WorldWideScience

Sample records for coalition survivorship summit

  1. Development of community plans to enhance survivorship from colorectal cancer: community-based participatory research in rural communities.

    Science.gov (United States)

    Lengerich, Eugene J; Kluhsman, Brenda C; Bencivenga, Marcyann; Allen, Regina; Miele, Mary Beth; Farace, Elana

    2007-09-01

    In 2002, 10.4% of the 10 million persons alive who have ever been diagnosed with cancer had colorectal cancer (CRC). Barriers, such as distance, terrain, access to care and cultural differences, to CRC survivorship may be especially relevant in rural communities. We tested the hypothesis that teams from rural cancer coalitions and hospitals would develop a Community Plan (CP) to enhance CRC survivorship. We used community-based participatory research and the PRECEDE-PROCEED model to train teams from rural cancer coalitions and hospitals in Pennsylvania and New York. We measured knowledge at three points in time and tested the change with McNemar's test, corrected for multiple comparisons (p < 0.0167). We also conducted a qualitative review of the CP contents. Fourteen (93.3%) of the 15 coalitions or hospitals initially recruited to the study completed a CP. Knowledge in public health, sponsorship of A National Action Plan for Cancer Survivorship, and CRC survivorship and treatment increased. Teams identified perceived barriers and community assets. All teams planned to increase awareness of community assets and almost all planned to enhance treatment-related care and psychosocial care for the CRC survivor; 50% planned to enhance primary care and CRC screening. The study demonstrated the interest and ability of rural organizations to plan to enhance CRC survivorship, including linkage of CRC survivorship to primary care. Rural cancer coalitions and hospitals may be a vehicle to develop local action for A National Action Plan. Access to more comprehensive care for CRC cancer survivors in rural communities appears to be facilitated by the community-based initiative described and investigated in this study. Efforts such as these could be replicated in other rural communities and may impact the care and quality of life of survivors with many types of cancers. While access to health services may be increased through community-based initiatives, we still need to measure

  2. Halftime - a balance in matters nuclear of the grand coalition

    International Nuclear Information System (INIS)

    Heller, W.

    2007-01-01

    On November 11, 2005, the coalition partners, CDU/CSU and SPD, signed the agreement establishing a coalition in the German federal parliament under the heading of ''Together for Germany''. Among other things, this raised the question of what would happen in the fields of energy policy and nuclear power. After 2 years of a grand coalition, it is time to draw some interim conclusions. The coalition agreement contains statements to the effect that energy policy means fundamental economic, structural and climate policies, and that secure, low-cost, non-polluting energy supplies are elementary prerequisites of a modern, capable national economy. A sustainable overall energy policy concept should be based on a balanced energy mix. This overall concept, one of the results of ''energy summit'' talks with Federal Chancellor Merkel, was announced for the end of 2007. The 3 energy summit discussions with Federal Chancellor Merkel deliberately avoided the subject of nuclear power. There is no debate about the implications of nuclear energy. This in no way improved the status of nuclear power in Germany. What remains is hope for the second half of this government's term of office. The beginning of that term is marked by the McKinsey study, initiated by the Federation of German Industries (BDI), on ''Cost and Potential of Avoiding Greenhouse Gas Emissions in Germany,'' which says that operating German nuclear power plants for 60 or even 45 years would result in a CO2 avoidance potential for 2020 which would be approximately 90 million tons higher, and in avoidance costs lower by 4.5 billion euro per year. (orig.)

  3. Spatially dependent biotic and abiotic factors drive survivorship and physical structure of green roof vegetation.

    Science.gov (United States)

    Aloisio, Jason M; Palmer, Matthew I; Giampieri, Mario A; Tuininga, Amy R; Lewis, James D

    2017-01-01

    Plant survivorship depends on biotic and abiotic factors that vary at local and regional scales. This survivorship, in turn, has cascading effects on community composition and the physical structure of vegetation. Survivorship of native plant species is variable among populations planted in environmentally stressful habitats like urban roofs, but the degree to which factors at different spatial scales affect survivorship in urban systems is not well understood. We evaluated the effects of biotic and abiotic factors on survivorship, composition, and physical structure of two native perennial species assemblages, one characterized by a mixture of C 4 grasses and forbs (Hempstead Plains, HP) and one characterized by a mixture of C 3 grasses and forbs (Rocky Summit, RS), that were initially sown at equal ratios of growth forms (5:1:4; grass, N-fixing forb and non-N-fixing forb) in replicate 2-m 2 plots planted on 10 roofs in New York City (New York, USA). Of 24 000 installed plants, 40% survived 23 months after planting. Within-roof factors explained 71% of variation in survivorship, with biotic (species identity and assemblage) factors accounting for 54% of the overall variation, and abiotic (growing medium depth and plot location) factors explaining 17% of the variation. Among-roof factors explained 29% of variation in survivorship and increased solar radiation correlated with decreased survivorship. While growing medium properties (pH, nutrients, metals) differed among roofs there was no correlation with survivorship. Percent cover and sward height increased with increasing survivorship. At low survivorship, cover of the HP assemblage was greater compared to the RS assemblage. Sward height of the HP assemblage was about two times greater compared to the RS assemblage. These results highlight the effects of local biotic and regional abiotic drivers on community composition and physical structure of green roof vegetation. As a result, initial green roof plant

  4. Halftime - a balance in matters nuclear of the grand coalition; Halbzeit - Bilanz der Grossen Koalition in Sachen Kernenergie

    Energy Technology Data Exchange (ETDEWEB)

    Heller, W.

    2007-10-15

    On November 11, 2005, the coalition partners, CDU/CSU and SPD, signed the agreement establishing a coalition in the German federal parliament under the heading of ''Together for Germany''. Among other things, this raised the question of what would happen in the fields of energy policy and nuclear power. After 2 years of a grand coalition, it is time to draw some interim conclusions. The coalition agreement contains statements to the effect that energy policy means fundamental economic, structural and climate policies, and that secure, low-cost, non-polluting energy supplies are elementary prerequisites of a modern, capable national economy. A sustainable overall energy policy concept should be based on a balanced energy mix. This overall concept, one of the results of ''energy summit'' talks with Federal Chancellor Merkel, was announced for the end of 2007. The 3 energy summit discussions with Federal Chancellor Merkel deliberately avoided the subject of nuclear power. There is no debate about the implications of nuclear energy. This in no way improved the status of nuclear power in Germany. What remains is hope for the second half of this government's term of office. The beginning of that term is marked by the McKinsey study, initiated by the Federation of German Industries (BDI), on ''Cost and Potential of Avoiding Greenhouse Gas Emissions in Germany,'' which says that operating German nuclear power plants for 60 or even 45 years would result in a CO2 avoidance potential for 2020 which would be approximately 90 million tons higher, and in avoidance costs lower by 4.5 billion euro per year. (orig.)

  5. Coalitional negotiation

    OpenAIRE

    Mauleon, Ana; Vannetelbosch, Vincent

    1999-01-01

    We develop a two-stage negotiation model to study the impact of costly inspections on both the coalition formation outcome and the per-member payoffs. In the first stage, the players are forming coalitions and inside each coalition formed the members share the coalition benefits. We adopt the largest consistent set (LCS) to predict which coalition structures are possibly stable. We also introduce a refinement,the largest cautious consistent set (LCCS). In the second stage, the inspection game...

  6. Your cancer survivorship care plan

    Science.gov (United States)

    ... ency/patientinstructions/000822.htm Your cancer survivorship care plan To use the sharing features on this page, ... get one. What Is a Cancer Survivorship Care Plan? A cancer survivorship care plan is a document ...

  7. Energy and the World Summit on Sustainable Development: what next?

    International Nuclear Information System (INIS)

    Spalding-Fecher, Randall; Winkler, Harald; Mwakasonda, Stanford

    2005-01-01

    Given the importance of energy issues to sustainable development, energy was a priority issue at the World Summit on Sustainable Development in August 2002. The objective of this paper is to examine the outcomes of the Summit on energy, and to assess them against proposals to address the lack of access to modern energy and the need to move toward a cleaner energy system. We find that lack of political leadership from key countries prevented agreement not only on targets for renewable energy, but also on a programme to promote access. The achievements of the Summit were limited to enabling activities such as capacity building and technology transfer, rather than substantive agreements. While WSSD put energy higher on the agenda than before, no institutional home or programme to take the issues forward has emerged. This therefore remains a critical challenge to be addressed. Achieving this broad goal will require building a coalition to promote cleaner energy, and committing resources to programme for energy access. Based on analysis of proposals and the negotiations, we propose several key areas where progress is still possible and necessary, including: shifting more international public and private energy financing toward access investments and cleaner energy investments, advancing regional approaches to access and renewable energy targets, and a range of mechanisms to strengthen institutional capacity for integrating energy and sustainable development

  8. The National LGBT Cancer Action Plan: A White Paper of the 2014 National Summit on Cancer in the LGBT Communities

    Science.gov (United States)

    Margolies, Liz; Sigurdsson, Hrafn Oli; Walland, Jonathan; Radix, Asa; Rice, David; Buchting, Francisco O.; Sanchez, Nelson F.; Bare, Michael G.; Boehmer, Ulrike; Cahill, Sean; Griebling, Tomas L.; Bruessow, Diane; Maingi, Shail

    2016-01-01

    Abstract Despite growing social acceptance of lesbians, gay men, bisexuals, and transgender (LGBT) persons and the extension of marriage rights for same-sex couples, LGBT persons experience stigma and discrimination, including within the healthcare system. Each population within the LGBT umbrella term is likely at elevated risk for cancer due to prevalent, significant cancer risk factors, such as tobacco use and human immunodeficiency virus infection; however, cancer incidence and mortality data among LGBT persons are lacking. This absence of cancer incidence data impedes research and policy development, LGBT communities' awareness and activation, and interventions to address cancer disparities. In this context, in 2014, a 2-day National Summit on Cancer in the LGBT Communities was convened by a planning committee for the purpose of accelerating progress in identifying and addressing the LGBT communities' concerns and needs in the spheres of cancer research, clinical cancer care, healthcare policy, and advocacy for cancer survivorship and LGBT health equity. Summit participants were 56 invited persons from the United States, United Kingdom, and Canada, representatives of diverse identities, experiences, and knowledge about LGBT communities and cancer. Participants shared lessons learned and identified gaps and remedies regarding LGBT cancer concerns across the cancer care continuum from prevention to survivorship. This white paper presents background on each of the Summit themes and 16 recommendations covering the following: sexual orientation and gender identity data collection in national and state health surveys and research on LGBT communities and cancer, the clinical care of LGBT persons, and the education and training of healthcare providers.

  9. Cancer survivorship: challenges and changing paradigms.

    Science.gov (United States)

    Gilbert, Scott M; Miller, David C; Hollenbeck, Brent K; Montie, James E; Wei, John T

    2008-02-01

    We summarize the potential issues faced by cancer survivors, define a conceptual framework for cancer survivorship, describe challenges associated with improving the quality of survivorship care and outline proposed survivorship programs that may be implemented going forward. We performed a nonsystematic review of current cancer survivorship literature. Given the comprehensive scope and high profile, the recent report by the Institute of Medicine, From Cancer Patient to Cancer Survivor: Lost in Transition, served as the principal guide for the review. In recognition of the increasing number of cancer survivors in the United States survivorship has become an important health care concern. The recent report by the Institute of Medicine comprehensively outlined deficits in the care provided to cancer survivors, and proposed mechanisms to improve the coordination and quality of followup care for this increasing number of Americans. Measures to achieve these objectives include improving communication between health care providers through a survivorship care plan, providing evidence based surveillance guidelines and assessing different models of survivorship care. Implementing coordinated survivorship care broadly will require additional health care resources, and commitment from health care providers and payers. Research demonstrating the effectiveness of survivorship care will be important on this front. Potential shortcomings in the recognition and management of ongoing issues faced by cancer survivors may impact the overall quality of long-term care in this increasing population. Although programs to address these issues have been proposed, there is substantial work to be done in this area.

  10. Minority coalition governance in Denmark

    DEFF Research Database (Denmark)

    Christiansen, Flemming Juul; Pedersen, Helene Helboe

    2014-01-01

    in this share of coalition agreement-based laws. The analyses are based on unique data on legislative as well as governmental coalition agreements entered by three Danish governments with varying parliamentary strength. This study brings the blooming literature on coalition agreements one step further......Coalition governance is a challenge for political parties because it involves cooperation and compromises between parties that have different political goals and are competitors in political elections. Coalition coordination is crucial for the intra-coalitional cooperation of the governing parties....... A key element in coalition coordination is coalition agreements, which to a varying degree constrain the behaviour of the coalition partners. This article explores the share of laws that were precisely defined in government agreements and/or legislative agreements, and sets out to explain variation...

  11. Advocacy coalitions involved in California's menu labeling policy debate: Exploring coalition structure, policy beliefs, resources, and strategies.

    Science.gov (United States)

    Payán, Denise D; Lewis, LaVonna B; Cousineau, Michael R; Nichol, Michael B

    2017-03-01

    Advocacy coalitions often play an important role in the state health policymaking process, yet little is known about their structure, composition, and behavior. In 2008, California became the first state to enact a menu labeling law. Using the advocacy coalition framework, we examine different facets of the coalitions involved in California's menu labeling policy debate. We use a qualitative research approach to identify coalition members and explore their expressed beliefs and policy arguments, resources, and strategies by analyzing legislative documents (n = 87) and newspaper articles (n = 78) produced between 1999 and 2009. Between 2003 and 2008, six menu labeling bills were introduced in the state's legislature. We found the issue received increasing media attention during this period. We identified two advocacy coalitions involved in the debate-a public health (PH) coalition and an industry coalition. State organizations acted as coalition leaders and participated for a longer duration than elected officials. The structure and composition of each coalition varied. PH coalition leadership and membership notably increased compared to the industry coalition. The PH coalition, led by nonprofit PH and health organizations, promoted a clear and consistent message around informed decision making. The industry coalition, led by a state restaurant association, responded with cost and implementation arguments. Each coalition used various resources and strategies to advance desired outcomes. PH coalition leaders were particularly effective at using resources and employing advocacy strategies, which included engaging state legislators as coalition members, using public opinion polls and information, and leveraging media resources to garner support. Policy precedence and a local policy push emerged as important policymaking strategies. Areas for future research on the state health policymaking process are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. A patient-centered perspective on cancer survivorship.

    Science.gov (United States)

    Zebrack, Brad

    2015-04-15

    Survivorship is a complicated notion because people often confuse a process of survivorship with a mythic identity of being a cancer survivor. This confusion may be a distraction to addressing the real-life struggles and challenges experienced by all people diagnosed with cancer. A more expansive perspective of survivorship, one that attends to patients' physical, psychological, social, spiritual, and existential challenges throughout a continuum of care, would be more in line with what is known empirically about people's experiences with cancer. In an effort to gain a patient-centered perspective on cancer, and one that emphasizes multiple dimensions of cancer survivorship, the author reports findings from a non-scientific social media poll (via Facebook and personal emails) in which survivors and colleagues working in the field of cancer survivorship answered the question: What does cancer survivorship mean to you? The comments are enlightening and useful for guiding the development of a patient-centered, and, thus, more comprehensive, approach to caring for people affected by cancer.

  13. A Resolution Prover for Coalition Logic

    OpenAIRE

    Nalon, Cláudia; Zhang, Lan; Dixon, Clare; Hustadt, Ullrich

    2014-01-01

    We present a prototype tool for automated reasoning for Coalition Logic, a non-normal modal logic that can be used for reasoning about cooperative agency. The theorem prover CLProver is based on recent work on a resolution-based calculus for Coalition Logic that operates on coalition problems, a normal form for Coalition Logic. We provide an overview of coalition problems and of the resolution-based calculus for Coalition Logic. We then give details of the implementation of CLProver and prese...

  14. Advocacy Coalitions involved in California’s Menu Labeling Policy Debate: Exploring Coalition Structure, Policy Beliefs, Resources, and Strategies

    Science.gov (United States)

    Payán, Denise D.; Lewis, LaVonna B.; Cousineau, Michael R.; Nichol, Michael B.

    2017-01-01

    Advocacy coalitions often play an important role in the state health policymaking process, yet little is known about their structure, composition, and behavior. In 2008, California became the first state to enact a menu labeling law. Using the advocacy coalition framework, we examine different facets of the coalitions involved in California’s menu labeling policy debate. We use a qualitative research approach to identify coalition members and explore their expressed beliefs and policy arguments, resources, and strategies by analyzing legislative documents (n=87) and newspaper articles (n=78) produced between 1999 and 2009. Between 2003 and 2008, six menu labeling bills were introduced in the state’s legislature. We found the issue received increasing media attention during this period. We identified two advocacy coalitions involved in the debate—a public health (PH) coalition and an industry coalition. State organizations acted as coalition leaders and participated for a longer duration than elected officials. The structure and composition of each coalition varied. PH coalition leadership and membership notably increased compared to the industry coalition. The PH coalition, led by nonprofit PH and health organizations, promoted a clear and consistent message around informed decision making. The industry coalition, led by a state restaurant association, responded with cost and implementation arguments. Each coalition used various resources and strategies to advance desired outcomes. PH coalition leaders were particularly effective at using resources and employing advocacy strategies, which included engaging state legislators as coalition members, using public opinion polls and information, and leveraging media resources to garner support. Policy precedence and a local policy push emerged as important policymaking strategies. Areas for future research on the state health policymaking process are discussed. PMID:28161674

  15. A Resolution Prover for Coalition Logic

    Directory of Open Access Journals (Sweden)

    Cláudia Nalon

    2014-04-01

    Full Text Available We present a prototype tool for automated reasoning for Coalition Logic, a non-normal modal logic that can be used for reasoning about cooperative agency. The theorem prover CLProver is based on recent work on a resolution-based calculus for Coalition Logic that operates on coalition problems, a normal form for Coalition Logic. We provide an overview of coalition problems and of the resolution-based calculus for Coalition Logic. We then give details of the implementation of CLProver and present the results for a comparison with an existing tableau-based solver.

  16. A Patient-Centered Perspective on Cancer Survivorship

    Directory of Open Access Journals (Sweden)

    Brad Zebrack

    2015-04-01

    Full Text Available Survivorship is a complicated notion because people often confuse a process of survivorship with a mythic identity of being a cancer survivor. This confusion may be a distraction to addressing the real-life struggles and challenges experienced by all people diagnosed with cancer. A more expansive perspective of survivorship, one that attends to patients’ physical, psychological, social, spiritual, and existential challenges throughout a continuum of care, would be more in line with what is known empirically about people’s experiences with cancer. In an effort to gain a patient-centered perspective on cancer, and one that emphasizes multiple dimensions of cancer survivorship, the author reports findings from a non-scientific social media poll (via Facebook and personal emails in which survivors and colleagues working in the field of cancer survivorship answered the question: What does cancer survivorship mean to you? The comments are enlightening and useful for guiding the development of a patient-centered, and, thus, more comprehensive, approach to caring for people affected by cancer.

  17. Cancer survivorship: history, quality-of-life issues, and the evolving multidisciplinary approach to implementation of cancer survivorship care plans.

    Science.gov (United States)

    Morgan, Mary Ann

    2009-07-01

    To discuss the history of cancer survivorship, related quality-of-life issues, and cancer survivorship care plans (CSCPs). CINAHL, PubMed, published articles, and Web sites. A cancer survivor is an individual who has been diagnosed with cancer, regardless of when that diagnosis was received, who is still living. Cancer survivorship is complex and involves many aspects of care. Major areas of concern for survivors are recurrence, secondary malignancies, and long-term treatment sequelae that affect quality of life. Four essential components of survivorship care are prevention, surveillance, intervention, and coordination. A CSCP should address the survivor's long-term care, such as type of cancer, treatments received, potential side effects, and recommendations for follow-up. It should include preventive practices, how to maintain health and well-being, information on legal protections regarding employment and health insurance, and psychosocial services in the community. Survivorship care for patients with cancer requires a multidisciplinary effort and team approach. Enhanced knowledge of long-term complications of survivorship is needed for healthcare providers. Further research on evidence-based practice for cancer survivorship care also is necessary. Nurses can review CSCPs with patients, instruct them when to seek treatment, promote recommended surveillance protocols, and encourage behaviors that lead to cancer prevention and promote well-being for cancer survivors.

  18. Complexity in Coalition Operations: The Campaign of the Sixth Coalition Against Napoleon

    National Research Council Canada - National Science Library

    Turner, Kenneth

    2003-01-01

    The Campaign of the Sixth Coalition, from the Summer of 1813 until the abdication of Napoleon in April 1814, offers some important and valid insights into the successful execution of coalition warfare...

  19. Developmental Stages and Work Capacities of Community Coalitions: How Extension Educators Address and Evaluate Changing Coalition Needs

    Science.gov (United States)

    Nichols, Allison; Riffe, Jane; Peck, Terrill; Kaczor, Cheryl; Nix, Kelly; Faulkner-Van Deysen, Angela

    2014-01-01

    Extension educators provide resources to community coalitions. The study reported here adds to what is known about community coalitions and applies an assessment framework to a state-level coalition-based Extension program on healthy relationships and marriages. The study combines the Internal Coalition Outcome Hierarchy (ICOH) framework with four…

  20. Legislative coalitions with incomplete information.

    Science.gov (United States)

    Dragu, Tiberiu; Laver, Michael

    2017-03-14

    In most parliamentary democracies, proportional representation electoral rules mean that no single party controls a majority of seats in the legislature. This in turn means that the formation of majority legislative coalitions in such settings is of critical political importance. Conventional approaches to modeling the formation of such legislative coalitions typically make the "common knowledge" assumption that the preferences of all politicians are public information. In this paper, we develop a theoretical framework to investigate which legislative coalitions form when politicians' policy preferences are private information, not known with certainty by the other politicians with whom they are negotiating over what policies to implement. The model we develop has distinctive implications. It suggests that legislative coalitions should typically be either of the center left or the center right. In other words our model, distinctively, predicts only center-left or center-right policy coalitions, not coalitions comprising the median party plus parties both to its left and to its right.

  1. Survivorship

    Science.gov (United States)

    ... Content Español ASCO.org Conquer Cancer Foundation ASCO Journals Donate eNews Signup f Cancer.net on Facebook t Cancer.net on Twitter q Cancer.net on YouTube g Cancer.net on Google Menu Home Types of Cancer Navigating Cancer Care Coping With Cancer Research and Advocacy Survivorship About Cancer ...

  2. Measuring coalition functioning: refining constructs through factor analysis.

    Science.gov (United States)

    Brown, Louis D; Feinberg, Mark E; Greenberg, Mark T

    2012-08-01

    Internal and external coalition functioning is an important predictor of coalition success that has been linked to perceived coalition effectiveness, coalition goal achievement, coalition ability to support evidence-based programs, and coalition sustainability. Understanding which aspects of coalition functioning best predict coalition success requires the development of valid measures of empirically unique coalition functioning constructs. The goal of the present study is to examine and refine the psychometric properties of coalition functioning constructs in the following six domains: leadership, interpersonal relationships, task focus, participation benefits/costs, sustainability planning, and community support. The authors used factor analysis to identify problematic items in our original measure and then piloted new items and scales to create a more robust, psychometrically sound, multidimensional measure of coalition functioning. Scales displayed good construct validity through correlations with other measures. Discussion considers the strengths and weaknesses of the refined instrument.

  3. Lesbian, Gay, Bisexual, and Transgender (LGBT) Survivorship.

    Science.gov (United States)

    Kamen, Charles

    2018-02-01

    To discuss lesbian, gay, bisexual, and transgender (LGBT)-specific survivorship issues including: integrating sexual and gender minority identities with cancer survivor identities; coordinating medical care and disclosing identities to health care providers; dealing with late effects of treatment; and addressing LGBT family and relationship issues. Published articles, quotes from an online survey of 311 LGBT survivors. The transition from active cancer treatment to survivorship presents challenges, and LGBT cancer survivors may face additional challenges as they enter the survivorship phase. Oncology nurses can improve the quality of survivorship care delivered to LGBT survivors and their caregivers by addressing the disparities and gaps in health care. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Coalition Within a Coalition: The Baltics in the European Union

    Directory of Open Access Journals (Sweden)

    Irina M. Busygina

    2017-03-01

    Full Text Available This article gives an overview of small power problem focusing on the behav­iour of small power states within coalitions and their proneness to free riding. To pursue an independent agenda and increase their significance within large associa­tions, the authors argue, small powers tend to create ‘coalitions within coalitions’, essentially acting as free riders and transferring costs and political responsibility for decision-making to larger players. Such an asymmetric strategy makes it possi­ble for small powers to advance their interests within alliances and save resources. The authors test this hypothesis on the behaviour of the Baltics in the European Union. It is demonstrated that Lithuania, Latvia, and Estonia have created a stable small coalition within the EU and actively form ad hoc alliances with the leading states to push union-level decisions, as it was the case with settling the migrant issue. In other areas, these states tend to benefit from the free rider behaviour.

