A. Castañeda-Orjuela (Carlos A); T.-W. Chuang (Ting-Wu); K.B. Gibney (Katherine B); Z.A. Memish (Ziad); A. Rafay (Anwar); K.N. Ukwaja (Kingsley N); N. Yonemoto (Naohiro); C.J.L. Murray (Christopher)

    2016-01-01

    textabstractBackground Dengue is the most common arbovirus infection globally, but its burden is poorly quantified. We estimated dengue mortality, incidence, and burden for the Global Burden of Disease Study 2013. Methods We modelled mortality from vital registration, verbal autopsy, and

  5. [Family caregivers' burden and marital satisfaction].

    Science.gov (United States)

    Hiyoshi, Kazuko; Becker, Carl; Siwaku, Kuninori; Kinoshita, Ayae

    2009-12-01

    The purpose of this study is to determine the correlation between home-based elder care and marital satisfaction. Care managers distributed a questionnaire to home caregivers in order to assess the items such as annual income, marital satisfaction, Zarit caregiver burden, sleeping hours and how often they have to get up in the night to take care of the elder. A total of 149 caregivers completed the questionnaire. Their marital satisfaction was inversely correlated to caregiver burden, but positively correlated with annual income. Subjective psychological perception of caregiver burden was the most important factor influencing a marital satisfaction. It appears that a marital satisfaction depend far more on subjective perception of caregiver burden than on more objective measurements of caregiver burden.

  6. Equivalent configurations of optical transformation media.

    Science.gov (United States)

    Chen, Tungyang; Cheng, Shen-Wen; Weng, Chung-Ning

    2009-11-09

    We demonstrate that a medium consisting of two adjoining distinct layers of transformation materials, corresponding respectively to two linear coordinate transformations, can behave effectively as that of the same region transformed by another linear transformation. The equivalence means that, irrespective of the direction of incident wave, the fields of the medium exterior to the transformed regions of the two configurations are exactly the same. This property can also apply to a domain that is transformed by a piecewise linear transformation function, and to a medium that is mapped by a general curved function. This proof is shown analytically based on a rigorous Fourier-Bessel analysis. The equivalence suggests that, for a given transformed domain, one can find an infinite number of complementary media that altogether can give a desired effective response of certain transformation path.

  7. Orientifold Planar Equivalence: The Quenched Meson Spectrum

    CERN Document Server

    Lucini, Biagio; Patella, Agostino; Rago, Antonio

    2010-01-01

    A numerical study of Orientifold Planar Equivalence is performed in SU(N) Yang-Mills theories for N=2,3,4,6. Quenched meson masses are extracted in the antisymmetric, symmetric and adjoint representations for the pseudoscalar and vector channels. An extrapolation of the vector mass as a function of the pseudoscalar mass to the large-N limit shows that the numerical results agree within errors for the three theories, as predicted by Orientifold Planar Equivalence. As a byproduct of the extrapolation, the size of the corrections up to O(1/N^3) are evaluated. A crucial prerequisite for the extrapolation is the determination of an analytical relationship between the corrections in the symmetric and in the antisymmetric representations, order by order in a 1/N expansion.

  8. Thevenin Equivalent Method for Dynamic Contingency Assessment

    DEFF Research Database (Denmark)

    Møller, Jakob Glarbo; Jóhannsson, Hjörtur; Østergaard, Jacob

    2015-01-01

    A method that exploits Thevenin equivalent representation for obtaining post-contingency steady-state nodal voltages is integrated with a method of detecting post-contingency aperiodic small-signal instability. The task of integrating stability assessment with contingency assessment is challenged...... by the cases of unstable post-contingency conditions. For unstable postcontingency conditions there exists no credible steady-state which can be used for basis of a stability assessment. This paper demonstrates how Thevenin Equivalent methods can be applied in algebraic representation of such bifurcation...... points which may be used in assessment of post-contingency aperiodic small-signal stability. The assessment method is introduced with a numeric example....

  9. Underlining some aspects of the equivalence principle

    Science.gov (United States)

    Benedetto, E.; Feoli, A.

    2017-09-01

    We want to shed light on some discussed aspects of the principle of equivalence. We consider two different phases in the evolution of the principle. We pay attention to the fact that some textbooks do not dwell on the mathematical meaning of ‘locally flat spacetime’, which can confuse students and, occasionally, can also lead to misinterpretations. For example, the non-eliminability of tidal forces, not even locally, may suggest that the equivalence principle is wrong. By contrast, we want to show that this is in perfect agreement with the Einstein geometrical interpretation of spacetime. Finally, in order to check the approximations used in the Gedankenexperiment of an elevator, we estimate explicitly the magnitude of the deflection of light and the effects of tidal forces in a ‘real lift’.

  10. On equivalent resistance of electrical circuits

    Science.gov (United States)

    Kagan, Mikhail

    2015-01-01

    While the standard (introductory physics) way of computing the equivalent resistance of nontrivial electrical circuits is based on Kirchhoff's rules, there is a mathematically and conceptually simpler approach, called the method of nodal potentials, whose basic variables are the values of the electric potential at the circuit's nodes. In this paper, we review the method of nodal potentials and illustrate it using the Wheatstone bridge as an example. We then derive a closed-form expression for the equivalent resistance of a generic circuit, which we apply to a few sample circuits. The result unveils a curious interplay between electrical circuits, matrix algebra, and graph theory and its applications to computer science. The paper is written at a level accessible by undergraduate students who are familiar with matrix arithmetic. Additional proofs and technical details are provided in appendices.

  11. Testing the Equivalence of Regular Languages

    Directory of Open Access Journals (Sweden)

    Marco Almeida

    2009-07-01

    Full Text Available The minimal deterministic finite automaton is generally used to determine regular languages equality. Antimirov and Mosses proposed a rewrite system for deciding regular expressions equivalence of which Almeida et al. presented an improved variant. Hopcroft and Karp proposed an almost linear algorithm for testing the equivalence of two deterministic finite automata that avoids minimisation. In this paper we improve the best-case running time, present an extension of this algorithm to non-deterministic finite automata, and establish a relationship between this algorithm and the one proposed in Almeida et al. We also present some experimental comparative results. All these algorithms are closely related with the recent coalgebraic approach to automata proposed by Rutten.

  12. Quantum mechanics from an equivalence principle

    Energy Technology Data Exchange (ETDEWEB)

    Faraggi, A.E. [Univ. of Florida, Gainesville, FL (United States). Inst. for Fundamental Theory; Matone, M. [Univ. of Padova (Italy)

    1997-05-15

    The authors show that requiring diffeomorphic equivalence for one-dimensional stationary states implies that the reduced action S{sub 0} satisfies the quantum Hamilton-Jacobi equation with the Planck constant playing the role of a covariantizing parameter. The construction shows the existence of a fundamental initial condition which is strictly related to the Moebius symmetry of the Legendre transform and to its involutive character. The universal nature of the initial condition implies the Schroedinger equation in any dimension.

  13. Derived equivalences induced by good silting complexes

    OpenAIRE

    Breaz, Simion; Modoi, George Ciprian

    2017-01-01

    Consider a (possibly big) silting object $U$ in a derived category over a (dg-)algebra $A$. Under some fairly general appropriate hypotheses, we show that it induces derived equivalences between the derived category over $A$ and a localization of the derived category of dg-endomorphism algebra $B$ of $U$. If, in addition, $U$ is small then this localization is the whole derived category over $B$.

  14. Global equivalent magnetization of the oceanic lithosphere

    Science.gov (United States)

    Dyment, J.; Choi, Y.; Hamoudi, M.; Lesur, V.; Thebault, E.

    2015-11-01

    As a by-product of the construction of a new World Digital Magnetic Anomaly Map over oceanic areas, we use an original approach based on the global forward modeling of seafloor spreading magnetic anomalies and their comparison to the available marine magnetic data to derive the first map of the equivalent magnetization over the World's ocean. This map reveals consistent patterns related to the age of the oceanic lithosphere, the spreading rate at which it was formed, and the presence of mantle thermal anomalies which affects seafloor spreading and the resulting lithosphere. As for the age, the equivalent magnetization decreases significantly during the first 10-15 Myr after its formation, probably due to the alteration of crustal magnetic minerals under pervasive hydrothermal alteration, then increases regularly between 20 and 70 Ma, reflecting variations in the field strength or source effects such as the acquisition of a secondary magnetization. As for the spreading rate, the equivalent magnetization is twice as strong in areas formed at fast rate than in those formed at slow rate, with a threshold at ∼40 km/Myr, in agreement with an independent global analysis of the amplitude of Anomaly 25. This result, combined with those from the study of the anomalous skewness of marine magnetic anomalies, allows building a unified model for the magnetic structure of normal oceanic lithosphere as a function of spreading rate. Finally, specific areas affected by thermal mantle anomalies at the time of their formation exhibit peculiar equivalent magnetization signatures, such as the cold Australian-Antarctic Discordance, marked by a lower magnetization, and several hotspots, marked by a high magnetization.

  15. APTE: An Algorithm for Proving Trace Equivalence

    OpenAIRE

    Cheval, Vincent

    2014-01-01

    This paper presents APTE, a new tool for automatically proving the security of cryptographic protocols. It focuses on proving trace equivalence between processes, which is crucial for specifying privacy type properties such as anonymity and unlinkability.\\ud \\ud The tool can handle protocols expressed in a calculus similar to the applied-pi calculus, which allows us to capture most existing protocols that rely on classical cryptographic primitives. In particular, APTE handles private channels...

  16. Two Tests for the Equivalence Principle

    Science.gov (United States)

    Harpaz, Amos

    2011-06-01

    The question: "Is the equivalence principle (EP) a general principle" is examined by analyzing solutions to two cases: 1. The Twin Paradox, and 2. Does a static charge located in a gravitational field radiate? The solutions to these two cases are given first by using EP, and then by physical analysis of the system involved. The fact that the two methods yield the same solutions, may be considered as test cases for the validity of the EP.

  17. Equivalent Lagrangians: Generalization, Transformation Maps, and Applications

    Directory of Open Access Journals (Sweden)

    N. Wilson

    2012-01-01

    Full Text Available Equivalent Lagrangians are used to find, via transformations, solutions and conservation laws of a given differential equation by exploiting the possible existence of an isomorphic algebra of Lie point symmetries and, more particularly, an isomorphic Noether point symmetry algebra. Applications include ordinary differential equations such as the Kummer equation and the combined gravity-inertial-Rossbywave equation and certain classes of partial differential equations related to multidimensional wave equations.

  18. Capacitors with low equivalent series resistance

    Science.gov (United States)

    Fleig, Patrick Franz (Inventor); Lakeman, Charles D. E. (Inventor); Fuge, Mark (Inventor)

    2011-01-01

    An electric double layer capacitor (EDLC) in a coin or button cell configuration having low equivalent series resistance (ESR). The capacitor comprises mesh or other porous metal that is attached via conducting adhesive to one or both the current collectors. The mesh is embedded into the surface of the adjacent electrode, thereby reducing the interfacial resistance between the electrode and the current collector, thus reducing the ESR of the capacitor.

  19. Determining sample size when assessing mean equivalence.

    Science.gov (United States)

    Asberg, Arne; Solem, Kristine B; Mikkelsen, Gustav

    2014-11-01

    When we want to assess whether two analytical methods are equivalent, we could test if the difference between the mean results is within the specification limits of 0 ± an acceptance criterion. Testing the null hypothesis of zero difference is less interesting, and so is the sample size estimation based on testing that hypothesis. Power function curves for equivalence testing experiments are not widely available. In this paper we present power function curves to help decide on the number of measurements when testing equivalence between the means of two analytical methods. Computer simulation was used to calculate the probability that the 90% confidence interval for the difference between the means of two analytical methods would exceed the specification limits of 0 ± 1, 0 ± 2 or 0 ± 3 analytical standard deviations (SDa), respectively. The probability of getting a nonequivalence alarm increases with increasing difference between the means when the difference is well within the specification limits. The probability increases with decreasing sample size and with smaller acceptance criteria. We may need at least 40-50 measurements with each analytical method when the specification limits are 0 ± 1 SDa, and 10-15 and 5-10 when the specification limits are 0 ± 2 and 0 ± 3 SDa, respectively. The power function curves provide information of the probability of false alarm, so that we can decide on the sample size under less uncertainty.

  20. Reliability assessment of restructured power systems using reliability network equivalent and pseudo-sequential simulation techniques

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Yi; Wang, Peng; Goel, Lalit [Nanyang Technological University, School of Electrical and Electronics Engineering, Block S1, Nanyang Avenue, Singapore 639798 (Singapore); Billinton, Roy; Karki, Rajesh [Department of Electrical Engineering, University of Saskatchewan, Saskatoon (Canada)

    2007-10-15

    This paper presents a technique to evaluate reliability of a restructured power system with a bilateral market. The proposed technique is based on the combination of the reliability network equivalent and pseudo-sequential simulation approaches. The reliability network equivalent techniques have been implemented in the Monte Carlo simulation procedure to reduce the computational burden of the analysis. Pseudo-sequential simulation has been used to increase the computational efficiency of the non-sequential simulation method and to model the chronological aspects of market trading and system operation. Multi-state Markov models for generation and transmission systems are proposed and implemented in the simulation. A new load shedding scheme is proposed during generation inadequacy and network congestion to minimize the load curtailment. The IEEE reliability test system (RTS) is used to illustrate the technique. (author)

  1. Equivalent Circuit Modeling of Hysteresis Motors

    Energy Technology Data Exchange (ETDEWEB)

    Nitao, J J; Scharlemann, E T; Kirkendall, B A

    2009-08-31

    We performed a literature review and found that many equivalent circuit models of hysteresis motors in use today are incorrect. The model by Miyairi and Kataoka (1965) is the correct one. We extended the model by transforming it to quadrature coordinates, amenable to circuit or digital simulation. 'Hunting' is an oscillatory phenomenon often observed in hysteresis motors. While several works have attempted to model the phenomenon with some partial success, we present a new complete model that predicts hunting from first principles.

  2. Real Options Valuation Based on Certainty Equivalents

    Directory of Open Access Journals (Sweden)

    Cecilia Maya Ochoa

    2014-12-01

    Full Text Available This purpose of this research is to identify appropriate rates to discount the flows from real options in situations in which the risk-free rate does not apply, in particular, in incomplete markets.  A methodology is proposed for valuing real options based on certainty equivalence, which requires as a principal condition the consideration of preferences represented with utility functions.  A constant relative risk aversion (CRRA utility function is used to represent these preferences. The results indicate that this methodology adequately reflects how the value of a real option changes in accordance with an investor´s preferences.

  3. Applicability constraints of the equivalence theorem

    Energy Technology Data Exchange (ETDEWEB)

    Dobado, A.; Pelaez, J.R. [Departamento de Fisica Teorica, Universidad Complutense, 28040 Madrid (Spain); Urdiales, M.T. [Departamento de Fisica Teorica, Universidad Autonoma, 28049 Madrid (Spain)

    1997-12-01

    In this work we study the applicability of the equivalence theorem, either for unitary models or within an effective Lagrangian approach. There are two types of limitations: the existence of a validity energy window and the use of the lowest order in the electroweak constants. For the first kind, we consider some methods, based on dispersion theory or the large N limit, that allow us to extend the applicability. For the second, we obtain numerical estimates of the effect of neglecting higher orders in the perturbative expansion. {copyright} {ital 1997} {ital The American Physical Society}

  4. Open maps, behavioural equivalences, and congruences

    DEFF Research Database (Denmark)

    Cheng, Allan; Nielsen, Mogens

    1996-01-01

    Spans of open maps have been proposed by Joyal, Nielsen, and Winskel as a way of adjoining an abstract equivalence, P-bisimilarity, to a category of models of computation M, where P is an arbitrary sub-category of observations. Part of the motivation was to recast and generalise Milner's well...... viewed as functors preserve P-bisimilarity? We define the notion of functors being P -factorisable, show how this ensures that P-bisimilarity is a congruence with respect to such functors. Guided by the definition of P-factorisability we show how it is possible to parametrise proofs of functors being P...

  5. Galilean equivalence for galactic dark matter.

    Science.gov (United States)

    Kesden, Michael; Kamionkowski, Marc

    2006-09-29

    Satellite galaxies are tidally disrupted as they orbit the Milky Way. If dark matter (DM) experiences a stronger self-attraction than baryons, stars will preferentially gain rather than lose energy during tidal disruption, leading to an enhancement in the trailing compared to the leading tidal stream. The Sgr dwarf galaxy is seen to have roughly equal streams, challenging models in which DM and baryons accelerate differently by more than 10%. Future observations and a better understanding of DM distribution should allow detection of equivalence violation at the percent level.

  6. Equivalent Circuit for Magnetoelectric Read and Write

    OpenAIRE

    Camsari, Kerem Y.; Faria, Rafatul; Hassan, Orchi; Sutton, Brian M.; Datta, Supriyo

    2017-01-01

    We describe an equivalent circuit model applicable to a wide variety of magnetoelectric phenomena and use SPICE simulations to benchmark this model against experimental data. We use this model to suggest a different mode of operation where the "1" and "0'" states are not represented by states with net magnetization (like $m_x$, $m_y$ or $m_z$) but by different easy axes, quantitatively described by ($m_x^2 - m_y^2$) which switches from "0" to "1" through the write voltage. This change is dire...

  7. European Equivalencies in Legal Interpreting and Translation

    DEFF Research Database (Denmark)

    Corsellis, Ann; Hertog, Erik; Martinsen, Bodil

    2002-01-01

    Within Europe there is increasing freedom of movement between countries and increasing inward migration. As a result, equivalent standards of legl interpreting and translation are required to allow reliable communication for judicial cooperation between member states, for criminal and civil matters...... which cross national borders and for the needs of multilingual populations. The European Convention of Human Rights (article 6, paragrph 3) is one of the main planks of relevant legislation. This international, two year project has been funded by the EU Grotius programme to set out what is required...

  8. International Peacekeeping Operations: Burden Sharing and Effectiveness.

    Science.gov (United States)

    Sandler, Todd

    2017-10-01

    This article takes stock of some of the important contributions to the study of peacekeeping (PK). Two key topics stand out: peacekeeping burden sharing and mission effectiveness. For burden sharing, the theoretical foundation is the private provision of public goods and joint products. Implications for burden sharing differ whether financial or troop contributions are being shared, with the latter driven by jointly produced country-specific benefits. Financial burden sharing can also differ between United Nations (UN)-led and non-UN-led peacekeeping operations, wherein country-specific benefits are especially important for the latter. Many articles gauge peacekeeping effectiveness by the mission's ability to maintain the peace or to protect lives for a set time period. More recently, multiple criteria are raised for evaluating peacekeeping in today's world of multifaceted peacebuilding operations.

  9. Economic Study of Global Tobacco Burden

    Science.gov (United States)

    In an interview on Cancer Currents, Dr. Mark Parascandola discusses findings from an economics study showing that, globally, tobacco use burdens economies with more than US $1 trillion annually in health care costs and lost productivity.

  10. The burden of zoonoses in Nepal

    OpenAIRE

    Devleesschauwer, Brecht

    2015-01-01

    Chapter 1 provided the background for this thesis. The main goal of public health policy is to promote, enhance and protect population health. This requires information on the health status of the population, often referred to as the “burden of disease”. Population health is a multifactorial phenomenon with many facets. As a result, the disease burden of a population can be described by a variety of indicators. As current health policy requires a global overview of public health, combining mo...

  11. Integrable topological billiards and equivalent dynamical systems

    Science.gov (United States)

    Vedyushkina, V. V.; Fomenko, A. T.

    2017-08-01

    We consider several topological integrable billiards and prove that they are Liouville equivalent to many systems of rigid body dynamics. The proof uses the Fomenko-Zieschang theory of invariants of integrable systems. We study billiards bounded by arcs of confocal quadrics and their generalizations, generalized billiards, where the motion occurs on a locally planar surface obtained by gluing several planar domains isometrically along their boundaries, which are arcs of confocal quadrics. We describe two new classes of integrable billiards bounded by arcs of confocal quadrics, namely, non-compact billiards and generalized billiards obtained by gluing planar billiards along non-convex parts of their boundaries. We completely classify non-compact billiards bounded by arcs of confocal quadrics and study their topology using the Fomenko invariants that describe the bifurcations of singular leaves of the additional integral. We study the topology of isoenergy surfaces for some non-convex generalized billiards. It turns out that they possess exotic Liouville foliations: the integral trajectories of the billiard that lie on some singular leaves admit no continuous extension. Such billiards appear to be leafwise equivalent to billiards bounded by arcs of confocal quadrics in the Minkowski metric.

  12. Equivalent Relaxations of Optimal Power Flow

    Energy Technology Data Exchange (ETDEWEB)

    Bose, S; Low, SH; Teeraratkul, T; Hassibi, B

    2015-03-01

    Several convex relaxations of the optimal power flow (OPF) problem have recently been developed using both bus injection models and branch flow models. In this paper, we prove relations among three convex relaxations: a semidefinite relaxation that computes a full matrix, a chordal relaxation based on a chordal extension of the network graph, and a second-order cone relaxation that computes the smallest partial matrix. We prove a bijection between the feasible sets of the OPF in the bus injection model and the branch flow model, establishing the equivalence of these two models and their second-order cone relaxations. Our results imply that, for radial networks, all these relaxations are equivalent and one should always solve the second-order cone relaxation. For mesh networks, the semidefinite relaxation and the chordal relaxation are equally tight and both are strictly tighter than the second-order cone relaxation. Therefore, for mesh networks, one should either solve the chordal relaxation or the SOCP relaxation, trading off tightness and the required computational effort. Simulations are used to illustrate these results.

  13. Free fall and the equivalence principle revisited

    Science.gov (United States)

    Pendrill, Ann-Marie

    2017-11-01

    Free fall is commonly discussed as an example of the equivalence principle, in the context of a homogeneous gravitational field, which is a reasonable approximation for small test masses falling moderate distances. Newton’s law of gravity provides a generalisation to larger distances, and also brings in an inhomogeneity in the gravitational field. In addition, Newton’s third law of action and reaction causes the Earth to accelerate towards the falling object, bringing in a mass dependence in the time required for an object to reach ground—in spite of the equivalence between inertial and gravitational mass. These aspects are rarely discussed in textbooks when the motion of everyday objects are discussed. Although these effects are extremely small, it may still be important for teachers to make assumptions and approximations explicit, to be aware of small corrections, and also to be prepared to estimate their size. Even if the corrections are not part of regular teaching, some students may reflect on them, and their questions deserve to be taken seriously.

  14. Validation of the Burden Index of Caregivers (BIC), a multidimensional short care burden scale from Japan.

    Science.gov (United States)

    Miyashita, Mitsunori; Yamaguchi, Aki; Kayama, Mami; Narita, Yugo; Kawada, Norikazu; Akiyama, Miki; Hagiwara, Akiko; Suzukamo, Yoshimi; Fukuhara, Shunichi

    2006-08-18

    We constructed a concise multidimensional care burden scale that reflects circumstances unique to Japan, with a focus on intractable neurological diseases. We surveyed 646 family caregivers of patients with intractable neurological diseases or stroke using 28 preliminary care burden scale items obtained from qualitative research. The results were used to finalize the feeling of care burden scale (BIC: burden index of caregivers), and verify its reliability and validity. The survey was conducted among caregivers providing home health care to patients with intractable neurological diseases (PD [Parkinson's disease], SCD [spinocerebellar degeneration], MSA [multiple system atrophy], and ALS [amyotrophic lateral sclerosis]) or CVA (cerebrovascular accident) using a mailed, self-administered questionnaire between November, 2003 and May, 2004. Response rates for neurological and CVA caregivers were 50% and 67%, respectively, or 646 in total (PD, 279; SCD, 78; MSA, 39; ALS, 30; and CVA, 220). Item and exploratory factor analyses led to a reduction to 11 items, comprising 10 items from the 5 domains of time-dependent burden, emotional burden, existential burden, physical burden, and service-related burden; and 1 item on total burden. Examination of validity showed a moderate correlation between each domain of the BIC and the SF-8 (Health related quality of life scale, Short Form-8), while the correlation coefficient of the overall BIC and CES-D was 0.62. Correlation between the BIC and ZBI, a preexisting care burden scale, was high (r = 0.84), while that with the time spent on providing care was 0.47. The ICC (Intraclass correlation coefficient) by test-retest reliability was 0.83, and 0.68 to 0.80 by individual domain. These results show that the BIC, a new care burden scale comprising 11 items, is highly reliable and valid.

  15. Validation of the Burden Index of Caregivers (BIC, a multidimensional short care burden scale from Japan

    Directory of Open Access Journals (Sweden)

    Hagiwara Akiko

    2006-08-01

    Full Text Available Abstract Background We constructed a concise multidimensional care burden scale that reflects circumstances unique to Japan, with a focus on intractable neurological diseases. We surveyed 646 family caregivers of patients with intractable neurological diseases or stroke using 28 preliminary care burden scale items obtained from qualitative research. The results were used to finalize the feeling of care burden scale (BIC: burden index of caregivers, and verify its reliability and validity. Methods The survey was conducted among caregivers providing home health care to patients with intractable neurological diseases (PD [Parkinson's disease], SCD [spinocerebellar degeneration], MSA [multiple system atrophy], and ALS [amyotrophic lateral sclerosis] or CVA (cerebrovascular accident using a mailed, self-administered questionnaire between November, 2003 and May, 2004. Results Response rates for neurological and CVA caregivers were 50% and 67%, respectively, or 646 in total (PD, 279; SCD, 78; MSA, 39; ALS, 30; and CVA, 220. Item and exploratory factor analyses led to a reduction to 11 items, comprising 10 items from the 5 domains of time-dependent burden, emotional burden, existential burden, physical burden, and service-related burden; and 1 item on total burden. Examination of validity showed a moderate correlation between each domain of the BIC and the SF-8 (Health related quality of life scale, Short Form-8, while the correlation coefficient of the overall BIC and CES-D was 0.62. Correlation between the BIC and ZBI, a preexisting care burden scale, was high (r = 0.84, while that with the time spent on providing care was 0.47. The ICC (Intraclass correlation coefficient by test-retest reliability was 0.83, and 0.68 to 0.80 by individual domain. Conclusion These results show that the BIC, a new care burden scale comprising 11 items, is highly reliable and valid.

  16. Measurement Equivalence of the Language Brokering Scale for Chinese American Adolescents and their Parents

    Science.gov (United States)

    Kim, Su Yeong; Wang, Yijie; Weaver, Scott R.; Shen, Yishan; Wu-Seibold, Nina; Liu, Cindy H.

    2014-01-01

    Language brokering occurs frequently in immigrant families. Using data from 279 Chinese American families with adolescents who function as language brokers for their parents, the current study developed a comprehensive scale to assess adolescents’ and their parents’ perceptions of language brokering. Both versions, parent and adolescent, showed stable factor structures. We also examined measurement equivalence, including factorial and construct validity invariance, for each subscale across parent gender, adolescent gender, adolescent nativity, and translation frequency. In general, metric factorial invariance was observed for most subscales across different groups; these subscales can thus be used in future studies examining the relations between language brokering and other variables. Further, two adolescent subscales (i.e., adolescent-focused-burden, positive relations with parents) and three parent subscales (i.e., parent-focused-burden, negative feelings, positive relations with child) demonstrated strong factorial invariance consistently across different groups, and can thus be used in future studies examining mean group differences in language brokering experiences. In terms of construct validity equivalence, most subscales were associated with parent-child conflict and adolescent depressive symptoms to a similar degree across parent gender, adolescent gender and nativity. Implications of the current findings and recommendations for future use are discussed. PMID:24588602

  17. Measurement equivalence of the language-brokering scale for Chinese American adolescents and their parents.

    Science.gov (United States)

    Kim, Su Yeong; Wang, Yijie; Weaver, Scott R; Shen, Yishan; Wu-Seibold, Nina; Liu, Cindy H

    2014-04-01

    Language brokering occurs frequently in immigrant families. Using data from 279 Chinese American families with adolescents who function as language brokers for their parents, the current study developed a comprehensive scale to assess adolescents' and their parents' perceptions of language brokering. Both versions, parent and adolescent, showed stable factor structures. We also examined measurement equivalence, including factorial and construct-validity invariance, for each subscale across parent gender, adolescent gender, adolescent nativity, and translation frequency. In general, metric factorial invariance was observed for most subscales across the different groups; these subscales can thus be used in future studies examining the relations between language brokering and other variables. Further, two adolescent subscales (i.e., adolescent-focused burden, positive relations with parents) and three parent subscales (i.e., parent-focused burden, negative feelings, positive relations with child) demonstrated strong factorial invariance consistently across different groups, and can thus be used in future studies examining mean group differences in language-brokering experiences. In terms of construct-validity equivalence, most subscales were associated with parent-child conflict and adolescent depressive symptoms to a similar degree across parent gender, adolescent gender, and nativity. Implications of the current findings and recommendations for future use are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  18. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010

    National Research Council Canada - National Science Library

    Ferrari, Alize J; Charlson, Fiona J; Norman, Rosana E; Patten, Scott B; Freedman, Greg; Murray, Christopher J L; Vos, Theo; Whiteford, Harvey A

    2013-01-01

    ...) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as burden of depressive disorders as a risk...

  19. Premetric equivalent of general relativity: Teleparallelism

    Science.gov (United States)

    Itin, Yakov; Hehl, Friedrich W.; Obukhov, Yuri N.

    2017-04-01

    In general relativity (GR), the metric tensor of spacetime is essential since it represents the gravitational potential. In other gauge theories (such as electromagnetism), the so-called premetric approach succeeds in separating the purely topological field equation from the metric-dependent constitutive law. We show here that GR allows for a premetric formulation, too. For this purpose, we apply the teleparallel approach of gravity, which represents GR as a gauge theory based on the translation group. We formulate the metric-free topological field equation and a general linear constitutive law between the basic field variables. The requirement of local Lorentz invariance turns the model into a full equivalent of GR. Our approach opens a way for a natural extension of GR to diverse geometrical structures of spacetime.

  20. Characterization of Destrins with Different Dextrose Equivalents

    Directory of Open Access Journals (Sweden)

    Guanglei Li

    2010-07-01

    Full Text Available Dextrins are widely used for their functional properties and prepared by partial hydrolysis of starch using acid, enzymes, or combinations of both. The physiochemical properties of dextrins are dependent on their molecular distribution and oligosaccharide profiles. In this study, scanning electron microscopy (SEM, X-ray diffractometry (XRD, rapid viscoanalysis (RVA, high-performance Liquid Chromatography (HPLC and gel permeation chromatography (GPC were used to characterize dextrins prepared by common neutral and thermostable α-amylase hydrolysis. The dextrin granules displayed irregular surfaces and were badly damaged by the enzyme treatment. They displayed A-type X-ray diffraction patterns with a decrease of intensity of the characteristic diffraction peaks. The RVA profiles showed that the viscosity of dextrin decreased with the increase of its Dextrose Equivalent (DE value. According to HPLC analysis, the molecular weight, degree of polymerization and the composition of oligosaccharides in dextrins were different.

  1. Expressivism, Relativism and the analytic equivalence test

    Directory of Open Access Journals (Sweden)

    Maria J. Frapolli

    2015-11-01

    Full Text Available The purpose of this paper is to show that, pace (Field 2009, 252, MacFarlane’s assessment relativism and expressivism should be sharply distinguished. We do so by arguing that relativism and expressivism exemplify two very different approaches to context-dependence. Relativism, on the one hand, shares with other contemporary approaches a bottom-up, building block, model, while expressivism is part of a different tradition, one that might include Lewis’ epistemic contextualism and Frege’s content individuation, with which it shares an organic model to deal with context-dependence. The building-block model and the organic model, and thus relativism and expressivism, are set apart with the aid of a particular test: only the building-block model is compatible with the idea that there might be analytically equivalent, and yet different, propositions.

  2. Expressivism, Relativism, and the Analytic Equivalence Test.

    Science.gov (United States)

    Frápolli, Maria J; Villanueva, Neftalí

    2015-01-01

    The purpose of this paper is to show that, pace (Field, 2009), MacFarlane's assessment relativism and expressivism should be sharply distinguished. We do so by arguing that relativism and expressivism exemplify two very different approaches to context-dependence. Relativism, on the one hand, shares with other contemporary approaches a bottom-up, building block, model, while expressivism is part of a different tradition, one that might include Lewis' epistemic contextualism and Frege's content individuation, with which it shares an organic model to deal with context-dependence. The building-block model and the organic model, and thus relativism and expressivism, are set apart with the aid of a particular test: only the building-block model is compatible with the idea that there might be analytically equivalent, and yet different, propositions.

  3. Theoretical Aspects of the Equivalence Principle

    CERN Document Server

    Damour, Thibault

    2012-01-01

    We review several theoretical aspects of the Equivalence Principle (EP). We emphasize the unsatisfactory fact that the EP maintains the absolute character of the coupling constants of physics while General Relativity, and its generalizations (Kaluza-Klein,..., String Theory), suggest that all absolute structures should be replaced by dynamical entities. We discuss the EP-violation phenomenology of dilaton-like models, which is likely to be dominated by the linear superposition of two effects: a signal proportional to the nuclear Coulomb energy, related to the variation of the fine-structure constant, and a signal proportional to the surface nuclear binding energy, related to the variation of the light quark masses. We recall the various theoretical arguments (including a recently proposed anthropic argument) suggesting that the EP be violated at a small, but not unmeasurably small level. This motivates the need for improved tests of the EP. These tests are probing new territories in physics that are related t...

  4. Framework for Application of the Toxicity Equivalence ...

    Science.gov (United States)

    Polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and biphenyls (PCBs) are persistent contaminants found widely in the environment. Several of these compounds bioaccumulate in the tissues of fish, birds, and mammals and have been shown to cause mortality and adverse effects on reproduction, development, and the immune system. EPA has developed a framework intended to assist Agency scientists in using a method known as the toxicity equivalence methodology to evaluate the ecological risks of these chemicals. The methodology offers a means to derive a single exposure estimate from multiple chemical concentrations found in environmental mixtures so that risk assessors can consider their cumulative impacts. This framework helps to clarify this methodology’s strengths, limitations, and role within the broader context of ecological risk assessment.

  5. Causes and consequences of higher Leishmania infantum burden in patients with kala-azar: a study of 625 patients.

    Science.gov (United States)

    Zacarias, Danielle A; Rolão, Nuno; de Pinho, Flaviane A; Sene, Ingridi; Silva, Jailthon C; Pereira, Teresinha C; Costa, Dorcas L; Costa, Carlos H N

    2017-06-01

    An infected host's Leishmania infantum load in blood is considered to be an estimate of his or her total parasite burden. Therefore, the measurement of blood parasite burden is important in the identification of factors involved in parasite control. Quantitative polymerase chain reaction was performed on blood samples from 625 patients with kala-azar consecutively admitted to a reference hospital in Teresina, Brazil. Primers were used to amplify a segment of kDNA using the TaqMan system. Non-parametric statistical tests were applied. The median blood parasite burden was 499.2 amastigote equivalents (AE)/ml. Children <1 year old (yo) had a high parasite burden, which dropped sharply after the first year of life (192.8, AE/ml at 1 < 2 yo) and remained lower until adolescence. Following adolescence, the parasite burden increased with age, peaking among elderly individuals. Men had a higher parasite burden than women. HIV-infected patients had a much higher parasite burden than non-infected patients. The parasite burden of children under 5 years with acute moderate to severe malnourishment (weight-for-age and body mass index z-scores <-2) was almost three times greater than that of better-nourished children. The parasite burden identified in deceased patients was more than twice that of surviving patients; those with a higher risk of death, sepsis, pneumonia and jaundice also had increased parasite burdens. All of these differences were statistically significant at P-values <0.05. These data indicate that the parasite burden in patients with kala-azar was associated with age- and gender-associated factors and with HIV infection status. Acute malnutrition could be either a cause or a consequence of a higher parasite burden. An individual's parasite burden influences his or her clinical profile, disease severity and mortality risk. The best explanation for the presence of a higher parasite burden in individuals with these immunoregulatory conditions and severe disease is

  6. Auditory Stimulus Equivalence and Non-Arbitrary Relations

    National Research Council Canada - National Science Library

    Stewart, Ian; Lavelle, Niamh

    2013-01-01

    This study extended previous research on stimulus equivalence with all auditory stimuli by using a methodology more similar to conventional match-to-sample training and testing for three 3-member equivalence relations...

  7. Burden of childhood-onset arthritis

    Directory of Open Access Journals (Sweden)

    Hassett Afton L

    2010-07-01

    Full Text Available Abstract Juvenile arthritis comprises a variety of chronic inflammatory diseases causing erosive arthritis in children, often progressing to disability. These children experience functional impairment due to joint and back pain, heel pain, swelling of joints and morning stiffness, contractures, pain, and anterior uveitis leading to blindness. As children who have juvenile arthritis reach adulthood, they face possible continuing disease activity, medication-associated morbidity, and life-long disability and risk for emotional and social dysfunction. In this article we will review the burden of juvenile arthritis for the patient and society and focus on the following areas: patient disability; visual outcome; other medical complications; physical activity; impact on HRQOL; emotional impact; pain and coping; ambulatory visits, hospitalizations and mortality; economic impact; burden on caregivers; transition issues; educational occupational outcomes, and sexuality. The extent of impact on the various aspects of the patients', families' and society's functioning is clear from the existing literature. Juvenile arthritis imposes a significant burden on different spheres of the patients', caregivers' and family's life. In addition, it imposes a societal burden of significant health care costs and utilization. Juvenile arthritis affects health-related quality of life, physical function and visual outcome of children and impacts functioning in school and home. Effective, well-designed and appropriately tailored interventions are required to improve transitioning to adult care, encourage future vocation/occupation, enhance school function and minimize burden on costs.