  5. Survivorship care needs among LGBT cancer survivors.

    Science.gov (United States)

    Seay, Julia; Mitteldorf, Darryl; Yankie, Alena; Pirl, William F; Kobetz, Erin; Schlumbrecht, Matthew

    2018-05-23

    To better understand survivorship care needs among LGBT cancer survivors. We administered an anonymous online survey. LGBT cancer survivors living in the United States. Participants were recruited via the National LGBT Cancer Project. The survey measured sociodemographic characteristics, social support, posttraumatic stress, and survivorship care needs. Approximately 72% of our 114 participants were cisgender male and 87% were white. Almost all participants reported at least some unmet survivorship care needs (73%), with over half of participants reporting unmet psychological and sexuality care needs. Participants who reported their oncologist was not LGBT-competent had greater unmet needs (t(82) = 2.5, p = 0.01) and greater posttraumatic stress (t(91) = 2.1, p = 0.035). LGBT cancer survivors have significant unmet survivorship care needs, and lack of oncologist LGBT-competence is associated with unmet needs. Implications for Psychosocial Providers: Our results suggest the need for LGBT competency training for providers.

  6. A Cross-Cultural Perspective on Challenges Facing Comparative Cancer Survivorship Research

    International Nuclear Information System (INIS)

    Syse, A.; Syse, A.; Geller, B.

    2011-01-01

    Cancer survivorship research includes the study of physical, psychosocial, and economic consequences of cancer diagnosis and treatment among pediatric and adult cancer survivors. Historically, the majority of cancer survivorship studies were from the United States, but survivorship issues are increasingly being addressed in other developed countries. Cross-cultural studies remain, however, scarce. The degree to which knowledge attained may or may not be transferred across cultures, countries, or regions is not known. Some important challenges for comparative research are therefore discussed in a cross-cultural perspective. Several substantive and methodological challenges that complicate the execution of cross-cultural cancer survivorship research are presented with examples and discussed to facilitate comparative research efforts in the establishment of new survivorship cohorts and in the planning and implementation of survivorship studies. Comparative research is one key to understanding the nature of cancer survivorship, distinguishing modifiable from non modifiable factors at individual, hospital, societal, and system levels and may thus guide appropriate interventions. Lastly, suggested future courses of action within the field of comparative cancer survivorship research are provided.

  7. Taking Our Seat at the Table: Community Cancer Survivorship.

    Science.gov (United States)

    Polo, Katie M; Smith, Caitlin

    Cancer survivors are at risk for occupational performance issues related to activities of daily living, instrumental activities of daily living, work, and social and community participation. Occupational therapy practitioners can address these performance issues by offering services within existing community cancer survivorship programs that focus on adaptive and compensatory strategies to facilitate meaningful lifestyles and optimize health and well-being. Occupational therapy services do not currently exist at these community sites, nor are occupational therapy practitioners recognized as providers in existing community cancer survivorship programs. Recognition of practitioners' distinct value in cancer survivorship, advocacy for occupational therapy services in the community, development of supporting documentation for occupational therapy's role in community survivorship, and research on the efficacy of interventions in community cancer survivorship are needed to expand occupational therapy's role with this growing population. Copyright © 2017 by the American Occupational Therapy Association, Inc.

  8. Coalitions: Organizational, Political, Command & Control Challenges

    Science.gov (United States)

    2009-05-01

    coalitions, leur histoire récente, les caractéristiques et les défis des coalitions militaires et, enfin, les obstacles rencontrés par les...caractéristiques générales. Une brève histoire des coalitions militaires du 20ième siècle est présentée, suivie d’une évaluation de leur évolution

  9. On the nature of voters' coalition preferences.

    Science.gov (United States)

    Plescia, Carolina; Aichholzer, Julian

    2017-07-03

    An expanding literature indicates that in multiparty systems with coalition governments, citizens consider the post-electoral bargaining process among parties when casting their vote. Yet, we know surprisingly little about the nature of voters' coalition preferences. This paper uses data from the Austrian National Election Study to examine the determinants as well as the independence of preferences for coalitions as political object. We find that coalition preferences are strongly informed by spatial considerations; but additional non-ideological factors, such as party and leader preferences, also play a fundamental role. We also find that coalitions enjoy a certain degree of independence from other objects of vote choice and they do not always represent a simple average score on the feeling thermometer of the constituent parties. There are, however, substantial differences among voters, with party identifiers and those with extreme ideology being less likely to consider coalitions as separate entities from their component parties.

  10. On the nature of voters’ coalition preferences

    Science.gov (United States)

    Plescia, Carolina; Aichholzer, Julian

    2017-01-01

    ABSTRACT An expanding literature indicates that in multiparty systems with coalition governments, citizens consider the post-electoral bargaining process among parties when casting their vote. Yet, we know surprisingly little about the nature of voters’ coalition preferences. This paper uses data from the Austrian National Election Study to examine the determinants as well as the independence of preferences for coalitions as political object. We find that coalition preferences are strongly informed by spatial considerations; but additional non-ideological factors, such as party and leader preferences, also play a fundamental role. We also find that coalitions enjoy a certain degree of independence from other objects of vote choice and they do not always represent a simple average score on the feeling thermometer of the constituent parties. There are, however, substantial differences among voters, with party identifiers and those with extreme ideology being less likely to consider coalitions as separate entities from their component parties. PMID:28824702

  11. Conservative treatment of patients with tarsal coalitions

    Directory of Open Access Journals (Sweden)

    A. V. Sapogoosky

    2015-01-01

    Full Text Available Tarsal coalition is a pathological condition with abnormal fusion between two or more tarsal bones. The aim of the study was to evaluate effectiveness of conservative treatment in patients with tarsal coalitions. The treatment included reducing the intensity of physical activity, medication, orthotics, physiotherapy. For evaluation of effectiveness of the treatment, we used the AOFAS scale. The results of the study demonstrated that conservative treatment in patients with tarsal coalitions was focused onon temporary pain release. Conservative treatment has limited efficacy for patients with symptomatic tarsal coalitions because of short pain release in the majority of children (98 %. The indications for conservative treatment in patients with symptomatic tarsal coalitions should be pain and hindfoot valgus less than 15°. In other cases, conservative treatment should be considered as preoperative preparation.

  12. Advocacy coalitions and wind power development: Insights from Quebec

    International Nuclear Information System (INIS)

    Jegen, Maya; Audet, Gabriel

    2011-01-01

    This article addresses the issue of wind energy acceptance in the Canadian province of Quebec and, in particular, the impact of different models of wind power development on the degree of social acceptance. We show that the dominant advocacy coalition, which favors a hard path energy development in general, enforces a large-scale development of wind energy. Two other coalitions - a soft path coalition and a nationalist coalition - oppose this development, but not wind energy per se. We argue that difference in belief systems explains their opposition rather than planning issues or NIMBY concerns. We also contend that, despite its predominance over (wind) energy policy, the hard path coalition is willing to learn and make concessions towards the soft path coalition, but not towards the nationalist coalition. - Highlights: → We address social acceptance of wind energy. → We illustrate the interaction of advocacy coalitions. → Different advocacy coalitions support different models of wind energy development. → Models of wind energy development influence the degree of social acceptance. → Opposition is not aimed at wind energy per se, but at the hard path model.

  13. Post-settlement survivorship in two Caribbean broadcasting corals

    Science.gov (United States)

    Miller, Margaret W.

    2014-12-01

    The post-settlement phase of broadcast-spawned coral life histories is poorly known due to its almost complete undetectability and, hence, presumed low abundance in the field. We used lab-cultured settled polyps of two important Caribbean reef-building species with negligible larval recruitment to quantify early post-settlement survivorship (6-9 weeks) over multiple years/cohorts and differing orientation on a reef in the Florida Keys. Orbicella faveolata showed significantly and consistently better survivorship in vertical rather than horizontal orientation, but no discernable growth overall. Meanwhile, Acropora palmata showed no significant difference in survivorship between orientations, but significantly greater growth in the horizontal orientation. Both species showed significant variation in mean survivorship between cohorts of different years; 0-47 % for O. faveolata and 12-49 % for A. palmata over the observed duration. These results demonstrate wide variation in success of cohorts and important differences in the larval recruitment capacities of these two important but imperiled reef-building species.

  14. National Coalition for Cancer Survivorship

    Science.gov (United States)

    ... Coyne and Meg Gaines Read the NCCS 2016 Annual Report Share Your Affordable Care Act Story NCCS 30th Anniversary NCCS Policy Comments - Read our Comments to Gov't Bodies AmazonSmile - Support NCCS When You Shop Amazon Be your own advocate. - Learn More NCCS Joins ...

  15. Subtalar Coalition: A Case Report

    Directory of Open Access Journals (Sweden)

    CG Chua

    2013-11-01

    Full Text Available Subtalar coalition is an uncommon condition that usually manifests in early adolescence(1. Frequently, this condition is missed. Delayed diagnosis may result in osteoarthritis requiring triple arthrodesis. Here, we report two patients with subtalar coalition. The first patient is a 12 year old boy who presented with right ankle pain for one year and was treated with excision of the coalition and bone wax insertion at the excision site. We followed up the patient for two years and the result was excellent with full range of movement of his right ankle and subtalar joint attained within two months. He returned to athletic activity by six months and was discharged with no complications after two years. The second patient is a 15 year old girl who presented with bilateral ankle pain and swelling for three years and was treated with excision of the coalition and subtalar interpositional arthroplasty bilaterally. She defaulted follow up after seven months as she was very satisfied with the result. We wish to highlight this condition which may be misdiagnosed as flexible flat foot or ankle sprain.

  16. Coalitions to engineer the climate

    Science.gov (United States)

    Moreno-Cruz, J. B.; Ricke, K.; Caldeira, K.

    2012-12-01

    Solar geoengineering is the deliberate reduction of the amount of incoming solar radiation absorbed by Earth's climate system with the aim of reducing impacts of anthropogenic climate change. The international politics of solar geoengineering differ markedly from those of greenhouse-gas emissions reductions. A central question is who will decide whether and how much solar geoengineering will be deployed. It is unlikely that a single small actor could implement and sustain global-scale geoengineering that harms much of the world without intervention from harmed world powers. Thus, in practice, some minimum amount of aggregate power would be needed to successfully impose will upon the rest of the world. Here we formulate a series of games, calibrated with physical and economic models of climate change, to evaluate how international coalitions to implement geoengineering may form. In the scenarios examined, climate models are assumed to correctly predict the future and damage is parameterized in terms of regional temperature and precipitation changes only, and do not consider other, possibly formidable, risks. The coalitions set the "global thermostat" to maximize benefit to coalition members. As a result, non-members would be better off under a global optimum solution, but would be worse off with no geoengineering at all. Nonetheless, it appears unlikely that solar geoengineering could be implemented by actors who are perceived in advance to be harming the interests of a majority of the world's powers.; Comparison of results under a globally optimal versus >50% military-spending power coalition over 6 decades of solar geoengineering implementation. (a) shows how the amount of solar geoengineering (in units of stratospheric aerosol optical depth, AOD) implemented by a Power Proportionate Distribution coalition under a military-spending-weighted power scheme (dotted), compared to the amount that minimizes net global damages (thick grey) (the population and GDP

  17. Wind energy aggregation: A coalitional game approach

    KAUST Repository

    Baeyens, E.

    2011-12-01

    In this paper we explore the extent to which a group of N wind power producers can exploit the statistical benefits of aggregation and quantity risk sharing by forming a willing coalition to pool their variable power to jointly offer their aggregate power output as single entity into a forward energy market. We prove that wind power generators will always improve their expected profit when they aggregate their generated power and use tools from coalitional game theory to design fair sharing mechanisms to allocate the payoff among the coalition participants. We show that the corresponding coalitional game is super-additive and has a nonempty core. Hence, there always exists a mechanism for profit-sharing that makes the coalition stable. However, the game is not convex and the celebrated Shapley value may not belong to the core of the game. An allocation mechanism that minimizes the worst-case dissatisfaction is proposed. © 2011 IEEE.

  18. The paradoxes and promise of community coalitions.

    Science.gov (United States)

    Chavis, D M

    2001-04-01

    Community coalitions, as they are currently applied, are unique organizations whose ability to promote community change is different from other types of community organizations. This article explores those differences and elaborates how community coalitions can use those differences to transform conflict into greater capacity, equity, and justice. Concerns are also raised in this article about how community coalitions can intentionally and unintentionally protect the status quo and contain the empowerment of grassroots leadership and those of marginalized groups. There is a need for more theory, research, and discourse on how community coalitions can transform conflict into social change and how they can increase the power of grassroots and other citizen-lead organizations.

  19. Incentives and stability of international climate coalitions: An integrated assessment

    International Nuclear Information System (INIS)

    Bosetti, Valentina; Carraro, Carlo; De Cian, Enrica; Massetti, Emanuele; Tavoni, Massimo

    2013-01-01

    This paper analyses the incentives to participate in an international climate agreement and the stability of the resulting climate coalition using the integrated assessment model WITCH. Coalition stability is assessed under alternative assumptions concerning the pure rate of time preference, the aggregation of social welfare, and the severity of climate damages. The profitability, stability, and strong potential internal stability of a number of coalitions, those potentially effective in reducing GHG emissions, is explored in the paper. The main conclusion is that only the grand coalition, i.e. a coalition where all world regions cooperate to reduce emissions, can maintain GHG concentration below 550 ppm CO 2 -eq. However, this coalition is not internally stable, even when allowing for monetary transfers across world regions. Nonetheless, the paper also shows that strongly potentially internally stable coalitions exist, though of smaller size, which can mitigate global warming and limit GHG concentrations to 600 ppm CO 2 -eq. - Highlights: ► We analyse climate coalitions with an integrated assessment model. ► Coalitions’ profitability and stability is analysed under alternative assumptions. ► Effective coalitions should include larger emitters (such as India and China). ► A coalition that achieves 550 ppm CO 2 -eq is not internally stable. ► A stable coalition can achieve around 518 ppme in 2050 and 600 ppme in 2100

  20. Cancer survivorship: Advancing the concept in the context of colorectal cancer.

    Science.gov (United States)

    Drury, Amanda; Payne, Sheila; Brady, Anne-Marie

    2017-08-01

    Previous conceptualizations of cancer survivorship have focused on heterogeneous cancer survivors, with little consideration of the validity of conclusions for homogeneous tumour groups. This paper aims to examine the concept of cancer survivorship in the context of colorectal cancer (CRC). Rodgers' (1989) Evolutionary Method of Concept Analysis guided this study. A systematic search of PUBMED, CINAHL, PsycINFO and The Cochrane Library was conducted in November 2016 to identify studies of CRC survivorship. The Braun and Clarke (2006) framework guided the analysis and interpretation of data extracted from eighty-five publications. Similar to general populations of cancer survivors, CRC survivors experience survivorship as an individual, life-changing process, punctuated by uncertainty and a duality of positive and negative outcomes affecting quality of life. However, CRC survivors experience specific concerns arising from the management of their disease. The concept of cancer survivorship has evolved over the past decade as the importance of navigating the healthcare system and its resources, and the constellation of met and unmet needs of cancer survivors are realised. The results highlight core similarities between survivorship in the context of CRC and other tumour groups, but underlines issues specific to CRC survivorship. Communication and support are key issues in survivorship care which may detrimentally affect CRC survivors' well-being if they are inadequately addressed. Healthcare professionals (HCP's) therefore have a duty to ensure cancer survivors' health, information and supportive care needs are met in the aftermath of treatment. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Immunization Action Coalition

    Science.gov (United States)

    ... IAC | Contact | A-Z Index | Donate | Shop | SUBSCRIBE Immunization Action Coalition Favorites ACIP Recommendations Package Inserts Additional Immunization Resources Photos Adult Vaccination Screening Checklists Ask the ...

  2. International Clean Energy Coalition

    Energy Technology Data Exchange (ETDEWEB)

    Erin Skootsky; Matt Gardner; Bevan Flansburgh

    2010-09-28

    In 2003, the National Association of Regulatory Utility Commissioners (NARUC) and National Energy Technology Laboratories (NETL) collaboratively established the International Clean Energy Coalition (ICEC). The coalition consisting of energy policy-makers, technologists, and financial institutions was designed to assist developing countries in forming and supporting local approaches to greenhouse gas mitigation within the energy sector. ICEC's work focused on capacity building and clean energy deployment in countries that rely heavily on fossil-based electric generation. Under ICEC, the coalition formed a steering committee consisting of NARUC members and held a series of meetings to develop and manage the workplan and define successful outcomes for the projects. ICEC identified India as a target country for their work and completed a country assessment that helped ICEC build a framework for discussion with Indian energy decisionmakers including two follow-on in-country workshops. As of the conclusion of the project in 2010, ICEC had also conducted outreach activities conducted during United Nations Framework Convention on Climate Change (UNFCCC) Ninth Conference of Parties (COP 9) and COP 10. The broad goal of this project was to develop a coalition of decision-makers, technologists, and financial institutions to assist developing countries in implementing affordable, effective and resource appropriate technology and policy strategies to mitigate greenhouse gas emissions. Project goals were met through international forums, a country assessment, and in-country workshops. This project focused on countries that rely heavily on fossil-based electric generation.

  3. Coparenting and toddler's interactive styles in family coalitions.

    Science.gov (United States)

    Fivaz-Depeursinge, Elisabeth; Lopes, Francesco; Python, Maryline; Favez, Nicolas

    2009-12-01

    The current study examined the coparenting and toddler's interactive styles in family coalitions. According to structural family theory, boundaries between generations are clear in alliances, but disturbed in coalitions: the parents look to the child to regulate their conflictual relationship and the child attempts to meet this need. In a normative sample studied longitudinally during the Lausanne Trilogue Play situation (LTP, N=38), 15 coalition cases were detected. Styles of coparenting and of child's interactions were determined and compared in coalition and alliance cases at 18 months. Findings confirm the structural family model by showing the specific ways in which the coparenting and the toddler's interactive styles are associated in 3 different patterns of coalitions: binding, detouring, and triangulation. They illustrate how the child's triangular capacity, or her ability to simultaneously communicate with both parents, is used to regulate the parents' relationship. They suggest that the LTP observational paradigm is a promising assessment method of early family interactions. They point to the importance of assessing early the child's contribution to family coalitions.

  4. PFAS National Leadership Summit Materials

    Science.gov (United States)

    U.S. Environmental Protection Agency (EPA) will be hosting a National Leadership Summit in Washington, D.C. to take action on Per- and Polyfluoroalkyl Substances (PFAS) in the environment. Below are the meeting materials for the Summit.

  5. Progress in Promoting Research Reactor Coalitions

    International Nuclear Information System (INIS)

    Goldman, Ira; Adelfang, Pablo; Alldred, Kevin; Mote, Nigel

    2008-01-01

    This presentation treats of the IAEA's role in Promoting Research Reactor (RR) coalitions, presents the strategic view, the types of coalitions, the 2007-2008 activities and Results, and the upcoming activities. The RR Coalitions Progress is presented first (Initial discussions, project design, approval of NTI grant request, informal consultations and development of 'national' proposals, Number of 'models' identified, exploratory missions/meetings, initial implementation of several coalitions, IAEA coordination, ideas/proposals/ventures, initial support. Some countries, institutes, or users want access to reactor capabilities without, or in advance of, building a domestic facility. Some countries, institutes, or users need access to alternative capabilities to permit the closure/consolidation of marginal facilities. Cooperative arrangements will result in increased utilization for each participant. The results from the reactor view are as follows: cover increases in order levels or scientific research; cover facility outages (planned or un-planned); delegate 'less profitable' products and services; access capacity for new products and services; reduce transport needs by geographical optimization; reduce investment needs by contracting for complementary capabilities; reduce costs of medical radio-isotope for R and D; share best practices in operations and safety. The results from the stakeholder View are: Better information on what reactors can offer/provide; greater range of services; more proactive product and service support; greater reliability in supplies of products and services. The types of coalitions are of different forms to meet needs, capabilities, objectives of members. In general they start small, evolve, change form, expand as confidence grows. The role of the Scientific consortium is to: distribute excess demand, test new concepts for implementation at high-flux reactors, direct requests for access to most appropriate RR, share best practices

  6. Sustainability in a state comprehensive cancer control coalition: lessons learned.

    Science.gov (United States)

    Desmond, Renee A; Chapman, Kathryn; Graf, Gavin; Stanfield, Bret; Waterbor, John W

    2014-03-01

    The Alabama Comprehensive Cancer Control Coalition (ACCCC) has developed an integrated and coordinated approach to reducing cancer incidence, morbidity, and mortality, and to improving the quality of life for cancer survivors, their families, and their caregivers. The ACCCC is currently in a maintenance phase and a formal plan for sustainability of the coalition was needed to keep the members engaged and productive. A training session in coalition sustainability conducted in 2013 identified the following elements as essential to success: (1) increased marketing of the coalition by simplifying its mission; (2) improved networking including flexibility in coalition meeting location and attendance; (3) increased membership satisfaction through transformational leadership; (4) revision of the working structure of committees and improved accountability; and (5) enhancement of partner satisfaction with coalition activities designed to recruit and retain new partners. A self-administered membership satisfaction survey was given to assess coalition mission, meeting logistics, organization, capacity building, and coalition goals. Results indicated that the subcategories of communication, mission, and meeting logistics were rated satisfied to very satisfied on a five-point scale. Although the ACCCC had clearly written goals, improvement could be made in leadership participation and new member orientation could be improved. Most members rated their parent organization as highly involved with the ACCCC and many offered suggestions on capacity building. Results of the sustainability training have clarified the ACCCC's plans to ensure coalition viability and improve strategies to inform stakeholders of the benefits of participation in the coalition.

  7. Towards a Formal Model of Privacy-Sensitive Dynamic Coalitions

    Directory of Open Access Journals (Sweden)

    Sebastian Bab

    2012-04-01

    Full Text Available The concept of dynamic coalitions (also virtual organizations describes the temporary interconnection of autonomous agents, who share information or resources in order to achieve a common goal. Through modern technologies these coalitions may form across company, organization and system borders. Therefor questions of access control and security are of vital significance for the architectures supporting these coalitions. In this paper, we present our first steps to reach a formal framework for modeling and verifying the design of privacy-sensitive dynamic coalition infrastructures and their processes. In order to do so we extend existing dynamic coalition modeling approaches with an access-control-concept, which manages access to information through policies. Furthermore we regard the processes underlying these coalitions and present first works in formalizing these processes. As a result of the present paper we illustrate the usefulness of the Abstract State Machine (ASM method for this task. We demonstrate a formal treatment of privacy-sensitive dynamic coalitions by two example ASMs which model certain access control situations. A logical consideration of these ASMs can lead to a better understanding and a verification of the ASMs according to the aspired specification.

  8. Pressures on TV Programs: Coalition for Better Television's Case.

    Science.gov (United States)

    Shipman, John M., Jr.

    In 1981, the conservative Coalition for Better Television (CBTV) threatened an economic boycott against advertisers who marketed their wares on programs that the coalition felt had excessive sex and violence. Because television networks are dependent on advertising, the coalition believed economic pressure on advertisers would force a…

  9. Complexities of coalition building: leaders' successes, strategies, struggles, and solutions.

    Science.gov (United States)

    Mizrahi, T; Rosenthal, B B

    2001-01-01

    Government and private funding initiatives are promoting coalitions, collaborations, and other interorganizational approaches to address complex community, social services, and health issues. Social work organizers and administrators are increasingly leading coalitions themselves or representing their organizations in collaborative planning and problem solving, often without understanding how to manage the complexities involved in interorganizational relationships. This article reports on aspects of a larger quantitative and qualitative research project that studied coalition dynamics, operations, and outcomes. Coalition leaders interviewed defined success in multiple ways. Competent leadership was the factor most often identified with coalition success.

  10. Organizational Member Involvement in Physical Activity Coalitions across the United States: Development and Testing of a Novel Survey Instrument for Assessing Coalition Functioning

    Science.gov (United States)

    Bornstein, Daniel B.; Pate, Russell R.; Beets, Michael W.; Saunders, Ruth P.; Blair, Steven N.

    2015-01-01

    Introduction: Coalitions are often composed of member organizations. Member involvement is thought to be associated with coalition success. No instrument currently exists for evaluating organizational member involvement in physical activity coalitions. This study aimed to develop a survey instrument for evaluating organizational member involvement…

  11. An assessment of the Pacific Regional Cancer Coalition: outcomes and implications of a regional coalition internal and external assessment.

    Science.gov (United States)

    Sy, Angela U; Heckert, Karen A; Buenconsejo-Lum, Lee; Hedson, Johnny; Tamang, Suresh; Palafox, Neal

    2011-11-01

    The Pacific Regional Cancer Coalition (PRCC) provides regional leadership in the U.S. Affiliated Pacific Islands (USAPI) to implement the Regional Comprehensive Control Plan: 2007-2012, and to evaluate its coalition and partnerships. The Pacific Center of Excellence in the Elimination of Disparities (CEED), aims to reduce cancer disparities and conducts evaluation activities relevant to cancer prevention and control in the USAPI. The PRCC Self (internal) and Partner (external) Assessments were conducted to assess coalition functioning, regional and national partnerships, sustainability, and the role of regionalism for integrating all chronic disease prevention and control in the Pacific. Self-administered questionnaires and key informant telephone interviews with PRCC members (N=20), and representatives from regional and national partner organizations were administered (N=26). Validated multi item measures using 5-point scales on coalition and partnership characteristics were used. Chronbach's alphas and averages for the measures were computed. Internal coalition measures: satisfaction (4.2, SD=0.48) communication (4.0, SD=0.56), respect (4.0, SD=0.60) were rated more highly than external partnership measures: resource sharing (3.5, SD=0.74), regionalism (3.9, SD=0.47), use of findings (3.9, SD=0.50). The PRCC specifically identified its level of "collaboration" with external partners including Pacific CEED. External partners identified its partnership with the PRCC in the "coalition" stage. PRCC members and external partners are satisfied with their partnerships. All groups should continue to focus on building collaboration with partners to reflect a truly regional approach to sustain the commitment, the coalitions and the programming to reduce cancer in the USAPI. PRCC and partners should also work together to integrate all chronic disease prevention and control efforts in the Pacific.

  12. Lessons Learned and Challenges in Building a Filipino Health Coalition

    Science.gov (United States)

    Aguilar, David E.; Abesamis-Mendoza, Noilyn; Ursua, Rhodora; Divino, Lily Ann M.; Cadag, Kara; Gavin, Nicholas P.

    2010-01-01

    In recent years, community-based coalitions have become an effective channel to addressing various health problems within specific ethnic communities. The purpose of this article is twofold: (a) to describe the process involved in building the Kalusugan Coalition (KC), a Filipino American health coalition based in New York City, and (b) to highlight the lessons learned and the challenges from this collaborative venture. The challenges described also offer insights on how the coalition development process can be greatly affected by the partnership with an academic institution on a community-based research project. Because each cultural group has unique issues and concerns, the theoretical framework used by KC offers creative alternatives to address some of the challenges regarding coalition infrastructures, leadership development, unexpected change of coalition dynamics, and cultural nuances. PMID:19098260

  13. National Farmers Market Summit Proceedings Report

    OpenAIRE

    Tropp, Debra; Barham, James

    2008-01-01

    The USDA Agricultural Marketing Service (AMS), in partnership with the Farmers Market Consortium, hosted the National Farmers Market Summit November 7–9, 2007, in Baltimore, MD. The Summit assembled key stakeholders from the farmers market community to convene a national conversation on issues and challenges facing today’s farmers markets. The National Farmers Market Summit had three broad objectives: (1) Identify farmers market needs and existing gaps in assistance, (2) Prioritize future res...

  14. Management and governance processes in community health coalitions: a procedural justice perspective.

    Science.gov (United States)

    Weiner, Bryan J; Alexander, Jeffrey A; Shortell, Stephen M

    2002-12-01

    Community-based coalitions are a popular strategy for promoting community health despite the fact that coalitions often fail to achieve measurable results. Using a procedural justice framework, this study seeks to advance knowledge about the relationship between coalition governance and management processes and indicators of coalition functioning. Member survey data from 25 coalitions participating in the Community Care Network Demonstration Program were analyzed using two-stage least squares regression. Results show that personal influence in decision making. decision process clarity, and collaborative conflict resolution were significantly associated with procedural fairness perceptions. Procedural fairness perceptions, in turn, were positively associated with member satisfaction with coalition decisions, but not personal engagement in the coalition or organizational integration of coalition goals and activities. Personal influence in decision making and collaborative conflict resolution also exhibited direct relationships with all three indicators of coalition functioning examined in the study.

  15. Concept analysis of cancer survivorship and contributions to oncological nursing.

    Science.gov (United States)

    de Oliveira, Rafaela Azevedo Abrantes; da Conceição, Vander Monteiro; Araujo, Jeferson Santos; Zago, Márcia Maria Fontão

    2018-02-01

    This study aims to analyse the concept of cancer survivorship using Rodgers' evolutionary concept analysis model. The lack of a consensus definition as well as the confusion and debate concerning the definitions of "survivor" and "cancer survivorship" hinder an understanding of the intrinsic needs associated with the latter. Concept analysis. A systematic literature search was performed using the following databases: PubMed, CINAHL, Web of Science, LILACS, and PsycINFO with studies published between 2000 and 2014. The final sample contained 39 studies that were analysed on the basis of Rodgers' model and inductive thematic analysis, discussed through the lens of the medical anthropology concept of culture. Cancer survivorship is a broad concept that can be understood using 8 themes: changes in life plans, positive and negative aspect dualities, life reflections, identity change, individual experiences, symptom control, the need for support, and quality of care. These themes are summarized using 2 attributes: liminality process and culturally congruent care. This article contributes to understanding of cancer survivorship and the processes that are intrinsic to this concept. It calls for future investigations to enhance cancer survivorship across its 2 domains at the personal (patient's life) and clinical (nursing practice) levels. © 2017 John Wiley & Sons Australia, Ltd.

  16. Maritime Coalitions: When is Unity of Command Required

    National Research Council Canada - National Science Library

    Gahlinger, Gregory J

    2007-01-01

    .... The concepts of Unity of Command, Unity of Effort and Parallel, Lead Nation, or Integrated coalition command structures are viable across a broad spectrum of maritime coalition operations but do have...

  17. Issues of Selection in Human Survivorship

    DEFF Research Database (Denmark)

    Hansen, Hans Oluf

    , and Iceland during the past 250 years and in Japan any ten years between 1950 and 1990 is approached appropriately by the model. Reduced natural selection may account for a substantial part of the empirical mortality change in the course of the demographic transition. Survivorship in the late nineteenth......Is variation in empirical mortality across populations consistent with a hypothesis of selec-tion? To examine this proposition an extended frailty mortality model is put forward; incor-porating biological frailty; a common non-parametric hazard, joint for men and women, rep-resenting endogenous...... and the twentieth century ties selection to major medical advances and rapid recent mortality decline, probably with consequences for future health and survivorship....

  18. The Bigger, the Better: Coalitions in the GATT/WTO

    Directory of Open Access Journals (Sweden)

    Gabriel Cepaluni

    2012-12-01

    Full Text Available What does it take to make a coalition successful? Bigger coalitions are more likely to be successful because the GATT/WTO is a consensus-based institution and countries are informally penalized if they isolate themselves. Through a Bayesian statistical analysis, the article corroborates the above hypothesis. To further investigate the research question, qualitative case studies of the G-10 in the Uruguay Round and the Public Health Coalition in the Doha Round are conducted. These cases show that the more convincing the framing of a position, the better are the chances of coalitions keeping a large number of followers and supporters, thereby affecting their odds of success. By building a unique database and applying a new research design to the topic, the study rigorously tests theories about coalitions that had previously only been proposed but not empirically analyzed.

  19. The First National Pain Medicine Summit--final summary report.

    Science.gov (United States)

    Lippe, Philipp M; Brock, Charles; David, Jose; Crossno, Ronald; Gitlow, Stuart

    2010-10-01

    Pain is ubiquitous. At some point in time it affects everyone. For many millions pain becomes chronic, a scourge that impacts every facet of life-work, hobbies, family relations, social fabric, finances, happiness, mood, and even the very essence of identity. According to the National Institutes of Health (NIH), pain is one of our most important national public health problems, a silent epidemic. In 1998, NIH reported that the annual amount spent on health care, compensation, and litigation related to pain had reached one hundred billion dollars ($100,000,000,000). Considering that health care costs have doubled since then, it is not unreasonable to assume that the costs related to pain care have doubled as well. Millions of patients suffer needlessly with acute pain, with cancer pain, and with chronic pain. The ineffective management of pain results in an escalating cascade of health care issues. Acute pain that is not treated adequately and promptly results in persistent pain that eventually causes irreversible changes in the nervous system. This translates into progressive bio-psycho-social epiphenomena resulting in further pain and disability. It creates a vicious cycle transforming a functional human being into an invalid who becomes a burden to family, to society, and to oneself. In the face of adequate medical science, adequate technical skills, and adequate resources the reality of delayed and inadequate pain care is paradoxical. This dilemma deserves close scrutiny and effective remediation. The American Medical Association (AMA), long dedicated to the need to improve pain care in this country, has been faced with this reality. It was from this vision that the idea of holding a Pain Medicine Summit was conceived. Resolution 321 (A-08) set in motion a process that would bring together a diverse group of stakeholders for the purpose of discussing the present and future status of pain care; a process that culminated in a broad-based coalition of physicians

  20. Ebook Summit: Our Ebook Challenge

    Science.gov (United States)

    Library Journal, 2010

    2010-01-01

    Over 2000 participants made the daylong programming at the "Library Journal"/"School Library Journal" Virtual Ebook Summit, September 29, a robust conversation and not just within the summit interface but also in tweets with the #ebooksummit hashtag (and beyond) and in libraries across the country where participants logged in to take part. The…

  1. Coalition-based multimedia peer matching strategies for P2P networks

    Science.gov (United States)

    Park, Hyunggon; van der Schaar, Mihaela

    2008-01-01

    In this paper, we consider the problem of matching users for multimedia transmission in peer-to-peer (P2P) networks and identify strategies for fair resource division among the matched multimedia peers. We propose a framework for coalition formation, which enables users to form a group of matched peers where they can interact cooperatively and negotiate resources based on their satisfaction with the coalition, determined by explicitly considering the peer's multimedia attributes. In addition, our proposed approach goes a step further by introducing the concept of marginal contribution, which is the value improvement of the coalition induced by an incoming peer. We show that the best way for a peer to select a coalition is to choose the coalition that provides the largest division of marginal contribution given a deployed value-division scheme. Moreover, we model the utility function by explicitly considering each peer's attributes as well as the cost for uploading content. To quantify the benefit that users derive from a coalition, we define the value of a coalition based on the total utility that all peers can achieve jointly in the coalition. Based on this definition of the coalition value, we use an axiomatic bargaining solution in order to fairly negotiate the value division of the upload bandwidth given each peer's attributes.

  2. Coalition Cooperation Defines Roadmap for E85 and Biodiesel

    Energy Technology Data Exchange (ETDEWEB)

    2007-06-01

    This Clean Cities success story relates how Colorado's Colorado Biofuels Coalition was formed and provides guidance on forming other such coalitions. This Colorado's coalition sucessfully increase the number of fueling stations providing biofuels and has goals to the number even more. Plans also include assisting with financing infrastructure, making alternative fuels available to more fleets, and educating about E85 and biodiesel use.

  3. Inter-Party Conflict Management in Coalition Governments: Analyzing the Role of Coalition Agreements in Belgium, Germany, Italy and the Netherlands

    Directory of Open Access Journals (Sweden)

    Catherine Moury

    2013-07-01

    Full Text Available In this article, we focus on manifest interparty conflict over policy issues and the role of coalition agreements in solving these conflicts. We present empirical findings on the characteristics of coalition agreements including deals over policy controversy and on inter-party conflict occurring during the lifetime of governments in Germany, Belgium, Italy and the Netherlands. We analyze the ways in which parties in government were or were not constrained by written deals over disputed issues. Coalition agreements from all four countries include specific policy deals, one third of which are precisely defined. These policy deals concern both consensual and controversial issues. Our central finding is that, in the case of intra-party conflict, parties almost always fall back on the initial policy deals when these exist. As such, policy statements of the coalition agreement facilitate decision making in each of the countries studied.

  4. Developing and maintaining state-wide adolescent pregnancy prevention coalitions: a preliminary investigation.

    Science.gov (United States)

    Nezlek, J B; Galano, J

    1993-09-01

    This paper presents the results of a study of state-wide adolescent pregnancy prevention coalitions. Key informants in five states throughout the southern United States were given semi-structured interviews regarding the adolescent pregnancy prevention coalitions in their states. From these interviews and other documents, conclusions were drawn regarding the nature and importance of the environments within which these coalitions operate, the universe of activities in which coalitions engage, and the stages of development of these coalitions. Katz and Kahn's model of social organizations served as the basis for understanding coalitions in terms of these three considerations. Future research should consider the utility of organizational models that can explain more fully the organization--committee hybrid structure that tends to characterize these coalitions.

  5. Rethinking the Factors of Success: Social Support and Community Coalitions

    Science.gov (United States)

    Haithcox-Dennis, Melissa; DeWeese, Amanda; Goodman, Jessica

    2013-01-01

    Background: Coalitions are often the strategy of choice when needs are great, resources are few, and individual efforts have proven unsuccessful in addressing serious health issues. Despite the widespread use of coalitions and extensive research, no definitive list of factors predicting coalition success has been identified. One factor, social…

  6. Cancer Supportive and Survivorship Care in Singapore: Current Challenges and Future Outlook

    Directory of Open Access Journals (Sweden)

    Kiley Wei-Jen Loh

    2018-02-01

    Full Text Available Despite being a relatively young nation, Singapore has established itself as a leading multifaceted medical hub, both regionally and globally. Although Singapore continues to pursue excellence in oncology care, cancer supportive care and survivorship care remain in the infancy stage. In an effort to advance this important aspect of oncology care in Singapore, the first cancer supportive and survivorship care forum was held in December 2016, involving 74 oncology practitioners. The primary goals of this forum were to raise awareness of the importance of cancer supportive and survivorship care and to provide a platform for oncology practitioners of diverse backgrounds to converge and address the challenges associated with the delivery of cancer supportive and survivorship care in Singapore. Key challenges identified during this forum included, but were not limited to, care fragmentation in an oncologist-centric model of care, poor integration of allied health and rehabilitation services, passive engagement of community partners, lack of specialized skill sets and knowledge in supportive and survivorship care, and patient-related barriers such as poor health literacy. The survivorship care model commonly used in Singapore places an imbalanced emphasis on surveillance for cancer recurrence and second primary cancers, with little attention given to the supportive and survivorship needs of the survivors. In summary, these challenges set the stage for the development and use of a more survivor-centric model, one that focuses not only on cancer surveillance, but also on the broad and unique physical and psychosocial needs of survivors of cancer in Singapore.

  7. Contrasting Seasonal Survivorship of Two Migratory Songbirds Wintering in Threatened Mangrove Forests

    Directory of Open Access Journals (Sweden)

    Anna M. Calvert

    2010-06-01

    Full Text Available Long-distance migrants wintering in tropical regions face a number of critical conservation threats throughout their lives, but seasonal estimates of key demographic parameters such as winter survival are rare. Using mist-netting-based mark-recapture data collected in coastal Costa Rica over a six-year period, we examined variation in within- and between-winter survivorship of the Prothonotary Warbler (Protonotaria citrea; 753 young and 376 adults banded, a declining neotropical habitat specialist that depends on threatened mangrove forests during the nonbreeding season. We derived parallel seasonal survivorship estimates for the Northern Waterthrush (Seiurus noveboracensis; 564 young and 93 adults banded, a cohabitant mangrove specialist that has not shown the same population decline in North America, to assess whether contrasting survivorship might contribute to the observed differences in the species’ population trajectories. Although average annual survival probability was relatively similar between the two species for both young and adult birds, monthly estimates indicated that relative to Northern Waterthrush, Prothonotary Warblers exhibited: greater interannual variation in survivorship, especially within winters; greater variation in survivorship among the three study sites; lower average between-winter survivorship, particularly among females, and; a sharp decline in between-winter survivorship from 2003 to 2009 for both age groups and both sexes. Rather than identifying one seasonal vital rate as a causal factor of Prothonotary Warbler population declines, our species comparison suggests that the combination of variable within-winter survival with decreasing between-winter survival demands a multi-seasonal approach to the conservation of this and other tropical-wintering migrants.

  8. Agile Coalition Environment (ACE)

    National Research Council Canada - National Science Library

    McGuire, Michele; Daniel, Dale

    2004-01-01

    .... Interoperability is achieved across all applications, platforms, and security domains. ACE is presented as a network capability that can be applied to the Coalition Enterprise Information Exchange System (CENTRIXS...

  9. Evolution of fairness and coalition formation in three-person ultimatum games.

    Science.gov (United States)

    Nishimura, Takeshi; Okada, Akira; Shirata, Yasuhiro

    2017-05-07

    We consider the evolution of fairness and coalition formation in a three-person ultimatum game in which the coalition value depends on its size. Traditional game theory, which assumes selfish and rational players, predicts the largest and efficient coalition with a proposer exploiting most of the total value. In a stochastic evolutionary model (the frequency-dependent Moran process with mutations) where players make errors in estimating the payoffs and strategies of others, evolutionary selection favors the formation of a two-person subcoalition under weak selection and in the low mutation limit if and only if its coalition value exceeds a high proportion (0.7) of that of the largest coalition. Proposers offer 30-35% of the subcoalition value to a coalition member, excluding a non-member. Multilateral bargaining is critically different from the bilateral one. Coalition-forming behavior may cause economic inefficiency and social exclusion. Stochastic evolutionary game theory thus provides theoretical support to explain the behavior of human subjects in economic experiments of a three-person ultimatum game. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Colorectal cancer patients' preferences for type of caregiver during survivorship care

    NARCIS (Netherlands)

    Wieldraaijer, T.; Duineveld, L. A. M.; Donkervoort, S. C.; Busschers, W. B.; van Weert, H. C. P. M.; Wind, J.

    2018-01-01

    Colorectal cancer (CRC) survivors are currently included in a secondary care-led survivorship care programme. Efforts are underway to transfer this survivorship care to primary care, but met with some reluctance by patients and caregivers. This study assesses (1) what caregiver patients prefer to

  11. Northeast Solar Energy Market Coalition (NESEMC)

    Energy Technology Data Exchange (ETDEWEB)

    Rabago, Karl R. [Pace Energy and Climate Center Pace University School of Law

    2018-03-31

    The Northeast Solar Energy Market Coalition (NESEMC) brought together solar energy business associations and other stakeholders in the Northeast to harmonize regional solar energy policy and advance the solar energy market. The Coalition was managed by the Pace Energy and Climate Center, a project of the Pace University Elisabeth Haub School of Law. The NESEMC was funded by the U.S. Department of Energy SunShot Initiative as a cooperative agreement through 2017 as part of Solar Market Pathways.

  12. Family support in cancer survivorship.

    Science.gov (United States)

    Muhamad, Mazanah; Afshari, Mojgan; Kazilan, Fitrisehara

    2011-01-01

    This paper raises issues about the role of family members in providing support for breast cancer survivors. Data were collected from 400 breast cancer survivors in Peninsular Malaysia through a custom-designed questionnaire fielded at hospitals and support group meetings. The data were analyzed using descriptive statistics. The analyses show that all family members could be supportive, especially in decision making and help with emotional issues. The spouse was the main support provider among the family members (others were children, parents, siblings and more distant relatives). The results also indicated that a significant percentage practiced collaborative decision-making. Breast cancer survivors needed their family members' support for information on survivorship strategies such as managing emotions, health, life style and dietary practice. The family members' supportive role may be linked to the Malaysian strong family relationship culture. For family members to contribute more adequately to cancer survivorship, it is suggested that appropriate educational intervention also be provided to them.

  13. A critical evaluation of subtalar joint arthrosis associated with middle facet talocalcaneal coalition in 21 surgically managed patients: a retrospective computed tomography review. Investigations involving middle facet coalitions-part III.

    Science.gov (United States)

    Kernbach, Klaus J; Barkan, Howard; Blitz, Neal M

    2010-01-01

    Symptomatic middle facet talocalcaneal coalition is frequently associated with rearfoot arthrosis that is often managed surgically with rearfoot fusion. However, no objective method for classifying the extent of subtalar joint arthrosis exists. No study has clearly identified the extent of posterior facet arthrosis present in a large cohort treated surgically for talocalcaneal coalition through preoperative computerized axial tomography. The authors conducted a retrospective review of 21 patients (35 feet) with coalition who were surgically treated over a 12-year period for coalition on at least 1 foot. Using a predefined original staging system, the extent of the arthrosis was categorized into normal or mild (Stage I), moderate (Stage II), and severe (Stage III) arthrosis. The association of stage and age is statistically significant. All of the feet with Stage III arthrosis had fibrous coalitions. No foot with osseous coalition had Stage III arthrosis. The distribution of arthrosis staging differs between fibrous and osseous coalitions. Only fibrous coalitions had the most advanced arthrosis (Stage III), whereas osseous coalitions did not. This suggests that osseous coalitions may have a protective effect in the prevention of severe degeneration of the subtalar joint. Concomitant subtalar joint arthrosis severity progresses with age; surgeons may want to consider earlier surgical intervention to prevent arthrosis progression in patients with symptomatic middle facet talocalcaneal coalition.

  14. Impact of coalition interoperability on PKI

    Science.gov (United States)

    Krall, Edward J.

    2003-07-01

    This paper examines methods for providing PKI interoperability among units of a coalition of armed forces drawn from different nations. The area in question is tactical identity management, for the purposes of confidentiality, integrity and non-repudiation in such a dynamic coalition. The interoperating applications under consideration range from email and other forms of store-and-forward messaging to TLS and IPSEC-protected real-time communications. Six interoperability architectures are examined with advantages and disadvantages of each described in the paper.

  15. Posteromedial subtalar coalition: imaging appearances in three cases

    International Nuclear Information System (INIS)

    McNally, E.G.

    1999-01-01

    Objective. To define the imaging appearances in three cases of posteromedial subtalar coalition.Design. Three patients who presented with hindfoot pain were found to have non-osseous coalition involving the posteromedial hindfoot. This entity is distinct from conventional middle facet coalition as the sustentaculum is uninvolved.Results. Plain radiographs, available in two cases, demonstrated subtle irregularity of the posterior facet. MRI (three cases) demonstrated a mixed bony and cartilaginous mass lying posterior to the sustentaculum. There was trabecular oedema within the mass and adjacent talus, and narrowing of the space between the middle and posterior facets. Prominence and dilatation of the posterior tibial veins with tenosynovitis of the adjacent tibialis posterior tendon was seen. CT demonstrated the bony mass but did not detect the adjacent bony oedema.Conclusion. Posteromedial subtalar coalition may present with hindfoot pain and stiffness. The presence of a pseudarthrosis posterior to a normal middle facet is characteristic. The abnormality can be difficult to detect on plain radiographs. (orig.)

  16. Posteromedial subtalar coalition: imaging appearances in three cases

    Energy Technology Data Exchange (ETDEWEB)

    McNally, E.G. [Dept. of Radiology, Nuffield Orthopaedic Centre, Oxford (United Kingdom)

    1999-12-01

    Objective. To define the imaging appearances in three cases of posteromedial subtalar coalition.Design. Three patients who presented with hindfoot pain were found to have non-osseous coalition involving the posteromedial hindfoot. This entity is distinct from conventional middle facet coalition as the sustentaculum is uninvolved.Results. Plain radiographs, available in two cases, demonstrated subtle irregularity of the posterior facet. MRI (three cases) demonstrated a mixed bony and cartilaginous mass lying posterior to the sustentaculum. There was trabecular oedema within the mass and adjacent talus, and narrowing of the space between the middle and posterior facets. Prominence and dilatation of the posterior tibial veins with tenosynovitis of the adjacent tibialis posterior tendon was seen. CT demonstrated the bony mass but did not detect the adjacent bony oedema.Conclusion. Posteromedial subtalar coalition may present with hindfoot pain and stiffness. The presence of a pseudarthrosis posterior to a normal middle facet is characteristic. The abnormality can be difficult to detect on plain radiographs. (orig.)

  17. 'Intensive care unit survivorship' - a constructivist grounded theory of surviving critical illness.