  8. Subjective burden on spouses of schizophrenia patients

    Directory of Open Access Journals (Sweden)

    Surekha Kumari

    2009-01-01

    Full Text Available Background : There is limited information from India on subjective burden on spouses of schizophrenia patients. The aim of the present study was to assess and compare patterns of subjective burden on spouses of schizophrenia patients. Materials and Methods: The present study was conducted at the OPD level, and follow-up was done at the Ranchi Institute of Neuropsychiatry and Sciences (RINPAS during the period May 2008 to November 2008. Tools utilized were sociodemographic data sheet, Family Burden Interview Schedule developed by Pai and R. L. Kapur (1981. The sample comprised of 50 samples of spouses (25 male and 25 female spouses of schizophrenia patients. Results: The findings suggest that both the groups, viz., male and female spouses of schizophrenia patients, showed moderate level of subjective burden, i.e., 13 (52% and 15 (60% male and female spouses, respectively, which was statistically found to be insignificant. Conclusion : No significant difference was found between male and female spouses of schizophrenia patients with regard to the level of subjective burden.

  9. 49 CFR 391.33 - Equivalent of road test.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Equivalent of road test. 391.33 Section 391.33... AND LONGER COMBINATION VEHICLE (LCV) DRIVER INSTRUCTORS Tests § 391.33 Equivalent of road test. (a) In place of, and as equivalent to, the road test required by § 391.31, a person who seeks to drive a...

  10. Approaches to the treatment of zero equivalence in a bilingual ...

    African Journals Online (AJOL)

    The absence of equivalents in the TL is marked by two symbols: Ø (a complete absence of any equivalent) and # (equivalence at the level of the entire message rather than at word level). Sixty-five lemmata in the ESD contain a slashed zero, a hash or both, but one and the same entry can contain more than one symbol.

  11. [Burden of disease in Latin America].

    Science.gov (United States)

    Gómez Dantés, Héctor; Castro, Ma Victoria; Franco-Marina, Francisco; Bedregal, Paula; Rodríguez García, Jesús; Espinoza, Azalea; Valdez Huarcaya, William; Lozano, Rafael

    2011-01-01

    To describe the burden of disease studies made in the region, identify the main priorities in health from the indicator Disability Adjusted Life Years (DALYs). By the use of DALYs identify the burden of disease in the countries in the network. DALYs emphasize the emergency of mental disorders, diabetes mellitus in women and the disorders associated with alcohol consumption and injuries in men. Latin America is the region with more national studies of burden of disease, using a standardized methodology, that allows identifying new health priorities which are pressing to the health services; for that reason these results constitute an element to take into account in the establishment of public policies in each country.

  12. The global burden of respiratory disease.

    Science.gov (United States)

    Ferkol, Thomas; Schraufnagel, Dean

    2014-03-01

    The Forum of International Respiratory Societies has released a report entitled Respiratory Disease in the World: Realities of Today-Opportunities for Tomorrow. The report identifies five conditions that primarily contribute to the global burden of respiratory disease (asthma, chronic obstructive pulmonary disease, acute respiratory infections, tuberculosis, and lung cancer), and offers an action plan to prevent and treat those diseases. It describes the staggering magnitude of the global burden of lung disease: hundreds of millions of people suffer and four million people die prematurely from respiratory diseases each year. The situation is not hopeless, because most major respiratory illnesses are avoidable. Much of the disease burden can be mitigated by reducing exposure to indoor and outdoor air pollution, restraining tobacco use, and relieving urban overcrowding. Implementation of the strategies described in the Forum of International Respiratory Societies respiratory diseases report would have a profound effect on respiratory health, reduce economic costs, and enhance health equality in the world.

  13. Health Burden of Extreme Weather in Thailand

    Directory of Open Access Journals (Sweden)

    Jiraphan Plongmak

    2013-01-01

    Full Text Available This study assessed and evaluated the variation of the health burden in response to extreme weather events that occurred in Thailand from 2006 to 2010. The health burden was assessed using disability-adjusted life years (DALYs lost and deaths from injuries as its indicators. Thailand has a DALYs lost of over 16,274 from extreme weather events. Extreme weather events include floods, flash floods, and severe storms, and most of the DALYs in Thailand were lost from floods (approximately 12,872 DALYs. The second most impactful weather event was severe storms, with losses of approximately 2,019 DALYs, followed by flash floods, which caused losses of about 1,383 DALYs. Climate change is a cause of extreme weather events, and a relationship betweenclimate and health has been found worldwide. Improved long-term, high-quality data sets are needed to better analyze and improve accuracy of the health burden.

  14. Targeting communication interventions to decrease caregiver burden.

    Science.gov (United States)

    Wittenberg-Lyles, Elaine; Goldsmith, Joy; Oliver, Debra Parker; Demiris, George; Rankin, Anna

    2012-11-01

    To describe family communication patterns that give shape to four types of family caregivers: Manager, Carrier, Partner, and Loner. Case studies of oncology family caregivers and hospice patients selected from data collected as part of a larger, randomized controlled trial aimed at assessing family participation in interdisciplinary team meetings. Each caregiver type demonstrates essential communication traits with nurses and team members; an ability to recognize these caregiver types will facilitate targeted interventions to decrease family oncology caregiver burden. By becoming familiar with caregiver types, oncology nurses will be better able to address family oncology caregiver burden and the conflicts arising from family communication challenges. With an understanding of family communication patterns and its impact on caregiver burden, nurses can aid the patient, family, and team to best optimize all quality-of-life domains for patient and family caregiver. Copyright © 2012 Elsevier Inc. All rights reserved.

  15. Tests of the weak equivalence principle

    Science.gov (United States)

    Speake, C. C.; Will, C. M.

    2012-09-01

    The Einstein equivalence principle is the foundation for general relativity and all metric theories of gravity. Of its three tenets—the equality of acceleration of test bodies, or weak equivalence principle; the validity of Lorentz invariance in local freely falling frames; and the position invariance of local physical laws—the weak equivalence principle has played the most important role historically, and continues to be a focus of intense theoretical and experimental investigation. From the probably apocryphal 16th century demonstrations by Galileo at Pisa's leaning tower to the sensitive torsion-balance measurements of today (both pictured on the cover of this issue), this principle, dubbed WEP, has been crucial to the development of gravitation theory. The universality of the rate of acceleration of all types of matter in a gravitational field can be taken as evidence that gravitation is fundamentally determined by the geometry, or metric, of spacetime. Newton began his magnum opus 'The Principia' with a discussion of WEP and his experiments to verify it, while Einstein took WEP for granted in his construction of general relativity, never once referring to the epochal experiments by Baron Eötvös. The classic 1964 experiment of Roll, Krotkov and Dicke ushered in the modern era of high-precision tests, and the search for a 'fifth force' during the late 1980s (instigated, ironically, by purported anomalies in Eötvös's old data) caused the enterprise to pivot from pure tests of the foundation of GR to searches for new physics beyond the standard model of the non-gravitational interactions. Today, the next generation of experimental tests of WEP are being prepared for launch or are being developed, with the goal of reaching unprecedented levels of sensitivity, in search of signatures of interactions inspired by string theory, extra dimensions and other concepts from the world of high-energy physics. At the same time observations continue using lunar laser

  16. 42 CFR 93.516 - Standard and burden of proof.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Standard and burden of proof. 93.516 Section 93.516... Actions Hearing Process § 93.516 Standard and burden of proof. (a) Standard of proof. The standard of proof is the preponderance of the evidence. (b) Burden of proof. (1) ORI bears the burden of proving the...

  17. Tax burden - the tax evasion generator

    OpenAIRE

    Iudit FODOR

    2009-01-01

    The economic globalization has emphasized and elaborated the existing inter-dependencies between the national economies, favouring the development of the world economy, but at the same time, of the underground economy - a tax evasion generator. In the context of debating the tax evasion which is currently present in all the countries of the world, it is not possible to ignore one of the most important generating factors of this phenomenon, i.e. the tax burden. In our opinion, the tax burden i...

  18. The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

    Science.gov (United States)

    Charara, Raghid; Forouzanfar, Mohammad; Naghavi, Mohsen; Moradi-Lakeh, Maziar; Afshin, Ashkan; Vos, Theo; Daoud, Farah; Wang, Haidong; El Bcheraoui, Charbel; Khalil, Ibrahim; Hamadeh, Randah R.; Khosravi, Ardeshir; Rahimi-Movaghar, Vafa; Khader, Yousef; Al-Hamad, Nawal; Makhlouf Obermeyer, Carla; Rafay, Anwar; Asghar, Rana; Rana, Saleem M.; Shaheen, Amira; Abu-Rmeileh, Niveen M. E.; Husseini, Abdullatif; Abu-Raddad, Laith J.; Khoja, Tawfik; Al Rayess, Zulfa A.; AlBuhairan, Fadia S.; Hsairi, Mohamed; Alomari, Mahmoud A.; Ali, Raghib; Roshandel, Gholamreza; Terkawi, Abdullah Sulieman; Hamidi, Samer; Refaat, Amany H.; Westerman, Ronny; Kiadaliri, Aliasghar Ahmad; Akanda, Ali S.; Ali, Syed Danish; Bacha, Umar; Badawi, Alaa; Bazargan-Hejazi, Shahrzad; Faghmous, Imad A. D.; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Jonas, Jost B.; Kuate Defo, Barthelemy; Mehari, Alem; Omer, Saad B.; Pourmalek, Farshad; Uthman, Olalekan A.; Mokdad, Ali A.; Maalouf, Fadi T.; Abd-Allah, Foad; Akseer, Nadia; Arya, Dinesh; Borschmann, Rohan; Brazinova, Alexandra; Brugha, Traolach S.; Catalá-López, Ferrán; Degenhardt, Louisa; Ferrari, Alize; Haro, Josep Maria; Horino, Masako; Hornberger, John C.; Huang, Hsiang; Kieling, Christian; Kim, Daniel; Kim, Yunjin; Knudsen, Ann Kristin; Mitchell, Philip B.; Patton, George; Sagar, Rajesh; Satpathy, Maheswar; Savuon, Kim; Seedat, Soraya; Shiue, Ivy; Skogen, Jens Christoffer; Stein, Dan J.; Tabb, Karen M.; Whiteford, Harvey A.; Yip, Paul; Yonemoto, Naohiro; Murray, Christopher J. L.; Mokdad, Ali H.

    2017-01-01

    The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost–YLLs) and nonfatal outcomes (years lived with disability–YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100,000 population): 2519 DALYS/100,000 (2590/100,000 males, 2426/100,000 females) in high-income countries, 1884 DALYS/100,000 (1618/100,000 males, 2157/100,000 females) in middle-income countries, 1607 DALYS/100,000 (1500/100,000 males, 1717/100,000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25–49 age group, with a peak in the 35–39 years age group (5344 DALYs/100,000). The burden of mental disorders in EMR increased from 1726 DALYs/100,000 in 1990 to 1912 DALYs/100,000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of

  19. Notes on The Energy Equivalence of Information.

    Science.gov (United States)

    Matta, Chérif F; Massa, Lou

    2017-11-30

    Maxwell's demon makes observations and thereby collects information. As Brillouin points out such information is the negative of entropy (negentropy) and is the equivalent of a cost in energy. The energy cost of information can be quantified in the relationship E = kT ln 2, where k is the Boltzmann constant, T is the absolute temperature, and the factor ln 2 arises from the existence of two possibilities for a "yes/no" circumstance, as, for example, in the passage of a proton through a barrier controlled by a Maxwell's demon. This paper considers further conclusions that follow from the quantification of the energy cost of information. First, consideration of the minimum uncertainty in the measurement of energy cost of information leads to an expression for the uncertainty in the corresponding time of the measurement, which depends inversely upon temperature at which the measurements occur. Second, because of the universal connection between energy and mass, an almost imperceptible mass accompanies the accumulation of information. And third, to account for the total free energy change that describes the action of adenosine triphosphate (ATP) synthase, an additional term is suggested to be appended to the Mitchell chemiosmotic equation, which describes this process. The additional term accounts for the energy cost of sorting away from background ions those protons allowed to enter the ATP synthase.

  20. Testing the equivalence principle on a trampoline

    Science.gov (United States)

    Reasenberg, Robert D.; Phillips, James D.

    2001-07-01

    We are developing a Galilean test of the equivalence principle in which two pairs of test mass assemblies (TMA) are in free fall in a comoving vacuum chamber for about 0.9 s. The TMA are tossed upward, and the process repeats at 1.2 s intervals. Each TMA carries a solid quartz retroreflector and a payload mass of about one-third of the total TMA mass. The relative vertical motion of the TMA of each pair is monitored by a laser gauge working in an optical cavity formed by the retroreflectors. Single-toss precision of the relative acceleration of a single pair of TMA is 3.5×10-12 g. The project goal of Δg/g = 10-13 can be reached in a single night's run, but repetition with altered configurations will be required to ensure the correction of systematic error to the nominal accuracy level. Because the measurements can be made quickly, we plan to study several pairs of materials.

  1. Challenging a culture of racial equivalence.

    Science.gov (United States)

    Song, Miri

    2014-03-01

    We live at a time when our understandings and conceptualizations of 'racism' are often highly imprecise, broad, and used to describe a wide range of racialized phenomena. In this article, I raise some important questions about how the term racism is used and understood in contemporary British society by drawing on some recent cases of alleged racism in football and politics, many of which have been played out via new media technologies. A broader understanding of racism, through the use of the term 'racialization', has been helpful in articulating a more nuanced and complex understanding of racial incidents, especially of people's (often ambivalent) beliefs and behaviours. However, the growing emphasis upon 'racialization' has led to a conceptualization of racism which increasingly involves multiple perpetrators, victims, and practices without enough consideration of how and why particular interactions and practices constitute racism as such. The trend toward a growing culture of racial equivalence is worrying, as it denudes the idea of racism of its historical basis, severity and power. These frequent and commonplace assertions of racism in the public sphere paradoxically end up trivializing and homogenizing quite different forms of racialized interactions. I conclude that we need to retain the term 'racism', but we need to differentiate more clearly between 'racism' (as an historical and structured system of domination) from the broader notion of 'racialization'. © London School of Economics and Political Science 2014.

  2. Mathematical Equivalence of Evolution and Design

    Directory of Open Access Journals (Sweden)

    Leonid Perlovsky

    2010-12-01

    Full Text Available "Every one who is seriously involved in the pursuit of science becomes convinced that a spirit is manifest in the laws of the Universe." This Einsteinian statement remains outside of science. Our current understanding of the mind mechanisms have come close to explaining spirituality from the scientific point of view. In this paper a theory is presented which is a mathematical breakthrough, overcoming decades of limitations in AI, pattern recognition, neural networks, and other attempts to model the brain-mind. Solutions to engineering problems are presented that have overcome previous difficulties in terms of computational complexity. These solutions result in orders of magnitude improvement in detection, prediction, tracking, fusion, and learning situations. The theory is also extended to higher cognitive functions. It models the knowledge instinct operating in the hierarchy of the human brain-mind. At the top are concepts unifying our entire knowledge; we perceive them as concepts of the meaning and purpose of our existence. This theory is formulated mathematically as dynamic and equivalently as teleological. Experimental results supporting the theory are discussed. The theory overcomes various difficulties, including reductionism, which, in the past, interfered with the acceptance of scientific explanations of the spiritual.

  3. EDITORIAL Neglected Diseases: Burden and attention

    African Journals Online (AJOL)

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    Neglected diseases are largely infectious diseases that have burdened humanity for centuries, but currently receiving little attention. Infectious diseases in their long histories have resulted in considerable morbidities, disabilities and deformities, often subjecting to stigma. The magnitude of their impact on health and labor.

  4. The dual burden of malnutrition in Colombia.

    Science.gov (United States)

    Sarmiento, Olga L; Parra, Diana C; González, Silvia A; González-Casanova, Inés; Forero, Ana Y; Garcia, Johnattan

    2014-12-01

    Almost all nutrition policies in Colombia currently focus on either undernutrition or obesity, with the predominant emphasis on undernutrition. It is crucial to assess the prevalence of the dual burden of malnutrition in Colombia to better target programs and policies. The aim was to estimate the national prevalence of the dual burden of malnutrition in Colombia at the individual and household levels in children aged Colombia, low to high prevalences of overweight and obesity (3.4-51.2%) coexist with moderate to high prevalences of anemia (8.1-27.5%) and stunting (13.2%). The observed prevalence of the dual burden was lower than expected. Approximately 5% of households had at least one stunted child aged Colombia are lower than expected. Despite the independence of the occurrence of these conditions, the fact that the dual burden coexists at the national, household, and intraindividual levels suggests that public policies should address both conditions through multiple strategies. It is imperative to evaluate the current nutrition policies to inform malnutrition prevention efforts in Colombia and to share lessons with other countries at a similar stage of nutritional transition. © 2014 American Society for Nutrition.

  5. The Global Burden of Cancer 2013

    NARCIS (Netherlands)

    Fitzmaurice, C.; Geleijnse, J.M.; Naghavi, M.R.; et al.,

    2015-01-01

    Importance Cancer is among the leading causes of death worldwide. Current estimates of cancer burden in individual countries and regions are necessary to inform local cancer control strategies. Objective To estimate mortality, incidence, years lived with disability (YLDs), years of life lost (YLLs),

  6. Economic burden of Parkinson's disease in Singapore.

    Science.gov (United States)

    Zhao, Y J; Tan, L C S; Li, S C; Au, W L; Seah, S H; Lau, P N; Luo, N; Wee, H L

    2011-03-01

    This study was carried out to evaluate the economic burden of Parkinson's disease (PD) and factors independently associated with individual components of total cost in Singapore. A consecutive sample of 195 patients with PD (mean age: 68.2, men: 51.8%) attending a tertiary neuroscience clinic were identified and interviewed using standardized questionnaires including a financial burden questionnaire, two Health Related Quality of Life (HRQoL) questionnaires and the Beck Depression Inventory questionnaire. Annual total cost of PD from a societal perspective was SGD11345 (USD10129) per patient, with direct cost accounted for 38.5% and indirect cost 61.5%. The main cost components for direct medical cost, direct non-medical cost, and indirect cost was pharmacotherapy (50.4%), home care (76.1%), and productivity loss (97.9%), respectively. In multiple linear regression analysis, higher education, younger age and longer duration of PD were associated with higher total cost. Parkinson's disease exerts a considerable burden on patients, health care system and society in Singapore. As productivity loss accounts for a large share of the economic burden imposed by PD, treatments and health care programmes with potential for returning patients to higher productivity are urgently needed. © 2010 The Author(s). European Journal of Neurology © 2010 EFNS.

  7. Hospitalization Burden among Individuals with Autism

    Science.gov (United States)

    Lokhandwala, Tasneem; Khanna, Rahul; West-Strum, Donna

    2012-01-01

    The objective of this study was to assess the inpatient care burden among individuals with autism using the 2007 Health Care Utilization Project Nationwide Inpatient Sample [HCUP NIS]). There were approximately 26,000 hospitalizations among individuals with autism in 2007, with an overall rate of 65.6/100,000 admissions. Rates of hospitalizations…

  8. CALCULATION OF THE PROCESS OF BURDEN HEATING

    Directory of Open Access Journals (Sweden)

    S. L. Rovin

    2009-01-01

    Full Text Available The original method of calculation of duration of burden heating till predetermined temperature is stated. The results of numerical modeling of nonstationary heating of fixed bed are given. Experimental check of the received results is carried out at full-scale plants.

  9. THE MALARIA BURDEN AND AGRICULTURAL OUTPUT IN ...

    African Journals Online (AJOL)

    iya beji

    This being the case, the government is advised to make the rural areas, where majority of farmers reside, a priority in its malaria control efforts. Key Words: Malaria burden; Nigerian agricultural output; and malaria control efforts. INTRODUCTION. Malaria is a serious problem in Africa (Gallup and Sachs, 2001; Shepard, et al,.

  10. Modelling injury-burden in rugby sevens.

    Science.gov (United States)

    Fuller, Colin W

    2017-10-23

    To develop a time-based model of injury-burden for international rugby sevens teams and to demonstrate its utility. Descriptive, cohort study. Injury data recorded during seven seasons of the Sevens World Series were used to quantify the rate of injury and the rate at which injured players recovered from injury. An equation describing the rate at which injuries were sustained was combined with an equation for the rate at which injured players recovered from injury to produce a time-based equation for the injury-burden of rugby sevens players at any point in time during a season. The overall rates at which match and training injuries were sustained (incidence of injury) were 108.6 (95% confidence interval: 101.6-116.1) injuries/1000 player-match-hours and 0.91 (95% CI: 0.65-1.27) injuries/1000 player-training-hours, respectively. Injured players recovered from injury according to a first-order rate equation with a rate constant of 0.0257 days(-1) calculated from the median severity of injuries sustained (27 days). The time-based injury-burden values predicted from the proposed kinetic model of injury-burden closely matched the values recorded in the Sevens World Series. For governing bodies in rugby, the proposed model provides a way to examine the consequences of changes in the number and timing of international rugby sevens tournaments. For individual teams, the model provides a means to forecast and manage the team's injury-burden as a function of the team's scheduled match and training loads throughout a season. Copyright © 2017. Published by Elsevier Ltd.

  11. On the Equivalence of HLLE and LTSA.

    Science.gov (United States)

    Zhang, Sumin; Ma, Zhengming; Tan, Hengliang

    2018-02-01

    Among the representative algorithms of manifold learning, Hessian locally linear embedding (HLLE) and local tangent space alignment (LTSA) algorithms haven been regarded as two different algorithms. However, in practice, the effects of these two algorithms are very similar and LTSA performs better than HLLE in some applications. This paper tries to account for this phenomenon from a mathematical point of view. There are only two differences between HLLE and LTSA. First, LTSA includes a data point into its neighborhood, while HLLE does not. Second, HLLE and LTSA use different methods to align the local coordinates of manifold. In this paper, we show that, the first difference between HLLE and LTSA is not essential. However, from the viewpoint of data utilization, LTSA does better than HLLE in the neighborhood construction. This may account for why LTSA can perform better than HLLE in some applications. As for the second difference between HLLE and LTSA, we first prove that, the alignment equations used by HLLE and LTSA are exactly the same. Second, we prove that, although HLLE and LTSA uses different methods to solve the alignment equation, their solutions are exactly the same, provided that HLLE adopts the same method as LTSA to construct the neighborhoods. Based on these arguments, we claim that HLLE and LTSA are equivalent to each other. This conclusion can also be verified experimentally by using manifold learning MATLAB demo (MANI), a widely-used experimental platform of manifold learning. When testing HLLE on MANI, if HLLE adopts the same method as LTSA to construct the neighborhoods, the experimental results presented by MANI will be the same as those of LTSA.

  12. General Dynamic Equivalent Modeling of Microgrid Based on Physical Background

    Directory of Open Access Journals (Sweden)

    Changchun Cai

    2015-11-01

    Full Text Available Microgrid is a new power system concept consisting of small-scale distributed energy resources; storage devices and loads. It is necessary to employ a simplified model of microgrid in the simulation of a distribution network integrating large-scale microgrids. Based on the detailed model of the components, an equivalent model of microgrid is proposed in this paper. The equivalent model comprises two parts: namely, equivalent machine component and equivalent static component. Equivalent machine component describes the dynamics of synchronous generator, asynchronous wind turbine and induction motor, equivalent static component describes the dynamics of photovoltaic, storage and static load. The trajectory sensitivities of the equivalent model parameters with respect to the output variables are analyzed. The key parameters that play important roles in the dynamics of the output variables of the equivalent model are identified and included in further parameter estimation. Particle Swarm Optimization (PSO is improved for the parameter estimation of the equivalent model. Simulations are performed in different microgrid operation conditions to evaluate the effectiveness of the equivalent model of microgrid.

  13. An approach to calculating childhood body burdens of dibenzodioxins and dibenzofurans which accounts for age-dependent biological half lives

    Energy Technology Data Exchange (ETDEWEB)

    Paustenbach, D. [ChemRisk, San Francisco, CA (United States); Leung, H.W. [Leung, H.W. Private Consultant, Danbury, CT (United States); Scott, P. [ChemRisk, Pittsburgh, PA (United States); Kerger, B. [HSRI, Tallahassee, FL (United States)

    2004-09-15

    The purpose of this study is to apply an age-dependent half life model to examine the range of child (ages 0-7) body burdens that correspond to selected exposure scenarios involving background dietary and environmental doses of dioxins. The scenarios examined include breast-fed and nonbreast- fed infants feeding for 6 months, other dioxin uptake from foods through age 7, and exposures to urban residential soils at 1 ppb TCDD toxic equivalents (TEQ). These body burden estimates in children are then compared to the adult body burden estimates corresponding to the range of tolerable daily intakes (1 to 4 pg TEQ/kg-day) proposed by some U.S. and international regulatory/advisory groups.

  14. [Psychosocial burdens in teaching proffession--initial results of Questionnaire of Occupational Burdens in Teaching (QOBT)].

    Science.gov (United States)

    Pyzalski, Jacek

    2008-01-01

    This article presents the results obtained using a new tool for measuring psychosocial burdens in teaching profession--the Questionnaire of Occupational Burdens in Teaching (QOBT). In its first theoretical part, some typologies of stressors in teaching, developed in other countries, are presented and the need to construct a new tool in Poland is discussed. In this part, the construction process of the new tool and its three scales comprising: Conflict Situations, Organizational Burdens and Lack of Work Sense are described. The psychometric features of the new questionnaire (e.g., Cronbach a = 0.63-0.84) are also given. The results are based on a large random sample of teachers from the Łódz voivodeship. The results did not show significant differences in the level of occupational burdens between men and women. Generally, neither are seniority and age related to the level of burdens. One exception are Organizational burdens that slightly more affect older teachers. The study also showed the need to incorporate the activities at the organizational level into programs on occupational stress.

  15. Dynamic equivalence relation on the fuzzy measure algebras

    Directory of Open Access Journals (Sweden)

    Roya Ghasemkhani

    2017-04-01

    Full Text Available The main goal of the present paper is to extend classical results from the measure theory and dynamical systems to the fuzzy subset setting. In this paper, the notion of  dynamic equivalence relation is introduced and then it is proved that this relation is an equivalence relation. Also, a new metric on the collection of all equivalence classes is introduced and it is proved that this metric is complete.

  16. Equivalent Viscous Damping Models in Displacement Based Seismic Design

    Directory of Open Access Journals (Sweden)

    Raul Zaharia

    2005-01-01

    Full Text Available The paper reviews some equivalent viscous damping models used in the displacement based seismic design considering the equivalent linearization. The limits of application of the models are highlighted, based on comparison existing in the literature. The study is part of research developed by author, aimed to determine the equivalent linear parameters in order to predict the maximum displacement response for earthquakes compatible with given response spectra.

  17. Equivalence of Deterministic Nested Word to Word Transducers

    Science.gov (United States)

    Staworko, Sławomir; Laurence, Grégoire; Lemay, Aurélien; Niehren, Joachim

    We study the equivalence problem of deterministic nested word to word transducers and show it to be surprisingly robust. Modulo polynomial time reductions, it can be identified with 4 equivalence problems for diverse classes of deterministic non-copying order-preserving transducers. In particular, we present polynomial time back and fourth reductions to the morphism equivalence problem on context free languages, which is known to be solvable in polynomial time.

  18. Mineral lung burden of an urban population

    Science.gov (United States)

    Paoletti, L.; Falchi, M.; Batisti, D.; Carrieri, M. P.; Petrelli, M. G.; Ciallella, C.; Donelli, G.

    A study was carried out on mineral lung burden in 85 autopsy cases who died accidentally. Subjects of both sexes aged from 15 to 70 years were selected from all the autopsies performed at the Institute of Forensic Medicine in Rome. These subjects were living in an urban area and were not affected by neoplasm diseases. All selected subjects were residing in Rome at the time of their death. Information on years of legal residence in urban areas, smoking habits and occupational history were obtained by interviews with relatives. Lung parenchyma samples were obtained from the right upper lobe. The mineral particulate matter present in the tissue samples was studied by means of analytical transmission electron microscopy (ATEM) techniques: 16 mineral varieties and 22 metallic elements were identified. Smoke, age and residence seem to have influence on the lung burden.

  19. Rising Burden of Obesity in Asia

    Directory of Open Access Journals (Sweden)

    Ambady Ramachandran

    2010-01-01

    Full Text Available Overweight and obesity have reached epidemic proportions in many Asian countries. These countries also face a grave burden of obesity-related disorders such as diabetes, hypertension, and cardiovascular diseases, which develop at a younger age than in Western populations. These disorders are also manifested in childhood. The major causative factors are related to the lifestyle changes occurring due to rapid socioeconomic transition. Asian populations show several differences in genetic factors when compared with the white population, and they also have lower cut points for environmental risk factors. National programmes targeting public awareness, education and improved structural facilities to facilitate healthy lifestyle are the keys to alleviate the economic and health care burden of the obesity-related disorders.

  20. Caregiver burden and the medical ethos.

    Science.gov (United States)

    Witt, Karsten; Stümpel, Johanne; Woopen, Christiane

    2017-09-01

    Are physicians sometimes morally required to ease caregiver burden? In our paper we defend an affirmative answer to this question. First, we examine the well-established principle that medical care should be centered on the patient. We argue that although this principle seems to give physicians some leeway to lessen caregivers' suffering, it is very restrictive when spelled out precisely. Based on a critical analysis of existing cases for transcending patient-centeredness we then go on to argue that the medical ethos should indeed contain a rule requiring physicians to alleviate caregiver burden under certain circumstances. Finally, we apply our findings to deep brain stimulation (DBS) for Parkinson's disease. We present empirical data from a recent study of DBS indicating that spousal caregivers of Parkinson patients treated with DBS are sometimes deeply troubled by the effects of the therapy and discuss what moral obligations the treating physicians may have in such cases.

  1. Approximate Testing Equivalence Based on Time, Probability, and Observed Behavior

    Directory of Open Access Journals (Sweden)

    Alessandro Aldini

    2010-06-01

    Full Text Available Several application domains require formal but flexible approaches to the comparison problem. Different process models that cannot be related by behavioral equivalences should be compared via a quantitative notion of similarity, which is usually achieved through approximation of some equivalence. While in the literature the classical equivalence subject to approximation is bisimulation, in this paper we propose a novel approach based on testing equivalence. As a step towards flexibility and usability, we study different relaxations taking into account orthogonal aspects of the process observations: execution time, event probability, and observed behavior. In this unifying framework, both interpretation of the measures and decidability of the verification algorithms are discussed.

  2. The burden of tetanus in Uganda

    OpenAIRE

    Nanteza, Barbara; Galukande, Moses; Aceng, Jane; Musinguzi, Joshua; Opio, Alex; Mbonye, Anthony K; Mukooyo, Eddie; Behumize, Prosper; Makumbi, Fredrick

    2016-01-01

    Background The successful scale-up of safe male circumcision (SMC) in Uganda has been hinged on client?s safety and quality of services. However, after the recent three tetanus deaths after circumcision a review of all tetanus cases in one of the hospitals where the cases occurred was initiated. This was to ascertain the potential for an association between tetanus infection and circumcision. Routinely collected national data were also reviewed to determine the burden of tetanus in Uganda and...

  3. The global burden of congenital heart disease

    OpenAIRE

    Hoffman, Julien IE

    2013-01-01

    Abstract Although the incidence of congenital heart disease (CHD) is similar worldwide, the burden of supporting these patients falls more heavily on countries with high fertility rates. In a country with a fertility rate of about eight per woman, the population has to support four times as many children with CHD as in a country with a fertility rate of two. Countries with the highest fertility rates tend to have the lowest incomes per capita, thus accentuating the disparity. Countries with h...

  4. Helicobacter Pylori associated global gastric cancer burden

    OpenAIRE

    Mbulaiteye, Sam M; Hisada, Michie; El-Omar, Emad M.

    2009-01-01

    Helicobacter pylori infection is ubiquitous, infecting close to one-half of the world's population, but its prevalence is declining in developed countries. Chronic H. pylori infection is etiologically linked to gastric adenocarcinoma, especially non-cardia type (63% of all stomach cancer or ∼5.5% of the global cancer burden: ∼25% of cancers associated with infectious etiology), and to gastric mucosal associated lymphoid tissue (MALT) lymphoma, which accounts for up to 8% of all non-Hodgkin ly...

  5. The burden of insomnia in Japan

    OpenAIRE

    Mishima K.; DiBonaventura MD; Gross H.

    2015-01-01

    Kazuo Mishima,1 Marco daCosta DiBonaventura,2 Hillary Gross2 1Department of Psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan; 2Kantar Health, New York, NY, USA Objectives: Several studies have suggested that patients who experience insomnia report a number of significant impairments. However, despite this literature, fewer studies have focused on the burden of insomnia among patients in Japan. The objective of the curre...

  6. The global burden of alveolar echinococcosis.

    Directory of Open Access Journals (Sweden)

    Paul R Torgerson

    Full Text Available BACKGROUND: Human alveolar echinococcosis (AE is known to be common in certain rural communities in China whilst it is generally rare and sporadic elsewhere. The objective of this study was to provide a first estimate of the global incidence of this disease by country. The second objective was to estimate the global disease burden using age and gender stratified incidences and estimated life expectancy with the disease from previous results of survival analysis. Disability weights were suggested from previous burden studies on echinococcosis. METHODOLOGY/PRINCIPAL FINDINGS: We undertook a detailed review of published literature and data from other sources. We were unable to make a standardised systematic review as the quality of the data was highly variable from different countries and hence if we had used uniform inclusion criteria many endemic areas lacking data would not have been included. Therefore we used evidence based stochastic techniques to model uncertainty and other modelling and estimating techniques, particularly in regions where data quality was poor. We were able to make an estimate of the annual global incidence of disease and annual disease burden using standard techniques for calculation of DALYs. Our studies suggest that there are approximately 18,235 (CIs 11,900-28,200 new cases of AE per annum globally with 16,629 (91% occurring in China and 1,606 outside China. Most of these cases are in regions where there is little treatment available and therefore will be fatal cases. Based on using disability weights for hepatic carcinoma and estimated age and gender specific incidence we were able to calculate that AE results in a median of 666,434 DALYs per annum (CIs 331,000-1.3 million. CONCLUSIONS/SIGNIFICANCE: The global burden of AE is comparable to several diseases in the neglected tropical disease cluster and is likely to be one of the most important diseases in certain communities in rural China on the Tibetan plateau.

  7. The global burden of alveolar echinococcosis.

    Science.gov (United States)

    Torgerson, Paul R; Keller, Krista; Magnotta, Mellissa; Ragland, Natalie

    2010-06-22

    Human alveolar echinococcosis (AE) is known to be common in certain rural communities in China whilst it is generally rare and sporadic elsewhere. The objective of this study was to provide a first estimate of the global incidence of this disease by country. The second objective was to estimate the global disease burden using age and gender stratified incidences and estimated life expectancy with the disease from previous results of survival analysis. Disability weights were suggested from previous burden studies on echinococcosis. We undertook a detailed review of published literature and data from other sources. We were unable to make a standardised systematic review as the quality of the data was highly variable from different countries and hence if we had used uniform inclusion criteria many endemic areas lacking data would not have been included. Therefore we used evidence based stochastic techniques to model uncertainty and other modelling and estimating techniques, particularly in regions where data quality was poor. We were able to make an estimate of the annual global incidence of disease and annual disease burden using standard techniques for calculation of DALYs. Our studies suggest that there are approximately 18,235 (CIs 11,900-28,200) new cases of AE per annum globally with 16,629 (91%) occurring in China and 1,606 outside China. Most of these cases are in regions where there is little treatment available and therefore will be fatal cases. Based on using disability weights for hepatic carcinoma and estimated age and gender specific incidence we were able to calculate that AE results in a median of 666,434 DALYs per annum (CIs 331,000-1.3 million). The global burden of AE is comparable to several diseases in the neglected tropical disease cluster and is likely to be one of the most important diseases in certain communities in rural China on the Tibetan plateau.

  8. The Global Burden of Alveolar Echinococcosis

    OpenAIRE

    Torgerson, Paul R; Krista Keller; Mellissa Magnotta; Natalie Ragland

    2010-01-01

    BACKGROUND: Human alveolar echinococcosis (AE) is known to be common in certain rural communities in China whilst it is generally rare and sporadic elsewhere. The objective of this study was to provide a first estimate of the global incidence of this disease by country. The second objective was to estimate the global disease burden using age and gender stratified incidences and estimated life expectancy with the disease from previous results of survival analysis. Disability weights were sugge...

  9. The burden of Duchenne muscular dystrophy

    OpenAIRE

    Landfeldt, Erik; Lindgren, Peter; Bell, Christopher F.; Schmitt, Claude; Guglieri, Michela; Straub, Volker; Lochmüller, Hanns; Bushby, Katharine

    2014-01-01

    Objective: The objective of this study was to estimate the total cost of illness and economic burden of Duchenne muscular dystrophy (DMD). Methods: Patients with DMD from Germany, Italy, United Kingdom, and United States were identified through Translational Research in Europe–Assessment & Treatment of Neuromuscular Diseases registries and invited to complete a questionnaire online together with a caregiver. Data on health care use, quality of life, work status, informal care, and household e...

  10. The economic burden of sunscreen usage

    OpenAIRE

    Johal, Ritika; Leo, Michael S; Ma, Brian; Sivamani, Raja K

    2014-01-01

    Excessive sun exposure is known to be the leading cause of skin cancer. The direct cellular damage inflicted by the ultraviolet (UV) radiation from the sun results in premature aging, DNA damage, and mutations that ultimately lead to skin cancer. Sunscreens are highly recommended to protect against UV radiation. However, little research has been conducted on the economic burden of sunscreen use. In this study, we aimed to evaluate the annual cost of sunscreen under both ideal and actual use c...