    Science.gov (United States)

    Kean, Susanne; Salisbury, Lisa G; Rattray, Janice; Walsh, Timothy S; Huby, Guro; Ramsay, Pamela

    2017-10-01

    To theorise intensive care unit survivorship after a critical illness based on longitudinal qualitative data. Increasingly, patients survive episodes of critical illness. However, the short- and long-term impact of critical illness includes physical, psychological, social and economic challenges long after hospital discharge. An appreciation is emerging that care needs to extend beyond critical illness to enable patients to reclaim their lives postdischarge with the term 'survivorship' being increasingly used in this context. What constitutes critical illness survivorship has, to date, not been theoretically explored. Longitudinal qualitative and constructivist grounded theory. Interviews (n = 46) with 17 participants were conducted at four time points: (1) before discharge from hospital, (2) four to six weeks postdischarge, (3) six months and (4) 12 months postdischarge across two adult intensive care unit setting. Individual face-to-face interviews. Data analysis followed the principles of Charmaz's constructivist grounded theory. 'Intensive care unit survivorship' emerged as the core category and was theorised using concepts such as status passages, liminality and temporality to understand the various transitions participants made postcritical illness. Intensive care unit survivorship describes the unscheduled status passage of falling critically ill and being taken to the threshold of life and the journey to a life postcritical illness. Surviving critical illness goes beyond recovery; surviving means 'moving on' to life postcritical illness. 'Moving on' incorporates a redefinition of self that incorporates any lingering intensive care unit legacies and being in control of one's life again. For healthcare professionals and policymakers, it is important to realise that recovery and transitioning through to survivorship happen within an individual's time frame, not a schedule imposed by the healthcare system. Currently, there are no care pathways or policies in

  18. A coalition formation game for transmitter cooperation in OFDMA uplink communications

    KAUST Repository

    Chelli, Ali; Tembine, Hamidou; Alouini, Mohamed-Slim

    2014-01-01

    the nodes is modelled using coalitional game theory. In this game, each coalition tries to maximize its utility in terms of rate. In the absence of cooperation cost, it can be shown that the grand coalition is sum-rate optimal and stable, i.e., the mobile

  19. The Influence of Community Context on How Coalitions Achieve HIV-Preventive Structural Change

    Science.gov (United States)

    Reed, Sarah J.; Miller, Robin Lin; Francisco, Vincent T.

    2014-01-01

    Community coalition action theory (CCAT) depicts the processes and factors that affect coalition formation, maintenance, institutionalization, actions, and outcomes. CCAT proposes that community context affects coalitions at every phase of development and operation. We analyzed data from 12 "Connect to Protect" coalitions using inductive…

  20. Survivorship and functional outcomes of patellofemoral arthroplasty: a systematic review.

    Science.gov (United States)

    van der List, J P; Chawla, H; Zuiderbaan, H A; Pearle, A D

    2017-08-01

    Historically poor results of survivorship and functional outcomes of patellofemoral arthroplasty (PFA) have been reported in the setting of isolated patellofemoral osteoarthritis. More recently, however, fairly good results of PFA were reported, but the current status of PFA outcomes is unknown. Therefore, a systematic review was performed to assess overall PFA survivorship and functional outcomes. A search was performed using PubMed, Embase and Cochrane systems, and the registries were searched. Twenty-three cohort studies and one registry reported survivorship using Kaplan-Meier curve, while 51 cohort studies reported functional outcomes of PFA. Twelve studies were level II studies, while 45 studies were level III or IV studies. Heterogeneity was mainly seen in type of prosthesis and year the cohort started. Nine hundred revisions in 9619 PFAs were reported yielding 5-, 10-, 15- and 20-year PFA survivorships of 91.7, 83.3, 74.9 and 66.6 %, respectively, and an annual revision rate of 2.18. Functional outcomes were reported in 2587 PFAs with an overall score of 82.2 % of the maximum score. KSS and Knee Function Score were 87.5 and 81.6 %, respectively. This systematic review showed that fairly good results of PFA survivorship and functional outcomes were reported at short- and midterm follow-up in the setting of isolated patellofemoral osteoarthritis. Heterogeneity existed mainly in prosthesis design and year the cohort started. These results provide a clear overview of the current status of PFA in the setting of isolated patellofemoral osteoarthritis. IV.

  1. World Summit embraces Open Access, libraries

    CERN Multimedia

    Kaser, D

    2004-01-01

    "The long-anticipated "first phase" meeting of the World Summit on the Information Society (WSIS), held in Geneva in December, was supposed to have been about equal access. It turned out being equally about open access as leading scientific organizations pushed their open-access initiative onto the World Summit agenda" (1 page)

  2. Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.

    Science.gov (United States)

    Ganz, Patricia A; Yip, Cheng Har; Gralow, Julie R; Distelhorst, Sandra R; Albain, Kathy S; Andersen, Barbara L; Bevilacqua, Jose Luiz B; de Azambuja, Evandro; El Saghir, Nagi S; Kaur, Ranjit; McTiernan, Anne; Partridge, Ann H; Rowland, Julia H; Singh-Carlson, Savitri; Vargo, Mary M; Thompson, Beti; Anderson, Benjamin O

    2013-10-01

    Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low- and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert panel identified nine key resources recommended for appropriate survivorship care, and developed resource-stratified recommendations to illustrate how health systems can provide supportive care services for breast cancer survivors after curative treatment, using available resources. Key recommendations include health professional education that focuses on the management of physical and psychosocial long-term treatment complications. Patient education can help survivors transition from a provider-intense cancer treatment program to a post-treatment provider partnership and self-management program, and should include: education on recognizing disease recurrence or metastases; management of treatment-related sequelae, and psychosocial complications; and the importance of maintaining a healthy lifestyle. Increasing community awareness of survivorship issues was also identified as an important part of supportive care programs. Other recommendations include screening and management of psychosocial distress; management of long-term treatment-related complications including lymphedema, fatigue, insomnia, pain, and women's health issues; and monitoring survivors for recurrences or development of second primary malignancies. Where possible, breast cancer survivors should implement healthy lifestyle modifications, including physical activity, and maintain a healthy weight. Health professionals should provide well-documented patient care records that can follow a patient as they transition from active treatment

  3. Preparing tomorrow's transportation workforce : a Midwest summit.

    Science.gov (United States)

    2010-08-01

    Preparing Tomorrows Transportation Workforce: A Midwest Summit, held April 2728, 2010, in Ames, Iowa, was one of several : regional transportation workforce development summits held across the United States in 2009 and 2010 as part of a coordin...

  4. The state of survivorship care in radiation oncology: Results from a nationally distributed survey.

    Science.gov (United States)

    Frick, Melissa A; Rosenthal, Seth A; Vapiwala, Neha; Monzon, Brian T; Berman, Abigail T

    2018-04-18

    Survivorship care has become an increasingly critical component of oncologic care as well as a quality practice and reimbursement metric. To the authors' knowledge, the current climate of survivorship medicine in radiation oncology has not been investigated fully. An institutional review board-approved, Internet-based survey examining practices and preparedness in survivorship care was distributed to radiation oncology practices participating in the American College of Radiology Radiation Oncology Practice Accreditation program between November 2016 and January 2017. A total of 78 surveys were completed. Among these, 2 were nonphysicians, resulting in 76 evaluable responses. Radiation oncologists (ROs) frequently reported that they are the primary provider in the evaluation of late toxicities and the recurrence of primary cancer. Although approximately 68% of ROs frequently discuss plans for future care with survivors, few provide a written survivorship care plan to their patients (18%) or the patients' primary care providers (24%). Patient prognosis, disease site, and reimbursement factors often influence the provision of survivorship care. Although ROs report that several platforms offer training in survivorship medicine, the quality of these resources is variable and extensive instruction is rare. Fewer than one-half of ROs believe they are expertly trained in survivorship care. ROs play an active role within the multidisciplinary team in the cancer-related follow-up care of survivors. Investigation of barriers to the provision of survivorship care and optimization of service delivery should be pursued further. The development of high-quality, easily accessible educational programming is needed so that ROs can participate more effectively in the care of cancer survivors. Cancer 2018. © 2018 American Cancer Society. © 2018 American Cancer Society.

  5. Cancer survivorship: a new challenge in comprehensive cancer control.

    Science.gov (United States)

    Pollack, Lori A; Greer, Greta E; Rowland, Julia H; Miller, Andy; Doneski, Donna; Coughlin, Steven S; Stovall, Ellen; Ulman, Doug

    2005-10-01

    Cancer survivors are a growing population in the United States because of earlier cancer diagnosis, the aging of society, and more effective risk reduction and treatment. Concerns about the long-term physical, psychosocial, and economic effects of cancer treatment on cancer survivors and their families are increasingly being recognized and addressed by public, private, and non-profit organizations. The purpose of this paper is to discuss how survivorship fits within the framework of comprehensive cancer control. We summarize three national reports on cancer survivorship and highlight how various organizations and programs are striving to address the needs of cancer survivors through public health planning, including the challenges these groups face and the gaps in knowledge and available services. As cancer survivorship issues are being recognized, many organizations have objectives and programs to address concerns of those diagnosed with cancer. However, better coordination and dissemination may decrease overlap and increase the reach of efforts and there is limited evidence for the effectiveness and impact of these efforts.

  6. Breast cancer survivorship: the role of perceived discrimination and sexual orientation.

    Science.gov (United States)

    Jabson, Jennifer M; Donatelle, Rebecca J; Bowen, Deborah

    2011-03-01

    Breast cancer disproportionately affects sexual minority women (SMW) compared to heterosexual women and a small but growing literature indicates that SMW may have diminished survivorship outcomes; outcomes that are measurably and importantly different from heterosexual breast cancer survivors. However, it remains unknown how sexual orientation influences breast cancer survivorship outcomes such as quality of life. One possible route of influence is SMW's perceived discrimination in the health care setting. This cross-sectional study examines SMW perceptions of discrimination as one of the multiple facets of the breast cancer survivorship process. This study assessed SMW breast cancer survivor's perceptions of discrimination during their breast cancer treatment experience and secondarily, examined the role of this perceived discrimination on SMW's quality of life. Sixty-eight purposefully sampled sexual minority breast cancer survivors completed assessments of quality of life, perceived discrimination, perceived social support and perceived stress via an online survey. Statistical analyses point to perceived discrimination and perceived social support as important indicators for predicting SMW's quality of life. Future research on SMW's breast cancer survivorship should include measures of perceived discrimination.

  7. Coincidence of role expectations between staff and volunteer members of drug free community coalitions.

    Science.gov (United States)

    Goldstein, Marc B; Sapere, Heather; Daviau, John

    2017-08-01

    Community coalitions have proliferated as a means of addressing a range of complex community problems. Such coalitions often consist of a small paid staff and volunteer members. The present study examines one likely contributor to coalition effectiveness: the degree of agreement on role expectations between paid staff and volunteer members. Role confusion occurs when paid staff and volunteers differ in their expectations of who is responsible for accomplishing specific tasks. Staff and volunteer members from 69 randomly selected Drug Free Coalitions in the United States as well as 21 Drug Free Coalitions in Connecticut were asked to respond to an online survey asking about 37 specific coalition tasks critical for effective coalition functioning and the degree to which paid staff and/or voluntary members should be responsible for accomplishing each. Our final sample consisted of 476 individuals from 35 coalitions. Using coalitions as the unit of analysis, we found significant differences between paid staff and volunteer coalition members on nine tasks reflecting four domains: meeting leadership and participation, (2) planning and implementation leadership, (3) publicity/media relations, and (4) logistical functions. Implications of these differences and ways that evaluators could help coalitions deal with differing role expectations were discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. This too shall pass: a grounded theory study of Filipino cancer survivorship.

    Science.gov (United States)

    de Guzman, Allan B; Jimenez, Benito Christian B; Jocson, Kathlyn P; Junio, Aileen R; Junio, Drazen E; Jurado, Jasper Benjamin N; Justiniano, Angela Bianca F

    2013-03-01

    Considering the paucity of studies dealing with the holistic aspect of the cancer experience, this grounded theory study seeks to conceptualize the process of cancer survivorship among Filipinos. Twenty-seven Filipino cancer survivors were purposively selected, and a two-part instrument, specifically robotfoto and focus group interviews, was used to gather data. The Glaserian method of grounded theory analysis was used, and extended texts were analyzed inductively via a dendrogram. Member checking and correspondence were observed to validate the surfacing stages, leading to the conceptualization of a theoretical model termed as the Ribbon of Cancer Survivorship. The said model describes the trifling (living before), transfusing (accepting the reality), transforming (being strong), and transcending (living beyond) phases of cancer survivorship. Ten interesting substages were also identified, namely: tainting, desolating, disrupting, and embracing for the transfusing phase; tormenting, distressing, awakening, and transfiguring for the transforming phase, and trembling and enlivening for the transcending phase. The resulting theoretical model has clearly and successfully described the entire process of cancer survivorship among Filipinos. It is hoped that the model be used as a reference for future studies about cancer survivorship and as a guide for nurses in providing a more empathetic care among cancer patients.

  9. Theories of coalition formation: An empirical test using data from Danish local government

    DEFF Research Database (Denmark)

    Skjæveland, Asbjørn; Serritzlew, Søren; Blom-Hansen, Jens

    2007-01-01

    Theories of coalition formation represent a diverse set of arguments about why some government coalitions form while others do not. In this article, the authors present a systematic empirical test of the relative importance of the various arguments. The test is designed to avoid a circularity...... problem present in many coalition studies - namely that the theories are tested on data of national government coalitions in postwar Europe: the very data that gave rise to the theories in the first place. Instead, the authors focus on government coalitions at the municipal level. They base their analysis...... on office and policy motives. At the same time, the analysis raises the question of whether actors really seek minimal coalitions....

  10. Using a predictive model of clinician intention to improve continuing health professional education on cancer survivorship.

    Science.gov (United States)

    Buriak, S E; Potter, J; Bleckley, M Kathryn

    2015-01-01

    Cancer survivorship is a chronic disease that places patients in limbo between oncologists and primary care clinicians. Strategies have been proposed to ease the shift in coordination of care, including broad-based educational outreach to primary care providers. Guided by the theory of planned behavior (TPB), predictors of intention to provide survivorship care, including credentials, experience, perception of barriers, and personal survivorship status, were evaluated using logistic regression with a cohort of physicians, nurse practitioners, and registered nurses participating in an unprecedented online continuing medical education/continuing education survivorship care course. Results showed that physicians were significantly less likely to express intent to provide survivorship care (odds ratio [OR] = .237, p = .0001) compared to the other groups. Overall, clinicians with 6-10 years of experience were 3 times more likely to express intent to provide survivorship care (OR = 2.86, p = .045) than those with less or more experience. When clinicians perceived the presence of a barrier, they were nearly twice as likely to have diminished intent (OR = 1.89, p = .035). Most participants (66%; n = 1185) selected two barriers: lack of survivorship care plans and treatment summaries (45.4%; n = 821) and lack of education (20.1%; n = 364). Barriers to the delivery of survivorship care can influence clinicians' intention to provide survivorship care, which varied by years of experience in this study. Interdisciplinary educational strategies featuring midcareer provider champions who have successfully incorporated survivorship care and can offer specific solutions to these barriers are recommended for future interventions. © 2015 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on Continuing Medical Education, Association for Hospital Medical Education.

  11. Coalitions in the quantum Minority game: Classical cheats and quantum bullies

    International Nuclear Information System (INIS)

    Flitney, Adrian P.; Greentree, Andrew D.

    2007-01-01

    In a one-off Minority game, when a group of players agree to collaborate they gain an advantage over the remaining players. We consider the advantage obtained in a quantum Minority game by a coalition sharing an initially entangled state versus that obtained by a coalition that uses classical communication to arrive at an optimal group strategy. In a model of the quantum Minority game where the final measurement basis is randomized, quantum coalitions outperform classical ones when carried out by up to four players, but an unrestricted amount of classical communication is better for larger coalition sizes

  12. Summit Station Skiway Cost Analysis

    Science.gov (United States)

    2016-07-01

    of fuel delivered to Summit via LC-130 at a price of $32/gal. (Lever et al. 2016), the cost for constructing and maintaining the skiway for the 2014...CRREL TR-16-9 18 The costs associated with the Twin Otter include a day rate plus an hourly mission rate, a per passenger rate, airport fees, fuel, a...ER D C/ CR RE L TR -1 6- 9 Engineering for Polar Operations, Logistics, and Research (EPOLAR) Summit Station Skiway Cost Analysis Co ld

  13. Learning from Iraq and Afghanistan: Four Lessons for Building More Effective Coalitions

    Directory of Open Access Journals (Sweden)

    White Nathan

    2016-06-01

    Full Text Available Despite many tactical and operational successes by brave military and civilian personnel, post-9/11 operations by U.S. led coalitions in Iraq and Afghanistan did not achieve their intended outcomes. Although many efforts are underway by discrete organizations within coalition countries to identify and learn their own lessons from these conflicts, comparatively less attention is paid to broader lessons for successful coalitions. Given that the U.S. and its allies will most certainly form coalitions in the future for a range of different contingency scenarios, these lessons are equally deserving of close examination. This article identifies four interrelated lessons from Iraq and Afghanistan that can be utilized to inform more effective coalition development and employment.

  14. The DELTA PREP Initiative: Accelerating Coalition Capacity for Intimate Partner Violence Prevention

    Science.gov (United States)

    Zakocs, Ronda; Freire, Kimberley E.

    2018-01-01

    Background The DELTA PREP Project aimed to build the prevention capacity of 19 state domestic violence coalitions by offering eight supports designed to promote prevention integration over a 3-year period: modest grant awards, training events, technical assistance, action planning, coaching hubs, the Coalition Prevention Capacity Assessment, an online workstation, and the online documentation support system. Objectives Using quantitative and qualitative data, we sought to explain how coalitions integrated prevention within their structures and functions and document how DELTA PREP supports contributed to coalitions’ integration process. Results We found that coalitions followed a common pathway to integrate prevention. First, coalitions exhibited precursors of organizational readiness, especially having prevention champions. Second, coalitions engaged in five critical actions: engaging in dialogue, learning about prevention, forming teams, soliciting input from the coalition, and action planning. Last, by engaging in these critical actions, coalitions enhanced two key organizational readiness factors—developing a common understanding of prevention and an organizational commitment to prevention. We also found that DELTA PREP supports contributed to coalitions’ abilities to integrate prevention by supporting learning about prevention, fostering a prevention team, and engaging in action planning by leveraging existing opportunities. Two DELTA PREP supports—coaching hubs and the workstation—did not work as initially intended. From the DELTA PREP experience, we offer several lessons to consider when designing future prevention capacity-building initiatives. PMID:26245934

  15. Rivalry of Advocacy Coalitions in the Czech Pension Reform

    Directory of Open Access Journals (Sweden)

    Potůček Martin

    2016-06-01

    Full Text Available The Czech Republic, as many other countries of Central and Eastern Europe, faced and is still facing a pension-reform challenge. The diversification of pension pillars led to the massive displacements of participant contributions from the public PAYG pension pillars to the newly constructed private, defined-contribution, fully-funded pillars. In the Czech Republic, the adoption of the relevant law was preceded by serious political conflict between supporters and opponents of this step (both among different political actors and among professionals. In an analysis of the conflict we critically apply the Advocacy Coalition Framework. We work mainly with the analysis of policy documents, public statements of the individual actors and an analysis of voting on the relevant law in both chambers of the Czech Parliament towards the identification of the crystallization process of two clear-cut coalitions between actors from both sides of the spectrum. The Advocacy Coalition Framework in exploring the dynamics of the public-policy process proved to be able to explain situations where there is sharp political conflict. Through the lens of the devil-shift of both camps (advocacy coalitions with different beliefs, each fell into extreme positions within the coalition to affirm the correctness of their arguments and positions.

  16. International Land Coalition: Women's access to land

    OpenAIRE

    International Land Coalition (ILC)

    2008-01-01

    Metadata only record The International Land Coalition (ILC) started as the Popular Coalition to Eradicate Hunger and Poverty. This is a global alliance of intergovernmental, governmental and civil-society organizations committed to rural poverty eradication. On their website, (on the left click on documents) the link presents a list of resources related to the role of women and access to land. There are case studies and country reports in Cambodia, India, Indonesia, Kenya and Nepal, as wel...

  17. Proceedings Report from the Sustainability Education Summit, September 20-21, 2010

    Science.gov (United States)

    US Department of Education, 2011

    2011-01-01

    The first-ever U. S. Department of Education summit on sustainability, "Sustainability Education Summit: Citizenship and Pathways for a Green Economy," was held on Sept. 20-21, 2010, in Washington, D.C. The Sustainability Education Summit (the Summit) brought together leaders from higher education, business and industry, labor,…

  18. Local Self-Government as an Architect of Coalitions for Local Development

    Directory of Open Access Journals (Sweden)

    Anna Gąsior-Niemiec

    2014-12-01

    Full Text Available The paper addresses the new role played by local self-government units in Poland. Main factors that determine the public authorities’ capacity to become architects of coalitions for local development are identified. Coalitions are defined as partnerships linking and mobilizing stakeholders anchored in three sectors: public, economic and non-governmental. The coalition-making role of the public organs is investigated on the basis of Local Action Groups (LAGs, which are pro-developmental cross-sector organizations established in rural areas of the Podkarpackie (Sub-Carpathian Voivodesh ip, Poland. Findings are presented that draw on quantitative and qualitative results of the research project that investigated mechanisms involved in the operation of the cross-s ector coalitions. The dominant role of the public authorities in those coalitions is demonstrated. The Community-led Local Development model is referred to as the future framework for LAGs.

  19. Fiftieth Anniversary at the summit

    CERN Multimedia

    2005-01-01

    Neither fear of heights nor the cold succeeded in cooling the ardour of four brave climbers from CERN who celebrated CERN's 50th Anniversary at the summit of Mount Kilimanjaro (5,895 metres). On the way back from the summit, Miguel Cerqueira Bastos (AB/PO), David Collados Polidura (IT/GM), Sandra Sequeira Tavares (PH/CMI) and Daniel Cano Ott (n_TOF) raised the official CERN Jubilee flag at 4750 metres altitude. How long will it be before a CERN flag is planted on the moon?

  20. Coalition Building for Health: A Community Garden Pilot Project with Apartment Dwelling Refugees.

    Science.gov (United States)

    Eggert, Lynne K; Blood-Siegfried, Jane; Champagne, Mary; Al-Jumaily, Maha; Biederman, Donna J

    2015-01-01

    Refugees often experience compromised health from both pre- and post-migration stressors. Coalition theory has helped guide the development of targeted programs to address the health care needs of vulnerable populations. Using the Community Coalition Action Theory as a framework, a coalition was formed to implement a community garden with apartment-dwelling refugees. Outcomes included successful coalition formation, a community garden, reported satisfaction from all gardeners with increased vegetable intake, access to culturally meaningful foods, and evidence of increased community engagement. The opportunity for community health nurses to convene a coalition to affect positive health for refugees is demonstrated.

  1. Building successful coalitions for promoting advance care planning.

    Science.gov (United States)

    Marchand, Lucille; Fowler, Kathryn J; Kokanovic, Obrad

    2006-01-01

    Advance care planning (ACP) has had few successful initiatives. This qualitative study explores the challenges and successes of an advance care planning coalition in Wisconsin called Life Planning 2000 using key informant interviews (n = 24) and grounded theory. Major themes included: commitment (the need for leadership, recruitment of key members, and funding); cohesiveness (disparate groups collaborating toward a common purpose), and outcomes (shift in paradigm from signing documents to process of advanced care planning, new-found collaborative relationships, and educational tool development). Coalitions need to define short-, intermediate-, and long-term goals that result in measurable outcomes and an evaluation process. Resources must be commensurate with goals. Strong leadership, paid staff adequate funding, and the collaboration of diverse groups working toward common goals are the basic requirements of a successful coalition.

  2. Accomplishments and future suggestions of 2012 seoul nuclear security summit

    International Nuclear Information System (INIS)

    Kim, Jae San

    2012-01-01

    The second Seoul Nuclear Security Summit was held in Seoul, March 26∼27, 2012. It was a very big political event for nuclear security. National and International organization leaders had a time to discuss in depth issues about nuclear security; nuclear terrorism, illicit trafficking of nuclear /radiological materials, sabotages for nuclear facilities, etc. Why did many national leaders still take part in the second nuclear security summit compared to Washington summit and what is the importance of nuclear security? This paper will be the answer from those questions and handle the background, outcomes and future tasks of nuclear security summit. And suggestions for the next summits were considered in the conclusion part

  3. Accomplishments and future suggestions of 2012 seoul nuclear security summit

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae San [Korea Institute of Nuclear Nonproliferation and Control, Daejeon (Korea, Republic of)

    2012-10-15

    The second Seoul Nuclear Security Summit was held in Seoul, March 26{approx}27, 2012. It was a very big political event for nuclear security. National and International organization leaders had a time to discuss in depth issues about nuclear security; nuclear terrorism, illicit trafficking of nuclear /radiological materials, sabotages for nuclear facilities, etc. Why did many national leaders still take part in the second nuclear security summit compared to Washington summit and what is the importance of nuclear security? This paper will be the answer from those questions and handle the background, outcomes and future tasks of nuclear security summit. And suggestions for the next summits were considered in the conclusion part.