  11. Understanding Social Support Burden Among Family Caregivers

    Science.gov (United States)

    Washington, Karla; Demiris, George; Parker Oliver, Debra; Shaunfield, Sara

    2014-01-01

    Despite the abundance of research on social support, both as a variable in larger studies and as a central focus of examination, there is little consensus about the relationship between social support and health outcomes. Current social support measures typically account only for frequency and size of network and a paucity of research exists that has explained social support burden, defined as the burden associated with accessing and receiving support from others. We analyzed audio-recorded discussions by hospice family caregivers about their caregiving problems and potential solutions to examine social relationships within networks and identify the processes that influence social support seeking and receiving. Using qualitative thematic analysis, we found that caregivers providing hospice care experience social support burden resulting from perceived relational barriers between friends and family, the inclination to remain in control, recognition of the loss of the patient as a source of social support and guidance in decision-making, family dynamics and decreased availability of emotional support. Social support researchers should consider how the quality of communication and relationships within social networks impacts the provision and subsequent outcomes of social support in varying contexts. Findings from this study suggest that hospice social support resources should be tailored to the caregiver’s support needs and include assessment on the type of support to be offered. PMID:24345081

  12. Caregiver Burden in Epilepsy: Determinants and Impact

    Directory of Open Access Journals (Sweden)

    Ioannis Karakis

    2014-01-01

    Full Text Available Aim. Caregiver burden (CB in epilepsy constitutes an understudied area. Here we attempt to identify the magnitude of this burden, the factors associated with it, and its impact to caregiver quality of life (QOL. Methods. 48 persons with epilepsy (PWE underwent video-EEG monitoring and their caregivers completed questionnaires providing demographic, disease-related, psychiatric, cognitive, sleep, QOL, and burden information. Results. On regression analysis, higher number of antiepileptic drugs, poorer patient neuropsychological performance, lower patient QOL score, and lower caregiver education level were associated with higher CB. Time allocated to patient care approximated but did not attain statistical significance. A moderate inverse correlation between CB and caregiver QOL physical component summary score and a stronger inverse correlation between CB and caregiver QOL mental component summary score were seen. Conclusion. In a selected cohort of PWE undergoing video-EEG monitoring, we identified modest degree of CB, comparable to that reported in the literature for other chronic neurological conditions. It is associated with specific patient and caregiver characteristics and has a negative effect on caregiver QOL.

  13. Clinical Burden of Laparoscopic Feeding Jejunostomy Tubes.

    Science.gov (United States)

    Speer, Emily A; Chow, Simon C; Dunst, Christy M; Shada, Amber L; Halpin, Valerie; Reavis, Kevin M; Cassera, Maria; Swanström, Lee L

    2016-05-01

    Feeding jejunostomies (J tubes) provide enteral nutrition when oral and gastric routes are not options. Despite their prevalence, there is a paucity of literature regarding their efficacy and clinical burden. All laparoscopic J tubes placed over a 5-year period were retrospectively reviewed. Clinical burden was measured by number of clinical contact events (tube-related clinic visits, phone calls, ED visits) and morbidity (dislodgement, clogging, tube fracture, infection, other). Tube replacements were also recorded. One hundred fifty-one patients were included. Fifty-nine percent had associated malignancy, and 35 % were placed for nutritional prophylaxis. Mean time to J tube removal was 146 days. J tubes were expected to be temporary in >90 % but only 50 % had sufficient oral intake for removal. Tubes were removed prematurely due to patient intolerance in 8 %. Mortality was 0 %. Morbidity was 51 % and included clogging (12 %), tube fracture (16 %), dislodgement (25 %), infection (18 %) and "other" (leaking, erosion, etc.) in 17 %. The median number of adverse events per J tube was 2(0-8). Mean number of clinic phone calls was 2.5(0-22), ED visits 0.5(0-7), and clinic visits 1.4(0-13), with 82 % requiring more than one J tube-related clinic visit. Unplanned replacements occurred in 40 %. While necessary for some patients, J tubes are associated with high clinical burden.

  14. The burden of fungal disease in Denmark.

    Science.gov (United States)

    Mortensen, Klaus L; Denning, David W; Arendrup, Maiken C

    2015-10-01

    The aim of this study is to calculate the burden of fungal disease in Denmark. We identified all published epidemiology papers reporting fungal infection rates in Denmark. Where no data existed, we used numbers of specific populations at risk and fungal infection frequencies in those populations to estimate national incidence or prevalence. Approximately, one in six Danes will suffer from a fungal infection each year, most of which are skin or mucosal diseases causing disability but no deaths. Good data exist on candidaemia where a national voluntary reporting system is in place and have shown a high rate (9.6 per 100,000 inhabitants) compared other European countries. We present estimates of invasive aspergillosis and chronic pulmonary aspergillosis with rates of 4.4 per 100,000 and 3.1 per 100,000 inhabitants, respectively. Further studies are needed in order to better ascertain high-burden fungal infections such as recurrent vulvovaginal candidiasis (~1350 cases in 100,000 women) as well as allergic bronchopulmonary aspergillosis (~131 cases in 100,000 inhabitants) and severe asthma with fungal sensitisation (cases in 100,000 inhabitants). In conclusion, more than 93,000 Danes or about 2% of Denmark's population will have a non-trivial fungal infection during 1 year, which underscores the magnitude of the fungal burden. © 2015 Blackwell Verlag GmbH.

  15. Tobacco and the Escalating Global Cancer Burden

    Directory of Open Access Journals (Sweden)

    Richard F. Oppeltz

    2011-01-01

    Full Text Available The global burden of cancer is escalating as a result of dramatic increases in the use of tobacco in the developing world. The use of tobacco is linked to the development of a broad variety of cancers, mainly lung cancer, the single most common cancer in the world. Tobacco smoking-attributable deaths extends beyond cancer and include stroke, heart attack and COPD. Widening disparities in cancer-related mortality have shifted towards a more dramatic burden in the developing world. Appropriate interventions must be implemented to reduce tobacco use and prevent global mortality that has escalated to epidemic levels. Tobacco control policies, including public health advertisement campaigns, warning labels, adoption of smoke-free laws, comprehensive bans and tax policies are highly effective measures to control tobacco use. Clinicians and academic institutions have to be actively committed to support tobacco control initiatives. The reduction in cancer related morbidity and mortality should be viewed as a global crisis and definitive results will depend on a multilevel effort to effectively reduce the burden of cancer, particularly in underprivileged regions of the world.

  16. Fear of future terrorism: Associated psychiatric burden.

    Science.gov (United States)

    Abiola, T; Udofia, O; Sheikh, T L; Yusuf, D A

    2017-02-04

    The mental health burden from fear of future terrorism has not been given much research attention compared to the immediate mental distress such as post-traumatic stress disorder (PTSD). Such neglected ongoing mental health morbidity associated with threats of terrorism had been described as pre-traumatic stress syndrome (PTSS). The study highlighted this phenomenon (PTSS) in Nigeria by examining the catastrophic burden of the fear of future terrorism and associated psychiatric burden among adult population in Kaduna city. Participants were students and staff of Kaduna State University (KASU), Kaduna Polytechnic, and students awaiting admission into Kaduna State University. They responded to the following instruments after obtaining their informed consents: a sociodemographic questionnaire, the Terrorism Catastrophising Scale (TCS), and the depression and Generalised Anxiety Disorder (GAD) portion of Mini International Neuropsychiatric Interview (MINI). The TCS showed that 78.8% of the participants had from moderate to severe clinical distress on fear of terrorism. The TCS has a Cronbach's alpha of 0.721 and also had significant moderate correlation with depression (r=0.278; pterrorism was high and this was relatively related to depression and GAD. This highlighted the need for ongoing monitoring and called for their effective prevention from the identified underlying cognitive mechanisms. Copyright © 2017. Published by Elsevier B.V.

  17. The Tax Burden on Tobacco Volume 51, 1970-2016

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1970-2016. Orzechowski and Walker. Tax Burden on Tobacco. Tax burden data was obtained from the annual compendium on tobacco revenue and industry statistics, The Tax...

  18. Burden of soil transmitted helminthiases in primary school children ...

    African Journals Online (AJOL)

    appreciated public health burden. School age children harbour the heaviest burden. Infected children experience growth stunting and diminished physical fitness as well as impaired memory and cognition. These adverse health consequences ...

  19. 43 CFR 4.1394 - Burden of proof.

    Science.gov (United States)

    2010-10-01

    ... review, OSM shall have the burden of going forward to establish a prima facie case and the person who... review, that person shall have the burden of going forward to establish a prima facie case and the...

  20. Socioeconomic differences in the burden of disease in Sweden

    DEFF Research Database (Denmark)

    Ljung, Rickard; Peterson, Stefan; Hallqvist, Johan

    2005-01-01

    OBJECTIVE: We sought to analyse how much of the total burden of disease in Sweden, measured in disability-adjusted life years (DALYs), is a result of inequalities in health between socioeconomic groups. We also sought to determine how this unequal burden is distributed across different disease...... of disease were analysed using attributable fractions and the slope index of inequality and the relative index of inequality. FINDINGS: About 30% of the burden of disease among women and 37% of the burden among men is a differential burden resulting from socioeconomic inequalities in health. A large part....... CONCLUSION: This is the first study to use socioeconomic differences, measured by socioeconomic position, to assess the burden of disease using DALYs. We found that in Sweden one-third of the burden of the diseases we studied is unequally distributed. Studies of socioeconomic inequalities in the burden...

  1. Methodological questions of creating tissue-equivalent phantoms

    Science.gov (United States)

    Kolodkin, A. V.; Popov, V. I.; Sychkov, M. A.; Nikl, I.; Erdei, M.; Eyben, O.

    1974-01-01

    On the basis of analysis and generalization of literature data, the composition of tissue equivalent plastic was justified, parameters of a standard man were determined, plaster and metal forms were created for casting dummies, and an experimental model was produced from tissue equivalent material.

  2. On the equivalence of brushlet and wavelet bases

    DEFF Research Database (Denmark)

    Nielsen, Morten; Borup, Lasse

    2005-01-01

    We prove that the Meyer wavelet basis and a class of brushlet systems associated with exponential type partitions of the frequency axis form a family of equivalent (unconditional) bases for the Besov and Triebel-Lizorkin function spaces. This equivalence is then used to obtain new results...

  3. On the equivalence of brushlet and wavelet bases

    DEFF Research Database (Denmark)

    Borup, Lasse; Nielsen, Morten

    We prove that the Meyer wavelet basis and a class of brushlet systems associated with exponential type partitions of the frequency axis form a family of equivalent (unconditional) bases for the Besov and Triebel-Lizorkin function spaces. This equivalence is then used to obtain new results...

  4. 40 CFR 133.105 - Treatment equivalent to secondary treatment.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Treatment equivalent to secondary treatment. 133.105 Section 133.105 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS SECONDARY TREATMENT REGULATION § 133.105 Treatment equivalent to secondary treatment...

  5. When is a background equivalent? Sparse chromatic context revisited

    NARCIS (Netherlands)

    Brenner, E; Cornelissen, FW

    Jenness and Shevell (Vision Res 1995,35:797-805) reported that a red background with white dots scattered on it has a different influence on a target's apparent colour than an equivalent uniform background. We show that this finding depends on what one considers an equivalent background. Jenness and

  6. Students' Conceptions of Models of Fractions and Equivalence

    Science.gov (United States)

    Jigyel, Karma; Afamasaga-Fuata'i, Karoline

    2007-01-01

    A solid understanding of equivalent fractions is considered a steppingstone towards a better understanding of operations with fractions. In this article, 55 rural Australian students' conceptions of equivalent fractions are presented. Data collected included students' responses to a short written test and follow-up interviews with three students…

  7. An equivalent problem to the Twin Prime Conjecture

    OpenAIRE

    Balestrieri, F.

    2011-01-01

    In this short paper we will show, via elementary arguments, the equivalence of the Twin Prime Conjecture to a problem which might be simpler to prove. Some conclusions are drawn, and it is shown that proving the Twin Prime Conjecture is equivalent to proving that there cannot be an infinite string of consecutive natural numbers satisfying some specified equations.

  8. Unitary equivalence classes of one-dimensional quantum walks II

    Science.gov (United States)

    Ohno, Hiromichi

    2017-12-01

    This study investigated the unitary equivalence classes of one-dimensional quantum walks with and without initial states. We determined the unitary equivalence classes of one-dimensional quantum walks, two-phase quantum walks with one defect, complete two-phase quantum walks, one-dimensional quantum walks with one defect and translation-invariant one-dimensional quantum walks.

  9. Theoretical equivalence in classical mechanics and its relationship to duality

    Science.gov (United States)

    Teh, Nicholas J.; Tsementzis, Dimitris

    2017-08-01

    As a prolegomenon to understanding the sense in which dualities are theoretical equivalences, we investigate the intuitive 'equivalence' of hyper-regular Lagrangian and Hamiltonian classical mechanics. We show that the symplectification of these theories (via Tulczyjew's Triple) provides a sense in which they are (1) isomorphic, and (2) mutually and canonically definable through an analog of 'common definitional extension'.

  10. Assessment Battery for Communication: Development of Two Equivalent Forms

    Science.gov (United States)

    Bosco, Francesca M.; Angeleri, Romina; Zuffranieri, Marco; Bara, Bruno G.; Sacco, Katiuscia

    2012-01-01

    The aim of this paper was to develop and test two equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for evaluating pragmatic abilities in patients with neuropsychological and psychiatric disorders. The equivalent forms were created using the data from a sample of 390 children, then tested in a sample of 30 patients with…

  11. Basis for equivalent fluence concept in space solar cells

    Science.gov (United States)

    Meulenberg, A.

    1982-01-01

    The equivalent fluence concept is defined, and its use and potential problems are noted. Silicon and GaAs solar cells are compared in a radiation environment. The analysis indicates that valid equivalent fluence values may be easier to obtain in GaAs than in silicon.

  12. 49 CFR 538.8 - Gallon Equivalents for Gaseous Fuels.

    Science.gov (United States)

    2010-10-01

    ... VEHICLES § 538.8 Gallon Equivalents for Gaseous Fuels. The gallon equivalent of gaseous fuels, for purposes... Natural Gas 0.823 Liquefied Natural Gas 0.823 Liquefied Petroleum Gas (Grade HD-5)* 0.726 Hydrogen 0.259...

  13. Physicochemical equivalence of some brands of Nifedipine retard ...

    African Journals Online (AJOL)

    STORAGESEVER

    2010-02-22

    Feb 22, 2010 ... Full Length Research Paper. Physicochemical equivalence of some brands of ... Nigeria. Accepted 9 November, 2009. This research evaluated the physicochemical equivalence of some samples of Nifedipine 20 mg Retard ... Tel: +23408052742521. dicarboxylate. It is light sensitive and its photo-reaction.

  14. On the equivalence of two fundamental theta identities

    NARCIS (Netherlands)

    Koornwinder, T.H.

    2014-01-01

    Two fundamental theta identities, a three-term identity due to Weierstrass and a five-term identity due to Jacobi, both with products of four theta functions as terms, are shown to be equivalent. One half of the equivalence was already proved by R. J. Chapman in 1996. The history and usage of the

  15. Estimation of U.S. Timber Harvest Using Roundwood Equivalents

    Science.gov (United States)

    James Howard

    2006-01-01

    This report details the procedure used to estimate the roundwood products portion of U.S. annual timber harvest levels by using roundwood equivalents. National-level U.S. forest products data published by trade associations and State and Federal Government organizations were used to estimate the roundwood equivalent of national roundwood products production. The...

  16. Mechanical Equivalent of Heat--Software for a Thermistor

    Science.gov (United States)

    Boleman, Michael

    2008-01-01

    The Mechanical Equivalent of Heat Apparatus from PASCO scientific provides the means for doing a simple experiment to determine the mechanical equivalent of heat, "J." A necessary step of this experiment is to determine the temperature of an aluminum cylinder. By measuring the resistance of a thermistor embedded in the cylinder, one is able to…

  17. 12 CFR 508.10 - Burden of persuasion.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Burden of persuasion. 508.10 Section 508.10 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY REMOVALS, SUSPENSIONS, AND PROHIBITIONS WHERE A CRIME IS CHARGED OR PROVEN § 508.10 Burden of persuasion. The petitioner has the burden of...

  18. Double burden of disease in the slums of Kenya

    NARCIS (Netherlands)

    Oti, S.O.

    2015-01-01

    The goal of this thesis was to provide evidence of a double burden of disease in the slums of Nairobi and to make a case for an integrated health systems approach to tackling this situation. A double burden of disease refers to the coexistence of a high burden of communicable and non-communicable

  19. 39 CFR 501.5 - Burden of proof standard.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Burden of proof standard. 501.5 Section 501.5... POSTAGE EVIDENCING SYSTEMS § 501.5 Burden of proof standard. The burden of proof is on the Postal Service... sanctions under § 501.12. Except as otherwise indicated in those sections, the standard of proof shall be...

  20. Estimating the burden of disease attributable to high cholesterol in ...

    African Journals Online (AJOL)

    Population-attributable fractions were calculated and applied to revised burden of disease estimates for the relevant disease categories for each population group. The total attributable burden for South Africa in 2000 was obtained by adding the burden attributed to high cholesterol for the four population groups.

  1. The burden experienced by family caregivers of patients with ...

    African Journals Online (AJOL)

    BACKGROUND: Caring for patients with chronic medical and psychiatric disorders is associated with significant burden. However little is known about the burden experience by caregivers of patients with epilepsy in Nigeria. The objective of this study, therefore, was to assess the level and correlates of burden among ...

  2. Caregiver burden among relatives of patients with schizophrenia in ...

    African Journals Online (AJOL)

    Schizophrenia is one of the most devastating of psychiatric disorders, leading to long-term and progressive disability in numerous individuals. These disabilities are an onerous burden on both patients and their caregivers.1,2 Caregiver burden in mental illness can either be objective or subjective. Objective burdens.

  3. Inter Digital Transducer Modelling through Mason Equivalent Circuit Model

    DEFF Research Database (Denmark)

    Mishra, Dipti; Singh, Abhishek; Hussain, Dil muhammed Akbar

    2016-01-01

    The frequency reliance of inter-digital transducer is analyzed with the help of MASON’s Equivalent circuit which is based on Smith’s Equivalent circuit which is further based on Foster’sNetwork. An inter-digital transducer has been demonstratedas a RLC network. The circuit is simulated by Simulat......The frequency reliance of inter-digital transducer is analyzed with the help of MASON’s Equivalent circuit which is based on Smith’s Equivalent circuit which is further based on Foster’sNetwork. An inter-digital transducer has been demonstratedas a RLC network. The circuit is simulated...... by Simulation program with Integrated Circuit Emphasis (HSPICE), a well-liked electronic path simulator. The acoustic wave devices are not suitable to simulation through circuit simulator.In this paper, an electrical model of Mason’s Equivalent electricalcircuit for an inter-digital transducer (IDT...

  4. Inter digital transducer modelling through Mason equivalent circuit model

    DEFF Research Database (Denmark)

    Mishra, Dipti; Singh, Abhishek; Hussain, Dil muhammed Akbar

    2016-01-01

    The frequency reliance of inter-digital transducer is analyzed with the help of MASON's Equivalent circuit which is based on Smith's Equivalent circuit which is further based on Foster's Network. An inter-digital transducer has been demonstrated as a RLC network. The circuit is simulated by Simul......The frequency reliance of inter-digital transducer is analyzed with the help of MASON's Equivalent circuit which is based on Smith's Equivalent circuit which is further based on Foster's Network. An inter-digital transducer has been demonstrated as a RLC network. The circuit is simulated...... by Simulation program with Integrated Circuit Emphasis (HSPICE), a well-liked electronic path simulator. The acoustic wave devices are not suitable to simulation through circuit simulator. In this paper, an electrical model of Mason's Equivalent electrical circuit for an inter-digital transducer (IDT...

  5. On identifying name equivalences in digital libraries. Name equivalence, Surname matching, Author identification, Databases

    Directory of Open Access Journals (Sweden)

    Dror G. Feitelson

    2004-01-01

    Full Text Available The services provided by digital libraries can be much improved by correctly identifying variants of the same name. For example, this will allow for better retrieval of all the works by a certain author. We focus on variants caused by abbreviations of first names, and show that significant achievements are possible by simple lexical analysis and comparison of names. This is done in two steps: first a pairwise matching of names is performed, and then these are used to find cliques of equivalent names. However, these steps can each be performed in a variety of ways. We therefore conduct an experimental analysis using two real datasets to find which approaches actually work well in practice. Interestingly, this depends on the size of the repository, as larger repositories may have many more similar names.

  6. Burden of diarrhea in the Eastern Mediterranean Region, 1990-2013: Findings from the Global Burden of Disease Study 2013.

    OpenAIRE

    Uthman, Olalekan A.; HASH(0x7fb9ad902238)

    2016-01-01

    Diarrheal diseases (DD) are leading causes of disease burden and death and disability, especially in children in low-income settings. DD can also impact a child’s potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease study, we estimated diarrheal disease burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For box...

  7. Burden of serious fungal infections in Guatemala.

    Science.gov (United States)

    Medina, N; Samayoa, B; Lau-Bonilla, D; Denning, D W; Herrera, R; Mercado, D; Guzmán, B; Pérez, J C; Arathoon, E

    2017-06-01

    Guatemala is a developing country in Central America with a high burden of HIV and endemic fungal infections; we attempted to estimate the burden of serious fungal infections for the country. A full literature search was done to identify epidemiology papers reporting fungal infections from Guatemala. We used specific populations at risk and fungal infection frequencies in the population to estimate national rates. The population of Guatemala in 2013 was 15.4 million; 40% were younger than 15 and 6.2% older than 60. There are an estimated 53,000 adults with HIV infection, in 2015, most presenting late. The estimated cases of opportunistic fungal infections were: 705 cases of disseminated histoplasmosis, 408 cases of cryptococcal meningitis, 816 cases of Pneumocystis pneumonia, 16,695 cases of oral candidiasis, and 4,505 cases of esophageal candidiasis. In the general population, an estimated 5,568 adult asthmatics have allergic bronchopulmonary aspergillosis (ABPA) based on a 2.42% prevalence of asthma and a 2.5% ABPA proportion. Amongst 2,452 pulmonary tuberculosis patients, we estimated a prevalence of 495 for chronic pulmonary aspergillosis in this group, and 1,484 for all conditions. An estimated 232,357 cases of recurrent vulvovaginal candidiasis is likely. Overall, 1.7% of the population are affected by these conditions. The true fungal infection burden in Guatemala is unknown. Tools and training for improved diagnosis are needed. Additional research on prevalence is needed to employ public health measures towards treatment and improving the reported data of fungal diseases.

  8. A novel approach for measuring the burden of uncomplicated Plasmodium falciparum malaria: application to data from Zambia.

    Directory of Open Access Journals (Sweden)

    Valerie Crowell

    Full Text Available Measurement of malaria burden is fraught with complexity, due to the natural history of the disease, delays in seeking treatment or failure of case management. Attempts to establish an appropriate case definition for a malaria episode has often resulted in ambiguities and challenges because of poor information about treatment seeking, patterns of infection, recurrence of fever and asymptomatic infection. While the primary reason for treating malaria is to reduce disease burden, the effects of treatment are generally ignored in estimates of the burden of malaria morbidity, which are usually presented in terms of numbers of clinical cases or episodes, with the main data sources being reports from health facilities and parasite prevalence surveys. The use of burden estimates that do not consider effects of treatment, leads to under-estimation of the impact of improvements in case management. Official estimates of burden very likely massively underestimate the impact of the roll-out of ACT as first-line therapy across Africa. This paper proposes a novel approach for estimating burden of disease based on the point prevalence of malaria attributable disease, or equivalently, the days with malaria fever in unit time. The technique makes use of data available from standard community surveys, analyses of fever patterns in malaria therapy patients, and data on recall bias. Application of this approach to data from Zambia for 2009-2010 gave an estimate of 2.6 (95% credible interval: 1.5-3.7 malaria attributable fever days per child-year. The estimates of recall bias, and of the numbers of days with illness contributing to single illness recalls, could be applied more generally. To obtain valid estimates of the overall malaria burden using these methods, there remains a need for surveys to include the whole range of ages of hosts in the population and for data on seasonality patterns in confirmed case series.

  9. Global Economic Burden of Norovirus Gastroenteritis

    Science.gov (United States)

    Bartsch, Sarah M.; Lopman, Benjamin A.; Ozawa, Sachiko; Hall, Aron J.; Lee, Bruce Y.

    2016-01-01

    Background Despite accounting for approximately one fifth of all acute gastroenteritis illnesses, norovirus has received comparatively less attention than other infectious pathogens. With several candidate vaccines under development, characterizing the global economic burden of norovirus could help funders, policy makers, public health officials, and product developers determine how much attention and resources to allocate to advancing these technologies to prevent and control norovirus. Methods We developed a computational simulation model to estimate the economic burden of norovirus in every country/area (233 total) stratified by WHO region and globally, from the health system and societal perspectives. We considered direct costs of illness (e.g., clinic visits and hospitalization) and productivity losses. Results Globally, norovirus resulted in a total of $4.2 billion (95% UI: $3.2–5.7 billion) in direct health system costs and $60.3 billion (95% UI: $44.4–83.4 billion) in societal costs per year. Disease amongst children norovirus illness varied by both region and age and was highest among adults ≥55 years. Productivity losses represented 84–99% of total costs varying by region. While low and middle income countries and high income countries had similar disease incidence (10,148 vs. 9,935 illness per 100,000 persons), high income countries generated 62% of global health system costs. In sensitivity analysis, the probability of hospitalization had the largest impact on health system cost estimates ($2.8 billion globally, assuming no hospitalization costs), while the probability of missing productive days had the largest impact on societal cost estimates ($35.9 billion globally, with a 25% probability of missing productive days). Conclusions The total economic burden is greatest in young children but the highest cost per illness is among older age groups in some regions. These large costs overwhelmingly are from productivity losses resulting from acute

  10. Global Economic Burden of Norovirus Gastroenteritis.

    Directory of Open Access Journals (Sweden)

    Sarah M Bartsch

    Full Text Available Despite accounting for approximately one fifth of all acute gastroenteritis illnesses, norovirus has received comparatively less attention than other infectious pathogens. With several candidate vaccines under development, characterizing the global economic burden of norovirus could help funders, policy makers, public health officials, and product developers determine how much attention and resources to allocate to advancing these technologies to prevent and control norovirus.We developed a computational simulation model to estimate the economic burden of norovirus in every country/area (233 total stratified by WHO region and globally, from the health system and societal perspectives. We considered direct costs of illness (e.g., clinic visits and hospitalization and productivity losses.Globally, norovirus resulted in a total of $4.2 billion (95% UI: $3.2-5.7 billion in direct health system costs and $60.3 billion (95% UI: $44.4-83.4 billion in societal costs per year. Disease amongst children <5 years cost society $39.8 billion, compared to $20.4 billion for all other age groups combined. Costs per norovirus illness varied by both region and age and was highest among adults ≥55 years. Productivity losses represented 84-99% of total costs varying by region. While low and middle income countries and high income countries had similar disease incidence (10,148 vs. 9,935 illness per 100,000 persons, high income countries generated 62% of global health system costs. In sensitivity analysis, the probability of hospitalization had the largest impact on health system cost estimates ($2.8 billion globally, assuming no hospitalization costs, while the probability of missing productive days had the largest impact on societal cost estimates ($35.9 billion globally, with a 25% probability of missing productive days.The total economic burden is greatest in young children but the highest cost per illness is among older age groups in some regions. These large

  11. The global burden of periodontal disease

    DEFF Research Database (Denmark)

    Petersen, Poul E; Ogawa, Hiroshi

    2012-01-01

    is a component of the global burden of chronic disease, and chronic disease and periodontal disease have the same essential risk factors. In addition, severe periodontal disease is related to poor oral hygiene and to poor general health (e.g. the presence of diabetes mellitus and other systemic diseases...... middle-income countries, whereas the tooth-loss rates, at the time of writing, are modest for low-income countries. In high-income countries somewhat lower rates for edentulism are found when compared with upper middle-income countries. Around the world, social inequality in tooth loss is profound within...

  12. Reported family burden of schizophrenia patients in rural China.

    Science.gov (United States)

    Yu, Yu; Liu, Zi-Wei; Tang, Bing-Wei; Zhao, Mei; Liu, Xi-Guang; Xiao, Shui-Yuan

    2017-01-01

    We aim to assess the level of family burden of schizophrenia patients and identify its predicting factors in a rural community sample of China. A sample of 327 primary caregivers was recruited through a one-stage cluster sampling in Ningxiang County of Hunan province, China. Family burden was assessed using the Family Burden Interview Schedule (FBIS) of Pai and Kapur. Our results showed that the mean score of FBIS was 23.62±9.76 (range, 0-48), with over half (52%) caregivers reported their family burden being moderate and severe. Among the six domains of family burden, financial burden (76%) was the commonest burden, while disruption of family interactions (37%) was the least mentioned. A multivariate analysis of family burden revealed that patient being admitted for over 3 times, caregiver being female, having a middle school education, and with additional dependents, as well as higher care network function were positive predictors of family burden, while higher patient function and family function, and increasing patient age were negative predictors of family burden. Intervention to decrease family burden may be best served by improving family function and exploring alternative care model instead of hospitalization.

  13. The economic burden of cancers on Indian households.

    Directory of Open Access Journals (Sweden)

    Ajay Mahal

    Full Text Available We assessed the burden of cancer on households' out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were used to match households containing a member diagnosed with cancer (i.e. cancer-affected households to households with similar socioeconomic and demographic characteristics (controls. Our estimates are based on data from 1,645 households chosen through matching. Cancer-affected households experienced higher levels of outpatient visits and hospital admissions and increased out-of-pocket health expenditures per member, relative to controls. Cancer-affected households spent between Indian Rupees (INR 66 and INR 85 more per member on healthcare over a 15-day reference period, than controls and additional expenditures (per member incurred on inpatient care by cancer-affected households annually is equivalent to 36% to 44% of annual household expenditures of matched controls. Members without cancer in cancer-affected households used less health-care and spent less on healthcare. Overall, adult workforce participation rates were lower by between 2.4 and 3.2 percentage points compared to controls; whereas workforce participation rates among adult members without cancer were higher than in control households. Cancer-affected households also had significantly higher rates of borrowing and asset sales for financing outpatient care that were 3.3% to 4.0% higher compared to control households; and even higher for inpatient care.

  14. Economic burden of blindness in India

    Directory of Open Access Journals (Sweden)

    Shamanna B

    1998-01-01

    Full Text Available Economic analysis is one way to determine the allocation of scarce resources for health-care programs. The initial step in this process is to estimate in economic terms the burden of diseases and the benefit from interventions for prevention and treatment of these diseases. In this paper, the direct and indirect economic loss due to blindness in India is calculated on the basis of certain assumptions. The cost of treating cataract blindness in India is estimated at current prices. The economic burden of blindness in India for the year 1997 based on our assumptions is Rs. 159 billion (US$ 4.4 billion, and the cumulative loss over lifetime of the blind is Rs. 2,787 billion (US$ 77.4 billion. Childhood blindness accounts for 28.7% of this lifetime loss. The cost of treating all cases of cataract blindness in India is Rs. 5.3 billion (US$ 0.15 billion. Similar estimates for causes of blindness other than cataract have to be made in order to develop a comprehensive approach to deal with blindness in India.

  15. The Burden of Asthma in Oman

    Science.gov (United States)

    Al-Busaidi, Nasser; Habibulla, Zulfikar; Bhatnagar, Malvika; Al-Lawati, Nabil; Al-Mahrouqi, Yaqoub

    2015-01-01

    Asthma is a common lung disease worldwide, although its prevalence varies from country to country. Oman is ranked in the intermediate range based on results from the International Study of Asthma and Allergies in Childhood. A 2009 study revealed that the majority of asthmatic patients in Oman reported both daytime and nocturnal symptoms, while 30% of adults and 52% of children reported absences from work or school due to their symptoms. Despite these findings, there is little data available on the economic burden of asthma in Oman. The only accessible information is from a 2013 study which concluded that Oman’s highest asthma-related costs were attributable to inpatient (55%) and emergency room (25%) visits, while asthma medications contributed to less than 1% of the financial toll. These results indicate a low level of asthma control in Oman, placing a large economic burden on healthcare providers. Therefore, educating asthmatic patients and their families should be prioritised in order to improve the management and related costs of this disease within Oman. PMID:26052450

  16. Global burden of childhood diarrhea and interventions.

    Science.gov (United States)

    Das, Jai K; Salam, Rehana A; Bhutta, Zulfiqar A

    2014-10-01

    Diarrhea is a leading cause of morbidity and mortality among children under 5 years in low-income and middle-income countries. Over the past 2 decades under-five mortality has decreased substantially, but reductions have been uneven and unsatisfactory in resource-poor regions. There are known interventions which can prevent diarrhea or manage children who suffer from it. Interventions with proven effectiveness at the prevention level include water, sanitation, and hygiene interventions, breastfeeding, complementary feeding, vitamin A and zinc supplementation, and vaccines for diarrhea (rotavirus and cholera). Oral rehydration solution, zinc treatment, continued feeding, and antibiotic treatment for certain strains of diarrhea (cholera, Shigella, and cryptosporidiosis) are effective strategies for treatment of diarrhea. The recent Lancet series using the 'Lives Saved' tool suggested that if these identified interventions were scaled up to a global coverage to at least 80%, and immunizations to at least 90%; almost all deaths due to diarrhea could be averted. The current childhood mortality burden highlights the need of a focused global diarrhea action plan. The findings suggest that with proper packaging of interventions and delivery platforms, the burden of childhood diarrhea can be reduced to a greater extent. All that is required is greater attention and steps toward right direction.

  17. Spaces of homotopy self-equivalences a survey

    CERN Document Server

    Rutter, John W

    1997-01-01

    This survey covers groups of homotopy self-equivalence classes of topological spaces, and the homotopy type of spaces of homotopy self-equivalences. For manifolds, the full group of equivalences and the mapping class group are compared, as are the corresponding spaces. Included are methods of calculation, numerous calculations, finite generation results, Whitehead torsion and other areas. Some 330 references are given. The book assumes familiarity with cell complexes, homology and homotopy. Graduate students and established researchers can use it for learning, for reference, and to determine the current state of knowledge.

  18. Theory of Covariance Equivalent ARMAV Models of Civil Engineering Structures

    DEFF Research Database (Denmark)

    Andersen, P.; Brincker, Rune; Kirkegaard, Poul Henning

    1996-01-01

    In this paper the theoretical background for using covariance equivalent ARMAV models in modal analysis is discussed. It is shown how to obtain a covariance equivalent ARMA model for a univariate linear second order continous-time system excited by Gaussian white noise. This result is generalized...... for multi-variate systems to an ARMAV model. The covariance equivalent model structure is also considered when the number of channels are different from the number of degrees offreedom to be modelled. Finally, it is reviewed how to estimate an ARMAV model from sampled data....

  19. Theory of Covariance Equivalent ARMAV Models of Civil Engineering Structures

    DEFF Research Database (Denmark)

    Andersen, P.; Brincker, Rune; Kirkegaard, Poul Henning

    In this paper the theoretical background for using covariance equivalent ARMAV models in modal analysis is discussed. It is shown how to obtain a covariance equivalent ARMA model for a univariate linear second order continuous-time system excited by Gaussian white noise. This result is generalized...... for multivariate systems to an ARMAV model. The covariance equivalent model structure is also considered when the number of channels are different from the number of degrees of freedom to be modelled. Finally, it is reviewed how to estimate an ARMAV model from sampled data....

  20. Guidelines for the communication of Biomonitoring Equivalents: report from the Biomonitoring Equivalents Expert Workshop.

    Science.gov (United States)

    LaKind, Judy S; Aylward, Lesa L; Brunk, Conrad; DiZio, Stephen; Dourson, Michael; Goldstein, Daniel A; Kilpatrick, Michael E; Krewski, Daniel; Bartels, Michael J; Barton, Hugh A; Boogaard, Peter J; Lipscomb, John; Krishnan, Kannan; Nordberg, Monica; Okino, Miles; Tan, Yu-Mei; Viau, Claude; Yager, Janice W; Hays, Sean M

    2008-08-01

    Biomonitoring Equivalents (BEs) are screening tools for interpreting biomonitoring data. However, the development of BEs brings to the public a relatively novel concept in the field of health risk assessment and presents new challenges for environmental risk communication. This paper provides guidance on methods for conveying information to the general public, the health care community, regulators and other interested parties regarding how chemical-specific BEs are derived, what they mean in terms of health, and the challenges and questions related to interpretation and communication of biomonitoring data. Key communication issues include: (i) developing a definition of the BE that accurately captures the BE concept in lay terms, (ii) how to compare population biomonitoring data to BEs, (iii) interpreting biomonitoring data that exceed BEs for a specific chemical, (iv) how to best describe the confidence in chemical-specific BEs, and (v) key requirements for effective communication with health care professionals. While the risk communication literature specific to biomonitoring is sparse, many of the concepts developed for traditional risk assessments apply, including transparency and discussions of confidence and uncertainty. Communication of BEs will require outreach, education, and development of communication materials specific to several audiences including the lay public and health care providers.

  1. Affine equivalence of cubic homogeneous rotation symmetric Boolean functions

    CERN Document Server

    Cusick, Thomas W

    2010-01-01

    Homogeneous rotation symmetric Boolean functions have been extensively studied in recent years because of their applications in cryptography. Little is known about the basic question of when two such functions are affine equivalent. The simplest case of quadratic rotation symmetric functions which are generated by cyclic permutations of the variables in a single monomial was only settled in 2009. This paper studies the much more complicated cubic case for such functions. A new concept of \\emph{patterns} is introduced, by means of which the structure of the smallest group G_n, whose action on the set of all such cubic functions in $n$ variables gives the affine equivalence classes for these functions under permutation of the variables, is determined. We conjecture that the equivalence classes are the same if all nonsingular affine transformations, not just permutations, are allowed. This conjecture is verified if n < 22. Our method gives much more information about the equivalence classes; for example, in t...

  2. Analysis of equivalent antenna based on FDTD method

    Directory of Open Access Journals (Sweden)

    Yun-xing Yang

    2014-09-01

    Full Text Available An equivalent microstrip antenna used in radio proximity fuse is presented. The design of this antenna is based on multilayer multi-permittivity dielectric substrate which is analyzed by finite difference time domain (FDTD method. Equivalent iterative formula is modified in the condition of cylindrical coordinate system. The mixed substrate which contains two kinds of media (one of them is airtakes the place of original single substrate. The results of equivalent antenna simulation show that the resonant frequency of equivalent antenna is similar to that of the original antenna. The validity of analysis can be validated by means of antenna resonant frequency formula. Two antennas have same radiation pattern and similar gain. This method can be used to reduce the weight of antenna, which is significant to the design of missile-borne antenna.

  3. Equivalence principle and quantum mechanics: quantum simulation with entangled photons

    Science.gov (United States)

    Longhi, S.

    2018-01-01

    Einstein`s equivalence principle states the complete physical equivalence of a gravitational field and corresponding inertial field in an accelerated reference frame. However, to what extent the equivalence principle remains valid in non-relativistic quantum mechanics is a controversial issue. To avoid violation of the equivalence principle, Bargmann`s superselection rule forbids a coherent superposition of states with different masses. Here we suggest a quantum simulation of non-relativistic Schr\\"odinger particle dynamics in non-inertial reference frames, which is based on propagation of polarization-entangled photon pairs in curved and birefringent optical waveguides and Hong-Ou-Mandel quantum interference measurement. The photonic simulator can emulate superposition of mass states, which would lead to violation of the EP.

  4. Aldehydes as alkyl carbanion equivalents for additions to carbonyl compounds

    Science.gov (United States)

    Wang, Haining; Dai, Xi-Jie; Li, Chao-Jun

    2017-04-01

    Nucleophilic addition reactions of organometallic reagents to carbonyl compounds for carbon-carbon bond construction have played a pivotal role in modern chemistry. However, this reaction's reliance on petroleum-derived chemical feedstocks and a stoichiometric quantity of metal have prompted the development of many carbanion equivalents and catalytic metal alternatives. Here, we show that naturally occurring carbonyls can be used as latent alkyl carbanion equivalents for additions to carbonyl compounds, via reductive polarity reversal. Such 'umpolung' reactivity is facilitated by a ruthenium catalyst and diphosphine ligand under mild conditions, delivering synthetically valuable secondary and tertiary alcohols in up to 98% yield. The unique chemoselectivity exhibited by carbonyl-derived carbanion equivalents is demonstrated by their tolerance to protic reaction media and good functional group compatibility. Enantioenriched tertiary alcohols can also be accessed with the aid of chiral ligands, albeit with moderate stereocontrol. Such carbonyl-derived carbanion equivalents are anticipated to find broad utility in chemical bond formation.

  5. ESA GlobSnow Snow Water Equivalent (SWE)

    Data.gov (United States)

    National Aeronautics and Space Administration — The European Space Agency (ESA) Global Snow Monitoring for Climate Research (GlobSnow) snow water equivalent (SWE) v2.0 data record contains snow information derived...

  6. Problems of Equivalence in Shona- English Bilingual Dictionaries

    African Journals Online (AJOL)

    rbr

    translation equivalents in Shona-English dictionaries where lexicographers will be dealing with divergent languages and cultures, traditional practices of lexicography and the absence of reliable corpora. Keywords: BILINGUAL LEXICOGRAPHY, CORPUS, CULTURE, CULTURE-BOUND,. CULTURAL GAP, DICTIONARY ...

  7. On conjugate points and the Leitmann equivalent problem approach

    NARCIS (Netherlands)

    Wagener, F.O.O.

    2010-01-01

    This article extends the Leitmann equivalence method to a class of problems featuring conjugate points. The class is characterised by the requirement that the set of indifference points of a given problem forms a finite stratification.

  8. Approved Drug Products with Therapuetic Equivalence Evaluations (Orange Book)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The publication Approved Drug Products with Therapeutic Equivalence Evaluations (the List, commonly known as the Orange Book) identifies drug products approved on...

  9. Therapeutic equivalence study of two formulations (innovator v ...

    African Journals Online (AJOL)

    Therapeutic equivalence study of two formulations (innovator v. generic) of beclomethasone dipropionate in adult asthmatic patients. Haylene Nell, Charlene M. Louw, Helen Cyster, Zelda Williams, Philip G. Bardin, James R. Joubert ...

  10. Neglected tropical diseases in sub-saharan Africa: review of their prevalence, distribution, and disease burden.

    Directory of Open Access Journals (Sweden)

    Peter J Hotez

    Full Text Available The neglected tropical diseases (NTDs are the most common conditions affecting the poorest 500 million people living in sub-Saharan Africa (SSA, and together produce a burden of disease that may be equivalent to up to one-half of SSA's malaria disease burden and more than double that caused by tuberculosis. Approximately 85% of the NTD disease burden results from helminth infections. Hookworm infection occurs in almost half of SSA's poorest people, including 40-50 million school-aged children and 7 million pregnant women in whom it is a leading cause of anemia. Schistosomiasis is the second most prevalent NTD after hookworm (192 million cases, accounting for 93% of the world's number of cases and possibly associated with increased horizontal transmission of HIV/AIDS. Lymphatic filariasis (46-51 million cases and onchocerciasis (37 million cases are also widespread in SSA, each disease representing a significant cause of disability and reduction in the region's agricultural productivity. There is a dearth of information on Africa's non-helminth NTDs. The protozoan infections, human African trypanosomiasis and visceral leishmaniasis, affect almost 100,000 people, primarily in areas of conflict in SSA where they cause high mortality, and where trachoma is the most prevalent bacterial NTD (30 million cases. However, there are little or no data on some very important protozoan infections, e.g., amebiasis and toxoplasmosis; bacterial infections, e.g., typhoid fever and non-typhoidal salmonellosis, the tick-borne bacterial zoonoses, and non-tuberculosis mycobaterial infections; and arboviral infections. Thus, the overall burden of Africa's NTDs may be severely underestimated. A full assessment is an important step for disease control priorities, particularly in Nigeria and the Democratic Republic of Congo, where the greatest number of NTDs may occur.

  11. Influence of Gravitation on Mass-Energy Equivalence Relation

    OpenAIRE

    Pandya, R. V. R.

    2005-01-01

    We study influence of gravitational field on the mass-energy equivalence relation by incorporating gravitation in the physical situation considered by Einstein (Ann. Physik, 17, 1905, English translation in ref. [1]) for his first derivation of mass-energy equivalence. In doing so, we also refine Einstein's expression (Ann. Physik, 35, 1911, English translation in ref. [3]) for increase in gravitational mass of the body when it absorbs E amount of radiation energy.

  12. Human skin equivalent as an alternative to animal testing

    OpenAIRE

    Mertsching, Heike; Weimer, Michaela; Kersen, Silke; Brunner, Herwig

    2008-01-01

    The 3-D skin equivalent can be viewed as physiologically comparable to the natural skin and therefore is a suitable alternative for animal testing. This highly differentiated in vitro human skin equivalent is used to assess the efficacy and mode of action of novel agents. This model is generated from primary human keratinocytes on a collagen substrate containing human dermal fibroblasts. It is grown at the air-liquid interface which allows full epidermal stratification and epidermal-dermal in...

  13. Noise equivalent circuit of a semiconductor laser diode

    OpenAIRE

    Harder, Christoph; Katz, Joseph; Margalit, S.; Shacham, J.; Yariv, A.

    1982-01-01

    The noise equivalent circuit of a semiconductor laser diode is derived from the rate equations including Langevin noise sources. This equivalent circuit allows a straightforward calculation of the noise and modulation characteristics of a laser diode combined with electronic components. The intrinsic junction voltage noise spectrum and the light intensity fluctuation of a current driven laser diode are calculated as a function of bias current and frequency.

  14. Equivalence of Quantum Resource Measures for X States

    Science.gov (United States)

    Huang, Zhiming; Zhang, Cai; Zhang, Wei; Zhao, Lianghui

    2017-11-01

    In this paper, we investigate some X states, quantum resource measures of which are equivalent. We find that for a class of X states, trace norm geometric quantum discord (TGQD), trace norm measurement-induced nonlocality (TMIN) and l 1 norm quantum coherence (L1QC) are all equal, and for some special states, therein two measures are equal. We also exemplify relative application of the equivalent relations.

  15. Dose Equivalents for Antipsychotic Drugs: The DDD Method.

    Science.gov (United States)

    Leucht, Stefan; Samara, Myrto; Heres, Stephan; Davis, John M

    2016-07-01

    Dose equivalents of antipsychotics are an important but difficult to define concept, because all methods have weaknesses and strongholds. We calculated dose equivalents based on defined daily doses (DDDs) presented by the World Health Organisation's Collaborative Center for Drug Statistics Methodology. Doses equivalent to 1mg olanzapine, 1mg risperidone, 1mg haloperidol, and 100mg chlorpromazine were presented and compared with the results of 3 other methods to define dose equivalence (the "minimum effective dose method," the "classical mean dose method," and an international consensus statement). We presented dose equivalents for 57 first-generation and second-generation antipsychotic drugs, available as oral, parenteral, or depot formulations. Overall, the identified equivalent doses were comparable with those of the other methods, but there were also outliers. The major strength of this method to define dose response is that DDDs are available for most drugs, including old antipsychotics, that they are based on a variety of sources, and that DDDs are an internationally accepted measure. The major limitations are that the information used to estimate DDDS is likely to differ between the drugs. Moreover, this information is not publicly available, so that it cannot be reviewed. The WHO stresses that DDDs are mainly a standardized measure of drug consumption, and their use as a measure of dose equivalence can therefore be misleading. We, therefore, recommend that if alternative, more "scientific" dose equivalence methods are available for a drug they should be preferred to DDDs. Moreover, our summary can be a useful resource for pharmacovigilance studies. © The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  16. Steganographic Capacity of Images, based on Image Equivalence Classes

    DEFF Research Database (Denmark)

    Hansen, Klaus; Hammer, Christian; Andersen, Jens Damgaard

    2001-01-01

    The problem of hiding information imperceptibly can be formulated as the problem of determining if a given image is a member of a sufficiently large equivalence class of images which to the Human Visual System appears to be the same image. This makes it possible to replace the given image...... with a modified image similar in appearance but carrying imperceptibly coded information. This paper presents a framework and an experimental algorithm to estimate upper bounds for the size of an equivalence class....

  17. On the Equivalence of Euler-Lagrange and Noether Equations

    Energy Technology Data Exchange (ETDEWEB)

    Faliagas, A. C., E-mail: apostol.faliagas@gmail.com [University of Athens, Department of Mathematics (Greece)

    2016-03-15

    We prove that, under the condition of nontriviality, the Euler-Lagrange and Noether equations are equivalent for a general class of scalar variational problems. Examples are position independent Lagrangians, Lagrangians of p-Laplacian type, and Lagrangians leading to nonlinear Poisson equations. As applications we prove certain propositions concerning the nonlinear Poisson equation and its generalisations, and the equivalence of admissible and inner variations for the systems under consideration.

  18. Neutral theory and the evolution of ecological equivalence.

    Science.gov (United States)

    Hubbell, Stephen P

    2006-06-01

    Since the publication of the unified neutral theory in 2001, there has been much discussion of the theory, pro and con. The hypothesis of ecological equivalence is the fundamental yet controversial idea behind neutral theory. Assuming trophically similar species are demographically alike (symmetric) on a per capita basis is only an approximation, but it is equivalent to asking: How many of the patterns of ecological communities are the result of species similarities, rather than of species differences? The strategy behind neutral theory is to see how far one can get with the simplification of assuming ecological equivalence before introducing more complexity. In another paper, I review the empirical evidence that led me to hypothesize ecological equivalence among many of the tree species in the species-rich tropical forest on Barro Colorado Island (BCI). In this paper, I develop a simple model for the evolution of ecological equivalence or niche convergence, using as an example evolution of the suite of life history traits characteristic of shade tolerant tropical tree species. Although the model is simple, the conclusions from it seem likely to be robust. I conclude that ecological equivalence for resource use are likely to evolve easily and often, especially in species-rich communities that are dispersal and recruitment limited. In the case of the BCI forest, tree species are strongly dispersal- and recruitment-limited, not only because of restricted seed dispersal, but also because of low recruitment success due to heavy losses of the seedling stages to predators and pathogens and other abiotic stresses such as drought. These factors and the high species richness of the community strongly reduce the potential for competitive exclusion of functionally equivalent or nearly equivalent species.

  19. Mesoscale symmetries explain dynamical equivalence of food webs

    OpenAIRE

    Aufderheide, Helge; Rudolf, Lars; Gross, Thilo

    2012-01-01

    A present challenge in complex systems is to identify mesoscale structures that have distinct dynamical implications. In this paper we present a detailed investigation of a previously observed dynamical equivalence of certian ecological food webs. We show that this equivalence is rooted in mesoscale symmetries that exist in these webs. Certain eigenvectors of the Jacobian describing dynamical modes of the system, such as specific instabilities or responses to perturbations, localize on these ...

  20. Feedback equivalence of convolutional codes over finite rings

    Directory of Open Access Journals (Sweden)

    DeCastro-García Noemí

    2017-12-01

    Full Text Available The approach to convolutional codes from the linear systems point of view provides us with effective tools in order to construct convolutional codes with adequate properties that let us use them in many applications. In this work, we have generalized feedback equivalence between families of convolutional codes and linear systems over certain rings, and we show that every locally Brunovsky linear system may be considered as a representation of a code under feedback convolutional equivalence.

  1. The burden of tetanus in Uganda.

    Science.gov (United States)

    Nanteza, Barbara; Galukande, Moses; Aceng, Jane; Musinguzi, Joshua; Opio, Alex; Mbonye, Anthony K; Mukooyo, Eddie; Behumize, Prosper; Makumbi, Fredrick

    2016-01-01

    The successful scale-up of safe male circumcision (SMC) in Uganda has been hinged on client's safety and quality of services. However, after the recent three tetanus deaths after circumcision a review of all tetanus cases in one of the hospitals where the cases occurred was initiated. This was to ascertain the potential for an association between tetanus infection and circumcision. Routinely collected national data were also reviewed to determine the burden of tetanus in Uganda and contextualize these incidents. A review of medical charts of tetanus cases identified from the inpatients registry at Masafu hospital, Busia district for the period 2009/2010-2013/2014. Data were abstracted from the inpatients registries, charts and HMIS annual reports, and a key informant interview conducted with the in-charge of the ward that treats tetanus patients. All quantitative data were captured in an electronic database. Routine facility data from the National District health Information Software-2 (DHIS-2) for all the 112 districts were also used. Descriptive analysis and Poisson regression models were used for statistical analysis using STATA version 13.0. Data from the routine DHIS-2 showed a high and increasing burden of tetanus from the emergency/out-patient department records over the 4 year period, highest among females aged 5+ years in all the regions. At the Masafa hospital, the chart review revealed a total of 25 tetanus cases and all were males. Nearly a third (32 %) was aged 7-15 years, with no evidence of circumcision apart from only one case. The rate of tetanus infection among male inpatients over the review period was 2-6 per 1000. The case fatality rate was nearly a half (47.4 %) with deaths occurring within 2 days after admission, and rates of patients' self-discharge against medical advice were high, 36.8 %. The most common tetanus entry wounds were due to road traffic accidents, followed by diabetic foot. Anti-tetanus serum was only not readily

  2. Reviewing disease burden among rural Indian women

    Directory of Open Access Journals (Sweden)

    Ramanakumar AV

    2004-08-01

    Full Text Available The disease burden of rural Indian women is reviewed by utilizing the data from the 'Survey of Causes of Death (rural' annual reports of Registrar General of India supplemented with National family health survey (NFHS-II. The review indicates that bronchitis and asthma are the leading causes while prematurity and heart attacks are second and third respectively. Most of the maternal deaths are concentrated in the age group 20-24 and bleeding is the main cause of maternal death. Tuberculosis of the lungs, malaria and burns are also important causes of death in the early reproductive ages. Rate of suicide, burn, and anaemia diminishes with age. Though nationwide health plans have succeeded in reducing the fatality of women's diseases to a entrain extent, there is however, a great need for improved and effective area-specific health programs to achieve the desired goals.

  3. The Psychological Burden of Skin Diseases

    DEFF Research Database (Denmark)

    Dalgard, Florence J; Gieler, Uwe; Tomas-Aragones, Lucia

    2015-01-01

    The contribution of psychological disorders to the burden of skin disease has been poorly explored, and this is a large-scale study to ascertain the association between depression, anxiety, and suicidal ideation with various dermatological diagnoses. This international multicenter observational...... cross-sectional study was conducted in 13 European countries. In each dermatology clinic, 250 consecutive adult out-patients were recruited to complete a questionnaire, reporting socio-demographic information, negative life events, and suicidal ideation; depression and anxiety were assessed.......67-3.47)). Clinical anxiety was present in 17.2% (controls 11.1%, OR 2.18 (1.68-2.82)). Suicidal ideation was reported by 12.7% of all patients (controls 8.3%, OR 1.94 (1.33-2.82)). For individual diagnoses, only patients with psoriasis had significant association with suicidal ideation. The association...

  4. The global burden of paediatric heart disease

    DEFF Research Database (Denmark)

    Musa, Ndidiamaka L; Hjortdal, Vibeke; Zheleva, Bistra

    2017-01-01

    An estimated 15 million children die or are crippled annually by treatable or preventable heart disease in low- and middle-income countries. Global efforts to reduce under-5 mortality have focused on reducing death from communicable diseases in low- and middle-income countries with little...... to no attention focusing on paediatric CHD and acquired heart disease. Lack of awareness of CHD and acquired heart disease, access to care, poor healthcare infrastructure, competing health priorities, and a critical shortage of specialists are important reasons why paediatric heart disease has not been addressed...... in low resourced settings. Non-governmental organisations have taken the lead to address these challenges. This review describes the global burden of paediatric heart disease and strategies to improve the quality of care for paediatric heart disease. These strategies would improve outcomes for children...

  5. Epidemiology and Burden of Chronic Constipation

    Directory of Open Access Journals (Sweden)

    Maria Ines Pinto Sanchez

    2011-01-01

    Full Text Available Chronic constipation is an important component of clinical gastroenterology practice worldwide. Based on the definition, either self-reported or using Rome criteria, chronic constipation can affect from 2% to 27% of the population. Constipation is physically and mentally troublesome for many patients, and can significantly interfere with their daily living and well-being. Although only a proportion of patients with constipation seek medical care, most of them use prescribed or over-the-counter medication to improve their condition. The health care costs of constipation are significant as evidenced by the hundreds of million dollars spent yearly on laxatives alone. Because constipation is more common in older patients and life expectancy is increasing, an increase in the prevalence of constipation is expected in the years to come, with the associated impact on quality of life and socioeconomic burden.

  6. Economic burden of cardiovascular diseases in Serbia

    Directory of Open Access Journals (Sweden)

    Lakić Dragana

    2014-01-01

    Full Text Available Background/Aim. Cardiovascular disease imposes a burden to society in terms of mortality, morbidity and economic losses. The aim of this study was to estimate the economic burden of cardiovascular disease in Serbia in 2009 from the perspective of the society. Methods. For the purpose of the study cardiovascular disease was defined by the International Classification of Diseases, 10th revision, as the following diagnosis: hypertension, coronary heart disease, cardiomyopathy, heart failure and cerebrovascular disease. The prevalence, top-down method was used to quantify the annual cardiovascular costs. Productivity losses were estimated using the human capital approach and the friction cost method. A discount rate of 5% was used to convert all future lifetime earnings into the present value. Results. The total direct costs of cardiovascular disease in 2009 were € 400 million. The results showed that more than half a million working days were lost due to incapacity resulting from cardiovascular diseases, yielding the € 113.9 million. The majority of total costs (€ 514.3 million were for: medication (29.94%, hospital days (28.97% and hospital inpatient care - surgical and diagnostic interventions (17.84%. The results were robust to a change in 20% of volume or the unit price of all direct and indirect cost and to discount rate 2% and 10%. Conclusions. The total cardiovascular disease costs in 2009 represented approximately 1.8% of the Serbian gross domestic product. The results of the study would be valuable to health policy makers to bridge the gap between invested resources and needs, in order to improve cardiovascular disease outcomes. [Projekat Ministarstva nauke Republike Srbije, br. 175035

  7. Continuing communicable disease burden in Eritrea.

    Science.gov (United States)

    Mufunda, J; Nyarango, P; Kosia, A; Ogbamariam, A; Mebrahtu, G; Usman, A; Gebresillosie, S; Goitom, S; Araya, E; Andemichael, G; Gebremichael, A

    2006-03-01

    A retrospective study of the national health profile of Eritreans, focusing on acute respiratory tract infection (ARTI), tuberculosis (TB), diarrhoea, sexually transmitted diseases (STDs) and HIV/AIDS, was done on data from 1998 to 2003 through a health information management system. Records were included for patients of all ages receiving outpatient and inpatient hospital services during the study period. All incidence rates were given as cases per 100,000 population. The incidence of ARTI increased from 6,500 cases per annum in 1998 to 8 500 in 2003, representing a 30% increase. Diarrhoea rates remained unchanged, averaging 3,000 cases. For both ARTI and diarrhoea, rates were at least 3 times higher in children under 5 years of age than in those over 5 years of age. The incidences of TB and STDs decreased from 370 and 220 in 1998 to 170 and 80 in 2003, respectively. HIV/AIDS incidence increased from 40 in 1998 to 65 in 2003, reflecting a 60% increase. The case fatality rates (CFRs) for HIV/AIDS and TB were 12% and 2% in 1998, increasing to 14% and 3%, respectively, in 2001. The CFR for ARTI and diarrhea remained low at 0.3%. CFRs were higher in children under 5 years than in those over 5 years for all the diseases but rates declined consistently, probably reflecting the positive impact of the introduction of the integrated management of childhood illness (IMCI). Although the incidence rate of HIV/AIDS was relatively low compared with rates for TB, ARTI and diarrhoea, the HIV/AIDS CFR was relatively high, posing a threat to the gains made in control of infectious diseases. The disease burden from TB and STDs declined over the 6-year study period, while that from ARTI and HIV/AIDS increased. Consequently the overall disease burden from communicable diseases remained unchanged over the study period.

  8. The Humanistic and Economic Burden of Narcolepsy.

    Science.gov (United States)

    Flores, Natalia M; Villa, Kathleen F; Black, Jed; Chervin, Ronald D; Witt, Edward A

    2016-03-01

    To evaluate the burden of narcolepsy--with respect to psychiatric comorbidities, Health-Related Quality of Life (HRQoL), direct costs for healthcare resource utilization, and indirect costs for reported work loss-through comparison of patients to matched controls. This analysis was conducted on data from the 2011, 2012, and 2013 US National Health and Wellness Survey (NHWS; 2011 NHWS n = 75,000, 2012 NHWS n = 71,157, and 2013 NHWS n = 75,000). Patients who reported a narcolepsy diagnosis (n = 437) were matched 1:2 with controls (n = 874) on age, sex, race/ethnicity, marital status, education, household income, body mass index, smoking status, alcohol use, exercise, and physical comorbidity. Chi-square tests and one-way analyses of variance were used to assess whether the narcolepsy and control groups differed on psychiatric comorbidities, HRQoL, labor force participation, work productivity, and healthcare resource utilization. Patients with narcolepsy, in comparison to matched controls, reported substantially (two to four times) greater psychiatric comorbidity, HRQoL impairment, prevalence of long-term disability, absenteeism, and presenteeism, and greater resource use in the past 6 mo as indicated by higher mean number of hospitalizations, emergency department visits, traditional healthcare professional visits, neurologist visits, and psychiatrist visits (each p narcolepsy diagnosis is associated with substantial adverse impact on mental health, HRQoL, and key economic burdens that include work impairment, resource use, and both direct and indirect costs. Although this study is cross-sectional, the results highlight the magnitude of the potential opportunity to improve mental health, lower costs, and augment work-related productivity through effective assessment and treatment of narcolepsy. © 2016 American Academy of Sleep Medicine.

  9. Burden Sharing with Climate Change Impacts

    Science.gov (United States)

    Tavoni, M.; van Vuuren, D.; De Cian, E.; Marangoni, G.; Hof, A.

    2014-12-01

    Efficiency and equity have been at the center of the climate change policy making since the very first international environmental agreements on climate change, though over time how to implement these principles has taken different forms. Studies based on Integrated Assessment Models have also shown that the economic effort of achieving a 2 degree target in a cost-effective way would differ widely across regions (Tavoni et al. 2013) because of diverse economic and energy structure, baseline emissions, energy and carbon intensity. Policy instruments, such as a fully-fledged, global emission trading schemes can be used to pursuing efficiency and equity at the same time but the literature has analyzed the compensations required to redistribute only mitigation costs. However, most of these studies have neglected the potential impacts of climate change. In this paper we use two integrated assessment models -FAIR and WITCH- to explore the 2°C policy space when accounting for climate change impacts. Impacts are represented via two different reduced forms equations, which despite their simplicity allows us exploring the key sensitivities- Our results show that in a 2 degree stabilization scenarios residual damages remain significant (see Figure 1) and that if you would like to compensate those as part of an equal effort scheme - this would lead to a different allocation than focusing on a mitigation based perspective only. The residual damages and adaptation costs are not equally distributed - and while we do not cover the full uncertainty space - with 2 different models and 2 sets of damage curves we are still able to show quite similar results in terms of vulnerable regions and the relative position of the different scenarios. Therefore, accounting for the residual damages and the associated adaptation costs on top of the mitigation burden increases and redistributes the full burden of total climate change.

  10. Affordable housing: Reducing the energy cost burden

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.D.; Chin, R.I.; Marden, C.L.

    1995-01-01

    Residential energy expenditures are a key determinant of housing affordability, particularly for lower Income households. For years, federal, state and local governments and agencies have sought to defray energy expenses and Increase residential energy efficiency for low Income households through legislative and regulatory actions and programs. Nevertheless, household energy costs continue to place a major burden on lower Income families. This issue paper was written to help formulate national energy policy by providing the United States Department of Energy`s (DOE`s) Office of Energy Efficiency and Renewable Energy (EE) with Information to help define the affordable housing issue; Identify major drivers, key factors, and primary stakeholders shaping the affordable housing issue; and review how responding to this Issue may impact EE`s goals and objectives and Influence the strategic direction of the office. Typically, housing affordability is an Issue associated with lower income households. This issue paper adopts this perspective, but it is important to note that reducing energy utility costs can make {open_quotes}better{close_quote} housing affordable to any household regardless of income. As energy efficiency is improved throughout all sectors of the economy, special consideration must be given to low income households. Of all households, low income households are burdened the most by residential energy costs; their residences often are the least energy-efficient and have the greatest potential for efficiency improvements, but the occupants have the fewest resources to dedicate to conservation measures. This paper begins with a definition of {open_quotes}affordability{close_quotes} as it pertains to total housing costs and summarizes several key statistics related to housing affordability and energy use by lower income households.

  11. The Burden of Cholera in Uganda

    Science.gov (United States)

    Bwire, Godfrey; Malimbo, Mugagga; Maskery, Brian; Kim, Young Eun; Mogasale, Vittal; Levin, Ann

    2013-01-01

    Introduction In 2010, the World Health Organization released a new cholera vaccine position paper, which recommended the use of cholera vaccines in high-risk endemic areas. However, there is a paucity of data on the burden of cholera in endemic countries. This article reviewed available cholera surveillance data from Uganda and assessed the sufficiency of these data to inform country-specific strategies for cholera vaccination. Methods The Uganda Ministry of Health conducts cholera surveillance to guide cholera outbreak control activities. This includes reporting the number of cases based on a standardized clinical definition plus systematic laboratory testing of stool samples from suspected cases at the outset and conclusion of outbreaks. This retrospective study analyzes available data by district and by age to estimate incidence rates. Since surveillance activities focus on more severe hospitalized cases and deaths, a sensitivity analysis was conducted to estimate the number of non-severe cases and unrecognized deaths that may not have been captured. Results Cholera affected all ages, but the geographic distribution of the disease was very heterogeneous in Uganda. We estimated that an average of about 11,000 cholera cases occurred in Uganda each year, which led to approximately 61–182 deaths. The majority of these cases (81%) occurred in a relatively small number of districts comprising just 24% of Uganda's total population. These districts included rural areas bordering the Democratic Republic of Congo, South Sudan, and Kenya as well as the slums of Kampala city. When outbreaks occurred, the average duration was about 15 weeks with a range of 4–44 weeks. Discussion There is a clear subdivision between high-risk and low-risk districts in Uganda. Vaccination efforts should be focused on the high-risk population. However, enhanced or sentinel surveillance activities should be undertaken to better quantify the endemic disease burden and high-risk populations

  12. Economic burden of chronic obstructive pulmonary disease.

    Science.gov (United States)

    Teo, W-S Kelvin; Tan, Woan-Shin; Chong, Wai-Fung; Abisheganaden, John; Lew, Yii-Jen; Lim, Tow-Keang; Heng, Bee-Hoon

    2012-01-01

    The aim of this study was to estimate the direct medical costs of COPD in two public health clusters in Singapore from 2005 to 2009. Patients aged 40 years and over, who had been diagnosed with COPD, were identified in a Chronic Disease Management Data-mart. Annual utilization of health services in inpatient, specialist outpatient, emergency department and primary care settings was extracted from the Chronic Disease Management Data-mart. Trends in attributable costs, proportions of costs and health-care utilization were analyzed across each level of care. A weighted attribution approach was used to allocate costs to each health-care utilization episode, depending on the relevance of co-morbidities. The mean total cost was approximately $9.9 million per year. Inpatient admissions were the major cost driver, contributing an average of $7.2 million per year. The proportion of hospitalization costs declined from 75% in 2005 to 68% in 2009. Based on the 5-year average, attendances at primary care clinics, emergency department and specialist clinics contributed 3%, 5% and 17%, respectively, of overall COPD costs. On average, 42% of the total cost burden was incurred for the medical management of COPD. The share of cost incurred for the treatment of conditions related and unrelated to COPD were 29% and 26%, respectively, of the total average costs. COPD is likely to represent a significant burden to the public health system in most countries. The findings are particularly relevant to understanding the allocation of health-care resources and informing appropriate cost containment strategies. © 2011 National Healthcare Group. Respirology © 2011 Asian Pacific Society of Respirology.

  13. Burden of serious fungal infections in Ukraine.

    Science.gov (United States)

    Osmanov, Ali; Denning, David W

    2015-10-01

    Ukraine has high rates of TB, AIDS and cancer. We estimated the burden of fungal disease from epidemiology papers and specific populations at risk and fungal infection frequencies. HIV/AIDS cases and deaths (2012) and tuberculosis statistics were obtained from the State Service of Ukraine, while chronic obstructive pulmonary disease (COPD) cases were from M. Miravitlles et al., Thorax 64, 863-868 (2009). Annual estimates are 893,579 Ukrainian women get recurrent vaginal thrush (≥4× per year), 50,847 cases of oral candidiasis and 13,727 cases of oesophageal candidiasis in HIV, and 101 (1%) of 10,085 new AIDS cases develop cryptococcal meningitis, 6152 cases of Pneumocystis pneumonia (13.5 cases per 100,000). Of the 29,265 cases of active respiratory TB in 2012, it is estimated that 2881 new cases of chronic pulmonary aspergillosis (CPA) occurred and that the 5-year period prevalence is 7724 cases with a total CPA burden of 10,054 cases. Assuming adult asthma prevalence is ~2.9%, 28,447 patients with allergic bronchopulmonary aspergillosis (ABPA) are likely and 37,491 with severe asthma with fungal sensitisation. We estimate 2278 cases and 376 postsurgical intra-abdominal Candida infections. Invasive aspergillosis in immunocompromised patients is estimated at 303 patients annually; 930 cases in COPD patients. Ninety cases of mucormycosis (2 per 1,000,000) are estimated. In total, ~1,000,000 (2.2%) people in Ukraine develop serious fungal infections annually. © 2015 Blackwell Verlag GmbH.

  14. Economic burden associated with hospital postadmission dehydration.

    Science.gov (United States)

    Pash, Elizabeth; Parikh, Niraj; Hashemi, Lobat

    2014-11-01

    Development of dehydration after hospital admission can be a measure of quality care, but evidence describing the incidence, economic burden, and outcomes of dehydration in hospitalized patients is lacking. The objective of this study was to compare costs and resource utilization of U.S. patients experiencing postadmission dehydration (PAD) with those who do not in a hospital setting. All adult inpatient discharges, excluding those with suspected dehydration present on admission (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes for dehydration: 276.0, 276.1, 276.5), were identified from the Premier database using ICD-9-CM codes. PAD and no-PAD (NPAD) groups were matched on propensity score adjusting for demographics (age, sex, race, medical, elective patients), patient severity (All Patient Refined Diagnosis-Related Groups severity scores), and hospital characteristics (geographic location, bed size, teaching and urban hospital). Costs, length of stay (LOS), and incidence of mortality and catheter-associated urinary tract infection (CAUTI) were compared between groups using the t test for continuous variables and the χ(2) test for categorical variables. In total, 86,398 (2.1%) of all the selected patients experienced PAD. Postmatching mean total costs were significantly higher for the PAD group compared with the NPAD group ($33,945 vs $22,380; P < .0001). Departmental costs were also significantly higher for the PAD group (all P < .0001). Compared with the NPAD group, the PAD group had a higher mean LOS (12.9 vs 8.2 days), a higher incidence of CAUTI (0.6% vs 0.5%), and higher in-hospital mortality (8.6% vs 7.8%) (all P < .05). The results for subgroup analysis also showed significantly higher total cost and longer LOS days for patients with PAD (all P < .05). The economic burden associated with hospital PAD in medical and surgical patients was substantial. © 2014 American Society for Parenteral and Enteral

  15. Economic burden of cervical cancer in Malaysia

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    Sharifa E.W. Puteh

    2008-12-01

    Full Text Available Cervical cancers form the second highest number of female cancers in Malaysia, imposing a substantial amount of cost burden on its management. However, an estimation of cost burden of abnormal smears, cervical pre-invasive and invasive diseases needs to be done to show how much spending has been allocated to the problem. An expert panel committee came up with the clinical pathway and management algorithm of  cervical pre invasive and invasive diseases from July-December 2006 Malaysia. An activity based costing for each clinical pathway was done. Results were converted to USD. The cost of managing pre-invasive cervical cancers stage is USD 420,150 (Range: USD 197,158-879,679. Management of invasive cancer (new cases costs USD 51,533,233.44 (Range: USD 32,405,399.69 - USD 129,014,768.40. The cost of managing existing cases is USD 17,005,966.87 (Range: USD 10,693,781.90 - USD  28,901,587.12. The total cost of managing cervical cancers by health care providers in a public setting is around USD 75,888,329.45 (Range: USD 48,083,804.60 - USD 48,083,804.60. The outcome of this study has shown that preventive modalities such as screening have only contributed to 10.3 % of the total management cost of cervical cancer. The major cost contribution (67% came from treatment of invasive cancer especially at more advanced stages of cancer, followed by treatment of existing cases (22% and lastly on pre-invasive disease (0.6%. This study revealed that proportion of preventive modality in this country was still low, and the major cost came from actual treatment cost of cervical cancer. Therefore, heightened public cervical cancer screening in the country is needed. (Med J Indones 2008; 17: 272-80Keywords: cervical cancers, pre invasive disease, HPV vaccination

  16. Overview of the burden of diseases in North Korea.

    Science.gov (United States)

    Lee, Yo Han; Yoon, Seok-Jun; Kim, Young Ae; Yeom, Ji Won; Oh, In-Hwan

    2013-05-01

    This article evaluates the overall current disease burden of North Korea through the recent databases of international organizations. It is notable that North Korea as a nation is exhibiting a relatively low burden from deaths and that there is greater burden from deaths caused by non-communicable diseases than from those caused by communicable diseases and malnutrition. However, the absolute magnitude of problems from communicable diseases like TB and from child malnutrition, which will increase the disease burden in the future, remains great. North Korea, which needs to handle both communicable and nutritional conditions, and non-communicable diseases, whose burden is ever more increasing in the nation, can now be understood as a country with the 'double-burden' of disease.

  17. Investigating the effects of communication problems on caregiver burden.

    Science.gov (United States)

    Savundranayagam, Marie Y; Hummert, Mary Lee; Montgomery, Rhonda J V

    2005-01-01

    The goal of this study was to explore the relationship between communication problems associated with dementia and caregiver burden, within the context of problem behaviors and cognitive and functional abilities of the care recipient. A scale on communication problems associated with dementia was developed and administered to 89 family caregivers. Participants also completed measures of care-recipient cognitive and functional status, problem behavior, and caregiver burden (demand, stress, and objective burden). Analyses using structural equation modeling showed that care-recipient cognitive and functional status indirectly predicted problem behaviors via communication problems. The status indicators also directly predicted demand burden. In addition, problem behaviors mediated the relationship between communication problems and all forms of burden. The study findings not only lend further support to the existing literature that has documented problem behaviors as strong predictors of burden but also emphasize the importance of communication problems in the caregiving process.