  4. Examining Capacity and Functioning of Bicycle Coalitions: A Descriptive Study

    Directory of Open Access Journals (Sweden)

    Melissa Bopp

    2017-11-01

    Full Text Available BackgroundBicycle coalitions represent a strong partner in creating bike-friendly communities through advocacy for physical infrastructure, encouragement for biking, or education about safety. Despite their versatility, little is known about their functioning. Therefore, the purpose of this study was to examine capacity, strengths, and weaknesses of these organizations.MethodsBicycle coalitions/advocacy groups from English-speaking countries were recruited to take part in an online survey via email invitation. The survey addressed basic information about the coalition (community demographics, location, leadership, communication strategies, coalition priorities, barriers to programming/activities, and partners.ResultsCoalitions (n = 56 from four countries completed the survey. Most coalitions operated as a non-profit (n = 44, 95.7%, 45% (n = 21 have paid staff as leaders, while 37% (n = 17 have volunteers as leaders. The following skills were represented in coalitions’ leadership: fundraising (n = 31, 53.4%, event planning (n = 31, 53.4%, urban planning (n = 26, 44%, and policy/legislation expertise (n = 26, 44.8%. Education (n = 26, 63.4% and encouragement (n = 25, 61.6% were viewed as top priorities and the safety of bicyclists (n = 21, 46.7% and advocacy for infrastructure and policy (n = 22, 48.9% is the focus of most activities. A lack of financial resources (n = 36, 81.8% and capable personnel (n = 25, 56.8% were significant barriers to offering programming in the community and that the availability of grants to address issues (n = 38, 86.4% would be the top motivator for improvements.ConclusionBike coalitions represent a critical partner in creating activity-friendly environments and understanding their capacity allows for creating skill/capacity building intervention programs, development of effective toolkits and fostering strong collaborations to address physical inactivity.

  5. CFCC: A Covert Flows Confinement Mechanism for Virtual Machine Coalitions

    Science.gov (United States)

    Cheng, Ge; Jin, Hai; Zou, Deqing; Shi, Lei; Ohoussou, Alex K.

    Normally, virtualization technology is adopted to construct the infrastructure of cloud computing environment. Resources are managed and organized dynamically through virtual machine (VM) coalitions in accordance with the requirements of applications. Enforcing mandatory access control (MAC) on the VM coalitions will greatly improve the security of VM-based cloud computing. However, the existing MAC models lack the mechanism to confine the covert flows and are hard to eliminate the convert channels. In this paper, we propose a covert flows confinement mechanism for virtual machine coalitions (CFCC), which introduces dynamic conflicts of interest based on the activity history of VMs, each of which is attached with a label. The proposed mechanism can be used to confine the covert flows between VMs in different coalitions. We implement a prototype system, evaluate its performance, and show that our mechanism is practical.

  6. National Coalition for Homeless Veterans

    Science.gov (United States)

    ... Continues Support of National Campaign to End Veteran Homelessness Nov. 14, 2017 This Veterans Day, Harbor Freight ... support of the national campaign to end veteran homelessness through generous contributions to the National Coalition for ...

  7. Religious coalition opposes gene patents.

    Science.gov (United States)

    James, J S

    1995-05-19

    The biotechnology industry is concerned about a coalition of mainstream religious leaders, working with Jeremy Rifkin of the Foundation of Economic Trends, who oppose the patenting of human and animal life forms, body parts, and genes. The coalition called a press conference on May 18 to ask the government to prohibit the current patenting practices for genetic engineering. The biotechnology industry argues that patents indicate that a company's research tool has significant value, and encourages capitalists to invest their dollars in the development of new treatments for diseases. They also argue that the 29 biotech drugs that are on the market have been developed as a result of patents on genes. Although most business leaders are united in opposing restrictions, many scientists are divided, citing both religious and scientific reasons.

  8. Survivorship Care Plan Information Needs: Perspectives of Safety-Net Breast Cancer Patients.

    Science.gov (United States)

    Burke, Nancy J; Napoles, Tessa M; Banks, Priscilla J; Orenstein, Fern S; Luce, Judith A; Joseph, Galen

    2016-01-01

    Despite the Institute of Medicine's (IOM) 2005 recommendation, few care organizations have instituted standard survivorship care plans (SCPs). Low health literacy and low English proficiency are important factors to consider in SCP development. Our study aimed to identify information needs and survivorship care plan preferences of low literacy, multi-lingual patients to support the transition from oncology to primary care and ongoing learning in survivorship. We conducted focus groups in five languages with African American, Latina, Russian, Filipina, White, and Chinese medically underserved breast cancer patients. Topics explored included the transition to primary care, access to information, knowledge of treatment history, and perspectives on SCPs. Analysis of focus group data identified three themes: 1) the need for information and education on the transition between "active treatment" and "survivorship"; 2) information needed (and often not obtained) from providers; and 3) perspectives on SCP content and delivery. Our data point to the need to develop a process as well as written information for medically underserved breast cancer patients. An SCP document will not replace direct communication with providers about treatment, symptom management and transition, a communication that is missing in participating safety-net patients' experiences of cancer care. Women turned to peer support and community-based organizations in the absence of information from providers. "Clear and effective" communication of survivorship care for safety-net patients requires dedicated staff trained to address wide-ranging information needs and uncertainties.

  9. The bone scan in tarsal coalition: a case report

    International Nuclear Information System (INIS)

    De Lima, R.T.; Mishkin, F.S.

    1996-01-01

    Tarsal coalition is abnormal fusion of two or more tarsal bones. The union may be fibrous, cartilaginous, or osseous and can be congenital or acquired in response to infection, articular disorders, trauma, or surgery. We report a case of fibrous talocalcaneal coalition in a 15-year-old boy in whom bone scintigraphy employing pinhole lateral views confirmed the clinical diagnosis when plain radiographs showed minimal changes and computed tomography was equivocal. The diagnosis of symptomatic tarsal coalition is important in that it is a common remediable cause of peroneal spastic flat foot, a frequently encountered condition. Scintigraphy provides important information about the presence and localization of this condition. (orig.). With 3 figs

  10. The bone scan in tarsal coalition: a case report

    Energy Technology Data Exchange (ETDEWEB)

    De Lima, R.T. [Department of Radiology, Division of Nuclear Medicine, Harbor-UCLA Medical Center, Torrance, CA (United States); Mishkin, F.S. [Department of Radiology, Division of Nuclear Medicine, Harbor-UCLA Medical Center, Torrance, CA (United States)

    1996-10-01

    Tarsal coalition is abnormal fusion of two or more tarsal bones. The union may be fibrous, cartilaginous, or osseous and can be congenital or acquired in response to infection, articular disorders, trauma, or surgery. We report a case of fibrous talocalcaneal coalition in a 15-year-old boy in whom bone scintigraphy employing pinhole lateral views confirmed the clinical diagnosis when plain radiographs showed minimal changes and computed tomography was equivocal. The diagnosis of symptomatic tarsal coalition is important in that it is a common remediable cause of peroneal spastic flat foot, a frequently encountered condition. Scintigraphy provides important information about the presence and localization of this condition. (orig.). With 3 figs.

  11. [Synostosis and tarsal coalitions in children. A study of 68 cases in 47 patients].

    Science.gov (United States)

    Rouvreau, P; Pouliquen, J C; Langlais, J; Glorion, C; de Cerqueira Daltro, G

    1994-01-01

    The authors report their experience with tarsal coalitions in children. The purpose of this study was to discuss the origins of the of the calcaneum, and to propose a simple therapeutic strategy for diagnosis and treatment. The study included 47 children (68 feet), with one or more idiopathic tarsal coalitions. All patients had physical examinations to record symptoms, morphology of the foot, mobility of the foot, gait analysis, standard radiographs, and in some cases CT scans or MRI. The average age of the patients was 11.5 years old, 7 patients had a positive family history for tarsal coalitions. 66 per cent of the patients had mild tarsal pain or a history of repeated ankle sprains. The conservative treatment concerned 28 feet: 3 casts, 2 injections of corticosteroids into the subtalar joint, insole-shoes in 3 cases, and abstention in 20 cases. The operative treatment (40 feet) consisted of resection of calcaneonavicular coalitions (24 feet) resection of talocalcaneal coalitions (3 feet), mediotarsal and subtalar arthrodesis (8 feet), resection of calcaneonavicular coalition combined with the "Cavalier'' procedure described by Judet (3 feet), calcaneal osteotomy (2 feet). The mean follow-up was 42 months. The morphology of the involved foot was normal in 33 cases, flat foot was seen in 24 cases (4 peroneal spastic flat feet), pes cavus in 3 cases, club foot in 2 cases, pes varus in 4 cases, "Z'' shaped feet in 2 cases. The radiological examination was demonstrative of tarsal coalition in 61 feet. 7 tarsal coalitions were seen during operative procedures. The location or the coalition was calcaneonavicular (57), talocalcaneal (16), talo-navicular (8), calcaneo-cuboid (7), naviculo-cuneiform (4). The secondary radiographic signs were studied for each foot. In the conservative group, 2 patients degraded their clinical status, one developed a spastic flat foot. In the surgical group, all except 2 patients had good clinical and functional results. One patient had

  12. Long-Term Survivorship of Esophageal Cancer Patients Treated with Radical Intent

    Directory of Open Access Journals (Sweden)

    Alex Agranovich

    2008-01-01

    Full Text Available To investigate the recent trends in definitive management of esophageal cancer, the records of 138 consecutive patients treated with radical intent in a single institution between 1995 and 2003 were reviewed and analyzed. The median follow-up period was 5.7 years (range 1.1 to 10.4 years. Seventy-seven patients were treated with radiation therapy (RT only and 61 with combined regimens (CRT, in which RT was combined with either radical surgery or chemotherapy, or both. The overall survival of the entire cohort was 32% over two years and 20% over five years. The survivorship in the RT group was 17% over two years and 5% over five years. In the CRT group, 51% and 35% survived over two and five years, respectively. From all the potential prognostic factors examined by univariate and multivariate analyses, only male sex and use of CRT were strongly associated with better survivorship. There was no significant difference in the outcomes among the different regimens of CRT. Survivorship was not affected by the location or histology of the tumour, clinical stage, dose of RT or use of endoluminal brachytherapy in addition to external beam RT. There was a greater tendency to use RT only more often in older patients, but patient age did not affect survivorship. The proportion of patients treated with CRT did not change significantly over the last versus the first four years of the observed period. Combined regimens are undoubtedly superior to RT as a single modality. The long-term survivorship of patients in a subgroup of our patients treated with combined modality protocols compared favourably with the previously reported results in the literature and specifically in prospective randomized trials. However, the optimal combined modality regimen is yet to be defined.

  13. Strongly Essential Coalitions and the Nucleolus of Peer Group Games

    NARCIS (Netherlands)

    Brânzei, R.; Solymosi, T.; Tijs, S.H.

    2003-01-01

    Most of the known efficient algorithms designed to compute the nucleolus for special classes of balanced games are based on two facts: (i) in any balanced game, the coalitions which actually determine the nucleolus are essential; and (ii) all essential coalitions in any of the games in the class

  14. Women with breast cancer: self-reported distress in early survivorship.

    Science.gov (United States)

    Lester, Joanne; Crosthwaite, Kara; Stout, Robin; Jones, Rachel N; Holloman, Christopher; Shapiro, Charles; Andersen, Barbara L

    2015-01-01

    To identify and compare levels of distress and sources of problems among patients with breast cancer in early survivorship. Descriptive, cross-sectional. A National Cancer Institute-designated comprehensive cancer center. 100 breast cancer survivors were selected to represent four time points in the cancer trajectory. Distress was self-reported using the Distress Thermometer and its 38-item problem list. Analysis of variance and chi-square analyses were performed as appropriate. Distress scores, problem reports, and time groups. Participants scored in range of the cutoff of more than 4 (range = 4.1-5.1) from treatment through three months post-treatment. At six months post-treatment, distress levels were significantly lower. Significant differences were found between groups on the total problem list score (p = 0.007) and emotional (p = 0.01) and physical subscale scores (p = 0.003). Comparison of groups at different points in the cancer trajectory found similar elevated levels from diagnosis through three months. Distress remained elevated in early survivorship but significantly decreased at six months post-treatment. Interventions to reduce or prevent distress may improve outcomes in early survivorship.

  15. Impacts and societal benefits of research activities at Summit Station, Greenland

    Science.gov (United States)

    Hawley, R. L.; Burkhart, J. F.; Courville, Z.; Dibb, J. E.; Koenig, L.; Vaughn, B. H.

    2017-12-01

    Summit Station began as the site for the Greenland Ice Sheet Project 2 ice core in 1989. Since then, it has hosted both summer campaign science, and since 1997, year-round observations of atmospheric and cryospheric processes. The station has been continuously occupied since 2003. While most of the science activities at the station are supported by the US NSF Office of Polar Programs, the station also hosts many interagency and international investigations in physical glaciology, atmospheric chemistry, satellite validation, astrophysics and other disciplines. Summit is the only high elevation observatory north of the Arctic circle that can provide clean air or snow sites. The station is part of the INTER-ACT consortium of Arctic research stations with the main objective to identify, understand, predict and respond to diverse environmental changes, and part of the International Arctic Systems for Observing the Atmosphere (IASOA) that coordinates Arctic research activities and provides a networked, observations-based view of the Arctic. The Summit Station Science Summit, sponsored by NSF, assembled a multidisciplinary group of scientists to review Summit Station science, define the leading research questions for Summit, and make community-based recommendations for future science goals and governance for Summit. The impact of several on-going observation records was summarized in the report "Sustaining the Science Impact of Summit Station, Greenland," including the use of station data in weather forecasts and climate models. Observations made at the station as part of long-term, year-round research or during shorter summer-only campaign seasons contribute to several of the identified Social Benefit Areas (SBAs) outlined in the International Arctic Observations Assessment Framework published by the IDA Science and Technology Policy Institute and Sustaining Arctic Observing Networks as an outcome of the 2016 Arctic Science Ministerial. The SBAs supported by research

  16. Hospital-Based Coalition to Improve Regional Surge Capacity

    Directory of Open Access Journals (Sweden)

    James M. Learning

    2012-12-01

    Full Text Available Introduction: Surge capacity for optimization of access to hospital beds is a limiting factor in response to catastrophic events. Medical facilities, communication tools, manpower, and resource reserves exist to respond to these events. However, these factors may not be optimally functioning to generate an effective and efficient surge response. The objective was to improve the function of these factors.Methods: Regional healthcare facilities and supporting local emergency response agencies developed a coalition (the Healthcare Facilities Partnership of South Central Pennsylvania; HCFP¬SCPA to increase regional surge capacity and emergency preparedness for healthcare facilities. The coalition focused on 6 objectives: (1 increase awareness of capabilities and assets, (2 develop and pilot test advanced planning and exercising of plans in the region, (3 augment written medical mutual aid agreements, (4 develop and strengthen partnership relationships, (5 ensure National Incident Management System compliance, and (6 develop and test a plan for effective utilization of volunteer healthcare professionals.Results: In comparison to baseline measurements, the coalition improved existing areas covered under all 6 objectives documented during a 24-month evaluation period. Enhanced communications between the hospital coalition, and real-time exercises, were used to provide evidence of improved preparedness for putative mass casualty incidents.Conclusion: The HCFP-SCPA successfully increased preparedness and surge capacity through a partnership of regional healthcare facilities and emergency response agencies.

  17. Earth Summit Science, policy discussed

    Science.gov (United States)

    Leath, Audrey T.

    The United Nations Conference on Environment and Development, the “Earth Summit,” convenes in Rio de Janeiro on June 3. President Bush has pledged to attend part of the 2-week conference. The highlight of the summit will be the signing of an international framework convention to reduce emissions of greenhouse gases. The final elements of the agreement were negotiated in New York last week by representative of 143 countries. In anticipation of the Rio conference, the Senate Committee on Energy and Natural Resources held two standing-roomonly hearings, reviewing the scientific basis for global warming due to greenhouse gases and discussing the details of the proposed convention.

  18. Can state-supported interprofessional coalitions cure preceptor shortages?

    Science.gov (United States)

    Woodall, Lesli; Smith, Gigi; Garr, David; Hopla, Deborah; Kern, Donna

    2018-06-01

    The shortage of clinical preceptors compromises the current and future supply of healthcare providers and patient access to primary care. This article describes how an interprofessional coalition in South Carolina formed and sought government support to address the preceptor shortage. Some states have legislated preceptor tax credits and/or deductions to support the clinical education of future primary care healthcare providers. As a result of the coalition's work, a bill to establish similar incentives is pending in the South Carolina legislature.

  19. Coalition Formation and Spectrum Sharing of Cooperative Spectrum Sensing Participants.

    Science.gov (United States)

    Zhensheng Jiang; Wei Yuan; Leung, Henry; Xinge You; Qi Zheng

    2017-05-01

    In cognitive radio networks, self-interested secondary users (SUs) desire to maximize their own throughput. They compete with each other for transmit time once the absence of primary users (PUs) is detected. To satisfy the requirement of PU protection, on the other hand, they have to form some coalitions and cooperate to conduct spectrum sensing. Such dilemma of SUs between competition and cooperation motivates us to study two interesting issues: 1) how to appropriately form some coalitions for cooperative spectrum sensing (CSS) and 2) how to share transmit time among SUs. We jointly consider these two issues, and propose a noncooperative game model with 2-D strategies. The first dimension determines coalition formation, and the second indicates transmit time allocation. Considering the complexity of solving this game, we decompose the game into two more tractable ones: one deals with the formation of CSS coalitions, and the other focuses on the allocation of transmit time. We characterize the Nash equilibria (NEs) of both games, and show that the combination of these two NEs corresponds to the NE of the original game. We also develop a distributed algorithm to achieve a desirable NE of the original game. When this NE is achieved, the SUs obtain a Dhp-stable coalition structure and a fair transmit time allocation. Numerical results verify our analyses, and demonstrate the effectiveness of our algorithm.

  20. United we stand : Corporate Monitoring by Shareholder Coalitions in the UK

    NARCIS (Netherlands)

    Crespi, R.; Renneboog, L.D.R.

    2000-01-01

    This paper investigates whether voting coalitions are formed by shareholders in order to discipline incumbent management. Shapley values capturing the relative power of shareholder coalitions by category of owner, outperform models with percentage ownership stakes and models measuring the relative

  1. Marching toward reproductive justice: coalitional (re) framing of the March for Women's Lives.

    Science.gov (United States)

    Luna, Zakiya T

    2010-01-01

    This article examines how coalition frames develop and what happens to that frame after the formal coalition ends. To that end, I analyze the frame shift around the 2004 March for Women's Lives (March). The March initially focused on established ideas of reproductive rights around which the four national mainstream co-sponsors previously organized. However, after a newer reproductive justice organization joined the coalition, material and organizing reflected a shift in framing to reproductive justice. How did this change happen? What are the impacts of this event for the women's movement? Through document analysis and interviews, I trace the negotiations that facilitated this framing shift. I argue that this new coalition frame translated into positive lasting changes in organizing for women's reproductive health even as the coalition dissolved and some of the tensions within the larger women's movement remain.

  2. Survivorship of Total Hip Joint Replacements Following Isolated Liner Exchange for Wear.

    Science.gov (United States)

    Vadei, Leone; Kieser, David C; Frampton, Chris; Hooper, Gary

    2017-11-01

    Liner exchange for articular component wear in total hip joint replacements (THJRs) is a common procedure, often thought to be benign with reliable outcomes. Recent studies, however, suggest high failure rates of liner exchange revisions with significant complications. The primary aim of this study was, therefore, to analyze the survivorship of isolated liner exchange for articular component wear, and secondarily to assess the influence of patient demographics (gender, age, and American Society of Anaesthesiologists [ASA] ratings) on rerevisions following isolated liner exchange for wear. A retrospective review of the 15-year New Zealand Joint Registry (1999-2014) was performed, analyzing the outcomes of isolated liner exchange for articular component wear. The survivorship as defined as rerevision with component exchange was determined and 10-year Kaplan-Meier survivorship curves were constructed. These revision rates were compared to age, gender, and ASA rating groups using a log-rank test. The 10-year survivorship of THJR following liner exchange revision for liner wear was 75.3%. If a rerevision was required, the median time to rerevision was 1.33 years with a rerevision rate of 3.33 per 100 component years (95% confidence interval 2.68-4.08/100 component years). The principle reasons for rerevision were dislocation (48.4%) and acetabular component loosening (20.9%). There was no statistically significant difference in rerevision rates based on gender, age categories, or ASA scores. THJR isolated liner exchange for liner wear is not a benign procedure with a survivorship of 75.3% at 10 years. Surgeons contemplating liner exchange revisions should be cognisant of this risk and should adequately assess component position and stability preoperatively. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Childhood cancer survivorship educational resources in North American pediatric hematology/oncology fellowship training programs: a survey study.

    Science.gov (United States)

    Nathan, Paul C; Schiffman, Joshua D; Huang, Sujuan; Landier, Wendy; Bhatia, Smita; Eshelman-Kent, Debra; Wright, Jennifer; Oeffinger, Kevin C; Hudson, Melissa M

    2011-12-15

    Childhood cancer survivors require life-long care by clinicians with an understanding of the specific risks arising from the prior cancer and its therapy. We surveyed North American pediatric hematology/oncology training programs to evaluate their resources and capacity for educating medical trainees about survivorship. An Internet survey was sent to training program directors and long-term follow-up clinic (LTFU) directors at the 56 US and Canadian centers with pediatric hematology/oncology fellowship programs. Perceptions regarding barriers to and optimal methods of delivering survivorship education were compared among training program and LTFU clinic directors. Responses were received from 45/56 institutions of which 37/45 (82%) programs require that pediatric hematology/oncology fellows complete a mandatory rotation focused on survivorship. The rotation is 4 weeks or less in 21 programs. Most (36/45; 80%) offer didactic lectures on survivorship as part of their training curriculum, and these are considered mandatory for pediatric hematology/oncology fellows at 26/36 (72.2%). Only 10 programs (22%) provide training to medical specialty trainees other than pediatric hematology/oncology fellows. Respondents identified lack of time for trainees to spend learning about late effects as the most significant barrier to providing survivorship teaching. LTFU clinic directors were more likely than training program directors to identify lack of interest in survivorship among trainees and survivorship not being a formal or expected part of the fellowship training program as barriers. The results of this survey highlight the need to establish standard training requirements to promote the achievement of basic survivorship competencies by pediatric hematology/oncology fellows. Copyright © 2011 Wiley Periodicals, Inc.

  4. Climate Summit in Copenhagen

    DEFF Research Database (Denmark)

    Delman, Jørgen

      Together with the United States, China has moved to centre stage in the running up to the Climate Summit in Copenhagen 7-18 December 2009. To make the Summit a success, the two countries have started signalling positive commitment to formulation of quantitative targets and engage constructively...... in elaborating a reasonably ambitious, yet realistic framework for the implementation of a new global post-Kyoto regime that will have to take effect from 2012. China's leadership has already acknowledged that climate change may exacerbate an exceedingly unsustainable development path over the next decades...... if action is not taken to change its course dramatically. The challenges are formidable, yet the window of opportunity to take action is quite narrow. For these reasons and due to international pressure, China's position on climate change has been made gradually clearer as the climate negotiations have...

  5. Competitive Outcomes and Endogenous Coalition Formation in an n-Person Game

    NARCIS (Netherlands)

    Sun, N.; Trockel, W.; Yang, Z.F.

    2004-01-01

    In this paper we study competitive outcomes and endogenous coalition formation in a cooperative n-person transferable utility (TU) game from the viewpoint of general equilibrium theory.For any given game, we construct a competitive exchange coalition production economy corresponding to the game.