  18. ASCERTAINMENT OF THE EQUIVALENT CIRCUIT PARAMETERS OF THE ASYNCHRONOUS MACHINE

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    V. S. Safaryan

    2015-01-01

    Full Text Available The article considers experimental and analytical determination of the asynchronous machine equivalent-circuit parameters with application of the reference data. Transient processes investigation of the asynchronous machines necessitates the equivalent circuit parameters (resistance impedance, inductances and coefficient of the stator-rotor contours mutual inductance that help form the transitory-process mathematical simulation model. The reference books do not provide those parameters; they instead give the rated ones (active power, voltage, slide, coefficient of performance and capacity coefficient as well as the ratio of starting and nominal currents and torques. The noted studies on the asynchronous machine equivalent-circuits parametrization fail to solve the problems ad finem or solve them with admissions. The paper presents experimental and analytical determinations of the asynchronous machine equivalent-circuit parameters: the experimental one based on the results of two measurements and the analytical one where the problem boils down to solving a system of nonlineal algebraic equations. The authors investigate the equivalent asynchronous machine input-resistance properties and adduce the dependence curvatures of the input-resistances on the slide. They present a symbolic model for analytical parameterization of the asynchronous machine equivalent-circuit that represents a system of nonlineal equations and requires one of the rotor-parameters arbitrary assignment. The article demonstrates that for the asynchronous machine equivalent-circuit experimental parameterization the measures are to be conducted of the stator-circuit voltage, current and active power with two different slides and arbitrary assignment of one of the rotor parameters. The paper substantiates the fact that additional measurement does not discard the rotor-parameter choice arbitrariness. The authors establish that in motoring mode there is a critical slide by which the

  19. Productivity losses and public finance burden attributable to breast cancer in Poland, 2010-2014.

    Science.gov (United States)

    Łyszczarz, Błażej; Nojszewska, Ewelina

    2017-10-10

    Apart from the health and social burden of the disease, breast cancer (BC) has important economic implications for the sick, health system and whole economy. There has been a growing interest in the economic aspects of breast cancer and analyses of the disease costs seem to be the most explored topic. However, the results from these studies are hardly comparable. With this study we aim to contribute to the field by providing estimates of productivity losses and public finance burden attributable to BC in Poland. We used retrospective prevalence-based top-down approach to estimate the productivity losses (indirect costs) of BC in Poland in the period 2010-2014. Human capital method (HCM) and societal perspective were used to estimate the costs of: absenteeism of the sick and caregivers, presenteeism of the sick and caregivers, disability, and premature mortality. We also used figures illustrating public finance burden attributable to the disease. Deterministic sensitivity analysis was performed to assess the stability of the estimates. A variety of data sources were used with the social insurance system and Polish National Cancer Registry being the most important ones. Productivity losses associated with BC in Poland were €583.7 million in 2010 and they increased to €699.7 million in 2014. Throughout the period these costs accounted for 0.162-0.171% of GDP, an equivalent of 62,531-65,816 per capita GDP. Losses attributable to disability and premature mortality proved to be the major cost drivers with 27.6%-30.6% and 22.0%-24.6% of the total costs respectively. The costs due to caregivers' presenteeism were negligible (0.1% of total costs). Public finance expenditure for social insurance benefits to BC sufferers ranged from €50.2 million (2010) to €56.6 million (2014), an equivalent of 0.72-0.79% of expenditures for all diseases. Potential losses in public finance revenues accounted for €173.9 million in 2010 and €211.0 million in 2014. Sensitivity

  20. Caregiver burden and satisfaction in families of individuals with schizophrenia.

    Science.gov (United States)

    Hsiao, Chiu-Yueh; Tsai, Yun-Fang

    2014-01-01

    Caring for relatives with schizophrenia is complicated and has been associated with burden. Caregivers may also experience satisfaction, but these outcomes have not been simultaneously studied in family caregivers of relatives with schizophrenia. The aim was to investigate the attributes of caregiver burden and satisfaction among individuals and families as well as the association of caregiver burden on caregiver satisfaction in the care of Taiwanese individuals with schizophrenia. A cross-sectional, descriptive, correlational design was used. A convenience sample of 140 families (243 individual family caregivers) was recruited from two psychiatric hospitals in Taiwan. Participants were interviewed individually to complete questionnaires regarding pileup of demands, sense of coherence, mutuality, caregiver burden, and caregiver satisfaction. Linear mixed modeling was used. Female caregivers, greater family demands, decreased sense of coherence, and lower mutuality were associated with higher levels of caregiver burden, whereas being siblings or close relatives and being friends of the affected individuals were associated with lesser self-reported burden. Satisfaction was positively associated with caregiver age, sense of coherence, and mutuality. Burden and satisfaction were not significantly related. Caring for family members with schizophrenia is burdensome but can also be a source of satisfaction. Correlates of caregiver burden appeared to be somewhat distinct from those of caregiver satisfaction. Further research on negative and positive aspects of caregiving is warranted to broaden the understanding of caregiving experiences and design therapeutic interventions to mitigate caregiver burden and enhance the sense of satisfaction with caregiving.

  1. The Experience of Essential Tremor Caregivers: Burden and Its Correlates

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    Sarah Morgan

    2017-08-01

    Full Text Available BackgroundEssential tremor (ET is associated with physical and cognitive impairments, as well as embarrassment, avoidance of social settings, and related difficulties that negatively impact the lives of patients. In similar disease contexts, burden on friends and relatives acting as caregivers has been noted and has well-documented implications. There has been no study examining caregiver burden related to ET.MethodsData were gathered from 55 ET participants enrolled in a clinical study and their caregivers. The Zarit Burden Interview was used to assess caregiver burden. To assess clinical features that may be associated with burden, we collected several variables including the Montreal Cognitive Assessment, self-reported tremor disability, a videotaped neurological examination, questionnaires assessing ET participants’ suffering, caregivers’ perceptions of that suffering, and both caregiver and ET participant depressive symptoms. Spearman’s correlations were performed between caregiver burden and clinical features, and we created a multivariate linear regression model predicting caregiver burden.ResultsMany ET caregivers provide little to no care and experience little to no burden. However, some caregivers (11% provide over 25 h of care/week, and 13% experience high levels of burden. Caregivers most commonly provided assistance with writing and cooking. Increased burden was associated with the ET participants’ decreased cognition, more caregiving tasks, more hours/week of caregiving activities, a longer duration of care, more ET participant falls/year, more medications taken by the ET participant, and more depressive symptoms in both the ET participant and the caregiver (all p < 0.05. ET participants’ suffering and their caregivers’ perceptions of suffering were both associated with increased burden. Neither tremor severity score nor self-reported tremor disability score was associated with increased caregiver burden. Using a

  2. Beyond Attributable Burden: Estimating the Avoidable Burden of Disease Associated with Household Air Pollution.

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    Randall Kuhn

    Full Text Available The Global Burden of Disease (GBD studies have transformed global understanding of health risks by producing comprehensive estimates of attributable disease burden, or the current disease that would be eliminated if a risk factor did not exist. Yet many have noted the greater policy significance of avoidable burden, or the future disease that could actually be eliminated if a risk factor were eliminated today. Avoidable risk may be considerably lower than attributable risk if baseline levels of exposure or disease are declining, or if a risk factor carries lagged effects on disease. As global efforts to deliver clean cookstoves accelerate, a temporal estimation of avoidable risk due to household air pollution (HAP becomes increasingly important, particularly in light of the rapid uptake of modern stoves and ongoing epidemiologic transitions in regions like South and Southeast Asia.We estimate the avoidable burden associated with HAP using International Futures (IFs, an integrated forecasting system that has been used to model future global disease burdens and risk factors. Building on GBD and other estimates, we integrated a detailed HAP exposure estimation and exposure-response model into IFs. We then conducted a counterfactual experiment in which HAP exposure is reduced to theoretical minimum levels in 2015. We evaluated avoidable mortality and DALY reductions for the years 2015 to 2024 relative to a Base Case scenario in which only endogenous changes occurred. We present results by cause and region, looking at impacts on acute lower respiratory infection (ALRI and four noncommunicable diseases (NCDs. We found that just 2.6% of global DALYs would be averted between 2015 and 2024, compared to 4.5% of global DALYs attributed to HAP in the 2010 GBD study, due in large part to the endogenous tendency towards declining traditional stove usage in the IFs base case forecast. The extent of diminished impact was comparable for ALRI and affected NCDs

  3. The global burden of gout: estimates from the Global Burden of Disease 2010 study.

    Science.gov (United States)

    Smith, Emma; Hoy, Damian; Cross, Marita; Merriman, Tony R; Vos, Theo; Buchbinder, Rachelle; Woolf, Anthony; March, Lyn

    2014-08-01

    Gout is the most common cause of inflammatory arthritis in men, but has not previously been included in Global Burden of Disease (GBD) studies. As part of the GBD 2010 Study, the Musculoskeletal Disorders and Risk Factors Expert Group estimated the global burden of gout. The American Rheumatism Association 1977 case definition of primary gout was used in the study. A series of systematic reviews were conducted to gather the age-specific and sex-specific epidemiological data for gout prevalence, incidence, mortality risk and duration. Two main disabling sequelae of gout were identified; acute episode gout and chronic polyarticular gout, and used in the surveys to collect data to derive disability weights. The epidemiological data together with disability weights were then used to calculate years of life lived with disability (YLDs) for gout, for 1990 and 2010. No evidence of cause-specific mortality associated with gout was found. Gout disability-adjusted life years (DALYs), therefore, have the same value as YLDs. Global prevalence of gout was 0.08% (95% uncertainty interval (UI) 0.07 to 0.08). DALYs increased from 76 000 (95% UI 48 to 112) in 1990 to 114 000 (95% UI 72 to 167) in 2010. Out of all 291 conditions studied in the GBD 2010 Study, gout ranked 138th in terms of disability as measured by YLDs, and 173rd in terms of overall burden (DALYs). The burden of gout is rising. With increasing ageing populations globally, this evidence is a significant prompt to optimise treatment and management of gout at individual, community and national levels. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  4. Measuring the burden of neglected tropical diseases: the global burden of disease framework.

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    Colin D Mathers

    2007-11-01

    Full Text Available Reliable, comparable information about the main causes of disease and injury in populations, and how these are changing, is a critical input for debates about priorities in the health sector. Traditional sources of information about the descriptive epidemiology of diseases, injuries, and risk factors are generally incomplete, fragmented, and of uncertain reliability and comparability. The Global Burden of Disease (GBD study has provided a conceptual and methodological framework to quantify and compare the health of populations using a summary measure of both mortality and disability, the disability-adjusted life year (DALY.This paper describes key features of the Global Burden of Disease analytic approach, which provides a standardized measurement framework to permit comparisons across diseases and injuries, as well as risk factors, and a systematic approach to the evaluation of data. The paper describes the evolution of the GBD, starting from the first study for the year 1990, summarizes the methodological improvements incorporated into GBD revisions for the years 2000-2004 carried out by the World Health Organization, and examines priorities and issues for the next major GBD study, funded by the Bill & Melinda Gates Foundation, and commencing in 2007.The paper presents an overview of summary results from the Global Burden of Disease study 2002, with a particular focus on the neglected tropical diseases, and also an overview of the comparative risk assessment for 26 global risk factors. Taken together, trypanosomiasis, Chagas disease, schistosomiasis, leishmaniasis, lymphatic filariasis, onchocerciasis, intestinal nematode infections, Japanese encephalitis, dengue, and leprosy accounted for an estimated 177,000 deaths worldwide in 2002, mostly in sub-Saharan Africa, and about 20 million DALYs, or 1.3% of the global burden of disease and injuries. Further research is currently underway to revise and update these estimates.

  5. Validity of the Aluminum Equivalent Approximation in Space Radiation Shielding

    Science.gov (United States)

    Badavi, Francis F.; Adams, Daniel O.; Wilson, John W.

    2009-01-01

    The origin of the aluminum equivalent shield approximation in space radiation analysis can be traced back to its roots in the early years of the NASA space programs (Mercury, Gemini and Apollo) wherein the primary radiobiological concern was the intense sources of ionizing radiation causing short term effects which was thought to jeopardize the safety of the crew and hence the mission. Herein, it is shown that the aluminum equivalent shield approximation, although reasonably well suited for that time period and to the application for which it was developed, is of questionable usefulness to the radiobiological concerns of routine space operations of the 21 st century which will include long stays onboard the International Space Station (ISS) and perhaps the moon. This is especially true for a risk based protection system, as appears imminent for deep space exploration where the long-term effects of Galactic Cosmic Ray (GCR) exposure is of primary concern. The present analysis demonstrates that sufficiently large errors in the interior particle environment of a spacecraft result from the use of the aluminum equivalent approximation, and such approximations should be avoided in future astronaut risk estimates. In this study, the aluminum equivalent approximation is evaluated as a means for estimating the particle environment within a spacecraft structure induced by the GCR radiation field. For comparison, the two extremes of the GCR environment, the 1977 solar minimum and the 2001 solar maximum, are considered. These environments are coupled to the Langley Research Center (LaRC) deterministic ionized particle transport code High charge (Z) and Energy TRaNsport (HZETRN), which propagates the GCR spectra for elements with charges (Z) in the range I aluminum equivalent approximation for a good polymeric shield material such as genetic polyethylene (PE). The shield thickness is represented by a 25 g/cm spherical shell. Although one could imagine the progression to greater

  6. (In)validity of large N orientifold equivalence

    Science.gov (United States)

    Ünsal, Mithat; Yaffe, Laurence G.

    2006-11-01

    It has been argued that the bosonic sectors of supersymmetric SU(N) Yang-Mills theory, and of QCD with a single fermion in the antisymmetric (or symmetric) tensor representation, are equivalent in the N→∞ limit. If true, this correspondence can provide useful insight into properties of real QCD (with fundamental representation fermions), such as predictions [with O(1/N) corrections] for the nonperturbative vacuum energy, the chiral condensate, and a variety of other observables. Several papers asserting to have proven this large N “orientifold equivalence” have appeared. By considering theories compactified on R3×S1, we show explicitly that this large N equivalence fails for sufficiently small radius, where our analysis is reliable, due to spontaneous symmetry breaking of charge-conjugation symmetry in QCD with an antisymmetric (or symmetric) tensor representation fermion. This theory is also chirally symmetric for small radius, unlike super-Yang-Mills theory. The situation is completely analogous to large-N equivalences based on orbifold projections: simple symmetry realization conditions are both necessary and sufficient for the validity of the large N equivalence. Whether these symmetry realization conditions are satisfied depends on the specific nonperturbative dynamics of the theory under consideration. Unbroken charge-conjugation symmetry is necessary for validity of the large N orientifold equivalence. Whether or not this condition is satisfied on R4 (or R3×S1 for sufficiently large radius) is not currently known.

  7. Diminished acquired equivalence yet good discrimination performance in older participants

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    Jasper eRobinson

    2013-10-01

    Full Text Available We asked younger and older human participants to perform computer-based configural discriminations that were designed to detect acquired equivalence. Both groups solved the discriminations but only the younger participants demonstrated acquired equivalence. The discriminations involved learning the preferences (‘like’ [+] or ‘dislike’ [-] for sports (e.g., tennis [t] and hockey [h] of four fictitious people (e.g., Alice [A], Beth [B], Charlotte [C] & Dorothy [D]. In one experiment, the discrimination had the form: At+, Bt-, Ct+, Dt-, Ah-, Bh+, Ch-, Dh+. Notice that, e.g., Alice and Charlotte are ‘equivalent’ in liking tennis but disliking hockey. Acquired equivalence was assessed in ancillary components of the discrimination (e.g., by looking at the subsequent rate of ‘whole’ versus ‘partial’ reversal learning. Acquired equivalence is anticipated by a network whose hidden units are shared when inputs (e.g., A and C signal the same outcome (e.g., + when accompanied by the same input (t. One interpretation of these results is that there are age-related differences in the mechanisms of configural acquired equivalence.

  8. Sequential time interleaved random equivalent sampling for repetitive signal

    Science.gov (United States)

    Zhao, Yijiu; Liu, Jingjing

    2016-12-01

    Compressed sensing (CS) based sampling techniques exhibit many advantages over other existing approaches for sparse signal spectrum sensing; they are also incorporated into non-uniform sampling signal reconstruction to improve the efficiency, such as random equivalent sampling (RES). However, in CS based RES, only one sample of each acquisition is considered in the signal reconstruction stage, and it will result in more acquisition runs and longer sampling time. In this paper, a sampling sequence is taken in each RES acquisition run, and the corresponding block measurement matrix is constructed using a Whittaker-Shannon interpolation formula. All the block matrices are combined into an equivalent measurement matrix with respect to all sampling sequences. We implemented the proposed approach with a multi-cores analog-to-digital converter (ADC), whose ADC cores are time interleaved. A prototype realization of this proposed CS based sequential random equivalent sampling method has been developed. It is able to capture an analog waveform at an equivalent sampling rate of 40 GHz while sampled at 1 GHz physically. Experiments indicate that, for a sparse signal, the proposed CS based sequential random equivalent sampling exhibits high efficiency.

  9. A Cp-theory problem book functional equivalencies

    CERN Document Server

    Tkachuk, Vladimir V

    2016-01-01

    This fourth volume in Vladimir Tkachuk's series on Cp-theory gives reasonably complete coverage of the theory of functional equivalencies through 500 carefully selected problems and exercises. By systematically introducing each of the major topics of Cp-theory, the book is intended to bring a dedicated reader from basic topological principles to the frontiers of modern research. The book presents complete and up-to-date information on the preservation of topological properties by homeomorphisms of function spaces.  An exhaustive theory of t-equivalent, u-equivalent and l-equivalent spaces is developed from scratch.   The reader will also find introductions to the theory of uniform spaces, the theory of locally convex spaces, as well as  the theory of inverse systems and dimension theory. Moreover, the inclusion of Kolmogorov's solution of Hilbert's Problem 13 is included as it is needed for the presentation of the theory of l-equivalent spaces. This volume contains the most important classical re...

  10. Higher-order gravity and the classical equivalence principle

    Science.gov (United States)

    Accioly, Antonio; Herdy, Wallace

    2017-11-01

    As is well known, the deflection of any particle by a gravitational field within the context of Einstein’s general relativity — which is a geometrical theory — is, of course, nondispersive. Nevertheless, as we shall show in this paper, the mentioned result will change totally if the bending is analyzed — at the tree level — in the framework of higher-order gravity. Indeed, to first order, the deflection angle corresponding to the scattering of different quantum particles by the gravitational field mentioned above is not only spin dependent, it is also dispersive (energy-dependent). Consequently, it violates the classical equivalence principle (universality of free fall, or equality of inertial and gravitational masses) which is a nonlocal principle. However, contrary to popular belief, it is in agreement with the weak equivalence principle which is nothing but a statement about purely local effects. It is worthy of note that the weak equivalence principle encompasses the classical equivalence principle locally. We also show that the claim that there exists an incompatibility between quantum mechanics and the weak equivalence principle, is incorrect.

  11. Equivalent-Continuum Modeling With Application to Carbon Nanotubes

    Science.gov (United States)

    Odegard, Gregory M.; Gates, Thomas S.; Nicholson, Lee M.; Wise, Kristopher E.

    2002-01-01

    A method has been proposed for developing structure-property relationships of nano-structured materials. This method serves as a link between computational chemistry and solid mechanics by substituting discrete molecular structures with equivalent-continuum models. It has been shown that this substitution may be accomplished by equating the vibrational potential energy of a nano-structured material with the strain energy of representative truss and continuum models. As important examples with direct application to the development and characterization of single-walled carbon nanotubes and the design of nanotube-based devices, the modeling technique has been applied to determine the effective-continuum geometry and bending rigidity of a graphene sheet. A representative volume element of the chemical structure of graphene has been substituted with equivalent-truss and equivalent continuum models. As a result, an effective thickness of the continuum model has been determined. This effective thickness has been shown to be significantly larger than the interatomic spacing of graphite. The effective thickness has been shown to be significantly larger than the inter-planar spacing of graphite. The effective bending rigidity of the equivalent-continuum model of a graphene sheet was determined by equating the vibrational potential energy of the molecular model of a graphene sheet subjected to cylindrical bending with the strain energy of an equivalent continuum plate subjected to cylindrical bending.

  12. Inertia and Double Bending of Light from Equivalence

    Science.gov (United States)

    Shuler, Robert L., Jr.

    2010-01-01

    Careful examination of light paths in an accelerated reference frame, with use of Special Relativity, can account fully for the observed bending of light in a gravitational field, not just half of it as reported in 1911. This analysis also leads to a Machian formulation of inertia similar to the one proposed by Einstein in 1912 and later derived from gravitational field equations in Minkowsky Space by Sciama in 1953. There is a clear inference from equivalence that there is some type of inertial mass increase in a gravitational field. It is the purpose of the current paper to suggest that equivalence provides a more complete picture of gravitational effects than previously thought, correctly predicting full light bending, and that since the theory of inertia is derivable from equivalence, any theory based on equivalence must take account of it. Einstein himself clearly was not satisfied with the status of inertia in GRT, as our quotes have shown. Many have tried to account for inertia and met with less than success, for example Davidson s integration of Sciama s inertia into GRT but only for a steady state cosmology [10], and the Machian gravity theory of Brans and Dicke [11]. Yet Mach s idea hasn t gone away, and now it seems that it cannot go away without also disposing of equivalence.

  13. The Global Burden of Disease Study and the Preventable Burden of NCD.

    Science.gov (United States)

    Benziger, Catherine P; Roth, Gregory A; Moran, Andrew E

    2016-12-01

    Noncommunicable diseases (NCD) now account for more than one-half of the global burden of disease. Cardiovascular diseases account for about one-half of NCD deaths, and the majority of cardiovascular disease deaths occur in low- and middle-income countries. The GBD (Global Burden of Disease) study measures and benchmarks health loss from death or disability from more than 300 diseases in over 100 countries. According to GBD analyses, the rise of NCD is in part due to increased life expectancy due to reduced premature mortality from communicable, child, and maternal illnesses, but preventable risk factors also contribute and present targets for NCD control efforts. In addition to traditional NCD risk factors, like tobacco smoking, high blood pressure, and unhealthful diet, nontraditional risk factors like air pollution and unhealthful alcohol consumption also play a role. The GBD study continues to grow by gathering more data from country partners than ever before, and by measuring health at the national and subnational levels and in smaller time increments. The GBD study will continue to provide the data to set priorities for and measure progress in the global effort to control the rising burden of NCD. Copyright © 2016 World Heart Federation (Geneva). Published by Elsevier B.V. All rights reserved.

  14. The Global Burden of Cancer 2013.

    Science.gov (United States)

    Fitzmaurice, Christina; Dicker, Daniel; Pain, Amanda; Hamavid, Hannah; Moradi-Lakeh, Maziar; MacIntyre, Michael F; Allen, Christine; Hansen, Gillian; Woodbrook, Rachel; Wolfe, Charles; Hamadeh, Randah R; Moore, Ami; Werdecker, Andrea; Gessner, Bradford D; Te Ao, Braden; McMahon, Brian; Karimkhani, Chante; Yu, Chuanhua; Cooke, Graham S; Schwebel, David C; Carpenter, David O; Pereira, David M; Nash, Denis; Kazi, Dhruv S; De Leo, Diego; Plass, Dietrich; Ukwaja, Kingsley N; Thurston, George D; Yun Jin, Kim; Simard, Edgar P; Mills, Edward; Park, Eun-Kee; Catalá-López, Ferrán; deVeber, Gabrielle; Gotay, Carolyn; Khan, Gulfaraz; Hosgood, H Dean; Santos, Itamar S; Leasher, Janet L; Singh, Jasvinder; Leigh, James; Jonas, Jost B; Jonas, Jost; Sanabria, Juan; Beardsley, Justin; Jacobsen, Kathryn H; Takahashi, Ken; Franklin, Richard C; Ronfani, Luca; Montico, Marcella; Naldi, Luigi; Tonelli, Marcello; Geleijnse, Johanna; Petzold, Max; Shrime, Mark G; Younis, Mustafa; Yonemoto, Naohiro; Breitborde, Nicholas; Yip, Paul; Pourmalek, Farshad; Lotufo, Paulo A; Esteghamati, Alireza; Hankey, Graeme J; Ali, Raghib; Lunevicius, Raimundas; Malekzadeh, Reza; Dellavalle, Robert; Weintraub, Robert; Lucas, Robyn; Hay, Roderick; Rojas-Rueda, David; Westerman, Ronny; Sepanlou, Sadaf G; Nolte, Sandra; Patten, Scott; Weichenthal, Scott; Abera, Semaw Ferede; Fereshtehnejad, Seyed-Mohammad; Shiue, Ivy; Driscoll, Tim; Vasankari, Tommi; Alsharif, Ubai; Rahimi-Movaghar, Vafa; Vlassov, Vasiliy V; Marcenes, W S; Mekonnen, Wubegzier; Melaku, Yohannes Adama; Yano, Yuichiro; Artaman, Al; Campos, Ismael; MacLachlan, Jennifer; Mueller, Ulrich; Kim, Daniel; Trillini, Matias; Eshrati, Babak; Williams, Hywel C; Shibuya, Kenji; Dandona, Rakhi; Murthy, Kinnari; Cowie, Benjamin; Amare, Azmeraw T; Antonio, Carl Abelardo; Castañeda-Orjuela, Carlos; van Gool, Coen H; Violante, Francesco; Oh, In-Hwan; Deribe, Kedede; Soreide, Kjetil; Knibbs, Luke; Kereselidze, Maia; Green, Mark; Cardenas, Rosario; Roy, Nobhojit; Tillmann, Taavi; Tillman, Taavi; Li, Yongmei; Krueger, Hans; Monasta, Lorenzo; Dey, Subhojit; Sheikhbahaei, Sara; Hafezi-Nejad, Nima; Kumar, G Anil; Sreeramareddy, Chandrashekhar T; Dandona, Lalit; Wang, Haidong; Vollset, Stein Emil; Mokdad, Ali; Salomon, Joshua A; Lozano, Rafael; Vos, Theo; Forouzanfar, Mohammad; Lopez, Alan; Murray, Christopher; Naghavi, Mohsen

    2015-07-01

    Cancer is among the leading causes of death worldwide. Current estimates of cancer burden in individual countries and regions are necessary to inform local cancer control strategies. To estimate mortality, incidence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs) for 28 cancers in 188 countries by sex from 1990 to 2013. The general methodology of the Global Burden of Disease (GBD) 2013 study was used. Cancer registries were the source for cancer incidence data as well as mortality incidence (MI) ratios. Sources for cause of death data include vital registration system data, verbal autopsy studies, and other sources. The MI ratios were used to transform incidence data to mortality estimates and cause of death estimates to incidence estimates. Cancer prevalence was estimated using MI ratios as surrogates for survival data; YLDs were calculated by multiplying prevalence estimates with disability weights, which were derived from population-based surveys; YLLs were computed by multiplying the number of estimated cancer deaths at each age with a reference life expectancy; and DALYs were calculated as the sum of YLDs and YLLs. In 2013 there were 14.9 million incident cancer cases, 8.2 million deaths, and 196.3 million DALYs. Prostate cancer was the leading cause for cancer incidence (1.4 million) for men and breast cancer for women (1.8 million). Tracheal, bronchus, and lung (TBL) cancer was the leading cause for cancer death in men and women, with 1.6 million deaths. For men, TBL cancer was the leading cause of DALYs (24.9 million). For women, breast cancer was the leading cause of DALYs (13.1 million). Age-standardized incidence rates (ASIRs) per 100 000 and age-standardized death rates (ASDRs) per 100 000 for both sexes in 2013 were higher in developing vs developed countries for stomach cancer (ASIR, 17 vs 14; ASDR, 15 vs 11), liver cancer (ASIR, 15 vs 7; ASDR, 16 vs 7), esophageal cancer (ASIR, 9 vs 4

  15. [Burden of colorectal cancer in China].

    Science.gov (United States)

    Zhang, Yue; Shi, Jufang; Huang, Huiyao; Ren, Jiansong; Li, Ni; Dai, Min

    2015-07-01

    To understand the incidence and mortality of colorectal cancer in China. The data from GLOBOCAN 2012, Chinese Cancer Registry Annual Report 2012, Cancer Incidence in Five Continents (CI5), the Three National Death Cause Surveys in China and WHO Mortality Database were used to learn about the incidence and mortality of colorectal cancer and related trends in China. It was estimated by GLOBOCAN 2012 that in 2012 the age-standardized incidence of colorectal cancer in China was 16.9 per 100 000 in males and 11.6 per 100 000 in females, and the age-standardized mortality was 9.0 per 100 000 in males and 6.1 per 100 000 in females. GLOBOCAN 2012 estimated that colorectal cancer incidence and mortality would increase with the level of human development index. China's human development level was high, suggesting that the burden of colorectal cancer would be more serious in China with the development of social economy. The data from CI5 Volume IV and GLOBOCAN 2012 indicated that the incidence of colorectal cancer began to increase obviously at age of 50 years in China. Chinese Cancer Registry Annual Report 2012 showed that the incidence and mortality of colorectal cancer in urban population were two times higher than those in rural population in 2009, the proportions of colon cancer among colorectal and anus cancers, which was 49.0% in males and 54.2% in females, 53.4% in urban population and 41.7% in rural population. CI5 Volumes IV-X showed that colon cancer and rectum and anus cancer incidence in Shanghai for both males and females were increasing during the period 1973-2007. The percentage change in colon cancer and rectum and anus cancer incidence between 1973-1977 and 2003-2007 increased by 138.8% and 31.1% in males, 146.7% and 49.1% in females, respectively. The data from the Three National Death Cause Surveys showed that the crude mortality of colorectal cancer increased by 77.9% form mid 1970's (1973-1975) to mid 2000's (2004-2005). WHO Mortality Database showed

  16. Burden of Serious Fungal Infections in Jordan

    Directory of Open Access Journals (Sweden)

    Jamal Wadi

    2018-01-01

    Full Text Available Objective: To estimate the burden of fungal infections in Jordan for the first time. Material and Methods: Population data was from UN 2011 statistics and TB cases from WHO in 2012. Fewer than 100 patients with HIV were recorded in Jordan in 2013. Approximately 100 renal transplants and eight liver transplants are performed annually. There were 12,233 major surgical procedures in Jordan in 2013, of which 5.3% were major abdominal surgeries; candidemia was estimated in 5% of the population based on other countries, with 33% occurring in the ICU. Candida peritonitis/intra-abdominal candidiasis was estimated to affect 50% of the number of ICU candidemia cases. No adult asthma rates have been recorded for Jordan, so the rate from the Holy Land (8.54% clinical asthma from To et al. has been used. There are an estimated 49,607 chronic obstructive pulmonary disease (COPD patients in Jordan, with 64% symptomatic, 25% Gold stage 3% or 4%, and 7% (3472 are assumed to be admitted to hospital each year. No cystic fibrosis cases have been recorded. Literature searches on fungal infections revealed few data and no prevalence data on fungal keratitis or tinea capitis, even though tinea capitis comprised 34% of patients with dermatophytoses in Jordan. Results: Jordan has 6.3 million inhabitants (65% adults, 6% are >60 years old. The current burden of serious fungal infections in Jordan was estimated to affect ~119,000 patients (1.9%, not including any cutaneous fungal infections. Candidemia was estimated at 316 cases and invasive aspergillosis in leukemia, transplant, and COPD patients at 84 cases. Chronic pulmonary aspergillosis prevalence was estimated to affect 36 post-TB patients, and 175 in total. Allergic bronchopulmonary aspergillosis (ABPA and severe asthma with fungal sensitization (SAFS prevalence in adults with asthma were estimated at 8900 and 11,748 patients. Recurrent vulvovaginal candidiasis was estimated to affect 97,804 patients, using a 6

  17. Wave propagation in equivalent continuums representing truss lattice materials

    Energy Technology Data Exchange (ETDEWEB)

    Messner, Mark C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Barham, Matthew I. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kumar, Mukul [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Barton, Nathan R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-07-29

    Stiffness scales linearly with density in stretch-dominated lattice meta-materials offering the possibility of very light yet very stiff structures. Current additive manufacturing techniques can assemble structures consisting of these lattice materials, but the design of such structures will require accurate, efficient simulation techniques. Equivalent continuum models have several advantages over discrete truss models of stretch dominated lattices, including computational efficiency and ease of model construction. However, the development an equivalent model suitable for representing the dynamic response of a periodic truss is complicated by microinertial effects. This paper derives a dynamic equivalent continuum model for periodic truss structures and verifies it against detailed finite element simulations. The model must incorporate microinertial effects to accurately reproduce long-wavelength characteristics of the response such as anisotropic elastic soundspeeds. The formulation presented here also improves upon previous work by preserving equilibrium at truss joints for affine lattice deformation and by improving numerical stability by eliminating vertices in the effective yield surface.

  18. Equivalent medium theory of layered sphere particle with anisotropic shells

    Science.gov (United States)

    Li, Xingcai; Wang, Minzhong; Zhang, Beidou

    2016-08-01

    Researches on the optical properties of small particle have been widely concerned in the atmospheric science, astronomy, astrophysics, biology and medical science. This paper provides an equivalent dielectric theory for the functional graded particle with anisotropic shells, in which inhomogeneous and anisotropic particle was equivalently transformed into a new kind of homogeneous, continuous and isotropic sphere with same size but different permittivity, and then greatly simplify the calculation process of particle's optical property. Meanwhile, the paper also discusses whether the charge on the particle can change the expression of its equivalent permittivity or not. These results proposed in this paper can be used to simulate the electrical, optical properties of layered sphere, it also meet the research requirement in the design of functional graded particles in different subjects.

  19. Functional explanation and the problem of functional equivalence.

    Science.gov (United States)

    DiFrisco, James

    2017-10-01

    The legitimacy of functional explanations in biology is threatened by a problem first identified by Hempel: the problem of functional equivalence. In order for the prevalence of a trait to be explained by its function, the function would have to explain why that very trait is prevalent and not some other functionally equivalent trait. But functions alone cannot meet this explanatory demand. I argue that this is a problem not only for Nagelian deductive-nomological models but also for etiological models of functional explanation. I contrast these models with a dual model of adaptive explanation and design explanation. This dual model largely circumvents the problem of functional equivalence, but divests functions of much explanatory power. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Reduction of Linear Functional Systems using Fuhrmann's Equivalence

    Directory of Open Access Journals (Sweden)

    Mohamed S. Boudellioua

    2016-11-01

    Full Text Available Functional systems arise in the treatment of systems of partial differential equations, delay-differential equations, multidimensional equations, etc. The problem of reducing a linear functional system to a system containing fewer equations and unknowns was first studied by Serre. Finding an equivalent presentation of a linear functional system containing fewer equations and fewer unknowns can generally simplify both the study of the structural properties of the linear functional system and of different numerical analysis issues, and it can sometimes help in solving the linear functional system. In this paper, Fuhrmann's equivalence is used to present a constructive result on the reduction of under-determined linear functional systems to a single equation involving a single unknown. This equivalence transformation has been studied by a number of authors and has been shown to play an important role in the theory of linear functional systems.

  1. Equivalence Principles, Spacetime Structure and the Cosmic Connection

    CERN Document Server

    Ni, Wei-Tou

    2015-01-01

    After reviewing the meaning of various equivalence principles and the structure of electrodynamics, we give a fairly detailed account of the construction of the light cone and a core metric from the equivalence principle for the photon (no birefringence, no polarization rotation and no amplification/attenuation in propagation) in the framework of linear electrodynamics using cosmic connections/observations as empirical support. The cosmic nonbirefringent propagation of photons independent of energy and polarization verifies the Galileo Equivalence Principle [Universality of Propagation] for photons/electromagnetic wave packets in spacetime. This nonbirefringence constrains the spacetime constitutive tensor to high precision to a core metric form with an axion degree and a dilaton degree of freedom. Thus comes the metric with axion and dilation. Constraints on axion and dilaton from astrophysical/cosmic propagation are reviewed. E\\"otv\\"os-type experiments, Hughes-Drever-type experiments, redshift experiments ...

  2. Mesoscale symmetries explain dynamical equivalence of food webs

    CERN Document Server

    Aufderheide, Helge; Gross, Thilo

    2012-01-01

    A present challenge in complex systems is to identify mesoscale structures that have distinct dynamical implications. In this paper we present a detailed investigation of a previously observed dynamical equivalence of certian ecological food webs. We show that this equivalence is rooted in mesoscale symmetries that exist in these webs. Certain eigenvectors of the Jacobian describing dynamical modes of the system, such as specific instabilities or responses to perturbations, localize on these symmetric motifs. On the one hand this means that by removing a symmetry from the network one obtains a system which has identical dynamics except for the removal of the localized mode. This explains the previously observed equivalence. On the other hand it means that we can identify dynamical modes that only depend on the symmetric motif. Symmetric structures thus provide an example for mesoscale network motifs having distinct and exact implications for the dynamics.

  3. Some new results on Borel irreducibility of equivalence relations

    Science.gov (United States)

    Kanovei, Vladimir G.; Reeken, M.

    2003-02-01

    We prove that orbit equivalence relations (ERs, for brevity) of generically turbulent Polish actions are not Borel reducible to ERs of a family which includes Polish actions of S_\\infty (the group of all permutations of \\mathbb N and is closed under the Fubini product modulo the ideal Fin of all finite sets and under some other operations. We show that \\mathsf T_2 (an equivalence relation called the equality of countable sets of reals is not Borel reducible to another family of ERs which includes continuous actions of Polish CLI groups, Borel equivalence relations with \\mathbf G_{\\delta\\sigma} classes and some ideals, and is closed under the Fubini product modulo Fin. These results and their corollaries extend some earlier irreducibility theorems of Hjorth and Kechris.

  4. The equivalence myth of quantum mechanics-part II

    Science.gov (United States)

    Muller, F. A.

    The author endeavours to show two things: first, that Schrödingers (and Eckarts) demonstration in March (September) 1926 of the equivalence of matrix mechanics, as created by Heisenberg, Born, Jordan and Dirac in 1925, and wave mechanics, as created by Schrödinger in 1926, is not foolproof; and second, that it could not have been foolproof, because at the time matrix mechanics and wave mechanics were neither mathematically nor empirically equivalent. That they were is the Equivalence Myth. In order to make the theories equivalent and to prove this, one has to leave the historical scene of 1926 and wait until 1932, when von Neumann finished his magisterial edifice. During the period 1926-1932 the original families of mathematical structures of matrix mechanics and of wave mechanics were stretched, parts were chopped off and novel structures were added. To Procrustean places we go, where we can demonstrate the mathematical, empirical and ontological equivalence of 'the final versions of' matrix mechanics and wave mechanics. The present paper claims to be a comprehensive analysis of one of the pivotal papers in the history of quantum mechanics: Schrödingers equivalence paper. Since the analysis is performed from the perspective of Suppes structural view ('semantic view') of physical theories, the present paper can be regarded not only as a morsel of the internal history of quantum mechanics, but also as a morsel of applied philosophy of science. The paper is self-contained and presupposes only basic knowledge of quantum mechanics. For reasons of length, the paper is published in two parts; Part I appeared in the previous issue of this journal. Section 1 contains, besides an introduction, also the papers five claims and a preview of the arguments supporting these claims; so Part I, Section 1 may serve as a summary of the paper for those readers who are not interested in the detailed arguments.

  5. [Burden of psychiatric diseases in Chile].

    Science.gov (United States)

    Vicente P, Benjamín; Kohn, Robert; Saldivia B, Sandra; Rioseco S, Pedro

    2007-12-01

    Chile has one of the highest disease burdens caused by neuropsychiatric illnesses in the world, according to WHO, reaching to 31%. Major depression and alcohol use disorders are ranked first and second in attributed disability among adults. Nearly one-third of the population has had a psychiatric disorder in their lifetime, and 22.2% in the past year. Anxiety disorders are the most prevalent conditions, followed by major depression and alcohol abuse. Currently, mental health accounts for 2.3%) of the health care budget, which is less than some neighboring countries. The availability of 1.3 psychiatric beds per 10,000 inhabitants, is less than the mean of lower-income countries. Moreover, 81% are for chronic rather than acute care. Chile has 4.0 psychiatrist per 100,000 inhabitants, which is lower than other countries in Latin America. Only 38.5% of those patients with a psychiatric diagnosis receive any kind of mental health care, whether from a specialist or primary care. There is a perception among lay persons, that psychiatric treatments lack efficacy, despite evidence demonstrating the contrary. Not addressing the treatment gap in mental health has serious public health implications.

  6. Caregivers' burden in patients with COPD.

    Science.gov (United States)

    Miravitlles, Marc; Peña-Longobardo, Luz María; Oliva-Moreno, Juan; Hidalgo-Vega, Álvaro

    2015-01-01

    Chronic obstructive pulmonary disease (COPD) is a very prevalent and invalidating disease. The aim of this study was to analyze the burden borne by informal caregivers of patients with COPD. We used the Survey on Disabilities, Personal Autonomy, and Dependency Situations (Encuesta sobre Discapacidad, Autonomía personal y Situaciones de Dependencia [EDAD]-2008) to obtain information on the characteristics of disabled individuals with COPD and their caregivers in Spain. Additionally, statistical multivariate analyses were performed to analyze the impact that an increase in dependence would have on the problems for which caregivers provide support, in terms of health, professional, and leisure/social dimensions. A total of 461,884 individuals with one or more disabilities and with COPD were identified, and 220,892 informal caregivers were estimated. Results showed that 35% of informal caregivers had health-related problems due to the caregiving provided; 83% had leisure/social-related problems; and among caregivers of working age, 38% recognized having profession-related problems. The probability of a problem arising was significantly associated with the degree of dependence of the patient receiving care. Caregivers of patients with great dependence showed a 39% higher probability of presenting health-related problems, 27% more professional problems, and 23% more leisure problems compared with those with nondependent patients. The results show the large impact on society in terms of the welfare of informal caregivers of patients with COPD. A higher level of dependence was associated with more severe problems in caregivers, in all dimensions.

  7. Burden of fungal infections in Algeria.

    Science.gov (United States)

    Chekiri-Talbi, M; Denning, D W

    2017-06-01

    We report for the first time in Algeria and provide burden estimates. We searched for existing data and estimated the incidence and prevalence of fungal diseases based on the population at risk and available epidemiological data. Demographic data were derived from the National Office of Statistics (Office National des Statistiques: ONS), World Health Organization (WHO), The Joint Nations Programme on HIV/AIDS (UNAIDS) and national published reports. When no data existed, risk populations were used to estimate frequencies of fungal infections, using previously described methodology. Algeria has 40.4 million inhabitants, and probably at least 568,900 (1.41%) of Algerians have a serious fungal infection each year. Recurrent vulvovaginal candidiasis (485,000) and fungal asthma (72,000) are probably the commonest problems, as there are over 1 million adult asthmatics. Candidaemia is estimated in 2,020 people, invasive aspergillosis in 2,865 people, and intra-abdominal candidiasis in 303 people; these are the most common life-threatening problems. AIDS is uncommon, but cancer is not (45,000 new cases of cancer including 1,500 in children), nor is COPD (an estimated 317,762 patients, of whom 20.3% are admitted to hospital each year). A focus on improving the diagnosis and epidemiological data related to fungal infection is necessary in Algeria.

  8. The European Person Equivalent: Measuring the personal environmental space

    DEFF Research Database (Denmark)

    Hauschild, Michael Zwicky; Wenzel, Henrik

    2001-01-01

    European person equivalent is a quantification of the average person’s environmental impact in a near future according to the current politically set environmental targets. In addition to expressing the current societal priorities in pollution reduction, the targeted PE expresses the environmental space...... and interpretation of environmental impacts from all kinds of man-made activities, technologies and systems. The paper presents the determination of the person equivalents for different impact categories and consumption of resources. Its relation to the sustainability-based ecological space and its use as a common...... yardstick for industry in the presentation and comparison of environmental impact are discussed....

  9. Categorical Equivalence Between Orthomodular Dynamic Algebras and Complete Orthomodular Lattices

    Science.gov (United States)

    Kishida, Kohei; Rafiee Rad, Soroush; Sack, Joshua; Zhong, Shengyang

    2017-12-01

    This paper provides a categorical equivalence between two types of quantum structures. One is a complete orthomodular lattice, which is used for reasoning about testable properties of a quantum system. The other is an orthomodular dynamic algebra, which is a quantale used for reasoning about quantum actions. The result extends to more restrictive lattices than orthomodular lattices, and includes Hilbert lattices of closed subspaces of a Hilbert space. These other lattice structures have connections to a wide range of different quantum structures; hence our equivalence establishes a categorical connection between quantales and a great variety of quantum structures.

  10. Equivalent Lagrangian densities and invariant collective coordinates equations

    Energy Technology Data Exchange (ETDEWEB)

    Zamora-Sillero, ElIas [Department of Biochemistry, University of Zurich, Building 27 Winterthurerstrasse 190 CH-8057, Zurich (Switzerland); Shapovalov, Alexander V, E-mail: e.zamora@bioc.uzh.ch, E-mail: shpv@phys.tsu.ru [Laboratory of Mathematical Physics, Tomsk Polytechnical University, Tomsk (Russian Federation)

    2011-02-11

    In the framework of the Lagrangian formalism the partial differential equation under study does not define univocally the Lagrangian density. In this paper we obtain a necessary and sufficient consistency condition over the ansatz that assures the invariance of the collective coordinates (CCs) equations under the change of equivalent Lagrangian densities. When this condition is not fulfilled we show explicitly that different equations of CCs may emerge from equivalent Lagrangian densities and a good agreement between the CCs and the partial differential equations is not expected.

  11. Electric circuit networks equivalent to chaotic quantum billiards.

    Science.gov (United States)

    Bulgakov, Evgeny N; Maksimov, Dmitrii N; Sadreev, Almas F

    2005-04-01

    We consider two electric RLC resonance networks that are equivalent to quantum billiards. In a network of inductors grounded by capacitors, the eigenvalues of the quantum billiard correspond to the squared resonant frequencies. In a network of capacitors grounded by inductors, the eigenvalues of the billiard are given by the inverse of the squared resonant frequencies. In both cases, the local voltages play the role of the wave function of the quantum billiard. However, unlike for quantum billiards, there is a heat power because of the resistance of the inductors. In the equivalent chaotic billiards, we derive a distribution of the heat power which describes well the numerical statistics.

  12. A weak equivalence principle test on a suborbital rocket

    Energy Technology Data Exchange (ETDEWEB)

    Reasenberg, Robert D; Phillips, James D, E-mail: reasenberg@cfa.harvard.ed [Smithsonian Astrophysical Observatory, Harvard-Smithsonian Center for Astrophysics, Cambridge, MA 02138 (United States)

    2010-05-07

    We describe a Galilean test of the weak equivalence principle, to be conducted during the free fall portion of a sounding rocket flight. The test of a single pair of substances is aimed at a measurement uncertainty of sigma(eta) < 10{sup -16} after averaging the results of eight separate drops. The weak equivalence principle measurement is made with a set of four laser gauges that are expected to achieve 0.1 pm Hz{sup -1/2}. The discovery of a violation (eta not = 0) would have profound implications for physics, astrophysics and cosmology.

  13. A weak equivalence principle test on a suborbital rocket

    CERN Document Server

    Reasenberg, Robert D

    2010-01-01

    We describe a Galilean test of the weak equivalence principle, to be conducted during the free fall portion of a sounding rocket flight. The test of a single pair of substances is aimed at a measurement uncertainty of sigma(eta) < 10^-16 after averaging the results of eight separate drops. The weak equivalence principle measurement is made with a set of four laser gauges that are expected to achieve 0.1 pm Hz^-1/2. The discovery of a violation (eta not equal to 0) would have profound implications for physics, astrophysics, and cosmology.

  14. Idiomaticity of English Business Terms and Their Equivalents in Lithuanian

    Directory of Open Access Journals (Sweden)

    Pavel Skorupa

    2011-04-01

    Full Text Available The paper presents the survey of idiomatic English business terms and their Lithuanian equivalents. The study was based on the theory of idioms and idiomaticity, highlighting the idea that idiomaticity can affect single words, word combinations, and longer text passages. Idiomatic business terms were taken from different English and Lithuanian general and special dictionaries, course books, as well as business texts. The analyzed terms were classified into distinct groups according to their meaning. The key problem encountered was the lack of Lithuanian translation equivalents to certain idiomatic English business terms. Possible Lithuanian translation was provided.

  15. Graphene-based THz modulator analyzed by equivalent circuit model

    DEFF Research Database (Denmark)

    Xiao, Binggang; Chen, Jing; Xie, Zhiyi

    2016-01-01

    A terahertz (THz) modulator based on graphene is proposed and analysed by use of equivalent transmission line of a homogeneous mediumand the local anisotropic model of the graphene conductivity. The result calculated by the equivalent circuit is consistent with that obtained byFresnel transfer...... matrices. For the modulator proposed here, when the frequency of carrier wave is 0.6 THz, the theoretical analysis indicatesthat the modulation bandwidth is 55.5 kHz and the modulation depth is 81.3% for voltage change from 0 to 50 V...

  16. Design of bent waveguide semiconductor lasers using nonlinear equivalent chirp

    Science.gov (United States)

    Li, Lianyan; Shi, Yuechun; Zhang, Yunshan; Chen, Xiangfei

    2018-01-01

    Reconstruction equivalent chirp (REC) technique is widely used in the design and fabrication of semiconductor laser arrays and tunable lasers with low cost and high wavelength accuracy. Bent waveguide is a promising method to suppress the zeroth order resonance, which is an intrinsic problem in REC technique. However, it may introduce basic grating chirp and deteriorate the single longitudinal mode (SLM) property of the laser. A nonlinear equivalent chirp pattern is proposed in this paper to compensate the grating chirp and improve the SLM property. It will benefit the realization of low-cost Distributed feedback (DFB) semiconductor laser arrays with accurate lasing wavelength.

  17. 34 CFR 34.14 - Burden of proof.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Burden of proof. 34.14 Section 34.14 Education Office of the Secretary, Department of Education ADMINISTRATIVE WAGE GARNISHMENT § 34.14 Burden of proof. (a... evidence that withholding the amount of wages proposed in the notice would leave you unable to meet the...

  18. Estimating the burden of disease attributable to high cholesterol in ...

    African Journals Online (AJOL)

    The total attributable burden for South Africa in 2000 was obtained by adding the burden attributed to high cholesterol for the four population groups. Monte Carlo simulation-modelling techniques were used for uncertainty analysis. Setting. South Africa. Subjects. Black African, coloured, white and Indian adults aged 30 ...

  19. Estimating the burden of disease attributable to high cholesterol in ...

    African Journals Online (AJOL)

    The total attributable burden for South Africa in 2000 was obtained by adding the burden attributed to high cholesterol for the four population groups. Monte Carlo simulation-modelling techniques were used for uncertainty analysis. Setting. South Africa. Subjects. Black African, coloured, white and Indian adults aged.

  20. 6 CFR 27.325 - Burden of proof.

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Burden of proof. 27.325 Section 27.325 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY CHEMICAL FACILITY ANTI-TERRORISM STANDARDS Orders and Adjudications § 27.325 Burden of proof. The Assistant Secretary bears the initial...

  1. The burden of disease attributable to sexually transmitted infections ...

    African Journals Online (AJOL)

    Burden in respect of HIV I AIDS was estimated using the ASSA2002 model, and for the other diseases the revised national burden of disease estimates for 2000 based on 1996 cause-of-death data were used. The ASSA2002 model was used to estimate numbers of AIDS deaths under different prevention and treatment ...

  2. Global burden of disease--a race against time

    DEFF Research Database (Denmark)

    Meyrowitsch, Dan W; Bygbjerg, Ib Christian

    2007-01-01

    Low-income communities will within the next decades undergo rapid changes. The burden of non-communicable diseases (NCDs), such as diabetes, cardio-vascular disease and cancer, will comprise an increasing proportion of the total disease burden. The results of projections indicate that the already...

  3. Caregiver burden after stroke: towards a structural model.

    Science.gov (United States)

    Jaracz, Krystyna; Grabowska-Fudala, Barbara; Kozubski, Wojciech

    2012-01-01

    Stroke may impose a severe burden on both the patients and their caregivers. Although there is substantial literature relating to the adverse impact of stroke on patients, considerably less is known about its impact on their caregivers. The aim of this study was to analyse predictive factors of the overall burden in caregivers of stroke victims and to verify the structural model of burden, built on the basis of theoretical and empirical assumptions. One hundred and fifty pairs of patients and their caregivers were evaluated. The Caregiver Burden Scale (CB), Hospital Anxiety and Depression Scale (HADS), Sense of Coherence Scale (SOC), Social Support Scale, Geriatric Depression Scale, Barthel Index and Scandinavian Stroke Scale were all used to evaluate caregiver burden and the characteristics of patients and caregivers. The caregivers experienced a moderate burden (mean CB = 2.08) and emotional distress (mean total HADS = 14.1). Path analysis showed that higher burden was associated with a lower SOC score, higher emotional distress, and lower patient's functional status. Higher emotional distress, in turn, was associated with lower SOC and lower patient's functional status. These results show that the burden and the degree of emotional disturbance are two distinct negative consequences of caregiving. The negative consequences of caregiving depend mainly on the caregiver's intra-psychic factors and the patient's disability. Professional interventions should be targeted at enhancing caregivers' ability to cope with stress, improving their caregiving skills and reducing the physical dependence of patients.

  4. A systematic review of caregiver burden following stroke.

    Science.gov (United States)

    Rigby, H; Gubitz, G; Phillips, S

    2009-08-01

    Abstract Caregiver burden following stroke is increasingly recognised as a significant health care concern. A growing number of studies have evaluated the patient, caregiver, and social support factors that contribute to increased caregiver burden. We conducted a systematic review of this literature to guide future research. A search of the MEDLINE, PsycINFO, CINAHL, and EMBASE databases (up to July 2008) and reference sections of published studies using a structured search strategy yielded 24 relevant articles. Studies were included if they evaluated predictors and/or correlates of caregiver burden in the setting of stroke. The prevalence of caregiver burden was 25-54% and remained elevated for an indefinite period following stroke. In studies that evaluated independent baseline predictors of subsequent caregiver burden, none of the factors reported were consistent across studies. In studies that assessed concurrent factors independently contributing to caregiver burden in the poststroke period, patient characteristics and social support factors were inconsistently reported. Several studies identified caregiver mental health and the amount of time and effort required of the caregiver as significant determinants of caregiver burden. Our findings highlight the need for more research to identify caregivers in need of support and guide the development and implementation of appropriate interventions to offset caregiver burden.

  5. The disease burden of congenital toxoplasmosis in Denmark, 2014

    DEFF Research Database (Denmark)

    Nissen, Ioanna; Jokelainen, Pikka; Stensvold, Christen Rune

    2017-01-01

    Congenital toxoplasmosis (CT) causes a substantial disease burden worldwide. The aim of this study was to estimate the disease burden of CT in Denmark, a developed country with free public healthcare and nationwide data available. Using data primarily from two public health surveillance programmes...

  6. Caregiver burden among relatives of patients with schizophrenia in ...

    African Journals Online (AJOL)

    Background. Caring for patients with schizophrenia places an enormous burden on the caregivers. The magnitude of this problem remains largely unknown in sub-Saharan Africa. Objective. The objective of this study was to determine the nature of the burden reported by caregiving relatives of patients with schizophrenia.

  7. Global and regional burden of stroke during 1990-2010

    DEFF Research Database (Denmark)

    Feigin, Valery L; Forouzanfar, Mohammad H; Krishnamurthi, Rita

    2014-01-01

    BACKGROUND: Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, and Ri...... in trends in stroke burden between countries of different income levels. FUNDING: Bill & Melinda Gates Foundation....

  8. FRAMES User Defined Body Burden Concentration File Module Documentation

    Energy Technology Data Exchange (ETDEWEB)

    Pelton, Mitchell A.; Rutz, Frederick C.; Eslinger, Melany A.; Gelston, Gariann M.

    2001-06-01

    The Framework for Risk Analysis in Multimedia Environmental Systems (FRAMES) Body Burden Concentration File (BBF) contains time-varying, instantaneous, constituent concentrations for body burden by contaminant. This report contains the requirements for this file and will be used by software engineers and testers to ensure that the file inputs properly.

  9. Inpatient Financial Burden of Atopic Dermatitis in the United States

    DEFF Research Database (Denmark)

    Narla, Shanthi; Hsu, Derek Y; Thyssen, Jacob P

    2017-01-01

    Little is known about the inpatient burden of atopic dermatitis (AD). We sought to determine the risk factors and financial burden of hospitalizations for AD in the United States. Data were analyzed from the 2002-2012 National Inpatient Sample, including a 20% representative sample of all...

  10. 21 CFR 1303.35 - Burden of proof.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Burden of proof. 1303.35 Section 1303.35 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE QUOTAS Hearings § 1303.35 Burden of proof. (a) At any hearing regarding the determination or adjustment of an aggregate production quota, each...

  11. Initial burden of disease estimates for South Africa, 2000 | Bradshaw ...

    African Journals Online (AJOL)

    The DALY estimates highlight the fact that mortality alone underestimates the burden of disease, especially with regard to unintentional injuries, respiratory disease, and nervous system, mental and sense organ disorders. The impact of HIV / AIDS is expected to more than double the burden of premature mortality by the ...

  12. Estimating the burden of disease attributable to indoor air pollution ...

    African Journals Online (AJOL)

    Estimating the burden of disease attributable to indoor air pollution from household use of solid fuels in South Africa in 2000. Rosana Norman, Brendon Barnes, Angela Mathee, Debbie Bradshaw and the South African Comparative Risk Assessment. Collaborating Group. Objectives. To estimate the burden of respiratory ill ...

  13. Health burden of urban transport: The technical challenge

    Indian Academy of Sciences (India)

    The burden on health-related issues due to unplanned urban policies is higher despite the present knowledge of interventions and availability of current technologies. This burden could increase substantially, given the rapid growth in urban populations and the application of partial or misguided solutions to urban transport ...

  14. Thailand's Student Loans Fund: Interest Rate Subsidies and Repayment Burdens

    Science.gov (United States)

    Chapman, Bruce; Lounkaew, Kiatanantha; Polsiri, Piruna; Sarachitti, Rangsit; Sitthipongpanich, Thitima

    2010-01-01

    Government student loan schemes typically have implicit interest rate subsidies which, while these are a cost to taxpayers, they have the benefit of diminishing repayment burdens for graduates. Our goal is to illustrate the extent of both interest rate subsidies and repayment burdens with respect to Thailand's Student Loans Fund (SLF), using…

  15. The effects of debt burden on the Nigerian economy | Ogege ...

    African Journals Online (AJOL)

    This paper sets out to examine the impact of debt burden on the Nigerian economy. It specifically seeks to ascertain the effect of debt burden on the growth of the Nigerian economy. Nigeria's data set from the CBN Statistical Bulletin volume 18, (2007) during the period 1970-2007 was used. It employs the ordinary least ...

  16. The disease burden of congenital toxoplasmosis in Denmark, 2014

    DEFF Research Database (Denmark)

    Nissen, Ioanna; Jokelainen, Pikka; Stensvold, Christen Rune

    2017-01-01

    of 12. CT resulted in a total disease burden of 123 DALYs (95% uncertainty interval [UI], 100–148), of which 78 (95% UI, 64–94) were due to foetal loss and 2 (95% UI, 1–3) were due to neonatal death; the remaining burden was due to moderate to severe life-long sequelae. A comparison of the estimated...

  17. Family burden with substance dependence: a study from India.

    Science.gov (United States)

    Mattoo, Surendra Kumar; Nebhinani, Naresh; Kumar, B N Anil; Basu, Debasish; Kulhara, Parmanand

    2013-04-01

    A substance dependent person in the family affects almost all aspects of family life. This leads to problems, difficulties or adverse events which impact the lives of family members and causes enormous burden on family caregivers. The present study aimed to assess the pattern of burden borne by the family caregivers of men with alcohol and opioid dependence. A cross-sectional study was conducted with ICD-10 diagnosed substance dependence subjects and their family caregivers attending a de-addiction centre at a multispecialty teaching hospital in north India. Family Burden Interview Schedule was used to assess the pattern of burden borne by the family caregivers of 120 men with alcohol and/or opioid dependence. Compared to opioid and alcohol+opioid dependence groups, more often the alcohol dependence group was older, married, currently working, having a higher income and with the wife as a caregiver. Family burden was moderate or severe in 95-100 per cent cases in all three groups and more for 'disruption of family routine', 'financial burden', 'disruption of family interactions' and 'disruption of family leisure'. Family burden was associated with low income and rural location. It was associated neither with age, education or duration of dependence of the patients, nor with family size, type of caregiver or caregiver's education and occupation. Almost all (95-100%) caregivers reported a moderate or severe burden, which indicates the gravity of the situation and the need for further work in this area.

  18. Family burden in injecting versus noninjecting opioid users.

    Science.gov (United States)

    Nebhinani, Naresh; Anil, B N; Mattoo, Surendra Kumar; Basu, Debasish

    2013-07-01

    A substance-dependent person in the family affects almost all aspects of family life that also impact the lives of the significant others and causes enormous burden. This study was aimed to assess the pattern of burden borne by the family caregivers of patients with opioid-dependence-injecting drug users (IDU) and noninjecting drug users (NIDU). A cross-sectional study was conducted with ICD-10 diagnosed-opioid-dependent subjects (IDU and NIDU, N = 40 in each group) and their family caregivers attending a de-addiction centre at a multispecialty teaching hospital in North India. Family Burden interview schedule was used to assess the pattern of burden borne by the family caregivers. The IDU group was characterized by older age, longer duration of substance dependence, greater subjective and objective family burden in all the areas compared to NIDU group, and single status and unemployment were associated with severe objective burden. The family burden was associated neither with age, education, or duration of dependence of the patients, nor with family size, type of caregiver or caregiver's education in either group. All caregivers reported a moderate or severe burden, which indicates the significance and need for further work in this area.

  19. Caregiver burden among relatives of patients with schizophrenia in ...

    African Journals Online (AJOL)

    disorders, leading to long-term and progressive disability in numerous individuals. These disabilities are an onerous burden on ... anger, guilt, loss, stigma and rejection.4,5. The shift towards community care for patients with mental disease ..... Burden and coping strategies in mothers of patients with schizophrenia in Japan.

  20. The Clinical Spectrum and Financial Burden of HIV Infected ...

    African Journals Online (AJOL)

    The Clinical Spectrum and Financial Burden of HIV Infected Children in a Regional Hospital in South Africa. ... South African Family Practice ... that the cost of hospitalising HIV-positive children is significantly more than HIV-negative controls, which will increase the financial burden on already restricted health resources.

  1. Burden of disease calculation, cost of illness analysis and demand ...

    African Journals Online (AJOL)

    Burden of disease calculation, cost of illness analysis and demand for death: a theoretical review. ... International Journal of Development and Management Review ... The works of Murray and co-workers on calculating Burden of Disease (BoD), and even the analysis of Cost of Illness (CoI), to fully understand the priority ...

  2. Estimating the burden of disease attributable to unsafe water and ...

    African Journals Online (AJOL)

    Objectives. To estimate the burden of disease attributable to unsafe water, sanitation and hygiene (WSH) by age group for South Africa in 2000. Design. World Health Organization comparative risk assessment methodology was used to estimate the disease burden attributable to an exposure by comparing the observed risk ...

  3. Estimating the burden of disease attributable to unsafe water and ...

    African Journals Online (AJOL)

    Objectives. To estimate the burden of disease attributable to unsafe water, sanitation and hygiene (WSH) by age group for. South Africa in 2000. Design. World Health Organization comparative risk assessment methodology was used to estimate the disease burden attributable to an exposure by comparing the observed ...

  4. Burden and psychological effects : caregiver experiences in a ...

    African Journals Online (AJOL)

    Burden and psychological effects : caregiver experiences in a psychiatric outpatient unit in Lagos, Nigeria. ... It is recommended that effectively planned interventions are targeted at alleviating this burden and at improving the ability of caregivers to cope, within the Nigerian mental health service delivery system. Key Words: ...

  5. Family burden in injecting versus noninjecting opioid users

    Directory of Open Access Journals (Sweden)

    Naresh Nebhinani

    2013-01-01

    Full Text Available Background: A substance-dependent person in the family affects almost all aspects of family life that also impact the lives of the significant others and causes enormous burden. Objectives: This study was aimed to assess the pattern of burden borne by the family caregivers of patients with opioid-dependence-injecting drug users (IDU and noninjecting drug users (NIDU. Materials and Methods: A cross-sectional study was conducted with ICD-10 diagnosed-opioid-dependent subjects (IDU and NIDU, N = 40 in each group and their family caregivers attending a de-addiction centre at a multispecialty teaching hospital in North India. Family Burden interview schedule was used to assess the pattern of burden borne by the family caregivers. Results: The IDU group was characterized by older age, longer duration of substance dependence, greater subjective and objective family burden in all the areas compared to NIDU group, and single status and unemployment were associated with severe objective burden. The family burden was associated neither with age, education, or duration of dependence of the patients, nor with family size, type of caregiver or caregiver′s education in either group. Conclusion: All caregivers reported a moderate or severe burden, which indicates the significance and need for further work in this area.

  6. Reflections on the global burden of disease 2010 estimates

    DEFF Research Database (Denmark)

    Byass, Peter; de Courten, Maximilian; Graham, Wendy J

    2013-01-01

    Peter Byass and colleagues raise questions about the recent, high-profile Global Burden of Disease estimates. Please see later in the article for the Editors' Summary.......Peter Byass and colleagues raise questions about the recent, high-profile Global Burden of Disease estimates. Please see later in the article for the Editors' Summary....

  7. Burden and Stress among Psychiatry Residents and Psychiatric Healthcare Providers

    Science.gov (United States)

    Zuardi, Antonio Waldo; Ishara, Sergio; Bandeira, Marina

    2011-01-01

    Purpose: The authors compared the levels of job burden and stress in psychiatry residents with those of other healthcare professionals at inpatient and outpatient psychiatric hospitals in a medium-sized Brazilian city. Method: In this study, the levels of job burden and stress of 136 healthcare workers and 36 psychiatry residents from six various…

  8. Burden in informal carers of mentally infirm elderly in Lancashire ...

    African Journals Online (AJOL)

    Conclusions: Carer burden, including psychological and physical health concerns, was comparatively greater in carers of the demented than in carers of the non-demented. Respite care services although beneficial to most care givers, may constitute further burden to some. Factors accounting for these observations are ...

  9. Psychosocial Burden and Stigma Perception of Jordanian Patients With Epilepsy.

    Science.gov (United States)

    Dalky, Heyam F; Gharaibeh, Huda; Faleh, Reem

    2017-12-01

    Epilepsy requires long-term treatment that interferes with individuals' social relationships. Because the effects of psychosocial burden and stigma perception on patients with epilepsy in Jordan have not been explored, the study assessed the relationship among psychosocial burden, stigma of epilepsy, and demographic variables. Subjects were adult patients with epilepsy ( N = 200) registered at hospital clinics. Two published instruments were used to measure outcomes. The participants in the study perceived the burden and stigma of epilepsy as moderate. A strong, positive correlation between psychosocial burden and stigma perception among participants was found. Stigma perception, employment, and education variables explained 31.6% of variation of the level of psychosocial burden. The results showed a relationship between stigma perception and psychosocial level, and this provides information that may assist health care providers in formulating strategic plans to improve the care, safety, and quality of life of patients with epilepsy in Jordan.

  10. WHO Initiative to Estimate the Global Burden of Foodborne Diseases

    DEFF Research Database (Denmark)

    Havelaar, Arie H.; Cawthorne, Amy; Angulo, Fred

    2013-01-01

    BackgroundThe public health impact of foodborne diseases globally is unknown. The WHO Initiative to Estimate the Global Burden of Foodborne Diseases was launched out of the need to fill this data gap. It is anticipated that this effort will enable policy makers and other stakeholders to set...... appropriate, evidence-informed priorities in the area of food safety. MethodsThe Initiative aims to provide estimates on the global burden of foodborne diseases by age, sex, and region; strengthen country capacity for conducting burden of foodborne disease assessments in parallel with food safety policy...... analyses; increase awareness and commitment among Member States for the implementation of food safety policy and standards; and encourage countries to use burden of foodborne disease estimates for cost-effectiveness analyses of prevention, intervention, and control measures. To estimate the global burden...

  11. [Estimating the burden of psychiatric disorder in Korea].

    Science.gov (United States)

    Park, Jae-Hyun; Yoon, Seok-Jun; Lee, Hee-Young; Cho, Hee-Sook; Lee, Jin-Yong; Eun, Sang-Jun; Park, Jong-Hyock; Kim, Yoon; Kim, Yong-Ik; Shin, Young-Soo

    2006-01-01

    This study estimated the burden of disease especially caused by psychiatric disorders in Korea by using DALY, a composite indicator that was recently developed by the Global Burden of Disease study group. First, 11 of the major psychiatric disorders in Korea were selected based on the ICD-10. Second, the burden of disease due to premature death was estimated by using YLLs (years of life lost due to premature death). Third, for the calculation of the YLD (years lived with disability), the following parameters were estimated in the formula: the incidence rate, the prevalence rate and the disability weight of each psychiatric disorder. Last, we estimated the DALY of the psychiatric disorders by adding the YLLs and YLDs. The burden of psychiatric disorder per 100,000 people was attributed mainly to unipolar major depression (1,278 person-years), schizophrenia (638 person-years) and alcohol use disorder (287 person-years). For males, schizophrenia (596 person-years) and alcohol use disorder (491 person-years) caused the highest burden. For females, unipolar major depression (1,749 person-years) and schizophrenia (680 person-years) cause the highest burden. As analyzed by gender and age group, alcohol use disorder causes a higher burden than schizophrenia in men aged 40 years and older. For females, unipolar major depression causes the highest burden in all age groups. We found that each of the psychiatric disorders that cause the highest burden is different according to gender and age group. This study's results can provide a rational basis to plan a national health policy regarding the burden of disease caused by psychiatric disorders.

  12. Placebo found equivalent to amoxicillin for treatment of acute bronchitis in Nairobi, Kenya: a triple blind, randomised, equivalence trial.

    Science.gov (United States)

    Nduba, V N; Mwachari, C W; Magaret, A S; Park, D R; Kigo, A; Hooton, T M; Cohen, C R

    2008-11-01

    Antibiotic treatment is not recommended for acute bronchitis in immunocompetent patients in industrialised countries. Whether these recommendations are relevant to the developing world and to immunocompromised patients is unknown. Randomised, triple blind, placebo controlled equivalence trial of amoxicillin compared with placebo in 660 adults presenting to two outpatient clinics in Nairobi, Kenya, with acute bronchitis but without evidence of chronic lung disease. The primary study end point was clinical cure, as defined by a >or=75% reduction in a validated Acute Bronchitis Severity Score by 14 days; analysis was by intention to treat with equivalence defined as acute bronchitis is unhelpful, even in populations with a high prevalence of HIV infection.

  13. The burden of insomnia in Japan

    Directory of Open Access Journals (Sweden)

    Mishima K

    2015-01-01

    Full Text Available Kazuo Mishima,1 Marco daCosta DiBonaventura,2 Hillary Gross2 1Department of Psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan; 2Kantar Health, New York, NY, USA Objectives: Several studies have suggested that patients who experience insomnia report a number of significant impairments. However, despite this literature, fewer studies have focused on the burden of insomnia among patients in Japan. The objective of the current study is to extend this work in Japan to further understand the effect of insomnia on health-related quality of life (hrQOL. Further, another objective is to understand general predictors of hrQOL among patients with insomnia. Methods: Data from the 2012 Japan National Health and Wellness Survey, an annual, cross-sectional study of adults aged 18 years or older, were used (N=30,000. All National Health and Wellness Survey respondents were categorized based on the incidence of self-reported insomnia diagnosis and prescription medication usage (clinical insomniacs under treatment versus [vs] good sleepers without insomnia or insomnia symptoms. Comparisons among different groups were made using multiple regression models controlling for demographics and health history. Results: Clinical insomniacs (n=1,018; 3.4% reported significantly worse hrQOL compared with good sleepers (n=20,542 (mental component summary: 34.2 vs 48.0; physical component summary: 48.0 vs 52.8; health utilities: 0.61 vs 0.76; all P<0.05. Health behaviors (smoking, exercise, alcohol use and comorbidities were the strongest predictors of health utilities for clinical insomniacs. For all three clinical insomniac subgroups of interest, those with a physical comorbidity but not a psychiatric one, those with a psychiatric comorbidity but not a physical one, and those without either a physical or psychiatric comorbidity, large decrements in health utilities were observed for respondents who did

  14. Exact equivalent straight waveguide model for bent and twisted waveguides

    DEFF Research Database (Denmark)

    Shyroki, Dzmitry

    2008-01-01

    Exact equivalent straight waveguide representation is given for a waveguide of arbitrary curvature and torsion. No assumptions regarding refractive index contrast, isotropy of materials, or particular morphology in the waveguide cross section are made. This enables rigorous full-vector modeling o...

  15. Snow water equivalent modeling components in NewAge-JGrass

    Science.gov (United States)

    Formetta, G.; Kampf, S. K.; David, O.; Rigon, R.

    2014-05-01

    This paper presents a package of modified temperature-index-based snow water equivalent models as part of the hydrological modeling system NewAge-JGrass. Three temperature-based snow models are integrated into the NewAge-JGrass modeling system and use many of its components such as those for radiation balance (short wave radiation balance, SWRB), kriging (KRIGING), automatic calibration algorithms (particle swarm optimization) and tests of goodness of fit (NewAge-V), to build suitable modeling solutions (MS). Similarly to all the NewAge-JGrass components, the models can be executed both in raster and in vector mode. The simulation time step can be daily, hourly or sub-hourly, depending on user needs and availability of input data. The MS are applied on the Cache la Poudre River basin (CO, USA) using three test applications. First, daily snow water equivalent is simulated for three different measurement stations for two snow model formulations. Second, hourly snow water equivalent is simulated using all the three different snow model formulae. Finally, a raster mode application is performed to compute snow water equivalent maps for the whole Cache la Poudre Basin.

  16. On Borel equivalence relations related to self-adjoint operators

    DEFF Research Database (Denmark)

    Ando, Hiroshi; Matsuzawa, Yasumichi

    2015-01-01

    In a recent work, we initiated the study of Borel equivalence relations defined on the Polish space ${\\rm{SA}}(H)$ of self-adjoint operators on a Hilbert space $H$, focusing on the difference between bounded and unbounded operators. In this paper, we show how the difficulty of specifying...

  17. School Principals' Leadership Skills: Measurement Equivalence across Cultures

    Science.gov (United States)

    Da'as, Rima'a

    2017-01-01

    Despite substantial interest and research in measuring leader's skills, little is known about the measurement equivalence and mean differences in the scores measuring principals' skills (cognitive, interpersonal, strategic) across cultures (collectivism versus individualism). The aim of the present study was to assess measurement…

  18. 43 CFR 426.11 - Class 1 equivalency.

    Science.gov (United States)

    2010-10-01

    ... measured in terms of net income per acre (reflecting both productivity and costs of production). The... income will be determined by considering the disposable income accruing to the farm operator's labor... farm income will be the measure of productivity to establish equivalency factors reflecting the acreage...

  19. Equivalence properties for the Radon-Nikodym property types and ...

    African Journals Online (AJOL)

    We show that the types I- and II-Λ-Radon-Nikodym Property of Banach spaces on the one hand, and the I- and II-Λ-Complete Continuity Property on the other, are equivalent properties whenever Λ is an ordering subset of a discrete abelian group. Mathematics Subject Classification (2000): Primary 46E40, 46G10; ...

  20. STRICT CONVEXITY THROUGH EQUIVALENT NORMS IN SEPARABLES BANACH SPACES

    Directory of Open Access Journals (Sweden)

    Willy Zubiaga Vera

    2016-12-01

    Full Text Available Let E be a separable Banach space with norm || . ||. In the present work, the objective is to construct a norm || . ||1 that is equivalent to || . || in E, such that || . ||1 is strictly convex. In addition it is shown that its dual conjugate norm is also strictly convex.

  1. 46 CFR Appendix A to Part 154 - Equivalent Stress

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Equivalent Stress A Appendix A to Part 154 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY STANDARDS FOR SELF-PROPELLED VESSELS CARRYING BULK LIQUEFIED GASES Pt. 154, App. A Appendix A to Part 154...

  2. Modeling of multilayer piezoelectric transducers for echegraphic applications equivalent circuits

    Energy Technology Data Exchange (ETDEWEB)

    Ramos, A.; Riera, E.; San Emeterio, J.L.; Sanz, P.T.

    1988-09-01

    In this paper, the main equivalent circuits of pulse-echo, single element, multilayer piezoelectric transducers, are analyzed. The analogy of matching layers with lossless transmission lines is described. Finally, using the KLM model, the effects of backing and matching layers on the bandwidth and impulse response is analyzed.

  3. Equivalent Circuit of a High Q Tunable PIFA

    DEFF Research Database (Denmark)

    Barrio, Samantha Caporal Del; Pelosi, Mauro; Franek, Ondrej

    2011-01-01

    This paper presents an Equivalent Circuit Model (ECM) for a high Quality factor (Q) tunable Planar Inverted F Antenna (PIFA). A PIFA is described and simulated with the Finite-Difference Time-Domain (FDTD) method. The resonance behavior of the proposed ECM is compared to the FDTD results and shows...

  4. Physicochemical equivalence of some brands of Nifedipine retard ...

    African Journals Online (AJOL)

    This research evaluated the physicochemical equivalence of some samples of Nifedipine 20 mg Retard Tablets available in Nigeria. Seven samples were randomly procured from various zones of the country and standard protocols applied to evaluate their tablet weight uniformity, dimensions, hardness, disintegration time, ...

  5. Synonymy in the translation equivalent paradigms of a standard ...

    African Journals Online (AJOL)

    The norm in current canonical translation dictionaries with Afrikaans and English as the treated language pair is an undiscriminated grouping of partially synonymous translation equivalents. These are separated by commas as sole markers of synonymy. Lexicographers should reject this practice and embrace the view that ...