  6. KSCO 2002: Second International Conference on Knowledge Systems for Coalition Operations

    Science.gov (United States)

    2002-05-01

    based on selected classic coalition theories is, for example, COALA (Klusch & Vielhak, 1997). 94 unique for any 3-agent game (A,v), assigns...1997) COALA - Simulation Environment for Coalition Formation Among Autonomous Information Agents. http://www.dfki.de/~klusch/ COALA / Kraus, S

  7. Subtalar coalition: usefulness of the C sign on lateral radiographs of the ankle

    International Nuclear Information System (INIS)

    Kim, Seong Hyun; Ahn, Joong Mo; Lee, Min Hee; Yoon, Hye Kyung; Kim, Sung Moon; Shin, Myung Jin; Kang, Heung Sik

    2001-01-01

    To assess the usefulness of the talocalcaneal C sign in the diagnosis of subtalar coalition, as seen on lateral radiographs of the ankle. Lateral radiographs of 12 ankles in 11 patients were included in this study. Twelve subtalar coalitions were confirmed by surgery (n=6), or by CT and/or MR (n=6). The presence of the talocalcaneal C sign on lateral ankle radiographs was determined. The C sign was continuous in six feet and interrupted in the remaining six. Subtalar coalition occurred simultaneously inthe middle and posterior subtalar joints in two cases, the posterior subtalar joint only in six, and in the middle subtalar joint only in four. In six cases confirmed at surgery, subtalar coalitions consisted of both synostosis and non-osseous fusion (synchondrosis and/or syndesmosis) and in one case of middle subtalar coalition, there was a bony bridge. The remaining six cases. confirmed at CT or MRI, involved both synostosis and non-osseous fusion (n=1) or non-osseous fusion only (n=5). In the diagnosis of subtalar coalition, the talocalcaneal C sign, seen on lateral radiographs of the ankle, is a useful indicator

  8. Oncology nurses′ recognition of long-term cancer survivorship care in Japan

    Directory of Open Access Journals (Sweden)

    Asako Miura

    2015-01-01

    Full Text Available Objective: This study aims to assess the knowledge of definition of cancer survivors among Japanese oncology nurses and their roles in long-term cancer survivorship care. Methods: A structured self-administered and self-report questionnaire created by the study investigators was given to members of the Japanese Society of Cancer Nursing. The subjects were 81 female oncology nurses. Results: Forty-nine nurses had 11 or more years of nursing experience, while 27 nurses had cancer-related nursing certifications such as, certification in oncology nursing specialist. This study population had rather rich experience in oncology nursing. Sixty-two nurses defined a cancer survivor from the time of diagnosis, while the nurses′ recognition of long-term survivorship care was poor, compared with nursing care at the time of diagnosis, during treatment, and end of life. Conclusions: The nurses were aware of the needs to recognize and address issues faced by long-term cancer survivors and for nursing study, but very few put the effective patient education and interventions into practice. It is because oncology nurses have few chances to see cancer survivors who go out of the hands of healthcare professionals. In increasing the number of long-term survivors, long-term survivorship care is needed in addition to incorporating such education into undergraduate and graduate programs. Further study on the knowledge of long-term cancer survivorship care and nursing practices are required.

  9. 2014 Mid-Atlantic Telehealth Resource Center Annual Summit

    Directory of Open Access Journals (Sweden)

    Katharine Hsu Wibberly

    2013-12-01

    Full Text Available The Mid-Atlantic Resource Center (MATRC; http://www.matrc.org/ advances the adoption and utilization of telehealth within the MATRC region and works collaboratively with the other federally funded Telehealth Resource Centers to accomplish the same nationally. MATRC offers technical assistance and other resources within the following mid-Atlantic states: Delaware, District of Columbia, Kentucky, Maryland, North Carolina, Pennsylvania, Virginia and West Virginia.   The 2014 MATRC Summit “Adding Value through Sustainable Telehealth” will be held March 30-April 1, 2014, at the Fredericksburg Expo & Conference Center, Fredericksburg, VA. The Summit will explore how telehealth adds value to patients, practitioners, hospitals, health systems, and other facilities. Participants will experience a highly interactive program built around the case history of “Mr. Doe” as he progresses through the primary care, inpatient hospitalization, and post-discharge environments. The Summit will conclude with a session on financial and business models for providing sustainable telehealth services.   For further information and registration, visit: http://matrc.org/component/content/article/2-uncategorised/80-mid-atlantic-telehealth-resource-summit-2014    

  10. The Fiscal Politics of Big Governments: Do Coalitions Matter?

    OpenAIRE

    Lambertini, Luisa; Azariadis, Costas

    2003-01-01

    This paper uses a closed voting rule to explain how gradual changes in the socio-economic structure of developed societies shift political coalitions and lead to rapid expansions of transfer programs. Equilibria in a lifecycle economy with three homogeneous groups of voters (retirees, skilled young workers, unskilled young workers) have three properties. One, if income inequality is sufficiently high, unskilled workers and retirees will form a dominant coalition which raises both intragenerat...

  11. Two hardness results for core stability in hedonic coalition formation games

    NARCIS (Netherlands)

    Deineko, V.G.; Woeginger, G.J.

    2013-01-01

    We establish NP-completeness of two problems on core stable coalitions in hedonic games. In the first problem every player has only two acceptable coalitions in his preference list, and in the second problem the preference structures arise from the distances in an underlying metric space.

  12. A block chain based architecture for asset management in coalition operations

    Science.gov (United States)

    Verma, Dinesh; Desai, Nirmit; Preece, Alun; Taylor, Ian

    2017-05-01

    To support dynamic communities of interests in coalition operations, new architectures for efficient sharing of ISR assets are needed. The use of blockchain technology in wired business environments, such as digital currency systems, offers an interesting solution by creating a way to maintain a distributed shared ledger without requiring a single trusted authority. In this paper, we discuss how a blockchain-based system can be modified to provide a solution for dynamic asset sharing amongst coalition members, enabling the creation of a logically centralized asset management system by a seamless policy-compliant federation of different coalition systems. We discuss the use of blockchain for three different types of assets in a coalition context, showing how blockchain can offer a suitable solution for sharing assets in those environments. We also discuss the limitations in the current implementations of blockchain which need to be overcome for the technology to become more effective in a decentralized tactical edge environment.

  13. The state of cancer survivorship programming in Commission on Cancer-accredited hospitals in Georgia.

    Science.gov (United States)

    Kirsch, Logan J; Patterson, Angela; Lipscomb, Joseph

    2015-03-01

    In Georgia, there are more than 356,000 cancer survivors. Although many encounter challenges as a result of treatment, there is limited data on the availability of survivorship programming. This paper highlights findings from two surveys assessing survivorship care in Commission on Cancer (CoC)-accredited hospitals in Georgia. In 2010, 38 CoC-accredited hospitals were approached to complete a 36-item survey exploring knowledge of national standards and use of survivorship care plans (SCPs), treatment summaries (TSs), and psychosocial assessment tools. In 2012, 37 CoC-accredited hospitals were asked to complete a similar 21-item survey. Seventy-nine percent (n = 30) of cancer centers completed the 2010 survey. Sixty percent (n = 18) reported having a cancer survivorship program in place or in development. Forty-three percent (n = 13) provided survivors with a SCP and 40% (n = 12) a TS. Sixty percent (n = 18) reported either never or rarely using a psychosocial assessment tool. Sixty-two percent (n = 23) completed the 2012 survey. Ninety-six percent (n = 22) were aware of the new CoC guideline 3.3. Thirty-nine percent (n = 9) provided a SCP and/or TS. Eighty-seven percent (n = 20) stated they were very confident or somewhat confident their organization could implement a SCP and/or TS by 2015. The data indicated the importance of collaboration and shared responsibility for survivorship care. Broad implementation of SCPs and TSs can help address the late and long-term effects of treatment. Increasing knowledge on survivorship care is imperative as the Georgia oncology community engages oncologists and primary care providers to achieve higher quality of life for all survivors.

  14. Port Stakeholder Summit - April 2014

    Science.gov (United States)

    EPA's National Port Stakeholders Summit, Advancing More Sustainable Ports, focused on actions to protect air quality while reducing climate risk and supporting economic growth, making ports more environmentally sustainable.

  15. Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model

    Directory of Open Access Journals (Sweden)

    Jacqueline Loonen

    2018-01-01

    Full Text Available Survivors of childhood and adult-onset cancer are at lifelong risk for the development of late effects of treatment that can lead to serious morbidity and premature mortality. Regular long-term follow-up aiming for prevention, early detection and intervention of late effects can preserve or improve health. The heterogeneous and often serious character of late effects emphasizes the need for specialized cancer survivorship care clinics. Multidisciplinary cancer survivorship care requires a coordinated and well integrated health care environment for risk based screening and intervention. In addition survivors engagement and adherence to the recommendations are also important elements. We developed an innovative model for integrated care for cancer survivors, the “Personalized Cancer Survivorship Care Model”, that is being used in our clinic. This model comprises 1. Personalized follow-up care according to the principles of Person Centered Care, aiming to empower survivors and to support self management, and 2. Organization according to a multidisciplinary and risk based approach. The concept of person centered care is based on three components: initiating, integrating and safeguarding the partnership with the patient. This model has been developed as a universal model of care that will work for all cancer survivors in different health care systems. It could be used for studies to improve self efficacy and the cost-effectiveness of cancer survivorship care.

  16. Continued benefits of a technical assistance web site to local tobacco control coalitions during a state budget shortfall.

    Science.gov (United States)

    Buller, David B; Young, Walter F; Bettinghaus, Erwin P; Borland, Ron; Walther, Joseph B; Helme, Donald; Andersen, Peter A; Cutter, Gary R; Maloy, Julie A

    2011-01-01

    A state budget shortfall defunded 10 local tobacco coalitions during a randomized trial but defunded coalitions continued to have access to 2 technical assistance Web sites. To test the ability of Web-based technology to provide technical assistance to local tobacco control coalitions. Randomized 2-group trial with local tobacco control coalitions as the unit of randomization. Local communities (ie, counties) within the State of Colorado. Leaders and members in 34 local tobacco control coalitions funded by the state health department in Colorado. Two technical assistance Web sites: A Basic Web site with text-based information and a multimedia Enhanced Web site containing learning modules, resources, and communication features. Use of the Web sites in minutes, pages, and session and evaluations of coalition functioning on coalition development, conflict resolution, leadership satisfaction, decision-making satisfaction, shared mission, personal involvement, and organization involvement in survey of leaders and members. Coalitions that were defunded but had access to the multimedia Enhanced Web site during the Fully Funded period and after defunding continued to use it (treatment group × funding status × period, F(3,714) = 3.18, P = .0234). Coalitions with access to the Basic Web site had low Web site use throughout and use by defunded coalitions was nearly zero when funding ceased. Members in defunded Basic Web site coalitions reported that their coalitions functioned worse than defunded Enhanced Web site coalitions (coalition development: group × status, F(1,360) = 4.81, P = .029; conflict resolution: group × status, F(1,306) = 5.69, P = .018; leadership satisfaction: group × status, F(1,342) = 5.69, P = .023). The Enhanced Web site may have had a protective effect on defunded coalitions. Defunded coalitions may have increased their capacity by using the Enhanced Web site when fully funded or by continuing to use the available online resources after defunding

  17. Clean air renewable energy (CARE) coalition : a case study

    International Nuclear Information System (INIS)

    Lambert, G.; Pollock, D.

    2002-01-01

    This paper highlights the opportunity for new partnerships between business and non-governmental organizations in the field of sustainable development through the growing convergence of interests. The authors also briefly describe both Suncor Energy and the Pembina Institute for Appropriate Development stances on sustainable development. Since 1990, both organizations have collaborated on the future of the emerging renewable energy industry. Renewable energy represents an energy source diversification through the regional creation of jobs and improved air quality and associated benefits resulting from the reductions in greenhouse gas emissions. The Clean Air Renewable Energy Coalition (Coalition) was established in December 2000 in order to assess the barriers to capital investment in the renewable energy industry. It was revealed that the international community as a whole was further ahead than Canada in terms of renewable support, production and export of technology and services. Some of the challenges facing the industry are: low demand for renewables and low supply. The coalition allowed for the joint identification of desired policy changes, such as new tax incentives for renewable energy supply and demand. Efforts were made in inviting the support of industry, municipalities and environmental non governmental organizations. The list of members that have joined the coalition to date was shown. The coalition is asking for consumer green energy credit, designed for the creation of demand and the education of the general public, and producer incentives to increase supply. The proposals were explained, as well as the strategic principles underlying them. A new tax incentive was announced in the December 2001 Canadian federal budget. The authors concluded by mentioning some future opportunities and the lessons learned on the importance of the right partners, of broad-based advocacy, of targeted and focuses messages, and of evolutionary change

  18. Clean air renewable energy (CARE) coalition : a case study

    Energy Technology Data Exchange (ETDEWEB)

    Lambert, G. [Suncor Energy, Fort McMurray, AB (Canada); Pollock, D. [Pembina Institute for Appropriate Development, Drayton Valley, AB (Canada)

    2002-07-01

    This paper highlights the opportunity for new partnerships between business and non-governmental organizations in the field of sustainable development through the growing convergence of interests. The authors also briefly describe both Suncor Energy and the Pembina Institute for Appropriate Development stances on sustainable development. Since 1990, both organizations have collaborated on the future of the emerging renewable energy industry. Renewable energy represents an energy source diversification through the regional creation of jobs and improved air quality and associated benefits resulting from the reductions in greenhouse gas emissions. The Clean Air Renewable Energy Coalition (Coalition) was established in December 2000 in order to assess the barriers to capital investment in the renewable energy industry. It was revealed that the international community as a whole was further ahead than Canada in terms of renewable support, production and export of technology and services. Some of the challenges facing the industry are: low demand for renewables and low supply. The coalition allowed for the joint identification of desired policy changes, such as new tax incentives for renewable energy supply and demand. Efforts were made in inviting the support of industry, municipalities and environmental non governmental organizations. The list of members that have joined the coalition to date was shown. The coalition is asking for consumer green energy credit, designed for the creation of demand and the education of the general public, and producer incentives to increase supply. The proposals were explained, as well as the strategic principles underlying them. A new tax incentive was announced in the December 2001 Canadian federal budget. The authors concluded by mentioning some future opportunities and the lessons learned on the importance of the right partners, of broad-based advocacy, of targeted and focuses messages, and of evolutionary change.

  19. A Qualitative Examination of the Implementation of a Community-Academic Coalition

    Science.gov (United States)

    Boydell, Katherine M.; Volpe, Tiziana

    2004-01-01

    Many recent grant initiatives have mandated coalition building as a key component of their health promotion efforts. Health service leaders are increasingly representing their organizations on coalitions and need to better understand the complexities involved in their creation and management. In this paper we focus on the implementation of a…

  20. National Tribal Building Codes Summit

    Science.gov (United States)

    National Tribal Building Codes summit statement developed to support tribes interested in adopting green and culturally-appropriate building systems to ensure safe, sustainable, affordable, and culturally-appropriate buildings on tribal lands.

  1. Disparities in the survivorship experience among Latina survivors of breast cancer.

    Science.gov (United States)

    Olagunju, Tinuke O; Liu, Yihang; Liang, Li-Jung; Stomber, James M; Griggs, Jennifer J; Ganz, Patricia A; Thind, Amardeep; Maly, Rose C

    2018-04-06

    The authors investigated disparities in the survivorship experience among Latinas with breast cancer (BC) in comparison with non-Latinas. A cross-sectional bilingual telephone survey was conducted among 212 Latina and non-Latina women within 10 to 24 months after a diagnosis of BC (AJCC TNM staging system stage 0-III) at 2 Los Angeles County public hospitals. Data were collected using the Preparing for Life as a (New) Survivor (PLANS) scale, Perceived Efficacy in Patient-Physician Interactions Questionnaire (PEPPI), Breast Cancer Prevention Trial (BCPT) Symptom Checklist, Satisfaction with Care and Information Scale, Consumer Assessment of Healthcare Providers and Systems (CAHPS) tool, Charlson Comorbidity Index adapted for patient self-report, and the 12-item Short Form Health Survey. Controlling variables included age, stage as determined by the American Joint Committee on Cancer (AJCC) TNM staging system, educational level, and study site in multivariate analyses. The mean ages of Latinas and non-Latinas were 51.5 years and 56.6 years, respectively. Compared with non-Latinas, Latinas reported less BC survivorship knowledge (27.3 vs 30.7; Psatisfaction with BC survivorship care (9.6 vs 8.8; P = .298), or their discussion with physicians (9.6 vs 8.1; P = .07). These ethnic group differences persisted in multivariate analyses, with the exception of PEPPI. Latina survivors of BC experienced disparities in BC knowledge and satisfaction with information received, but believed themselves to be prepared for survivorship and were as satisfied with providers, care received, and discussions with physicians as non-Latinas. Cancer 2018. © 2018 American Cancer Society. © 2018 American Cancer Society.

  2. The C sign: more specific for flatfoot deformity than subtalar coalition

    International Nuclear Information System (INIS)

    Brown, R.R.; Rosenberg, Z.S.; Thornhill, B.A.

    2001-01-01

    Objective. To assess the sensitivity and specificity of the C sign, a C-shaped line created by the outline of the talar dome and the inferior margin of the sustentaculum tali on lateral ankle radiographs, for patients with both flatfoot deformity and specifically talocalcaneal (TC) coalition.Design and patients. All patients in this retrospective study were under 35 years of age and had a lateral ankle radiograph and follow-up CT scan for a non-traumatic indication. Forty-eight cases over the past 5 years fulfilled these criteria. Two masked musculoskeletal radiologists determined the presence or absence of the C sign for each lateral radiograph by consensus. Each CT study was then assessed by a third musculoskeletal radiologist for the presence of tarsal coalition. Observations were correlated with clinical history regarding presence or absence of flatfoot deformity.Results. Ten cases of TC coalition were diagnosed, four of which demonstrated a C sign (40%). Eight cases with a C sign were encountered, four of which had TC coalition (50%) and four did not. All patients with a positive C sign had a flatfoot clinically (100%), while only eight of 24 flatfooted patients had a C sign (33%).Conclusion. The C sign is specific, but not sensitive, for flatfoot deformity, and is neither sensitive nor specific for subtalar coalition. (orig.)

  3. A coalition formation game for transmitter cooperation in OFDMA uplink communications

    KAUST Repository

    Chelli, Ali

    2014-12-01

    The SC-FDMA (single-carrier frequency division multiple access) is the access scheme that has been adopted by 3GPP (3rd generation partnership project) for the LTE (long term evolution) uplink. The SC-FDMA is an attractive alternative to OFDMA (orthogonal frequency-division multiple access) especially on the uplink owing to its low peak-to-average power ratio. This fact increases the power efficiency and reduces the cost of the power amplifiers at the mobile terminals. The use of SC-FDMA on the uplink implies that for highly loaded cells the base station allocates a single subcarrier to each user. This results in the limitation of the achievable rate on the uplink. In this work, we propose a coalition game between mobile terminals that allows them to improve their performance by sharing their subcarriers without creating any interference to each other. The proposed scheme allows a fair use of the subcarriers and leads to a significant capacity gain for each user. The cooperation between the nodes is modelled using coalitional game theory. In this game, each coalition tries to maximize its utility in terms of rate. In the absence of cooperation cost, it can be shown that the grand coalition is sum-rate optimal and stable, i.e., the mobile terminals have no incentive to leave the grand coalition.

  4. Survivorship and the chronic cancer patient: Patterns in treatment-related effects, follow-up care, and use of survivorship care plans.

    Science.gov (United States)

    Frick, Melissa A; Vachani, Carolyn C; Bach, Christina; Hampshire, Margaret K; Arnold-Korzeniowski, Karen; Metz, James M; Hill-Kayser, Christine E

    2017-11-01

    The survivorship needs of patients living with chronic cancer (CC) and their use of survivorship care plans (SCPs) have been overlooked and underappreciated. A convenience sample of 39,088 SCPs completed for cancer survivors with an Internet-based SCP tool was examined; it included 5847 CC survivors (15%; CC was defined as chronic leukemia and/or recurrent/metastatic cancer of another nature). Patient-reported treatment effects and follow-up care patterns were compared between CC survivors and survivors treated with curative intent (CI). Responses from a follow-up survey regarding SCP satisfaction and use were reviewed. CC survivors had greater odds of experiencing multiple treatment-related effects than survivors treated with CI; these effects included fatigue, cognitive changes, dyspnea, peripheral neuropathy, lymphedema, and erectile dysfunction. Nearly half of CC survivors were managed by an oncologist alone, and they were less likely than CI patients to be comanaged by a primary care provider and an oncologist. Fewer SCPs were generated by health care providers (HCPs) for CC survivors versus CI survivors. A smaller proportion of CC users versus CI users rated their experience and satisfaction with the SCP tool as very good or excellent, and CC users were less likely to share the HCP summary with their health care team. A substantial number of CC survivors, often considered incurable but treatable, seek survivorship support. Tools to facilitate participation, communication, and coordination of care are valuable for these patients, and future iterations of SCPs should be designed to address the particular circumstances of living with CC. Cancer 2017;123:4268-4276. © 2017 American Cancer Society. © 2017 American Cancer Society.

  5. Vienna Summit Declaration

    International Nuclear Information System (INIS)

    2006-01-01

    The leaders of the European Union (EU) and the United States of America (USA) met June 2006 in Vienna to respond to the concerns of their citizens for peace, security, stability and prosperity in an increasingly globalised world. They welcome that over the past year the Transatlantic Partnership has delivered real results as shown by the political and economic Progress Reports issued during the summit (http://www.eu2006.at/en/The_Council_Presidency/EU-USSummit/index.html). They remain committed to finding common or complementary lines of action in many areas. Over the last year there have been many examples of how productive the relationship is, in the Middle East, Iran, the Western Balkans, Belarus, on the frozen conflicts, and Sudan, as well as in the efforts to promote transatlantic trade and investment under last Summit's Economic Initiative. They have decided to further strengthen the strategic Partnership by adopting a number of priority actions to support cooperation in the following four areas: Promoting peace, human rights and democracy worldwide; Confronting global challenges, including security; Fostering prosperity and opportunity; and Promoting strategic cooperation on energy and energy security, climate change and sustainable development

  6. Vienna Summit Declaration

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-06-21

    The leaders of the European Union (EU) and the United States of America (USA) met June 2006 in Vienna to respond to the concerns of their citizens for peace, security, stability and prosperity in an increasingly globalised world. They welcome that over the past year the Transatlantic Partnership has delivered real results as shown by the political and economic Progress Reports issued during the summit (http://www.eu2006.at/en/The{sub C}ouncil{sub P}residency/EU-USSummit/index.html). They remain committed to finding common or complementary lines of action in many areas. Over the last year there have been many examples of how productive the relationship is, in the Middle East, Iran, the Western Balkans, Belarus, on the frozen conflicts, and Sudan, as well as in the efforts to promote transatlantic trade and investment under last Summit's Economic Initiative. They have decided to further strengthen the strategic Partnership by adopting a number of priority actions to support cooperation in the following four areas: Promoting peace, human rights and democracy worldwide; Confronting global challenges, including security; Fostering prosperity and opportunity; and Promoting strategic cooperation on energy and energy security, climate change and sustainable development.

  7. CERN's Tree of Science at the Summit

    CERN Multimedia

    2004-01-01

    The World Summit on the Information Society held its closing session at Palexpo on 12 December. During the Summit, CERN organised the SIS Forum, the Tree of Science, at Palexpo. Kofi Annan and Tim Berners-Lee, sending a message to 800 schools around the world, from the first Web server will remain one of the abiding images of the Science Stand organised by CERN as part of the World Summit on the Information Society last December. According to its designer, François Fluckiger (IT Department) this stand was not intended purely as an exhibition or as a lecture point but as a forum. Thirty-two scientific institutions throughout the world made their own contributions to the information society over the five days of the exhibition. In all, 42 science projects were exhibited to several thousand visitors under four themes: education and culture; health; environment, development and risks; fundamental sciences and enabling technologies. CERN's stand represented a tree with a trunk in the centre with scre...

  8. Mock climate summit: teaching and assessing learning

    Science.gov (United States)

    Schweizer, D.; Gautier, C.; Bazerman, C.

    2003-04-01

    This paper will demonstrate the effectiveness of a Mock Climate Summit as a pedagogical approach for teaching the science and policy aspects of global climate change. The Mock Climate Summit is a student-centered course simulating the Conference of the Parties (COP) where international environmental protocols are negotiated. Compared to traditional lecture-based methods common in the geoscience classroom, the Mock Climate Summit uses negotiations and arguments to teach the interactions between these two “spheres” and demonstrate the depth and breadth of these interactions. Through a detailed assessment of students’ dialogue transcribed from video and audio tapes, we found that the nature of the student dialogue matures rapidly as they are given multiple opportunities to present, negotiate and argue a specific topic. Students’ dialogue progress from hypothetical (what-if) scenarios to action-oriented scenarios and implementation plans. The progression of the students’ dialogue shows increased comfort with the communities’ discourse as they take ownership of the point-of-view associated with their assumed roles.