  6. - Synonymy in the Translation Equivalent Paradigms of a Standard ...

    African Journals Online (AJOL)

    Synonymy in the Translation. Equivalent Paradigms of a. Standard Translation Dictionary*. Phillip Adriaan Louw, Department of Afrikaans and Dutch,. University of Stellenbosch, South Africa. Abstract: The norm in current canonical translation dictionaries with Afrikaans and English as the treated language pair is an ...

  7. Determination of Total Potency Equivalent Concentration (Tpec) of ...

    African Journals Online (AJOL)

    Determination of Total Potency Equivalent Concentration (Tpec) of Carcinogenic Polycyclic Aromatic Hydrocarbons (Cpahs) In Soils of Bodo-City. ... the application of Dispersion by Chemical Reaction Technology, should be deployed immediately in this area for total detoxification and decontamination of the area.

  8. Equivalent Circuit Modeling of a Rotary Piezoelectric Motor

    DEFF Research Database (Denmark)

    El, Ghouti N.; Helbo, Jan

    2000-01-01

    In this paper, an enhanced equivalent circuit model of a rotary traveling wave piezoelectric ultrasonic motor "shinsei type USR60" is derived. The modeling is performed on the basis of an empirical approach combined with the electrical network method and some simplification assumptions about...

  9. Chickadees fail standardized operant tests for octave equivalence.

    Science.gov (United States)

    Hoeschele, Marisa; Weisman, Ronald G; Guillette, Lauren M; Hahn, Allison H; Sturdy, Christopher B

    2013-07-01

    Octave equivalence occurs when an observer judges notes separated by a doubling in frequency perceptually similar. The octave appears to form the basis of pitch change in all human cultures and thus may be of biological origin. Previously, we developed a nonverbal operant conditioning test of octave generalization and transfer in humans. The results of this testing showed that humans with and without musical training perceive the octave relationship between pitches. Our goal in the current study was to determine whether black-capped chickadees, a North American songbird, perceive octave equivalence. We chose these chickadees because of their reliance on pitch in assessing conspecific vocalizations, our strong background knowledge on their pitch height perception (log-linear perception of frequency), and the phylogenetic disparity between them and humans. Compared to humans, songbirds are highly skilled at using pitch height perception to classify pitches into ranges, independent of the octave. Our results suggest that chickadees used that skill, rather than octave equivalence, to transfer the note-range discrimination from one octave to the next. In contrast, there is evidence that at least some mammals, including humans, do perceive octave equivalence.

  10. Equivalent Circuit Modeling of a Rotary Piezoelectric Motor

    DEFF Research Database (Denmark)

    El, Ghouti N.; Helbo, Jan

    2000-01-01

    In this paper, an enhanced equivalent circuit model of a rotary traveling wave piezoelectric ultrasonic motor "shinsei type USR60" is derived. The modeling is performed on the basis of an empirical approach combined with the electrical network method and some simplification assumptions about the ...

  11. Measurement model equivalence in web- and paper-based surveys ...

    African Journals Online (AJOL)

    The aim of this research is to investigate whether web-based and paper-based organisational climate surveys can be regarded as equivalent techniques of data collection. Due to the complex geographical placement of various units of the participating organisation and limited internet access, both paper-based and

  12. A simple proof of Bernstein-Lunts equivalence

    OpenAIRE

    Pandžić, Pavle

    2004-01-01

    We give an easy proof of the Bernstein-Lunts equivalence of ordinary and equivariant derived categories of Harish-Chandra modules. This proof requires no boundedness assumptions. In the appendix we collect some needed, but not completely standard facts from homological algebra.

  13. A computational theory for the learning of equivalence relations

    Directory of Open Access Journals (Sweden)

    Sergio E Lew

    2011-10-01

    Full Text Available Equivalence relations are logical entities that emerge concurrently with the development of language capabilities.In this work we propose a computational model that learns to build equivalence relations by learning simple conditional rules. The model includes visual areas, dopaminergic and noradrenergic structures as well as prefrontal and motor areas, each of them modeled as a group of continuous valued units that simulate clusters of real neurons. In the model, lateral interaction between neurons of visual structures and top-down modulation of prefrontal/premotor structures over the activity of neurons in visual structures are necessary conditions for learning the paradigm. In terms of the number of neurons and their interaction, we show that a minimal structural complexity is required for learning equivalence relations among conditioned stimuli. Paradoxically, the emergence of the equivalence relation drives a reduction in the number of neurons needed to maintain those previously specific stimulus-response learned rules, allowing an efficient use of neuronal resources.

  14. Equivalence of Symptom Dimensions in Females and Males with Autism

    Science.gov (United States)

    Frazier, Thomas W.; Hardan, Antonio Y.

    2017-01-01

    This study investigated equivalence of autism symptom domains in males and females with autism. Symptom data were obtained from 2643 children and adolescents with autism spectrum disorder (352 females, 2291 males; age range = 4-17 years) included in the Simons Simplex Collection. Items from the Social Responsiveness Scale and Autism Diagnostic…

  15. 21 CFR 558.315 - Levamisole hydrochloride (equivalent).

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Levamisole hydrochloride (equivalent). 558.315 Section 558.315 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES.... Treatment of the following gastrointestinal worms and lung worm infections; stomach worms (Haemonchus...

  16. Microcystin-LR equivalent concentrations in fish tissue during a ...

    African Journals Online (AJOL)

    The effects of a decomposing cyanobacteria bloom on water quality and the accumulation of microcystin-LR equivalent toxin in fish at Loskop Dam were studied in ... cells were observed, while the highest concentration (3.25 μg l−1), 3.25x higher than World Health Organization standard, was observed in the riverine zone.

  17. Typicality effects in contingency-shaped generalized equivalence classes.

    Science.gov (United States)

    Galizio, Mark; Stewart, Katherine L; Pilgrim, Carol

    2004-11-01

    Two experiments were conducted using match-to-sample methodologies in an effort to model lexical classes, which include both arbitrary and perceptual relations between class members. Training in both experiments used a one-to-many mapping procedure with nonsense syllables as samples and eight sets of abstract stimuli as comparisons. These abstract stimuli differed along a number of dimensions, four of which were critical to the experimenter-defined class membership. Stimuli in some comparison sets included only one of the class-defining features, but stimuli in other sets included two, three, or all four of the critical features. After mastery of the baseline training, three types of probe tests were conducted: symmetry, transitivity/equivalence, and novel probe tests in which the training nonsense syllables served as samples, and comparisons were novel abstract stimuli that included one or more of the class-defining features. Symmetry and transitivity/equivalence probe tests showed that the stimuli used in training became members of equivalence classes. The novel stimuli also became class members on the basis of inclusion of any of the critical features. Thus these probe tests revealed the formation of open-ended generalized equivalence classes. In addition, typicality effects were observed such that comparison sets with more critical features were learned with fewer errors, responded to more rapidly, and judged to be better exemplars of the class. Contingency-shaped stimulus classes established through a match-to-sample procedure thus show several important behavioral similarities to natural lexical categories.

  18. Probing Students' Ideas of the Principle of Equivalence

    Science.gov (United States)

    Bandyopadhyay, Atanu; Kumar, Arvind

    2011-01-01

    The principle of equivalence was the first vital clue to Einstein in his extension of special relativity to general relativity, the modern theory of gravitation. In this paper we investigate in some detail students' understanding of this principle in a variety of contexts, when they are undergoing an introductory course on general relativity. The…

  19. Problems of Equivalence in Shona- English Bilingual Dictionaries ...

    African Journals Online (AJOL)

    This article will discuss the problems of translation equivalents in Shona-English dictionaries where lexicographers will be dealing with divergent languages and cultures, traditional practices of lexicography and the absence of reliable corpora. Keywords: bilingual lexicography, corpus, culture, culture-bound, cultural gap, ...

  20. Equivalent Selection in Specialized e-Lexicography: A Case Study ...

    African Journals Online (AJOL)

    This paper follows suit and elaborates on the selection of Spanish equivalents in a particular dictionary project: the Diccionario Inglés–Español de Contabilidad, one of the Accounting dictionaries. This dictionary aims to satisfy the needs of translators (primary user group), accountants and financial experts (secondary user ...

  1. State space realizations and monomial equivalence for convolutional codes

    NARCIS (Netherlands)

    Gluesing-Luerssen, Heide; Schneider, Gert

    2007-01-01

    We will study convolutional codes with the help of state space realizations. It will be shown that two such minimal realizations belong to the same code if and only if they are equivalent under the full state feedback group. This result will be used in order to prove that two codes with positive

  2. On the Equivalence of Tank Trucks and General Purpose Trucks ...

    African Journals Online (AJOL)

    The purpose of this paper is to address the question of the equivalence of the three different kinds of articulated vehicles which are normally used in haulage as prelude to tackling the issue of representation in the various branches of road freight industry, and balance. The uses to which trucks are put, appear to be equal in ...

  3. Interaction Equivalency in an OER, MOOCs and Informal Learning Era

    Science.gov (United States)

    Miyazoe, Terumi; Anderson, Terry

    2013-01-01

    This theoretical paper attempts to clarify design issues that the field of education has encountered in the context of OER (Open Educational Resources), Massive Open Online Courses (MOOCs) and increased emphasis on informal learning, as examined through the lens of the Interaction Equivalency Theorem. An overview of the core concepts of the…

  4. functional equivalence and the new dutch translation project 1.

    African Journals Online (AJOL)

    In this article De Blois and Mewe demonstrate how functional-equivalent principles had been originally defined with regard to the Netherlands Bible Society's Nieuwe. Bijbelvertaling (New Bible Translation) and had to be redefined in light of the need for a better theoretical model. The model, outlined in the article, also ...

  5. Carbon footprint calculation model for the Mexican food equivalent system

    Directory of Open Access Journals (Sweden)

    Salvador Ruiz Cerrillo

    2017-06-01

    Full Text Available Introduction: the impact environment trough the anthropogenic action has been contributed to the fast production of greenhouse gases effect (GHG, a way to estimate the quantity of these substances is the carbon footprint (CF, nowadays it does not exist enough models for the calculation of food carbon footprint. Objective: the aim of this study was to design a calculation model for the measurement of the carbon footprint on the Mexican food equivalent system. Methods: it was about a retrospective study, a bibliographic review was made with original and review articles in different specialized researchers, there were included publications in English and Spanish, also published from 2000 to 2016. Results: a reference table was proposed for the food carbon footprint calculation on the Mexican food equivalent system trough the carbon intensity indicator, which is determined by the grams of emissions equivalents of carbon dioxide (CO2 in relation with the energetic contribution of each food equivalent. Conclusion: in a conclusion manner, estimating food carbon footprint is still a challenge, mean while the calculation models proposal is important to estimate the production of GHG trough a more sustainable food system.

  6. Crosscultural measurement equivalence of the Health Assessment Questionnaire II

    National Research Council Canada - National Science Library

    Oude Voshaar, Antonius H; Glas, Cornelis A.W; ten Klooster, Peter M; Taal, Erik; Wolfe, Frederick; van de Laar, Mart A F J

    2013-01-01

    ... established , nothing is currently known about its crosscultural measurement equivalence. However, PF scores are often pooled or compared across countries. It is important to verify that the observed score differences or similarities across cultures reflect true differences or similarities in PF levels rather than cultural bias. Traditionally, researche...

  7. On the Equivalent of "Kill" in Mandarin Chinese

    Science.gov (United States)

    Tai, James H-Y.; Chou, Jane Yang

    1975-01-01

    The purpose of this article is to show that "sha" and "sha-si" are not identical and that there is no perfect correspondence between either word in Chinese and "to kill" in English. It is suggested that the closest Chinese equivalent is "nong-si." (Author/RM)

  8. State-Dependent Implication and Equivalence in Quantum Logic

    Directory of Open Access Journals (Sweden)

    Fedor Herbut

    2012-01-01

    Full Text Available Ideal occurrence of an event (projector leads to the known change of a state (density operator into (the Lüders state. It is shown that two events and give the same Lüders state if and only if the equivalence relation is valid. This relation determines equivalence classes. The set of them and each class, are studied in detail. It is proved that the range projector of the Lüders state can be evaluated as , where denotes the greatest lower bound, and is the null projector of . State-dependent implication extends absolute implication (which, in turn, determines the entire structure of quantum logic. and are investigated in a closely related way to mutual benefit. Inherent in the preorder is the state-dependent equivalence , defining equivalence classes in a given Boolean subalgebra. The quotient set, in which the classes are the elements, has itself a partially ordered structure, and so has each class. In a complete Boolean subalgebra, both structures are complete lattices. Physical meanings are discussed.

  9. Reduced-load equivalence for queues with Gaussian input

    NARCIS (Netherlands)

    A.B. Dieker (Ton)

    2004-01-01

    textabstractIn this note, we consider a queue fed by a number of independent heterogeneous Gaussian sources. We study under what conditions a reduced load equivalence holds, i.e., when a subset of the sources becomes asymptotically dominant as the buffer size increases. For this, recent results on

  10. Equivalent refractive index of the human lens upon accommodative response

    NARCIS (Netherlands)

    Hermans, E.A.; Dubbelman, M.; van der Heijde, R.G.L.; Heethaar, R.M.

    2008-01-01

    PURPOSE.: To experimentally verify the suggestion of Gullstrand (1909), i.e., that the equivalent refractive index of the human lens increases with accommodation. METHODS.: The left eye of five subjects was focused on different accommodation stimuli, while the right eye was imaged with Scheimpflug

  11. Groups of Self-Equivalences and Related Topics

    CERN Document Server

    1990-01-01

    Since the subject of Groups of Self-Equivalences was first discussed in 1958 in a paper of Barcuss and Barratt, a good deal of progress has been achieved. This is reviewed in this volume, first by a long survey article and a presentation of 17 open problems together with a bibliography of the subject, and by a further 14 original research articles.

  12. Problems of Equivalence in Shona- English Bilingual Dictionaries

    African Journals Online (AJOL)

    rbr

    This article will discuss the problems of ... making and general problems encountered in the process of compiling mono- ..... boundness, this equivalence is not possible. The marimba is another instrument played by the Shona. This instrument is made of oblong blocks that are fitted onto a frame that has resonators such as.

  13. Caregivers’ burden in patients with COPD

    Science.gov (United States)

    Miravitlles, Marc; Peña-Longobardo, Luz María; Oliva-Moreno, Juan; Hidalgo-Vega, Álvaro

    2015-01-01

    Objective Chronic obstructive pulmonary disease (COPD) is a very prevalent and invalidating disease. The aim of this study was to analyze the burden borne by informal caregivers of patients with COPD. Methods We used the Survey on Disabilities, Personal Autonomy, and Dependency Situations (Encuesta sobre Discapacidad, Autonomía personal y Situaciones de Dependencia [EDAD]-2008) to obtain information on the characteristics of disabled individuals with COPD and their caregivers in Spain. Additionally, statistical multivariate analyses were performed to analyze the impact that an increase in dependence would have on the problems for which caregivers provide support, in terms of health, professional, and leisure/social dimensions. Results A total of 461,884 individuals with one or more disabilities and with COPD were identified, and 220,892 informal caregivers were estimated. Results showed that 35% of informal caregivers had health-related problems due to the caregiving provided; 83% had leisure/social-related problems; and among caregivers of working age, 38% recognized having profession-related problems. The probability of a problem arising was significantly associated with the degree of dependence of the patient receiving care. Caregivers of patients with great dependence showed a 39% higher probability of presenting health-related problems, 27% more professional problems, and 23% more leisure problems compared with those with nondependent patients. Conclusion The results show the large impact on society in terms of the welfare of informal caregivers of patients with COPD. A higher level of dependence was associated with more severe problems in caregivers, in all dimensions. PMID:25709429

  14. Burden of serious fungal infections in Bangladesh.

    Science.gov (United States)

    Gugnani, H C; Denning, D W; Rahim, R; Sadat, A; Belal, M; Mahbub, M S

    2017-06-01

    In Bangladesh there are several published papers on superficial mycoses. Deep mycoses are also recognized as an important emerging problem. Here, we estimate the annual incidence and prevalence of serious fungal infections in Bangladesh. Demographic data were obtained from world population reports and the data on TB and HIV extracted from the online publications on tuberculosis in Bangladesh and Asia Pacific research statistical data information resources AIDS Data HUB. All the published papers on fungal infections in Bangladesh were identified through extensive search of literature. We estimated the number of affected people from populations at risk and local epidemiological data. Bangladesh has a population of ∼162.6 million, 31% children and only 6% over the age of 60 years. The pulmonary TB caseload reported in 2014 was 119,520, and we estimate a prevalence of 30,178 people with chronic pulmonary aspergillosis, 80% attributable to TB. An anticipated 90,262 and 119,146 patients have allergic bronchopulmonary aspergillosis or severe asthma with fungal sensitization. Only 8,000 people are estimated to be HIV-infected, of whom 2900 are not on ART with a CD4 count Bangladesh. Candida bloodstream infection was estimated based on a 5 per 100,000 rate (8100 cases) and invasive aspergillosis based primarily on leukemia and COPD rates, at 5166 cases. Histoplasmosis was documented in 16 cases mostly with disseminated disease and presumed in 21 with HIV infection. This study constitutes the first attempt to estimate the burden of several types of serious fungal infections in Bangladesh.

  15. Understanding the Burden of Adult Female Acne

    Science.gov (United States)

    Kawata, Ariane K.; Daniels, Selena R.; Yeomans, Karen; Burk, Caroline T.; Callender, Valerie D.

    2014-01-01

    Objective: Typically regarded as an adolescent condition, acne among adult females is also prevalent. Limited data are available on the clinical characteristics and burden of adult female acne. The study objective was to describe clinical characteristics and psychosocial impact of acne in adult women. Design: Cross-sectional, web-based survey. Setting: Data were collected from a diverse sample of United States females. Participants: Women ages 25 to 45 years with facial acne (≥25 visible lesions). Measurements: Outcomes included sociodemographic and clinical characteristics, perceptions, coping behaviors, psychosocial impact of acne (health-related quality of life using acne-specific Quality of Life questionnaire and psychological status using Patient Health Questionnaire), and work/productivity. Results: A total of 208 women completed the survey (mean age 35±6 years), comprising White/Caucasian (51.4%), Black/African American (24.5%), Hispanic/Latino (11.1%), Asian (7.7%), and Other (5.3%). Facial acne presented most prominently on cheeks, chin, and forehead and was characterized by erythema, postinflammatory hyperpigmentation, and scarring. Average age of adult onset was 25±6 years, and one-third (33.7%) were diagnosed with acne as an adult. The majority (80.3%) had 25 to 49 visible facial lesions. Acne was perceived as troublesome and impacted self-confidence. Makeup was frequently used to conceal acne. Facial acne negatively affected health-related quality of life, was associated with mild/moderate symptoms of depression and/or anxiety, and impacted ability to concentrate on work or school. Conclusion: Results highlight the multifaceted impact of acne and provide evidence that adult female acne is under-recognized and burdensome. PMID:24578779

  16. Understanding the burden of adult female acne.

    Science.gov (United States)

    Tanghetti, Emil A; Kawata, Ariane K; Daniels, Selena R; Yeomans, Karen; Burk, Caroline T; Callender, Valerie D

    2014-02-01

    Typically regarded as an adolescent condition, acne among adult females is also prevalent. Limited data are available on the clinical characteristics and burden of adult female acne. The study objective was to describe clinical characteristics and psychosocial impact of acne in adult women. Cross-sectional, web-based survey. Data were collected from a diverse sample of United States females. Women ages 25 to 45 years with facial acne (≥25 visible lesions). Outcomes included sociodemographic and clinical characteristics, perceptions, coping behaviors, psychosocial impact of acne (health-related quality of life using acne-specific Quality of Life questionnaire and psychological status using Patient Health Questionnaire), and work/productivity. A total of 208 women completed the survey (mean age 35±6 years), comprising White/Caucasian (51.4%), Black/African American (24.5%), Hispanic/Latino (11.1%), Asian (7.7%), and Other (5.3%). Facial acne presented most prominently on cheeks, chin, and forehead and was characterized by erythema, postinflammatory hyperpigmentation, and scarring. Average age of adult onset was 25±6 years, and one-third (33.7%) were diagnosed with acne as an adult. The majority (80.3%) had 25 to 49 visible facial lesions. Acne was perceived as troublesome and impacted self-confidence. Makeup was frequently used to conceal acne. Facial acne negatively affected health-related quality of life, was associated with mild/moderate symptoms of depression and/or anxiety, and impacted ability to concentrate on work or school. RESULTS highlight the multifaceted impact of acne and provide evidence that adult female acne is under-recognized and burdensome.

  17. [The burden of fungal infections in Algeria].

    Science.gov (United States)

    Chekiri-Talbi, M; Denning, D W

    2017-06-01

    In Algeria, superficial mycoses are very commonly diagnosed. Deep fungal infections are less often observed. Few data from Algeria are found in the literature. We report for the first time the main causes of these diseases in our country and provide burden estimates. We searched for existing data and estimated the incidence and prevalence of fungal diseases based on the population at risk and available epidemiological data. Demographic data were derived from the Service (Office) of the Statistics (ONES), World Health Organization (WHO), The Joint Nations Programme on HIV/AIDS (UNAIDS) and national published reports. When no data existed, risk populations were used to estimate frequencies of fungal infections, using previously described methodology. Algeria has 40.4 million inhabitants and probably at least 568,900 (1.41 %) of Algerians have a serious fungal infection each year. Recurrent vulvovaginal candidiasis (485,000) and fungal asthma (72,000) are probably the commonest problems as there are over 1 million adult asthmatics. Candidaemia is estimated in 2020, invasive aspergillosis in 2865, intra-abdominal candidiasis in 303 people and are the most common life-threatening problems. AIDS is uncommon, but cancer is not (45,000 new cases of cancer among including 1500 in children) and nor is COPD (an estimated 317,762 patients of whom 20.3 % are admitted to hospital each year). A focus on improving the diagnosis and epidemiological data related to fungal infection is necessary in Algeria. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  18. The burden of chickenpox disease in Sweden

    Directory of Open Access Journals (Sweden)

    Katarina Widgren

    2016-11-01

    Full Text Available Abstract Background Chickenpox vaccine is not included in the routine childhood vaccination programme in Sweden. The aim of this study was to estimate the baseline of national chickenpox disease burden, as comprehensive studies, required for an assessment regarding vaccine introduction, are lacking. Methods We used available health care registers and databases; the death register, hospitalisations register, communicable disease notifications database, Stockholm County registers on consultations in specialist and primary care, temporary parental benefit to care for a sick child, and searches on the health care system’s website. From each data source, records regarding chickenpox were identified and extracted, either using relevant diagnosis codes (ICD-10 or key words. A descriptive analysis with regards to number of cases and incidence, severity, and seasonality, was carried out covering the time period 2007 to 2013. Results There were on average 333 patients hospitalised annually due to chickenpox, yielding a hospitalisation rate of 3.56/100,000 person-years. We found a slight male predominance in hospitalised cases. The highest hospitalisation rate was seen in 1 year-olds, whereas the peak in primary care consultations was in 2 year-olds. Nearly a quarter of children had parents who reported absence from work to care for them when sick with chickenpox. The average yearly death rate from chickenpox was 0.034/100,000 person-years. The duration of hospital stay increased with age. The seasonality in number of searches on the health care website corresponded well with hospitalisations and primary care consultations with peaks in spring. Conclusions This study shows chickenpox death and hospitalisation rates in range with other European countries without routine vaccination. Swedish children fall ill with chickenpox at a very young age. The study provides essential input for future discussions on the introduction of routine chickenpox

  19. Arsenic burden survey among refuse incinerator workers

    Directory of Open Access Journals (Sweden)

    Chao Chung-Liang

    2005-01-01

    Full Text Available Background: Incinerator workers are not considered to have arsenic overexposure although they have the risk of overexposure to other heavy metals. Aim: To examine the relationship between arsenic burden and risk of occupational exposure in employees working at a municipal refuse incinerator by determining the concentrations of arsenic in the blood and urine. Settings and Design: The workers were divided into three groups based on their probability of contact with combustion-generated residues, namely Group 1: indirect contact, Group 2: direct contact and Group 3: no contact. Healthy age- and sex-matched residents living in the vicinity were enrolled as the control group. Materials and Methods: Heavy metal concentrations were measured by atomic absorption spectrophotometer. Downstream rivers and drinking water of the residents were examined for environmental arsenic pollution. A questionnaire survey concerning the contact history of arsenic was simultaneously conducted. Statistical analysis: Non-parametric tests, cross-tabulation and multinomial logistic regression. Results: This study recruited 122 incinerator workers. The urine and blood arsenic concentrations as well as incidences of overexposure were significantly higher in the workers than in control subjects. The workers who had indirect or no contact with combustion-generated residues had significantly higher blood arsenic level. Arsenic contact history could not explain the difference. Airborne and waterborne arsenic pollution were not detected. Conclusion: Incinerator workers run the risk of being exposed to arsenic pollution, especially those who have incomplete protection in the workplace even though they only have indirect or no contact with combustion-generated pollutants.

  20. Development of the Assessment of Burden of COPD tool : an integrated tool to measure the burden of COPD

    NARCIS (Netherlands)

    Slok, Annerika H. M.; in 't Veen, Johannes C. C. M.; Chavannes, Niels H.; van der Molen, Thys; Rutten-van Molken, Maureen P. M. H.; Kerstjens, Huib A. B.; Salome, Philippe L.; Holverda, Sebastiaan; Dekhuijzen, P. N. Richard; Schuiten, Denise; Asijee, Guus M.; van Schayck, Onno C. P.

    2014-01-01

    In deciding on the treatment plan for patients with chronic obstructive pulmonary disease (COPD), the burden of COPD as experienced by patients should be the core focus. It is therefore important for daily practice to develop a tool that can both assess the burden of COPD and facilitate

  1. Development of the assessment of burden of COPD tool: An integrated tool to measure the burden of COPD

    NARCIS (Netherlands)

    A.H.M. Slok (Annerika); J.C.C.M. in 't Veen (Johannes); N.H. Chavannes (Nicolas); T. van der Molen (Thys); M.P.M.H. Rutten-van Mölken (Maureen); H.A.M. Kerstjens (Huib); J. Salomé; S. Holverda (Sebastiaan); P.N.R. Dekhuijzen (Richard); D. Schuiten (Denise); G.M. Asijee (Guus); O.C.P. Schayck (Onno)

    2014-01-01

    textabstractIn deciding on the treatment plan for patients with chronic obstructive pulmonary disease (COPD), the burden of COPD as experienced by patients should be the core focus. It is therefore important for daily practice to develop a tool that can both assess the burden of COPD and facilitate

  2. Development of the Assessment of Burden of COPD tool: an integrated tool to measure the burden of COPD

    NARCIS (Netherlands)

    Slok, A.H.; Veen, J.C. In 't; Chavannes, N.H.; Molen, T. van der; Molken, M.P. Rutten-van; Kerstjens, H.A.; Salome, P.L.; Holverda, S.; Dekhuijzen, P.N.R.; Schuiten, D.; Asijee, G.M.; Schayck, C.P. van

    2014-01-01

    In deciding on the treatment plan for patients with chronic obstructive pulmonary disease (COPD), the burden of COPD as experienced by patients should be the core focus. It is therefore important for daily practice to develop a tool that can both assess the burden of COPD and facilitate

  3. Estimated Global Disease Burden From US Health Care Sector Greenhouse Gas Emissions.

    Science.gov (United States)

    Eckelman, Matthew J; Sherman, Jodi D

    2017-10-26

    To quantify the increased disease burden caused by US health care sector life cycle greenhouse gas (GHG) emissions of 614 million metric tons of carbon dioxide equivalents in 2013. We screened for health damage factors that linked GHG emissions to disease burdens. We selected 5 factors, based on appropriate temporal modeling scales, which reflect a range of possible GHG emissions scenarios. We applied these factors to health care sector emissions. We projected that annual GHG emissions associated with health care in the United States would cause 123 000 to 381 000 disability-adjusted life-years in future health damages, with malnutrition being the largest damage category. Through their contribution to global climate change, GHG emissions will negatively affect public health because of an increased prevalence of extreme weather, flooding, vector-borne disease, and other effects. As the stewards of global health, it is important for health care professionals to recognize the magnitude of GHG emissions associated with health care itself, and the severity of associated health damages. (Am J Public Health. Published online ahead of print October 26, 2017: e1-e3. doi:10.2105/AJPH.2017.303846).

  4. Equivalence principles, spacetime structure and the cosmic connection

    Science.gov (United States)

    Ni, Wei-Tou

    2016-03-01

    After reviewing the meaning of various equivalence principles and the structure of electrodynamics, we give a fairly detailed account of the construction of the light cone and a core metric from the equivalence principle for photons (no birefringence, no polarization rotation and no amplification/attenuation in propagation) in the framework of linear electrodynamics using cosmic connections/observations as empirical support. The cosmic nonbirefringent propagation of photons independent of energy and polarization verifies the Galileo Equivalence Principle (Universality of Propagation) for photons/electromagnetic wave packets in spacetime. This nonbirefringence constrains the spacetime constitutive tensor to high precision to a core metric form with an axion degree and a dilaton degree of freedom. Thus comes the metric with axion and dilation. Constraints on axion and dilaton from astrophysical/cosmic propagation are reviewed. Eötvös-type experiments, Hughes-Drever-type experiments, redshift experiments then constrain and tie this core metric to agree with the matter metric, and hence a unique physical metric and universality of metrology. We summarize these experiments and review how the Galileo equivalence principle constrains the Einstein Equivalence Principle (EEP) theoretically. In local physics this physical metric gives the Lorentz/Poincaré covariance. Understanding that the metric and EEP come from the vacuum as a medium of electrodynamics in the linear regime, efforts to actively look for potential effects beyond this linear scheme are warranted. We emphasize the importance of doing Eötvös-type experiments or other type experiments using polarized bodies/polarized particles. We review the theoretical progress on the issue of gyrogravitational ratio for fundamental particles and update the experimental progress on the measurements of possible long range/intermediate range spin-spin, spin-monopole and spin-cosmos interactions.

  5. Regional variations in the economic burden attributable to excess weight, physical inactivity and tobacco smoking across British Columbia

    Directory of Open Access Journals (Sweden)

    H. Krueger

    2016-04-01

    Full Text Available Introduction: Prevalence rates of excess weight, tobacco smoking and physical inactivity vary substantially by geographical region within British Columbia (B.C.. The purpose of this study is to determine the potential reduction in economic burden in B.C. if all regions in the province achieved prevalence rates of these three risk factors equivalent to those of the region with the lowest rates. Methods: We used a previously developed approach based on population-attributable fractions to estimate the economic burden associated with the various risk factors. Sexspecific relative risk and age/sex-specific prevalence data was used in the modelling. Results: The annual economic burden attributable to the three risk factors in B.C. was about $5.6 billion in 2013, with a higher proportion of this total attributable to excess weight ($2.6 billion than to tobacco smoking ($2.0 billion. While B.C. has lower prevalence rates of the risk factors than any other Canadian province, there is significant variation within the province. If each region in the province were to achieve the best prevalence rates for the three risk factors, then $1.4 billion (24% of the $5.6 billion in economic burden could be avoided annually. Conclusion: There are notable disparities in the prevalence of each risk factor across health regions within B.C., which were mirrored in each region’s attributable economic burden. A variety of social, environmental and economic factors likely drive some of this geographical variation and these underlying factors should be considered when developing prevention programs.

  6. The disease burden of congenital toxoplasmosis in Denmark, 2014.

    Science.gov (United States)

    Nissen, Janna; Jokelainen, Pikka; Stensvold, Christen Rune; Trevisan, Chiara; Fuchs, Josefine; Burgdorf, Kristoffer Sølvsten; Nielsen, Henrik Vedel; Pires, Sara M

    2017-01-01

    Congenital toxoplasmosis (CT) causes a substantial disease burden worldwide. The aim of this study was to estimate the disease burden of CT in Denmark, a developed country with free public healthcare and nationwide data available. Using data primarily from two public health surveillance programmes conducted between 1992 and 2007, we estimated the incidence, occurrence of sequelae, mortality and the burden of disease in terms of disability-adjusted life years (DALYs) of CT in Denmark in 2014. We estimated that 14 children were born with CT in 2014, of which six will have developed sequelae by the age of 12. CT resulted in a total disease burden of 123 DALYs (95% uncertainty interval [UI], 100-148), of which 78 (95% UI, 64-94) were due to foetal loss and 2 (95% UI, 1-3) were due to neonatal death; the remaining burden was due to moderate to severe life-long sequelae. A comparison of the estimated incidence of CT with the number of reported CT cases in 2008-2014 indicated that for each reported CT case, at least five other CT cases could be expected to have occurred and gone unreported. Early onset, severity, and life-long duration of sequelae have a major effect on the disease burden of CT. Our data suggest that CT is under-diagnosed or under-reported in Denmark. The estimated disease burden and public health impact in Denmark is lower than in other European countries, highlighting the need for country-specific studies.

  7. ANALYSIS OF TAX BURDEN PARAMETERS OF UKRAINE'S ECONOMY

    Directory of Open Access Journals (Sweden)

    I. Moyseyenko

    2017-11-01

    Full Text Available The need to solve the problems of macro-economic stabilization of the country's economy on the basis of determining the tax system efficiency led to the actuality and importance of developing methodological issues of macro-economic tax regulation. In terms of macro-financial stability for the purpose of strategic analysis, the macroeconomic category of tax burden and its fiscal efficiency in terms of direct and indirect taxation is considered. Tax burden indicators at a macro-level quantitatively measure the total level of tax payment and pumping up the budget. Based on the analysis of tax burden it is found that in Ukraine the major fiscal function is performed by consumption taxes (indirect taxes. The methodological principles of the diagnostics of tax burden influence on macro-indices of economic stabilization are as follows: selecting parameters of monitoring tax burden state and fiscal burden efficiency; the assessment of an impact on fiscal efficiency on macro-indices. To prognosticate the efficiency of fiscal burden performance in terms of indirect taxes linear and exponential trend equations are calculated. In terms of the analysis of macro-financial stability the usage of tax rates of indirect taxes as indicators of fiscal efficiency provides sufficient reasons for the conclusions regarding long-term trends of pumping the budget.

  8. Colorectal cancer-global burden, trends, and geographical variations.

    Science.gov (United States)

    Douaiher, Jeffrey; Ravipati, Advaitaa; Grams, Benjamin; Chowdhury, Sanjib; Alatise, Olusegun; Are, Chandrakanth

    2017-04-01

    The aim of this study is to describe the trends and variations in the global burden of colorectal cancer (CRC). Data (2012-2030) relating to CRC was extracted from GLOBOCAN 2012 database and analyzed. The results of our study demonstrate a rising global burden of colorectal cancer which persists until the year 2035 and likely beyond. The rise in the global burden is not uniform with significant variations influenced by geographic location, socio-economic status, age, and gender. Although the EURO region has the highest burden, Asia as a continent continues to bear the heaviest brunt of the disease. Although the burden of disease is higher in more developed regions, mortality is considerably higher in less developed regions and this gap widens over the next two decades. The disease predominantly affects the male gender across all regions of the world. Age has a complex relation with the burden of CRC and is affected by the cross-influences relating to socio-economic status. The results of our study demonstrate a rising global burden of CRC with some unique variations. Knowledge of this data can increase awareness and help strategic targeting of efforts and resources. © 2017 Wiley Periodicals, Inc.

  9. Family burden, family health and personal mental health.

    Science.gov (United States)

    Ennis, Edel; Bunting, Brendan P

    2013-03-21

    The economic and moral implications of family burden are well recognised. What is less understood is whether or how family health and family burden relate to personal mental health. This study examines family health and perceived family burden as predictors of personal mental health, taking personal and sociodemographic factors into consideration. Data used was from the National Comorbidity Study Replication (NCS-R), namely the random 30% of participants (N = 3192) to whom the family burden interview was administered. Measures of family burden and mental health were considered for analysis. Binary logistic regressions were used as means of analyses. Perception of family burden was associated with an increased vulnerability to personal mental health problems, as was the presence of mental health difficulties within the family health profile. Which member of the family (kinship) was ill bore no relation to prediction of personal mental health. Personal and socio-demographic factors of sex, age, marital status, education and household income were all predictive of increased vulnerability to mental health problems over the last 12 months. Certain elements of family health profile and its perceived burden on the individuals themselves appears related to risk of personal incidence of mental health problems within the individuals themselves. For moral and economic reasons, further research to understand the dynamics of these relationships is essential to aid developing initiatives to protect and support the mental health and wellbeing of relatives of ill individuals.

  10. Parental burden associated with borderline personality disorder in female offspring.

    Science.gov (United States)

    Goodman, Marianne; Patil, Uday; Triebwasser, Joseph; Hoffman, Perry; Weinstein, Zachary A; New, Antonia

    2011-02-01

    To identify aspects of parental burden associated with borderline personality disorder (BPD), an anonymous internet survey linked to BPD support websites was developed for parents to complete on their BPD offspring and unaffected siblings. The questions cover aspects of the child's life from pregnancy through young adulthood, and query about the impact of the child's BPD on six domains of the parent's life, including physical and emotional health, marriage, job, standard of living, social life, and career trajectory. Additionally, financial burden was assessed with questions pertaining to insurance and out-of pocket costs associated with the BPD disorder. BPD offspring were identified by meeting diagnostic criteria embedded within the survey and having been given a diagnosis of BPD by a professional at some point in their life. We report on 233 female offspring meeting strict criteria for BPD. Parents of daughters with BPD endorsed varying levels of impact on the six domains comprising burden with the largest impact on emotional health which was impacted in over 88% of the respondents. Over 50% of parents endorsed four or greater of the six burden items. Particular aspects of the offspring's BPD symptom profile correlated with intensity of parental burden included including problems in adolescence with acting out behavior (p Parents of female offspring with BPD experience burden in multiple domains of their life and many have incurred substantial financial expense. Increasing awareness of co-morbid conditions in the BPD proband that significantly increase parental burden may be indicators for the provision of increased family support.

  11. Asymmetries of poverty: why global burden of disease valuations underestimate the burden of neglected tropical diseases.

    Directory of Open Access Journals (Sweden)

    Charles H King

    2008-03-01

    Full Text Available The disability-adjusted life year (DALY initially appeared attractive as a health metric in the Global Burden of Disease (GBD program, as it purports to be a comprehensive health assessment that encompassed premature mortality, morbidity, impairment, and disability. It was originally thought that the DALY would be useful in policy settings, reflecting normative valuations as a standardized unit of ill health. However, the design of the DALY and its use in policy estimates contain inherent flaws that result in systematic undervaluation of the importance of chronic diseases, such as many of the neglected tropical diseases (NTDs, in world health. The conceptual design of the DALY comes out of a perspective largely focused on the individual risk rather than the ecology of disease, thus failing to acknowledge the implications of context on the burden of disease for the poor. It is nonrepresentative of the impact of poverty on disability, which results in the significant underestimation of disability weights for chronic diseases such as the NTDs. Finally, the application of the DALY in policy estimates does not account for the nonlinear effects of poverty in the cost-utility analysis of disease control, effectively discounting the utility of comprehensively treating NTDs. The present DALY framework needs to be substantially revised if the GBD is to become a valid and useful system for determining health priorities.

  12. Financial Burden Borne by Laparoscopic Living Kidney Donors.

    Science.gov (United States)

    Wiseman, Jennifer F; Jacobs, Cheryl L; Larson, Dawn B; Berglund, Danielle M; Garvey, Catherine A; Ibrahim, Hassan N; Matas, Arthur J

    2017-09-01

    Living kidney donors have donation-related out-of-pocket costs (direct costs) and/or ongoing daily expenses while losing income (indirect costs). Yet there is little information about how much of a subjective burden these constitute for the donors. From December 2003 through December 2014, we surveyed donors 6 months postdonation to determine their financial burden related to donation (on a scale of 1 to 10) and what resources were used to cover expenses. Of 1136 surveyed, 796 (70%) responded. Among respondents, mean age at donation was 43.6 ± 10.6 years, 64% were women, 96% were white, and 53% were related by blood to their recipient. Overall, 26% scored their financial burden as 5 or higher; 8% scored it as 8 or higher. Increased expenses were associated with a higher reported burden; however, significant burden was reported by some with no out-of-pocket expenses (presumably due to lost wages and continuing expenses). The burden was scored as 5 or higher by 27% of those employed outside the home (n = 660), 15% homemakers, 13% retirees, 40% students; 28% unemployed; and 26% whose occupation was unknown. Over half (51%) of those receiving a local or (means-tested) national grant still reported moderate to severe burden. Besides grants, donors used a variety of sources to help offset expenses: dipped into savings, borrowed from friends or family, took out a loan, and/or had a fundraiser. Those with the highest burden reported using the most additional sources. Donors should not have to incur costs or a financial burden to donate; the transplant community should strive to make donation financially neutral.

  13. Burden of Depressive Disorders by Country, Sex, Age, and Year: Findings from the Global Burden of Disease Study 2010

    Science.gov (United States)

    Ferrari, Alize J.; Charlson, Fiona J.; Norman, Rosana E.; Patten, Scott B.; Freedman, Greg; Murray, Christopher J.L.; Vos, Theo; Whiteford, Harvey A.

    2013-01-01

    Background Depressive disorders were a leading cause of burden in the Global Burden of Disease (GBD) 1990 and 2000 studies. Here, we analyze the burden of depressive disorders in GBD 2010 and present severity proportions, burden by country, region, age, sex, and year, as well as burden of depressive disorders as a risk factor for suicide and ischemic heart disease. Methods and Findings Burden was calculated for major depressive disorder (MDD) and dysthymia. A systematic review of epidemiological data was conducted. The data were pooled using a Bayesian meta-regression. Disability weights from population survey data quantified the severity of health loss from depressive disorders. These weights were used to calculate years lived with disability (YLDs) and disability adjusted life years (DALYs). Separate DALYs were estimated for suicide and ischemic heart disease attributable to depressive disorders. Depressive disorders were the second leading cause of YLDs in 2010. MDD accounted for 8.2% (5.9%–10.8%) of global YLDs and dysthymia for 1.4% (0.9%–2.0%). Depressive disorders were a leading cause of DALYs even though no mortality was attributed to them as the underlying cause. MDD accounted for 2.5% (1.9%–3.2%) of global DALYs and dysthymia for 0.5% (0.3%–0.6%). There was more regional variation in burden for MDD than for dysthymia; with higher estimates in females, and adults of working age. Whilst burden increased by 37.5% between 1990 and 2010, this was due to population growth and ageing. MDD explained 16 million suicide DALYs and almost 4 million ischemic heart disease DALYs. This attributable burden would increase the overall burden of depressive disorders from 3.0% (2.2%–3.8%) to 3.8% (3.0%–4.7%) of global DALYs. Conclusions GBD 2010 identified depressive disorders as a leading cause of burden. MDD was also a contributor of burden allocated to suicide and ischemic heart disease. These findings emphasize the importance of including depressive disorders

  14. A heavy burden on young minds: the global burden of mental and substance use disorders in children and youth.

    Science.gov (United States)

    Erskine, H E; Moffitt, T E; Copeland, W E; Costello, E J; Ferrari, A J; Patton, G; Degenhardt, L; Vos, T; Whiteford, H A; Scott, J G

    2015-05-01

    Mental and substance use disorders are common and often persistent, with many emerging in early life. Compared to adult mental and substance use disorders, the global burden attributable to these disorders in children and youth has received relatively little attention. Data from the Global Burden of Disease Study 2010 was used to investigate the burden of mental and substance disorders in children and youth aged 0-24 years. Burden was estimated in terms of disability-adjusted life years (DALYs), derived from the sum of years lived with disability (YLDs) and years of life lost (YLLs). Globally, mental and substance use disorders are the leading cause of disability in children and youth, accounting for a quarter of all YLDs (54.2 million). In terms of DALYs, they ranked 6th with 55.5 million DALYs (5.7%) and rose to 5th when mortality burden of suicide was reattributed. While mental and substance use disorders were the leading cause of DALYs in high-income countries (HICs), they ranked 7th in low- and middle-income countries (LMICs) due to mortality attributable to infectious diseases. Mental and substance use disorders are significant contributors to disease burden in children and youth across the globe. As reproductive health and the management of infectious diseases improves in LMICs, the proportion of disease burden in children and youth attributable to mental and substance use disorders will increase, necessitating a realignment of health services in these countries.

  15. Equivalence principle and quantum mechanics: quantum simulation with entangled photons.

    Science.gov (United States)

    Longhi, S

    2018-01-15

    Einstein's equivalence principle (EP) states the complete physical equivalence of a gravitational field and corresponding inertial field in an accelerated reference frame. However, to what extent the EP remains valid in non-relativistic quantum mechanics is a controversial issue. To avoid violation of the EP, Bargmann's superselection rule forbids a coherent superposition of states with different masses. Here we suggest a quantum simulation of non-relativistic Schrödinger particle dynamics in non-inertial reference frames, which is based on the propagation of polarization-entangled photon pairs in curved and birefringent optical waveguides and Hong-Ou-Mandel quantum interference measurement. The photonic simulator can emulate superposition of mass states, which would lead to violation of the EP.

  16. Markovian Testing Equivalence and Exponentially Timed Internal Actions

    Directory of Open Access Journals (Sweden)

    Marco Bernardo

    2009-12-01

    Full Text Available In the theory of testing for Markovian processes developed so far, exponentially timed internal actions are not admitted within processes. When present, these actions cannot be abstracted away, because their execution takes a nonzero amount of time and hence can be observed. On the other hand, they must be carefully taken into account, in order not to equate processes that are distinguishable from a timing viewpoint. In this paper, we recast the definition of Markovian testing equivalence in the framework of a Markovian process calculus including exponentially timed internal actions. Then, we show that the resulting behavioral equivalence is a congruence, has a sound and complete axiomatization, has a modal logic characterization, and can be decided in polynomial time.

  17. Global versus Local -- Mach's Principle versus the Equivalence Principle

    CERN Document Server

    Singleton, Douglas

    2016-01-01

    The equivalence principle is the conceptual basis for general relativity. In contrast Mach's principle, although said to have been influential on Einstein in his formulation of general relativity, has not been shown to be central to the structure of general relativity. In this essay we suggest that the quantum effects of Hawking and Unruh radiation are a manifestation of a {\\it thermal} Mach's principle, where the local thermodynamic properties of the system are determined by the non-local structure of the quantum fields which determine the vacuum of a given spacetime. By comparing Hawking and Unruh temperatures for the same local acceleration we find a violation of the Einstein elevator version of the equivalence principle, which vanishes in the limit that the horizon is approached.

  18. A new PK equivalence test for a bridging study.

    Science.gov (United States)

    Novick, Steven J; Zhang, Xiang; Yang, Harry

    2016-01-01

    In a bridging study, the plasma drug concentration-time curve is generally used to assess bioequivalence between the two formulations. Selected pharmacokinetic (PK) parameters including the area under the concentration-time curve, the maximum plasma concentration or peak exposure (Cmax), and drug half-life (T1/2) are compared to ensure comparable bioavailability of the two formulations. Comparability in these PK parameters, however, does not necessarily imply equivalence of the entire concentration-time profile. In this article, we propose an alternative metric of equivalence based on the maximum difference between PK profiles of the two formulations. A test procedure based on Bayesian analysis and accounting for uncertainties in model parameters is developed. Through both theoretical derivation and empirical simulation, it is shown that the new method provides better control over consumer's risk.

  19. Derivation of equivalent continuous dilution for cyclic, unsteady driving forces

    DEFF Research Database (Denmark)

    Sherman, Max H.; Mortensen, Dorthe Kragsig; Walker, Iain S.

    2011-01-01

    This article uses an analytical approach to determine the dilution of an unsteadily-generated solute in an unsteady solvent stream, under cyclic temporal boundary conditions. The goal is to find a simplified way of showing equivalence of such a process to a reference case where equivalent dilution...... is defined as a weighted average concentration. This derivation has direct applications to the ventilation of indoor spaces where indoor air quality and energy consumption cannot in general be simultaneously optimized. By solving the equation we can specify how much air we need to use in one ventilation...... pattern compared to another to obtain same indoor air quality. Because energy consumption is related to the amount of air exchanged by a ventilation system, the equation can be used as a first step to evaluate different ventilation patterns effect on the energy consumption. The use of the derived equation...

  20. Equivalent Pairs of Words and Points of Connection

    Directory of Open Access Journals (Sweden)

    Qaiser Mushtaq

    2014-01-01

    Full Text Available Higman has defined coset diagrams for PGL(2,Z. The coset diagrams are composed of fragments, and the fragments are further composed of two or more circuits. A condition for the existence of a certain fragment γ in a coset diagram is a polynomial f in Z[z], obtained by choosing a pair of words F[wi,wj] such that both wi and wj fix a vertex v in γ. Two pairs of words are equivalent if and only if they have the same polynomial. In this paper, we find distinct pairs of words that are equivalent. We also show there are certain fragments, which have the same orientations as those of their mirror images.

  1. Equivalent-Continuum Modeling of Nano-Structured Materials

    Science.gov (United States)

    Odegard, Gregory M.; Gates, Thomas S.; Nicholson, Lee M.; Wise, Kristopher E.

    2001-01-01

    A method has been developed for modeling structure-property relationships of nano-structured materials. This method serves as a link between computational chemistry and solid mechanics by substituting discrete molecular structures with an equivalent-continuum model. It has been shown that this substitution may be accomplished by equating the vibrational potential energy of a nano-structured material with the strain energy of representative truss and continuum models. As an important example with direct application to the development and characterization of single-walled carbon nanotubes, the model has been applied to determine the effective continuum geometry of a graphene sheet. A representative volume element of the equivalent-continuum model has been developed with an effective thickness. This effective thickness has been shown to be similar to, but slightly smaller than, the interatomic spacing of graphite.

  2. Negotiating for more: the multiple equivalent simultaneous offer.

    Science.gov (United States)

    Heller, Richard E

    2014-02-01

    Whether a doctor, professional baseball manager, or a politician, having successful negotiation skills is a critical part of being a leader. Building upon prior journal articles on negotiation strategy, the author presents the concept of the multiple equivalent simultaneous offer (MESO). The concept of a MESO is straightforward: as opposed to making a single offer, make multiple offers with several variables. Each offer alters the different variables, such that the end result of each offer is equivalent from the perspective of the party making the offer. Research has found several advantages to the use of MESOs. For example, using MESOs, an offer was more likely to be accepted, and the counterparty was more likely to be satisfied with the negotiated deal. Additional benefits have been documented as well, underscoring why a prepared radiology business leader should understand the theory and practice of MESO. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  3. Can quantum probes satisfy the weak equivalence principle?

    Energy Technology Data Exchange (ETDEWEB)

    Seveso, Luigi, E-mail: luigi.seveso@unimi.it [Quantum Technology Lab, Dipartimento di Fisica, Università degli Studi di Milano, I-20133 Milano (Italy); Paris, Matteo G.A. [Quantum Technology Lab, Dipartimento di Fisica, Università degli Studi di Milano, I-20133 Milano (Italy); INFN, Sezione di Milano, I-20133 Milano (Italy)

    2017-05-15

    We address the question whether quantum probes in a gravitational field can be considered as test particles obeying the weak equivalence principle (WEP). A formulation of the WEP is proposed which applies also in the quantum regime, while maintaining the physical content of its classical counterpart. Such formulation requires the introduction of a gravitational field not to modify the Fisher information about the mass of a freely-falling probe, extractable through measurements of its position. We discover that, while in a uniform field quantum probes satisfy our formulation of the WEP exactly, gravity gradients can encode nontrivial information about the particle’s mass in its wavefunction, leading to violations of the WEP. - Highlights: • Can quantum probes under gravity be approximated as test-bodies? • A formulation of the weak equivalence principle for quantum probes is proposed. • Quantum probes are found to violate it as a matter of principle.

  4. Matchgate and space-bounded quantum computations are equivalent

    OpenAIRE

    Jozsa, Richard; Kraus, Barbara; Miyake, Akimasa; Watrous, John

    2009-01-01

    Matchgates are an especially multiflorous class of two-qubit nearest neighbour quantum gates, defined by a set of algebraic constraints. They occur for example in the theory of perfect matchings of graphs, non-interacting fermions, and one-dimensional spin chains. We show that the computational power of circuits of matchgates is equivalent to that of space-bounded quantum computation with unitary gates, with space restricted to being logarithmic in the width of the matchgate circuit. In parti...

  5. Lack of energetic equivalence in forest soil invertebrates.

    Science.gov (United States)

    Ehnes, Roswitha B; Pollierer, Melanie M; Erdmann, Georgia; Klarner, Bernhard; Eitzinger, Bernhard; Digel, Christoph; Ott, David; Maraun, Mark; Scheu, Stefan; Brose, Ulrich

    2014-02-01

    Ecological communities consist of small abundant and large non-abundant species. The energetic equivalence rule is an often-observed pattern that could be explained by equal energy usage among abundant small organisms and non-abundant large organisms. To generate this pattern, metabolism (as an indicator of individual energy use) and abundance have to scale inversely with body mass, and cancel each other out. In contrast, the pattern referred to as biomass equivalence states that the biomass of all species in an area should be constant across the body-mass range. In this study, we investigated forest soil communities with respect to metabolism, abundance, population energy use, and biomass. We focused on four land-use types in three different landscape blocks (Biodiversity Exploratories). The soil samples contained 870 species across 12 phylogenetic groups. Our results indicated positive sublinear metabolic scaling and negative sublinear abundance scaling with species body mass. The relationships varied mainly due to differences among phylogenetic groups or feeding types, and only marginally due to land-use type. However, these scaling relationships were not exactly inverse to each other, resulting in increasing population energy use and biomass with increasing body mass for most combinations of phylogenetic group or feeding type with land-use type. Thus, our results are mostly inconsistent with the classic perception of energetic equivalence, and reject the biomass equivalence hypothesis while documenting a specific and nonrandom pattern of how abundance, energy use, and biomass are distributed across size classes. However, these patterns are consistent with two alternative predictions: the resource-thinning hypothesis, which states that abundance decreases with trophic level, and the allometric degree hypothesis, which states that population energy use should increase with population average body mass, due to correlations with the number of links of consumers and

  6. Dialogue on the Principle of Mass-Energy Equivalence

    OpenAIRE

    Ezzat G. Bakhoum

    2004-01-01

    This paper is directed to the readers who are familiar with the earlier papers by the author on the topic of mass-energy equivalence. A number of important questions about the total energy equation H=mv^2 and its implications are answered qualitatively. The relationship between the equation H=mv^2 and the 4-vector (Minkowski) representation of Special Relativity is discussed in detail. Other issues, such as de Broglie's original formulation of wave mechanics, are also discussed.

  7. Decentralized Pricing and the equivalence between Nash and Walrasian equilibrium

    OpenAIRE

    Mandel, Antoine; Gintis, Herbert

    2016-01-01

    International audience; We introduce, in the standard exchange economy model, market games in which agents use private prices as strategies. We give conditions on the game form that ensure that the only strict Nash equilibria of the game are the competitive equilibria of the underlying economy. This equivalence result has two main corollaries. First, it adds to the evidence that competitive equilibria can be strategically stable even in small economies. Second, it implies that competitive equ...

  8. Measurement model equivalence in web- and paper-based surveys

    African Journals Online (AJOL)

    Measurement model equivalence in web- and paper-based surveys. N. Martins. 4ABSTRACT. 8The aim of this research is to investigate whether web-based ... panels for survey research and found that the use of internet panels would continue to grow and that it would be ...... (q26–q29) and Teamwork (q93–q97). Items q17 ...

  9. Noise equivalent circuit of a semiconductor laser diode

    Science.gov (United States)

    Harder, C.; Margalit, S.; Yariv, A.; Katz, J.; Shacham, J.

    1982-01-01

    A small-signal model of a semiconductor laser is extended to include the effects of intrinsic noise by adding current and voltage noise sources. The current noise source represents the shot noise of carrier recombination, while the voltage noise source represents the random process of simulated emission. The usefulness of the noise equivalent circuit is demonstrated by calculating the modulation and noise characteristics of a current-driven diode as a function of bias current and frequency.

  10. Electric circuit networks equivalent to chaotic quantum billiards

    OpenAIRE

    Bulgakov, Evgeny N.; Maksimov, Dmitrii N.; Sadreev, Almas F.

    2004-01-01

    We formulate two types of electric RLC resonance network equivalent to quantum billiards. In the network of inductors grounded by capacitors squared resonant frequencies are eigenvalues of the quantum billiard. In the network of capacitors grounded by inductors squared resonant frequencies are given by inverse eigen values of the billiard. In both cases local voltages play role of the wave function of the quantum billiard. However as different from quantum billiards there is a heat power beca...

  11. Noise equivalent circuit of a semiconductor laser diode

    Science.gov (United States)

    Harder, C.; Margalit, S.; Yariv, A.; Katz, J.; Shacham, J.

    1982-03-01

    A small-signal model of a semiconductor laser is extended to include the effects of intrinsic noise by adding current and voltage noise sources. The current noise source represents the shot noise of carrier recombination, while the voltage noise source represents the random process of simulated emission. The usefulness of the noise equivalent circuit is demonstrated by calculating the modulation and noise characteristics of a current-driven diode as a function of bias current and frequency.

  12. Equivalence of Conventional and Modified Network of Generalized Neural Elements

    Directory of Open Access Journals (Sweden)

    E. V. Konovalov

    2016-01-01

    Full Text Available The article is devoted to the analysis of neural networks consisting of generalized neural elements. The first part of the article proposes a new neural network model — a modified network of generalized neural elements (MGNE-network. This network developes the model of generalized neural element, whose formal description contains some flaws. In the model of the MGNE-network these drawbacks are overcome. A neural network is introduced all at once, without preliminary description of the model of a single neural element and method of such elements interaction. The description of neural network mathematical model is simplified and makes it relatively easy to construct on its basis a simulation model to conduct numerical experiments. The model of the MGNE-network is universal, uniting properties of networks consisting of neurons-oscillators and neurons-detectors. In the second part of the article we prove the equivalence of the dynamics of the two considered neural networks: the network, consisting of classical generalized neural elements, and MGNE-network. We introduce the definition of equivalence in the functioning of the generalized neural element and the MGNE-network consisting of a single element. Then we introduce the definition of the equivalence of the dynamics of the two neural networks in general. It is determined the correlation of different parameters of the two considered neural network models. We discuss the issue of matching the initial conditions of the two considered neural network models. We prove the theorem about the equivalence of the dynamics of the two considered neural networks. This theorem allows us to apply all previously obtained results for the networks, consisting of classical generalized neural elements, to the MGNE-network.

  13. FORWARDER DEPRICIATION ANALYSIS APPLIED TO EQUIVALENT UNIFORM ANNUAL COST

    OpenAIRE

    DANILO SIMÕES; RICARDO GHANTOUS CERVI; PAULO TORRES FENNER

    2013-01-01

    Depreciation is considered a necessary fixed cost to replace a machinery or goods at the end of its useful life thus interfering directly on the Equivalent Annual Cost (EAC). This paper aimed at analyzing different methods used to calculate depreciation over the useful economic life of a Forwarder, a machine used in eucalyptus harvesting process, evaluating the influence of such methods in estimating EAC. Five depreciation methods were evaluated: Straight-line, Declining Balanc...

  14. The Equivalence of Two Constructions of Galton-Watson Processes

    CERN Document Server

    Kurata, K

    2004-01-01

    In most textbooks on branching processes, the Galton-Watson process is defined as an integer valued Markov chain with a special kind of transition probability, somtimes supplemented with an intuitive description of random family trees. A precise construction of the Galton-Watson process on the space of trees was first given by R. Otter in 1949, and later independently by J. Neveu in 1986. In this note, we show that these two constructions are actually equivalent.

  15. Modelling of Airship Flight Mechanics by the Projection Equivalent Method

    OpenAIRE

    Frantisek Jelenciak; Michael Gerke; Ulrich Borgolte

    2015-01-01

    This article describes the projection equivalent method (PEM) as a specific and relatively simple approach for the modelling of aircraft dynamics. By the PEM it is possible to obtain a mathematic al model of the aerodynamic forces and momentums acting on different kinds of aircraft during flight. For the PEM, it is a characteristic of it that - in principle - it provides an acceptable regression model of aerodynamic forces and momentums which exhibits reasonable and plausible behaviour from a...

  16. Nineteenth-Century Measurements of the Mechanical Equivalent of Heat

    Science.gov (United States)

    Greenslade, Thomas B.

    2002-04-01

    Today the measurement of the mechanical equivalent of heat is a laboratory exercise in which the student tries to come close to the accepted value. How different was the attitude of the 19th-century physicists and engineers, for which the value was a key link between mechanics and thermodynamics, two seemingly separate domains of physics. This article discusses some of the pioneering experiments, translating them into modern nomenclature and units.

  17. Water-equivalent fiber radiation dosimeter with two scintillating materials

    OpenAIRE

    Qin, Zhuang; Hu, Yaosheng; Ma, Yu; Lin, Wei; Luo, Xianping; Zhao, Wenhui; Sun, Weimin; Zhang, Daxin; Chen, Ziyin; Wang, Boran; Lewis, Elfed

    2016-01-01

    An inorganic scintillating material plastic optical fiber (POF) dosimeter for measuring ionizing radiation during radiotherapy applications is reported. It is necessary that an ideal dosimeter exhibits many desirable qualities, including water equivalence, energy independence, reproducibility, dose linearity. There has been much recent research concerning inorganic dosimeters. However, little reference has been made to date of the depth-dose characteristics of dosimeter materials. In the case...

  18. On equivalent expressions for the Faraday's law of induction

    OpenAIRE

    Rodrigues,Fabio G.

    2012-01-01

    In this paper we give a rigorous proof of the equivalence of some different forms of Faraday's law of induction clarifying some misconceptions on the subject and emphasizing that many derivations of this law appearing in textbooks and papers are only valid under very special circunstances, thus are not satisfactory under a mathematical point of view. We show also that Faraday's law of induction is a relativistic invariant law in a very precise mathematical sense.

  19. On Equivalent Expressions for the Faraday's Law of Induction

    OpenAIRE

    Rodrigues, Fabio G.

    2010-01-01

    In this paper we give a rigorous proof of the equivalence of some different forms of Faraday's law of induction clarifying some misconceptions on the subject and emphasizing that many derivations of this law appearing in textbooks and papers are only valid under very special circunstances, thus are not satisfactory under a mathematical point of view. We show also that Faraday's law of induction is a relativistic invariant law in a very precise mathematical sense. Neste trabalho e dada uma ...

  20. Codes over infinite family of rings : Equivalence and invariant ring

    Science.gov (United States)

    Irwansyah, Muchtadi-Alamsyah, Intan; Muchlis, Ahmad; Barra, Aleams; Suprijanto, Djoko

    2016-02-01

    In this paper, we study codes over the ring Bk=𝔽pr[v1,…,vk]/(vi2=vi,∀i =1 ,…,k ) . For instance, we focus on two topics, i.e. characterization of the equivalent condition between two codes over Bk using a Gray map into codes over finite field 𝔽pr, and finding generators for invariant ring of Hamming weight enumerator for Euclidean self-dual codes over Bk.

  1. Usage of attenuation coefficients of some tissue-equivalent materials

    OpenAIRE

    TANIR, Ayşe Güneş; KETENCİ, Fatma Serap; BÖLÜKDEMİR, Mustafa Hicabi

    2015-01-01

    The total attenuation coefficients of 11 biological targets against photon energies were plotted within the energy range 1-10 MeV. From these plots a possible equation describing the relationship between photon energy and the total attenuation coefficient was derived. The suggested equation is mu/ rho = 0.0696/ surd E. To test the validity of the equation and to compare the results of the total attenuation coefficients of 3 tissue-equivalent materials (bolus, rice grains, and boiled rice) th...

  2. Equivalent plate modeling for conceptual design of aircraft wing structures

    Science.gov (United States)

    Giles, Gary L.

    1995-01-01

    This paper describes an analysis method that generates conceptual-level design data for aircraft wing structures. A key requirement is that this data must be produced in a timely manner so that is can be used effectively by multidisciplinary synthesis codes for performing systems studies. Such a capability is being developed by enhancing an equivalent plate structural analysis computer code to provide a more comprehensive, robust and user-friendly analysis tool. The paper focuses on recent enhancements to the Equivalent Laminated Plate Solution (ELAPS) analysis code that significantly expands the modeling capability and improves the accuracy of results. Modeling additions include use of out-of-plane plate segments for representing winglets and advanced wing concepts such as C-wings along with a new capability for modeling the internal rib and spar structure. The accuracy of calculated results is improved by including transverse shear effects in the formulation and by using multiple sets of assumed displacement functions in the analysis. Typical results are presented to demonstrate these new features. Example configurations include a C-wing transport aircraft, a representative fighter wing and a blended-wing-body transport. These applications are intended to demonstrate and quantify the benefits of using equivalent plate modeling of wing structures during conceptual design.

  3. The impact of sunlight on high-latitude equivalent currents

    CERN Document Server

    Laundal, K M; Østgaard, N; Reistad, J P; Haaland, S; Snekvik, K; Tenfjord, P; Ohtani, S; Milan, S E

    2016-01-01

    Ground magnetic field measurements can be mathematically related to an overhead ionospheric equivalent current. In this study we look in detail at how the global equivalent current, calculated using more than 30 years of SuperMAG magnetometer data, changes with sunlight conditions. The calculations are done using spherical harmonic analysis in quasi-dipole coordinates, a technique which leads to improved accuracy compared to previous studies. Sorting the data according to the location of the sunlight terminator and orientation of the interplanetary magnetic field (IMF), we find that the equivalent current resembles ionospheric convection patterns on the sunlit side of the terminator but not on the dark side. On the dark side, with southward IMF, the current is strongly dominated by a dawn cell and the current across the polar cap has a strong dawnward component. The contrast between the sunlit and dark side increases with increasing values of the $\\mathit{F}_{10.7}$ index, showing that increasing solar EUV fl...

  4. Functional equivalence of morphologies enables morphological and ecological diversity.

    Science.gov (United States)

    Young, Rebecca L; Haselkorn, Tamara S; Badyaev, Alexander V

    2007-11-01

    Diversity in organismal forms among taxa is thought to reflect distinct selection pressures across environments. The central assumption underlying this expectation is that taxa experiencing similar selection have similar response to that selection. However, because selection acts on trait function, taxa similarity in selection response depends crucially on the relationship between function and morphology. Further, when a trait consists of multiple parts, changes in function in response to selection can result from modification of different parts, and adaptation to the same environment might result in functional but not morphological similarity. Here, we address the extent to which functional and morphological diversity in masticatory apparatus of soricid shrews reflects a shared ecological characteristic of their diet type. We examine the factors limiting morphological variation across shrew species by assessing the relative contribution of trait function (biomechanics of the jaw), ecology, and phylogeny to species similarity in mandibular traits. We found that species that shared diet type were functionally but not morphologically similar. The presence of multiple semi-independently varying traits enabled functional equivalence of composite foraging morphologies and resulted in variable response to selection exerted by similar diet. We show that functional equivalence of multiple morphologies enabled persistence of differences in habitat use (e.g., habitat moisture and coverage) among species that specialize on the same diet. We discuss the importance of developmental and functional integration among traits for evolutionary diversification of morphological structures that generate equivalent functions.

  5. Double burden of malnutrition: A silent driver of double burden of disease in low– and middle–income countries

    Directory of Open Access Journals (Sweden)

    Ivana Kolcˇic´

    2012-09-01

    Full Text Available Double burden of malnutrition, characterised by undernutrition among poor children and obesity among deprived adults, is a serious global problem and an important promoter of ‘double burden of disease’ which is currently affecting low– and middle–income countries. Possible ways to reduce this burden is through education on the importance of equilibrium between energy intake and expenditure; ensuring conditions for optimal fetal and early child development; and reducing poverty as one of the main drivers of both undernutrition and obesity, through empowering local communities.

  6. Burden of Caregivers of People with Stroke: Evolution and Predictors

    National Research Council Canada - National Science Library

    Vincent, Claude; Desrosiers, Johanne; Landreville, Philippe; Demers, Louise

    2009-01-01

    .... This study compares the evolution of burden of two groups of caregivers of people with a recent stroke who returned home after discharge from two different types of health care facilities. Methods...

  7. Optimizing the protection against the physiological burden of CBRN clothing

    NARCIS (Netherlands)

    Brasser, P.

    2010-01-01

    Soldiers can wear chemical, biological, radiological and nuclear (CBRN) protective clothing to be protected agaist warfare agents. The disadvantage of that clothing is that higher protection introduces higher physiological burden. Therefore an optimum between comfort and protection must be found.

  8. 10 CFR 205.192A - Burden of proof.

    Science.gov (United States)

    2010-01-01

    ... Remedial Order proceeding the ERA has the burden of establishing a prima facie case as to the validity of... supplemental information that may be made available under § 205.193A. (b) Once a prima facie case has been...

  9. Increasing burden of mental illnesses across the globe: Current status

    Directory of Open Access Journals (Sweden)

    Murali Thyloth

    2016-01-01

    Full Text Available Psychiatric disorders cause significant burden to individuals and society across the world, accounting for nearly 13% of the global burden of disease. Eighty percent of people with mental disorders now live in low and middle-income countries. With one million deaths per year, suicide is the major reason for years of life lost due to mental illness. Estimates suggest that the burden due to mental illness is likely to increase over next decade and appropriate interventions are need of the hour. We discuss this increasing burden as a consequence of (1 lack of resources, (2 low budget for mental health in lower and middle income countries, and (3 under-utilization of services and stigma attached to mental illnesses.

  10. Burden of disease in Brazil and its regions, 2008.

    Science.gov (United States)

    Leite, Iuri da Costa; Valente, Joaquim Gonçalves; Schramm, Joyce Mendes de Andrade; Daumas, Regina Paiva; Rodrigues, Roberto do Nascimento; Santos, Maria de Fátima; Oliveira, Andreia Ferreira de; Silva, Raulino Sabino da; Campos, Mônica Rodrigues; Mota, Jurema Corrêa da

    2015-07-01

    The current study estimated DALY (disability-adjusted life years), an indicator of burden of disease, for Brazil in 2008. The North and Northeast regions showed higher burden of disease. Chronic noncommunicable diseases predominated in all regions of the country, especially cardiovascular diseases, mental disorders (particularly depression), diabetes, and chronic obstructive pulmonary disease. The study also showed a high burden of homicides and traffic accidents. Brazil's epidemiological profile appears even more complex when one considers the non-negligible burden of communicable diseases, maternal and perinatal conditions, and nutritional deficiencies. The analyses allowed a more detailed understanding of the Brazilian's population's health status, underscoring the need for crosscutting actions beyond specific health sector policies and greater attention to the quality of information on morbidity and mortality.

  11. Other Side of Breast Cancer: Factors Associated with Caregiver Burden

    Directory of Open Access Journals (Sweden)

    Maryam Vahidi, PhD Student

    2016-09-01

    Conclusions: Primary caregivers need to be financially supported by the relevant organizations. Care skills training and providing palliative care seem helpful in reducing the pain and the burden of family caregivers for patients with breast cancer.

  12. Everyday burden of musculoskeletal conditions among villagers in rural Botswana

    DEFF Research Database (Denmark)

    Hondras, Maria; Hartvigsen, Jan; Myburgh, Corrie

    2016-01-01

    of independence and social identity to fulfil traditional roles held meaning as significance. Outmigration for wage labour and other shifts in family structure compounded everyday musculoskeletal burden. CONCLUSION: Uncovering burden is an important first step to address musculoskeletal care needs in developing......OBJECTIVE: To examine the perspectives of villagers in rural Botswana about the everyday life burden and impact of their musculoskeletal disorders. METHODS: Ethnographic fieldwork for 8 months included 55 in-depth interviews with 34 villagers. Interviews were typically conducted in Setswana...... for the consequences and significance of musculoskeletal burden related to 3 themes: (i) hard work for traditional lives; (ii) bearing the load of a rugged landscape; and, (iii) caring for others with disrupted lives. Physical labour with musculoskeletal symptoms had economic and subsistence consequences. The loss...

  13. Rituximab Retreatment for Low-Tumor Burden Follicular Lymphoma

    Science.gov (United States)

    A summary of results from a randomized clinical trial of patients with low–tumor burden follicular lymphoma that compared maintenance therapy with rituximab versus retreatment with rituximab only when there was evidence of disease progression.

  14. Strategy to improve the burden of gestational diabetes in African ...

    African Journals Online (AJOL)

    Strategy to improve the burden of gestational diabetes in African women: Rwandan perspective. Herbert T. Mapira, David K. Tumusiime, Kevin Yarasheski, Nadine Rujeni, Todd W. Cade, Eugene Mutimura ...

  15. HEATING SETTINGS OF THE BURDEN HEATING FOR ELECTRO-MELTING

    Directory of Open Access Journals (Sweden)

    S. L. Rovin

    2006-01-01

    Full Text Available The work of the burden heating outfits for electrosmelting is considered. It is shown that equipping of heating units by the system KIP allows to receive considerable economic and ecological effect.

  16. Prevalence and burden of Sickle Cell Disease among ...

    African Journals Online (AJOL)

    femi oloka

    educational, psychological, socio-cultural and financial) of SCD on students with sickle cell disorder as well as the relationship among the variables pain severity, monthly income, the psychological and socio-cultural burden of SCD). Methods: The ...

  17. Dementia caregiver burden: reliability of the Brazilian version of the Zarit caregiver burden interview

    Directory of Open Access Journals (Sweden)

    Taub Anita

    2004-01-01

    Full Text Available The object of this article is to examine the reliability of the Brazilian version of the Zarit Caregiver Burden Interview (ZBI. The instrument is a 22-item scale assessing the extent to which caregivers view their responsibilities as having an adverse impact on their social life, health, emotional well-being, and finances. We assessed 50 primary informal caregivers of demented patients coming from 3 different health care centers, using the test-retest method. Analysis of the results showed an intraclass reliability coefficient of 0.88, while Cronbach's coefficient alpha was 0.77 for the test and 0.80 for the retest items. The Brazilian version of ZBI shows sufficient reliability, comparable to the original version.

  18. Burden of motorcycle-related injury in Malaysia

    OpenAIRE

    Rahman, Nik Hisamuddin NA; Baharuddin, Kamarul A; Mohamad, Syarifah Mastura S

    2015-01-01

    Background Road traffic injury (RTI) contributes to major morbidity and mortality in both developed and developing countries. Most of the injuries are caused by road-related injuries that specifically relate to motorcycle crash. We attempted to conduct a short survey to determine the magnitude of burden related to motorcycle-related RTIs in Malaysia. We hypothesize that motorcycle-related RTI in Malaysia contributes significantly to the health burden in the country. Methods The cross-sectiona...

  19. Burden of mortality in Greenland--today and tomorrow

    DEFF Research Database (Denmark)

    Nielsen, Lasse Christian; Hansen, Kristian Schultz; Nielsen, Ulla Ringgren

    2004-01-01

    OBJECTIVES: Investigation of the relative impact of three factors expected to influence the future mortality burden in Greenland: demographic change, epidemiological transition and behavioural patterns. STUDY DESIGN: To identify general trends in public health status, evaluating the effect......: Concerted multi-sectoral approaches and broad holistic health strategies related to health promotion and prevention today will strategically improve the capability of the Greenlandic society to manage the future disease burden from ageing via its health care sector and the institutional sector for care...

  20. Everyday burden of musculoskeletal conditions among villagers in rural Botswana

    DEFF Research Database (Denmark)

    Hondras, Maria; Hartvigsen, Jan; Myburgh, Corrie

    2016-01-01

    OBJECTIVE: To examine the perspectives of villagers in rural Botswana about the everyday life burden and impact of their musculoskeletal disorders. METHODS: Ethnographic fieldwork for 8 months included 55 in-depth interviews with 34 villagers. Interviews were typically conducted in Setswana with ...... country settings. Community-engaged partnerships are needed to develop rehabilitation programmes to ease the burden of musculoskeletal disorders in rural Botswana....