  9. The regenerative medicine coalition. Interview with Frank-Roman Lauter.

    Science.gov (United States)

    Lauter, Frank-Roman

    2012-11-01

    Frank-Roman Lauter, Secretary General of the recently launched Regenerative Medicine Coalition, explains how the coalition was formed and what they hope to achieve. Frank-Roman Lauter has served as Secretary General of the Regenerative Medicine Coalition since 2012, and as Head of Business Development at Berlin-Brandenburg Center for Regenerative Therapies since 2007. Frank-Roman Lauter's interest is the organization of academic infrastructures to promote efficient translation of research findings into new therapies. He co-organizes joined strategy development for regenerative medicine clusters from seven European countries (FP7-EU Project) and has initiated cooperation between the California Institute for Regenerative Medicine and the German Federal Ministry for Education & Research, resulting in a joined funding program. Recently, he cofounded the international consortium of Regenerative Medicine translational centers (RMC; www.the-rmc.org ). Trained as a molecular biologist at the Max-Planck Institute in Berlin-Dahlem and at Stanford, he has 16 years of experience as an entrepreneur and life science manager in Germany and the USA.

  10. Reclaiming life on one's own terms: a grounded theory study of the process of breast cancer survivorship.

    Science.gov (United States)

    Sherman, Deborah Witt; Rosedale, Mary; Haber, Judith

    2012-05-01

    To develop a substantive theory of the process of breast cancer survivorship. Grounded theory. A LISTSERV announcement posted on the SHARE Web site and purposeful recruitment of women known to be diagnosed and treated for breast cancer. 15 women diagnosed with early-stage breast cancer. Constant comparative analysis. Breast cancer survivorship. The core variable identified was Reclaiming Life on One's Own Terms. The perceptions and experiences of the participants revealed overall that the diagnosis of breast cancer was a turning point in life and the stimulus for change. That was followed by the recognition of breast cancer as now being a part of life, leading to the necessity of learning to live with breast cancer, and finally, creating a new life after breast cancer. Participants revealed that breast cancer survivorship is a process marked and shaped by time, the perception of support, and coming to terms with the trauma of a cancer diagnosis and the aftermath of treatment. The process of survivorship continues by assuming an active role in self-healing, gaining a new perspective and reconciling paradoxes, creating a new mindset and moving to a new normal, developing a new way of being in the world on one's own terms, and experiencing growth through adversity beyond survivorship. The process of survivorship for women with breast cancer is an evolutionary journey with short- and long-term challenges. This study shows the development of an empirically testable theory of survivorship that describes and predicts women's experiences following breast cancer treatment from the initial phase of recovery and beyond. The theory also informs interventions that not only reduce negative outcomes, but promote ongoing healing, adjustment, and resilience over time.

  11. Arthroscopic Talocalcaneal Coalition Resection in Children.

    Science.gov (United States)

    Knörr, Jorge; Soldado, Francisco; Menendez, Mariano E; Domenech, Pedro; Sanchez, Mikel; Sales de Gauzy, Jérôme

    2015-12-01

    To present the technique and outcomes of arthroscopic talocalcaneal coalition (TCC) resection in pediatric patients. We performed a prospective study of 16 consecutive feet with persistent symptomatic TCCs in 15 children. The mean age was 11.8 years (range, 8 to 15 years), and the mean follow-up period was 28 months (range, 12 to 44 months). A posterior arthroscopic TCC resection was performed. The plantar footprint, subtalar motion, pain, and the American Orthopaedic Foot & Ankle Society Ankle-Hindfoot scale score were evaluated preoperatively and postoperatively. Preoperative computed tomography (CT) scans were used to classify the coalition according to the Rozansky classification, to measure the percentage of involvement of the surface area, and to determine the degree of hindfoot valgus. Postoperative CT scans at 1 year (n = 15) and 3 years (n = 5) were used to assess recurrences. Patient satisfaction was also evaluated. The TCC distribution according to the Rozansky classification was type I in 7 cases, type II in 3, type III in 3, and type IV in 3. In all cases the arthroscopic approach enabled complete coalition resection. All patients increased by at least 1 stage in the footprint classification and showed clinical subtalar mobility after surgery. All patients showed a statistically significant improvement in pain after surgery except for 1 patient in whom complex regional pain syndrome developed (P < .001). The mean American Orthopaedic Foot & Ankle Society score was 56.8 (range, 45 to 62) preoperatively versus 90.9 (range, 36 to 100) postoperatively, showing a statistically significant increase (P < .001). Preoperative CT scans showed that all TCCs involved the medial subtalar joint facet, with mean involvement of 40.8% of the articular surface. All postoperative CT scans showed complete synostosis resections with no recurrences at final follow-up. At final follow-up, all patients were either satisfied (n = 4 [27%]) or extremely satisfied (n = 10 [67

  12. Youth Climate Summits: Empowering & Engaging Youth to Lead on Climate Change

    Science.gov (United States)

    Kretser, J.

    2017-12-01

    The Wild Center's Youth Climate Summits is a program that engages youth in climate literacy from knowledge and understanding to developing action in their schools and communities. Each Youth Climate Summit is a one to three day event that brings students and teachers together to learn about climate change science, impacts and solutions at a global and local level. Through speakers, workshops and activities, the Summit culminates in a student-driven Climate Action Plan that can be brought back to schools and communities. The summits have been found to be powerful vehicles for inspiration, learning, community engagement and youth leadership development. Climate literacy with a focus on local climate impacts and solutions is a key component of the Youth Climate Summit. The project-based learning surrounding the creation of a unique, student driven, sustainability and Climate Action Plan promotes leadership skills applicable and the tools necessary for a 21st Century workforce. Student driven projects range from school gardens and school energy audits to working with NYS officials to commit to going 100% renewable electricty at the three state-owned downhill ski facilities. The summit model has been scaled and replicated in other communities in New York State, Vermont, Ohio, Michigan and Washington states as well as internationally in Finland, Germany and Sri Lanka.

  13. Joint Real-Time Energy and Demand-Response Management using a Hybrid Coalitional-Noncooperative Game

    Energy Technology Data Exchange (ETDEWEB)

    He, Fulin; Gu, Yi; Hao, Jun; Zhang, Jun Jason; Wei, Jiaolong; Zhang, Yingchen

    2015-11-11

    In order to model the interactions among utility companies, building demands and renewable energy generators (REGs), a hybrid coalitional-noncooperative game framework has been proposed. We formulate a dynamic non-cooperative game to study the energy dispatch within multiple utility companies, while we take a coalitional perspective on REGs and buildings demands through a hedonic coalition formation game approach. In this case, building demands request different power supply from REGs, then the building demands can be organized into an ultimate coalition structure through a distributed hedonic shift algorithm. At the same time, utility companies can also obtain a stable power generation profile. In addition, the interactive progress among the utility companies and building demands which cannot be supplied by REGs is implemented by distributed game theoretic algorithms. Numerical results illustrate that the proposed hybrid coalitional-noncooperative game scheme reduces the cost of both building demands and utility companies compared with the initial scene.

  14. Advancing Immigrant Worker Rights through Labor-Community Coalition: Comparative Case Studies of the CLEAN Carwash Campaign

    OpenAIRE

    Chen, Mindy Minyi

    2017-01-01

    Since 2008, a coalition known as the CLEAN Carwash Campaign has been organizing car wash workers in Los Angeles. How did CLEAN manage the divergent interests of its coalition members and strategize? What is it about CLEAN that led the labor-community coalition to achieve gains for carwasheros when conventional wisdom dictates that low wage immigrant workers were too vulnerable to be unionized? Given the dearth of empirical research into how social movement coalitions strategize and how campai...

  15. Core stability in hedonic coalition formation

    NARCIS (Netherlands)

    Woeginger, G.J.

    2012-01-01

    In many economic, social and political situations individuals carry out activities in groups (coalitions) rather than alone and on their own. Examples range from households and sport clubs to research networks, political parties and trade unions. The underlying game theoretic framework is known as

  16. Improving Organisational Effectiveness of Coalition Operations

    NARCIS (Netherlands)

    Bisig, E.; Ann-Renée; Hof, T.; Seiler, S.; Yanakiev, Y.

    2010-01-01

    Transformation of military operations demands new tools to support the performance of coalition forces in multinational operations. This paper contributes to one of the fundamental objectives of SAS-081/RSY, namely to the objective to share experience from the implementation of methods and tools and

  17. Course of Action Analysis for Coalition Operations

    National Research Council Canada - National Science Library

    Wagenhals, Lee W; Reid, Tom; Smillie, Robert J; Levis, Alexander H

    2001-01-01

    ...) of the Commander in Chief, United States Pacific Command. The goal of DSCCO is to apply and integrate organizational design concepts and decision support technologies in planning and executing multi-national coalition operations...

  18. Survivorship and longevity of adult Diamesa mendotae Muttkowski, 1915 (Diptera: Chironomidae) at controlled, sub-freezing temperatures

    Science.gov (United States)

    Mazack, Jane E.; Kranzfelder, Petra; Anderson, Alyssa M.; Bouchard, William; Perry, James; Vondracek, Bruce C.; Ferrington, Leonard C.

    2014-01-01

    Diamesa mendotae Muttkowski, 1915 is a winter-active species common in groundwater-buffered streams of Minnesota and Wisconsin. This species is capable of surviving under snow cover for at least 28 days. Field collections of adult D. mendotae were used to determine survivorship under long-term exposure to controlled sub-freezing conditions. Specimens were placed into a controlled temperature chamber at −5 °C, batches removed at weekly intervals, and subsequently held at 6 °C to determine survivorship and longevity. Our results indicate that overall survivorship is negatively related to treatment duration of sub-freezing treatment, individuals can survive sub-freezing temperatures for at least 70 days, with total longevity of 92 days. Additionally, males had a significantly higher rate of survivorship than females within treatments. Total longevity increased with treatment time, suggesting adult D. mendotae may survive long periods of below-freezing temperatures under natural conditions before mating, which may convey population-level advantages.

  19. Primative components, crustal assimilation, and magmatic degassing of the 2008 Kilauea summit eruption

    Science.gov (United States)

    Rowe, Michael C.; Thornber, Carl R.; Orr, Tim R.

    2015-01-01

    Simultaneous summit and rift zone eruptions at Kīlauea starting in 2008 reflect a shallow eruptive plumbing system inundated by a bourgeoning supply of new magma from depth. Olivine-hosted melt inclusions, host glass, and bulk lava compositions of magma erupted at both the summit and east rift zone demonstrate chemical continuity at both ends of a well-worn summit-to-rift pipeline. Analysis of glass within dense-cored lapilli erupted from the summit in March – August 2008 show these are not samplings of compositionally distinct magmas stored in the shallow summit magma reservoir, but instead result from remelting and assimilation of fragments from conduit wall and vent blocks. Summit pyroclasts show the predominant and most primitive component erupted to be a homogenous, relatively trace-element-depleted melt that is a compositionally indistinguishable from east rift lava. Based on a “top-down” model for the geochemical variation in east rift zone lava over the past 30 years, we suggest that the apparent absence of a 1982 enriched component in melt inclusions, as well as the proposed summit-rift zone connectivity based on sulfur and mineral chemistry, indicate that the last of the pre-1983 magma has been flushed out of the summit reservoir during the surge of mantle-derived magma from 2003-2007.

  20. Negotiating Rights : Building Coalitions for Improving Maternal ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Negotiating Rights : Building Coalitions for Improving Maternal Health Services ... the state of maternal health in the country reflects poorly on public health priorities. ... A number of international agencies and civil society organizations are ...

  1. Business Coalitions in the Us and Their Role in Advancing a Regional Agenda

    Directory of Open Access Journals (Sweden)

    Bogdana NEAMTU

    2008-02-01

    Full Text Available The analysis herein explores the topic of business coalitions and focuses on the role they may play in advancing a regional agenda. The structure of the paper is threefold: (1 in the introductory section I briefly explain the meaning of the concept and how it relates to other similar concepts such as public-private partnerships or growth coalitions; (2 the second part focuses on analyzing the characteristics that best define contemporary business coalitions and stresses the implications of these characteristics for the structuring or restructuring of traditional local and regional political entities; (3 the last section focuses on how planners and other public officials could use or partner with business coalitions in order to advance their own regional agenda. In the conclusion section I argue that though business coalitions are important for the development of a regional economy and regional identity, it would be a mistake to think that they alone can determine the success of a region. Regional government should continue to be pursued as it represents the only solution to problems such as social and environmental justice, tax sharing, education, and inner city redevelopment.

  2. Skill improvement among coalition members in the California Healthy Cities and Communities Program.

    Science.gov (United States)

    Kegler, Michelle C; Norton, Barbara L; Aronson, Robert

    2007-06-01

    Community-driven, collaborative approaches to health promotion have the potential to enhance skills among community members and, in turn, increase community capacity. This study uses data from an evaluation of the California Healthy Cities and Communities (CHCC) Program to examine whether, and how, community problem-solving and collaboration skills are improved among coalition members and local coordinators in 20 participating communities. Methods include semi-structured interviews with coordinators and mailed surveys with coalition members (n=330 in planning phase and n=243 in implementation phase). The largest number of coordinators reported skill improvement in defining health broadly and assessing needs and assets. Similarly, coalition members reported greatest skill improvement for defining health broadly, assessing needs and assets and setting priorities and developing action plans. Modest correlations were observed between number of roles played in the local healthy cities and communities project and each skill area assessed. Time committed to the local CHCC coalition and its activities was not meaningfully correlated with any of the skills. Types of skill-building opportunities may be more important than number of hours devoted to meetings and activities in strengthening community problem-solving and collaboration skills among coalition members.

  3. ACHP | Heritage Tourism and the Federal Government: Summit I Proceedings

    Science.gov (United States)

    Search skip specific nav links Home arrow Publications arrow Intro: Heritage Tourism and the Federal Government: Summit I—Report of Proceedings Heritage Tourism and the Federal Government: Summit I—Report of tourism promotes the preservation of communities' historic resources, educates tourists and local

  4. ACHP | Heritage Tourism and the Federal Government: Summit II Proceedings

    Science.gov (United States)

    Search skip specific nav links Home arrow Publications arrow Intro: Heritage Tourism and the Federal Government: Summit II—Report of Proceedings Heritage Tourism and the Federal Government: Summit II—Report Heritage tourism promotes the preservation of communities' historic resources, educates tourists and local

  5. Proceedings and Presentations from the 2015 Homeland Security Education Summit

    OpenAIRE

    2015-01-01

    Proceedings: 9th Annual Homeland Defense and Security Education Summit The 9th Annual Homeland Defense and Security Education Summit was held on September 25-26, 2015 at the Hyatt Regency Hotel in Orlando Florida. The theme of the event was Evolving Homeland Security…

  6. 77 FR 68117 - Blue Summit Wind, LLC; Notice of Petition for Declaratory Order

    Science.gov (United States)

    2012-11-15

    ... from the Blue Summit's wind energy generator (Blue Summit Facility) located within the Southwest Power... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-17-000] Blue Summit Wind, LLC; Notice of Petition for Declaratory Order Take notice that on November 6, 2012, pursuant to...

  7. Winter Camp: A Blog from the Greenland Summit, Part II

    Science.gov (United States)

    Koenig, Lora

    2009-01-01

    An earlier issue presents the first half of the author's experience living and working at the National Science Foundation's (NSF) Greenland Summit Camp. The author is a remote-sensing glaciologist at NASA s Goddard Space Flight Center. She took measurements that will be used to validate data collected by NASA s Aqua, Terra, and Ice, Clouds, and land Elevation Satellite (ICESat) satellites with ground-truth measurements of the Greenland Ice Sheet she made at Summit Camp from November 2008-February 2009. This article presents excerpts from the second half of her stay and work at the Greenland Summit.

  8. Kīlauea summit eruption—Lava returns to Halemaʻumaʻu

    Science.gov (United States)

    Babb, Janet L.; Wessells, Stephen M.; Neal, Christina A.

    2017-10-06

    In March 2008, a new volcanic vent opened within Halemaʻumaʻu, a crater at the summit of Kīlauea Volcano in Hawaiʻi Volcanoes National Park on the Island of Hawaiʻi. This new vent is one of two ongoing eruptions on the volcano. The other is on Kīlauea’s East Rift Zone, where vents have been erupting nearly nonstop since 1983. The duration of these simultaneous summit and rift zone eruptions on Kīlauea is unmatched in at least 200 years.Since 2008, Kīlauea’s summit eruption has consisted of continuous degassing, occasional explosive events, and an active, circulating lava lake. Because of ongoing volcanic hazards associated with the summit vent, including the emission of high levels of sulfur dioxide gas and fragments of hot lava and rock explosively hurled onto the crater rim, the area around Halemaʻumaʻu remains closed to the public as of 2017.Through historical photos of past Halemaʻumaʻu eruptions and stunning 4K imagery of the current eruption, this 24-minute program tells the story of Kīlauea Volcano’s summit lava lake—now one of the two largest lava lakes in the world. It begins with a Hawaiian chant that expresses traditional observations of a bubbling lava lake and reflects the connections between science and culture that continue on Kīlauea today.The video briefly recounts the eruptive history of Halemaʻumaʻu and describes the formation and continued growth of the current summit vent and lava lake. It features USGS Hawaiian Volcano Observatory scientists sharing their insights on the summit eruption—how they monitor the lava lake, how and why the lake level rises and falls, why explosive events occur, the connection between Kīlauea’s ongoing summit and East Rift Zone eruptions, and the impacts of the summit eruption on the Island of Hawaiʻi and beyond. The video is also available at the following U.S. Geological Survey Multimedia Gallery link (video hosted on YouTube): Kīlauea summit eruption—Lava returns to Halemaʻumaʻu

  9. A Cross-Layer Optimization Approach for Energy Efficient Wireless Sensor Networks: Coalition-Aided Data Aggregation, Cooperative Communication, and Energy Balancing

    Directory of Open Access Journals (Sweden)

    Qinghai Gao

    2007-01-01

    Full Text Available We take a cross-layer optimization approach to study energy efficient data transport in coalition-based wireless sensor networks, where neighboring nodes are organized into groups to form coalitions and sensor nodes within one coalition carry out cooperative communications. In particular, we investigate two network models: (1 many-to-one sensor networks where data from one coalition are transmitted to the sink directly, and (2 multihop sensor networks where data are transported by intermediate nodes to reach the sink. For the many-to-one network model, we propose three schemes for data transmission from a coalition to the sink. In scheme 1, one node in the coalition is selected randomly to transmit the data; in scheme 2, the node with the best channel condition in the coalition transmits the data; and in scheme 3, all the nodes in the coalition transmit in a cooperative manner. Next, we investigate energy balancing with cooperative data transport in multihop sensor networks. Built on the above coalition-aided data transmission schemes, the optimal coalition planning is then carried out in multihop networks, in the sense that unequal coalition sizes are applied to minimize the difference of energy consumption among sensor nodes. Numerical analysis reveals that energy efficiency can be improved significantly by the coalition-aided transmission schemes, and that energy balancing across the sensor nodes can be achieved with the proposed coalition structures.

  10. Rehabilitation medicine summit: building research capacity Executive Summary

    Directory of Open Access Journals (Sweden)

    Kemp John D

    2006-01-01

    Full Text Available Abstract The general objective of the "Rehabilitation Medicine Summit: Building Research Capacity" was to advance and promote research in medical rehabilitation by making recommendations to expand research capacity. The five elements of research capacity that guided the discussions were: 1 researchers; 2 research culture, environment, and infrastructure; 3 funding; 4 partnerships; and 5 metrics. The 100 participants included representatives of professional organizations, consumer groups, academic departments, researchers, governmental funding agencies, and the private sector. The small group discussions and plenary sessions generated an array of problems, possible solutions, and recommended actions. A post-Summit, multi-organizational initiative is called to pursue the agendas outlined in this report (see Additional File 1. Additional File 1 A table outlining the Final Action Plan of the Rehabilitation Medicine Summit: Building Research Capacity held on April 28–29, 2005 in Washington, DC. Click here for file

  11. Colorectal cancer patients' preferences for type of caregiver during survivorship care.

    Science.gov (United States)

    Wieldraaijer, T; Duineveld, L A M; Donkervoort, S C; Busschers, W B; van Weert, H C P M; Wind, J

    2018-03-01

    Colorectal cancer (CRC) survivors are currently included in a secondary care-led survivorship care programme. Efforts are underway to transfer this survivorship care to primary care, but met with some reluctance by patients and caregivers. This study assesses (1) what caregiver patients prefer to contact for symptoms during survivorship care, (2) what patient factors are associated with a preferred caregiver, and (3) whether the type of symptom is associated with a preferred caregiver. A cross-sectional study of CRC survivors at different time points. For 14 different symptoms, patients reported if they would consult a caregiver, and who they would contact if so. Patient and disease characteristics were retrieved from hospital and general practice records. Two hundred and sixty patients participated (response rate 54%) of whom the average age was 67, 54% were male. The median time after surgery was seven months (range 0-60 months). Patients were divided fairly evenly between tumour stages 1-3, 33% had received chemotherapy. Men, patients older than 65 years, and patients with chronic comorbid conditions preferred to consult their general practitioner (GP). Women, patients with stage 3 disease, and patients that had received chemotherapy preferred to consult their secondary care provider. For all symptoms, patients were more likely to consult their GP, except for (1) rectal blood loss, (2) weight loss, and (3) fear that cancer had recurred, in which case they would consult both their primary and secondary care providers. Patients appreciated all caregivers involved in survivorship care highly; with 8 out of 10 points. CRC survivors frequently consult their GP in the current situation, and for symptoms that could alarm them to a possible recurrent disease consult both their GP and secondary care provider. Patient and tumour characteristics influence patients' preferred caregiver.

  12. A 2040 Vision for the I-95 Coalition Region : Supporting Economic Growth in a Carbon-Constrained Environment

    Science.gov (United States)

    2008-12-01

    The I-95 Corridor Coalitions Vision project is a departure from the Coalitions historic role that focused primarily on shorter-term operational improvements in the corridor. In the past, most of the day-to-day issues confronting the Coalition m...

  13. Gompertz' survivorship law as an intrinsic principle of aging

    NARCIS (Netherlands)

    Sas, Arthur A.; Snieder, Harold; Korf, Jakob

    We defend the hypothesis that life-spanning population survivorship curves, as described by Gompertz' law and composed from cross-sectional data (here mortality), reflect an intrinsic aging principle active in each subject of that population. In other words Gompertz' law reflects aging of a

  14. Wind energy aggregation: A coalitional game approach

    KAUST Repository

    Baeyens, E.; Bitar, E.Y.; Khargonekar, P.P.; Poolla, K.

    2011-01-01

    power output as single entity into a forward energy market. We prove that wind power generators will always improve their expected profit when they aggregate their generated power and use tools from coalitional game theory to design fair sharing

  15. sCO2 Power Cycles Summit Summary November 2017.

    Energy Technology Data Exchange (ETDEWEB)

    Mendez Cruz, Carmen Margarita; Rochau, Gary E.; Lance, Blake

    2018-04-01

    Over the past ten years, the Department of Energy (DOE) has helped to develop components and technologies for the Supercritical Carbon Dioxide (sCO2) power cycle capable of efficient operation at high temperatures and high efficiency. The DOE Offices of Fossil Energy, Nuclear Energy, and Energy Efficiency and Renewable Energy collaborated in the planning and execution of the sCO2 Power Cycle Summit conducted in Albuquerque, NM in November 2017. The summit brought together participants from government, national laboratories, research, and industry to engage in discussions regarding the future of sCO 2 Power Cycles Technology. This report summarizes the work involved in summit planning and execution, before, during, and after the event, including the coordination between three DOE offices and technical content presented at the event.

  16. A CONCEPTUAL TOOL FOR ASSESSING CLIENT PERFORMANCE IN THE CONSTRUCTION PROJECT COALITION

    Directory of Open Access Journals (Sweden)

    Gary D. Holt

    2002-01-01

    Full Text Available Due to the significant impact of client performance on overall project performance and the interdependence of participant%5C%27s performance in the construction project coalition %28i.e. clients%2C designers and constructors%29%2C there is a need to establish client performance measures. Based on data collected from in-depth interviews with nineteen UK architects and nine UK contractors%2C a generic tool for the on-going formal assessment of client performance is presented. It was found that this approach to performance assessment %28i.e. from the view point of other%2C non-client coalition participants%29 should lead to improved project relationships. Data analysis showed that in addition to %5C%27harder%5C%27 measures such as understanding of project requirements and finance%2C other%2C %5C%27softer%5C%27 measures of client performance %28e.g. attitude%29 were worthy of consideration since they determine the quality of participant relationships. It is recommended that the tool be used to promote more effective client performance and thus enhance coalition relationships%2C enabling continuous improvement. The ultimate aim is to develop similar tools for the assessment of all coalition participants based on a culture of openness and trust. Abstract in Bahasa Indonesia : assessment+tool%2C+coalition+participants%2C+client+performance%2C+perceptions%2C+performance+measures%2C+satisfaction.

  17. The coalition of industrialists and environmentalists in the climate change issue

    Energy Technology Data Exchange (ETDEWEB)

    Brandt, U.S.; Tinggaard Svendsen, G.

    2003-07-01

    The political economy idea developed by Ackerman and Hassler (1981) is the starting point of this paper. It suggested that a coalition of environmentalists and industrialists successfully lobbied the US Congress. More strict technology-based standards for new sources than existing sources was the resulting policy outcome serving the common interest of the coalition because it both offered a barrier to entry for new firms and improved environmental quality. Wc focus both on cases from air and water pollution in the US confirming which seem to confirm this suggestion and the case of international climate negotiations and the promotion of wind-based energy. In the line of the Ackerman and Hassler approach wc suggest that the reason for EU eagerness to push forward ambitious reduction target levels (and thereby promote new green industries) is a similar coalition between industrialists and environmentalists. Such a strategy can be seen in the context of the Bootleggers and Baptist theory developed by Yandle (1983), where the Baptists (in our case the environmentalists) demand changes in behaviour on moral reasons. In contrast, the Bootleggers (the producers of renewable energy), who profit from the very regulation, keep a low profile. The actual heavy subsidisation of renewable energy sources, such as wind energy, can be viewed as a successful policy outcome for the coalition of industrialists and environmentalists offering both market protection and improved environmental quality. Solving the current dead-lock in international climate negotiations across the Atlantic may well imply fighting the strong coalition of industrialists and environmentalists. Such a political battle may turn out to be just as tough as fighting windmills if not clearly investigated in future research. (au)

  18. The coalition of industrialists and environmentalists in the climate change issue

    International Nuclear Information System (INIS)

    Brandt, U.S.; Tinggaard Svendsen, G.

    2003-01-01

    The political economy idea developed by Ackerman and Hassler (1981) is the starting point of this paper. It suggested that a coalition of environmentalists and industrialists successfully lobbied the US Congress. More strict technology-based standards for new sources than existing sources was the resulting policy outcome serving the common interest of the coalition because it both offered a barrier to entry for new firms and improved environmental quality. Wc focus both on cases from air and water pollution in the US confirming which seem to confirm this suggestion and the case of international climate negotiations and the promotion of wind-based energy. In the line of the Ackerman and Hassler approach wc suggest that the reason for EU eagerness to push forward ambitious reduction target levels (and thereby promote new green industries) is a similar coalition between industrialists and environmentalists. Such a strategy can be seen in the context of the Bootleggers and Baptist theory developed by Yandle (1983), where the Baptists (in our case the environmentalists) demand changes in behaviour on moral reasons. In contrast, the Bootleggers (the producers of renewable energy), who profit from the very regulation, keep a low profile. The actual heavy subsidisation of renewable energy sources, such as wind energy, can be viewed as a successful policy outcome for the coalition of industrialists and environmentalists offering both market protection and improved environmental quality. Solving the current dead-lock in international climate negotiations across the Atlantic may well imply fighting the strong coalition of industrialists and environmentalists. Such a political battle may turn out to be just as tough as fighting windmills if not clearly investigated in future research. (au)

  19. Extension Professionals and Community Coalitions: Professional Development Opportunities Related to Leadership and Policy, System, and Environment Change

    Science.gov (United States)

    Smathers, Carol A.; Lobb, Jennifer M.

    2015-01-01

    Community coalitions play an important role in community-wide strategies to promote health and wellbeing, and Extension professionals may provide leadership, technical assistance, and other support to coalitions. Extension professionals across a Midwestern state were invited to participate in an online survey about their coalition involvement and…

  20. CADRE Quick-Look: Homeland Security-NORTHCOM's Coalition War

    National Research Council Canada - National Science Library

    Conway, John L

    2005-01-01

    .... Coalition warfare has many facets: it involves the blending of different cultures, multiple languages dialects, and disparate weapon systems, as well as differing perceptions of end states and how to...

  1. Geologic Map of the Summit Region of Kilauea Volcano, Hawaii

    Science.gov (United States)

    Neal, Christina A.; Lockwood, John P.

    2003-01-01

    This report consists of a large map sheet and a pamphlet. The map shows the geology, some photographs, description of map units, and correlation of map units. The pamphlet gives the full text about the geologic map. The area covered by this map includes parts of four U.S. Geological Survey 7.5' topographic quadrangles (Kilauea Crater, Volcano, Ka`u Desert, and Makaopuhi). It encompasses the summit, upper rift zones, and Koa`e Fault System of Kilauea Volcano and a part of the adjacent, southeast flank of Mauna Loa Volcano. The map is dominated by products of eruptions from Kilauea Volcano, the southernmost of the five volcanoes on the Island of Hawai`i and one of the world's most active volcanoes. At its summit (1,243 m) is Kilauea Crater, a 3 km-by-5 km collapse caldera that formed, possibly over several centuries, between about 200 and 500 years ago. Radiating away from the summit caldera are two linear zones of intrusion and eruption, the east and the southwest rift zones. Repeated subaerial eruptions from the summit and rift zones have built a gently sloping, elongate shield volcano covering approximately 1,500 km2. Much of the volcano lies under water; the east rift zone extends 110 km from the summit to a depth of more than 5,000 m below sea level; whereas the southwest rift zone has a more limited submarine continuation. South of the summit caldera, mostly north-facing normal faults and open fractures of the Koa`e Fault System extend between the two rift zones. The Koa`e Fault System is interpreted as a tear-away structure that accommodates southward movement of Kilauea's flank in response to distension of the volcano perpendicular to the rift zones.

  2. The use of a patient-reported outcome questionnaire to assess cancer survivorship concerns and psychosocial outcomes among recent survivors.

    Science.gov (United States)

    Palmer, Steven C; Stricker, Carrie T; DeMichele, Angela M; Schapira, Marilyn; Glanz, Karen; Griggs, Jennifer J; Jacobs, Linda A

    2017-08-01

    Survivor distress is well represented in the literature, but less is known about survivors' concerns and how these relate to adaptation. Using a newly designed Survivorship Concern Scale, we examined concerns and their relationship to psychosocial adaptation among recent breast cancer (BC) survivors. One hundred forty-three stage 0-III BC survivors completed an online assessment including the Survivorship Concern Scale (0-3 scale; alpha = 0.91), unmet needs, quality of life (QoL), and anxiety and depressive symptoms within 1 year of end of treatment. Participants were predominately white (76%), middle-aged (51 years), married (70%), and college educated (79%). Eighty-two percent were stage I or II at diagnosis. Mean degree of survivorship concern was moderate (M = 1.75, SD = 0.70) though variable (range = 0.12-3.00). Survivorship concerns were not significantly related to disease, treatment, or demographic variables except income (p = 0.02). Degree of survivorship concern was significantly associated with all indices of psychosocial adaptation: unmet need (r = 0.50), physical and mental QoL (r = -0.32 and r = -0.32, respectively), depressive symptoms (r = 0.21), and anxiety symptoms (r = 0.51; all p psychosocial adaptation. Adequately addressing concerns may be a way to improve psychosocial outcomes early in the survivorship trajectory.

  3. 78 FR 69660 - Association of Businesses Advocating Tariff Equity, Coalition of Miso Transmission Customers...

    Science.gov (United States)

    2013-11-20

    ... Businesses Advocating Tariff Equity, Coalition of Miso Transmission Customers, Illinois Industrial Energy... LLC, Duke Energy Business Services, LLC, Entergy Arkansas, Inc., Entergy Gulf States Louisiana, LLC....206 (2013), Association of Businesses Advocating Tariff Equity, Coalition of Miso Transmission...

  4. Cancer survivorship care-planning: Practice, research, and policy implications for social work.

    Science.gov (United States)

    Wagner, Richard W; Pritzker, Suzanne

    2016-01-01

    Increasing numbers of cancer survivors are living longer than 5 years from their diagnosis date. This has resulted in a growing population of cancer survivors, expected to reach 19 million by 2024. Survivors frequently experience late effects caused by cancer and its treatment, reducing survivors' quality of life in multiple domains. Survivorship care-plans may aid the many physical, psychosocial, and financial needs that emerge posttreatment. However, the lack of reimbursement mechanisms, the limited amount of effectiveness research, and minimal guidelines for content and delivery are barriers to the widespread provision of survivorship care-plans. Challenges and opportunities for social work practice, research, and policy are identified and discussed.

  5. Revisiting Primary Care's Critical Role in Achieving Health Equity: Pisacano Scholars' Reflections from Starfield Summit II.

    Science.gov (United States)

    Park, Brian; Coutinho, Anastasia J; Doohan, Noemi; Jimenez, Jonathan; Martin, Sara; Romano, Max; Wohler, Diana; DeVoe, Jennifer

    2018-01-01

    The second Starfield Summit was held in Portland, Oregon, in April 2017. The Summit addressed the role of primary care in advancing health equity by focusing on 4 key domains: social determinants of health in primary care, vulnerable populations, economics and policy, and social accountability. Invited participants represented an interdisciplinary group of primary care clinicians, researchers, educators, policymakers, community leaders, and trainees. The Pisacano Leadership Foundation was one of the Summit sponsors and held its annual leadership symposium in conjunction with the Summit, enabling several Pisacano Scholars to attend the Summit. After the Summit, a small group of current and former Pisacano Scholars formed a writing group to highlight key themes and implications for action discussed at the Summit. The Summit resonated as a call to action for primary care to move beyond identifying existing health inequities and toward the development of interventions that advance health equity, through education, research, and enhanced community partnerships. In doing so, the Summit aimed to build on the foundational work of Dr. Starfield, challenging us to explore the significant role of primary care in truly achieving health equity. © Copyright 2018 by the American Board of Family Medicine.

  6. Growing but not transforming: Fragmented ruling coalitions and economic developments in Uganda

    DEFF Research Database (Denmark)

    Kjær, Anne Mette; Katusiimeh, Mesharch

    been stable enough to maintain macro-economic stability, attract aid and ensure the one-off gains from introducing peace. However, the fact that it has proved so challenging to hold the ruling coalition together has hindered the ruling elite in implementing initiatives to support transformation......In spite of decades of GDP growth, Uganda remains an agricultural economy still awaiting an economic transformation. Sustained state initiatives to promote such a transformation have been lacking. We find that the explanation for this is to be found in the nature of the ruling coalition, which has...... is to use state resources to hold the ruling coalition together. This, however, is not likely to result in an economic transformation and hence in job creation for the poor majority of Ugandans....

  7. 2016 Personalized Learning & Student Success Summit: Summary from the NMC

    Science.gov (United States)

    New Media Consortium, 2016

    2016-01-01

    The New Media Consortium (NMC) hosted the Personalized Learning & Student Success Summit at SXSWedu on March 7-9 in Austin, Texas. The summit convened grantees and partners of the Postsecondary Strategy at the Bill & Melinda Gates Foundation and served as a call-to-action for education leaders to first imagine if and then commit to trying…

  8. Enlargement Issues at NATO's Bucharest Summit

    National Research Council Canada - National Science Library

    Gallis, Paul; Belkin, Paul; Ek, Carl; Kim, Julie; Nichol, Jim; Woehrel, Steven

    2008-01-01

    NATO will hold a summit in Bucharest on April 2-4, 2008, and a principal issue will be the consideration of the candidacies for membership of Albania, Croatia, and the Former Yugoslav Republic of Macedonia...

  9. Higher Ambitions Summit. Rapporteur Report

    Science.gov (United States)

    Nash, Ian

    2014-01-01

    The Sutton Trust and Pearson two-day summit on higher ambitions in apprenticeships and vocational education drew more than 120 leaders in education, training and employment, policy makers, academics, and researchers to London. Delegates heard from political leaders stressing the importance they attach to high-quality apprenticeships. Presentations…

  10. Model-Checking an Alternating-time Temporal Logic with Knowledge, Imperfect Information, Perfect Recall and Communicating Coalitions

    Directory of Open Access Journals (Sweden)

    Cătălin Dima

    2010-06-01

    Full Text Available We present a variant of ATL with distributed knowledge operators based on a synchronous and perfect recall semantics. The coalition modalities in this logic are based on partial observation of the full history, and incorporate a form of cooperation between members of the coalition in which agents issue their actions based on the distributed knowledge, for that coalition, of the system history. We show that model-checking is decidable for this logic. The technique utilizes two variants of games with imperfect information and partially observable objectives, as well as a subset construction for identifying states whose histories are indistinguishable to the considered coalition.

  11. Endangered Species Case - Washington Toxics Coalition v. EPA

    Science.gov (United States)

    This Web page provides information on the Washington Toxics Coalition v. EPA case, related to protection of Pacific salmon and steelhead, and links to the biological opinions issued by the NMFS and EPA’s responses.

  12. Institutional Support : Advocates Coalition for Development and ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Advocates Coalition for Development and Environment (ACODE) is an independent policy research and advocacy organization based in Kampala, Uganda, with a reputation for producing good quality research to underpin its advocacy work. To date, the organization has relied on project-specific funds for its operation, ...

  13. A dyadic approach to understanding the impact of breast cancer on relationships between partners during early survivorship.

    Science.gov (United States)

    Keesing, Sharon; Rosenwax, Lorna; McNamara, Beverley

    2016-08-25

    The shared impact of breast cancer for women and their male partners is emerging as an important consideration during the experience of a breast cancer diagnosis, particularly during survivorship. This study aimed to explore the experiences of women and their partners during early survivorship and contributes a range of insights into the lives of those intimately affected by breast cancer. In-depth interviews were completed with Australian women survivors of breast cancer (n = 8) and their partners (n = 8), between six months and five years following cessation of treatment. Questions included a focus on the women and their partners' daily experiences during early survivorship, including the management of ongoing symptoms, engagement in leisure and social interests, returning to work, communicating with each other, maintenance of the current relationship and other important roles and responsibilities. Thematic analysis was employed to determine key themes arising from the dyadic accounts of women and their partners' experiences during early breast cancer survivorship. Women and their partners experienced many changes to their previous roles, responsibilities and relationships during early breast cancer survivorship. Couples also reported a range of communication, intimacy and sexuality concerns which greatly impacted their interactions with each other, adding further demands on the relationship. Three significant themes were determined: (1) a disconnection within the relationship - this was expressed as the woman survivor of breast cancer needing to prioritise her own needs, sometimes at the expense of her partner and the relationship; (2) reformulating the relationship - this reflects the strategies used by couples to negotiate changes within the relationship; and (3) support is needed to negotiate the future of the relationship - couples emphasised the need for additional support and resources to assist them in maintaining their relationship during early

  14. Sex-biased survivorship and differences in migration of wild steelhead (Oncorhynchus mykiss) smolts from two coastal Oregon rivers

    Science.gov (United States)

    Thompson, Neil F.; Leblanc, Camille A.; Romer, Jeremy D.; Schreck, Carl B.; Blouin, Michael S.; Noakes, David L. G.

    2016-01-01

    In salmonids with partial migration, females are more likely than males to undergo smoltification and migrate to the ocean (vs. maturing in freshwater). However, it is not known whether sex affects survivorship during smolt migration (from fresh water to entry into the ocean). We captured wild steelhead (Oncorhynchus mykiss) smolts in two coastal Oregon rivers (USA) and collected fin tissue samples for genetic sex determination (2009; N = 70 in the Alsea and N = 69 in the Nehalem, 2010; N = 25 in the Alsea). We implanted acoustic tags and monitored downstream migration and survival until entry in to the Pacific Ocean. Survival was defined as detection at an estuary/ocean transition array. We found no effect of sex on smolt survivorship in the Nehalem River in 2009, or in the Alsea River in 2010. However, males exhibited significantly lower survival than females in the Alsea River during 2009. Residency did not influence this result as an equal proportion of males and females did not reach the estuary entrance (11% of males, 9% of females). The sexes did not differ in timing or duration of migration, so those variables seem unlikely to explain sex-biased survivorship. Larger males had higher odds of survival than smaller males in 2009, but the body size of females did not affect survivorship. The difference in survivorship between years in the Alsea River could be due to flow conditions, which were higher in 2010 than in 2009. Our findings suggest that sex may affect steelhead smolt survival during migration, but that the difference in survivorship may be weak and not a strong factor influencing adult sex ratios.

  15. The coalitional value theory of antigay bias

    NARCIS (Netherlands)

    Winegard, Bo; Reynolds, Tania; Baumeister, Roy F.; Plant, E. Ashby

    2016-01-01

    Research indicates that antigay bias follows a specific pattern (and probably has throughout written history, at least in the West): (a) men evince more antigay bias than women; (b) men who belong to traditionally male coalitions evince more antigay bias than those who do not; (c) antigay bias is

  16. International Summit on Integrated Environmental Modeling

    Science.gov (United States)

    This report describes the International Summit on Integrated Environmental Modeling (IEM), held in Washington, DC 7th-9th December 2010. The meeting brought together 57 scientists and managers from leading US and European government and non-governmental organizations, universitie...

  17. Tarsal tunnel disease and talocalcaneal coalition: MRI features

    Energy Technology Data Exchange (ETDEWEB)

    FitzGerald Alaia, Erin; Rosenberg, Zehava Sadka; Bencardino, Jenny T.; Ciavarra, Gina A.; Petchprapa, Catherine N. [New York University Langone Medical Center, New York, NY (United States); Rossi, Ignacio [New York University Langone Medical Center, New York, NY (United States); Centro de Diagnostico Dr. Enrique Rossi, Buenos Aires (Argentina)

    2016-11-15

    To assess, utilizing MRI, tarsal tunnel disease in patients with talocalcaneal coalitions. To the best of our knowledge, this has only anecdotally been described before. Sixty-seven ankle MRIs with talocalcaneal coalition were retrospectively reviewed for disease of tendons and nerves of the tarsal tunnel. Interobserver variability in diagnosing tendon disease was performed in 30 of the 67 cases. Tarsal tunnel nerves were also evaluated in a control group of 20 consecutive ankle MRIs. Entrapment of the flexor hallucis longus tendon (FHL) by osseous excrescences was seen in 14 of 67 cases (21 %). Attenuation, split tearing, tenosynovitis, or tendinosis of the FHL was present in 26 cases (39 %). Attenuation or tenosynovitis was seen in the flexor digitorum longus tendon (FDL) in 18 cases (27 %). Tenosynovitis or split tearing of the posterior tibial tendon (PT) was present in nine cases (13 %). Interobserver variability ranged from 100 % to slight depending on the tendon and type of disease. Intense increased signal and caliber of the medial plantar nerve (MPN), indicative of neuritis, was seen in 6 of the 67 cases (9 %). Mildly increased T2 signal of the MPN was seen in 15 (22 %) and in 14 (70 %) of the control group. Talocalcaneal coalitions may be associated with tarsal tunnel soft tissue abnormalities affecting, in decreasing order, the FHL, FDL, and PT tendons, as well as the MPN. This information should be provided to the referring physician in order to guide treatment and improve post-surgical outcome. (orig.)

  18. Tarsal tunnel disease and talocalcaneal coalition: MRI features

    International Nuclear Information System (INIS)

    FitzGerald Alaia, Erin; Rosenberg, Zehava Sadka; Bencardino, Jenny T.; Ciavarra, Gina A.; Petchprapa, Catherine N.; Rossi, Ignacio

    2016-01-01

    To assess, utilizing MRI, tarsal tunnel disease in patients with talocalcaneal coalitions. To the best of our knowledge, this has only anecdotally been described before. Sixty-seven ankle MRIs with talocalcaneal coalition were retrospectively reviewed for disease of tendons and nerves of the tarsal tunnel. Interobserver variability in diagnosing tendon disease was performed in 30 of the 67 cases. Tarsal tunnel nerves were also evaluated in a control group of 20 consecutive ankle MRIs. Entrapment of the flexor hallucis longus tendon (FHL) by osseous excrescences was seen in 14 of 67 cases (21 %). Attenuation, split tearing, tenosynovitis, or tendinosis of the FHL was present in 26 cases (39 %). Attenuation or tenosynovitis was seen in the flexor digitorum longus tendon (FDL) in 18 cases (27 %). Tenosynovitis or split tearing of the posterior tibial tendon (PT) was present in nine cases (13 %). Interobserver variability ranged from 100 % to slight depending on the tendon and type of disease. Intense increased signal and caliber of the medial plantar nerve (MPN), indicative of neuritis, was seen in 6 of the 67 cases (9 %). Mildly increased T2 signal of the MPN was seen in 15 (22 %) and in 14 (70 %) of the control group. Talocalcaneal coalitions may be associated with tarsal tunnel soft tissue abnormalities affecting, in decreasing order, the FHL, FDL, and PT tendons, as well as the MPN. This information should be provided to the referring physician in order to guide treatment and improve post-surgical outcome. (orig.)

  19. Dialogues on cancer survivorship: a new model of international cooperation.

    Science.gov (United States)

    Stein, Kevin; Mattioli, Vittorio

    2013-06-01

    The authors describe the rationale and background of the present supplement to Cancer intended to stimulate a dialogue among researchers from Europe and North America regarding important issues faced by cancer survivors. Through jointly written articles addressing various aspects of cancer survivorship, each manuscript reports on the similarities, disparities, and problems viewed from the point of view of each author's respective continent. The supplement is meant to create a springboard for increased collaboration and aid in the development of a shared care model to improve the quality of cancer care, both during and after the completion of primary treatment. We hope that this effort may represent a new model of international cooperation, which is fruitful not only for the field of scientific research but also for identifying and sharing new approaches to the care and management of cancer survivorship issues, ultimately bringing improvements to quality of life of the growing population of cancer survivors. Copyright © 2013 American Cancer Society.

  20. Assessing Community Coalition Capacity and its Association with Underage Drinking Prevention Effectiveness in the Context of the SPF SIG.

    Science.gov (United States)

    Flewelling, Robert L; Hanley, Sean M

    2016-10-01

    Community coalitions are a prominent organizational structure through which community-based substance abuse prevention efforts are implemented. There is little empirical evidence, however, regarding the association between coalition attributes and success in achieving community-level reductions in substance abuse behaviors. In this study, we assessed the relationship between coalition capacity, based on coalition coordinator responses to 16 survey items, and reductions in underage drinking prevalence rates. The coalitions were funded through the federally sponsored Strategic Prevention Framework State Incentive Grant (SPF SIG). We first examined whether coalition capacity increased over the life of the projects. Mean capacity scores increased for all 16 capacity items examined (N = 318 coalitions), the majority of which were statistically significant. Analysis of the associations between capacity and reductions in underage drinking was limited to coalitions that targeted underage drinking and provided usable outcome measures based on student survey data for either past 30-day alcohol use (N = 129) or binge drinking (N = 100). Bivariate associations between the capacity items and prevalence reductions for each outcome were consistently positive, although many were not statistically significant. Composite measures of correlated items were then created to represent six different capacity constructs, and included in multivariate models to predict reductions in the targeted outcomes. Constructs that significantly predicted reductions in one or both outcome measures included internal organization and structure, community connections and outreach, and funding from multiple sources. The findings provide support for the expectation that high functioning community coalitions can be effective agents for producing desirable community-level changes in targeted substance abuse behaviors.

  1. Talocalcaneal Joint Middle Facet Coalition Resection With Interposition of a Juvenile Hyaline Cartilage Graft.

    Science.gov (United States)

    Tower, Dyane E; Wood, Ryan W; Vaardahl, Michael D

    2015-01-01

    Talocalcaneal joint middle facet coalition is the most common tarsal coalition, occurring in ≤2% of the population. Fewer than 50% of involved feet obtain lasting relief of symptoms after nonoperative treatment, and surgical intervention is commonly used to relieve symptoms, increase the range of motion, improve function, reconstruct concomitant pes planovalgus, and prevent future arthrosis from occurring at the surrounding joints. Several approaches to surgical intervention are available for patients with middle facet coalitions, ranging from resection to hindfoot arthrodesis. We present a series of 4 cases, in 3 adolescent patients, of talocalcaneal joint middle facet coalition resection with interposition of a particulate juvenile hyaline cartilaginous allograft (DeNovo(®) NT Natural Tissue Graft, Zimmer, Inc., Warsaw, IN). With a mean follow-up period of 42.8 ± 2.9 (range 41 to 47) months, the 3 adolescent patients in the present series were doing well with improved subtalar joint motion and decreased pain, and 1 foot showed no bony regrowth on a follow-up computed tomography scan. The use of a particulate juvenile hyaline cartilaginous allograft as interposition material after talocalcaneal middle facet coalition resection combined with adjunct procedures to address concomitant pes planovalgus resulted in good short-term outcomes in 4 feet in 3 adolescent patients. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  2. Accordant summit heights, summit levels and the origin of the ``upper denudation level'' in the Serra do Mar (SE-Brazil, São Paulo): A study of hillslope forms and processes

    Science.gov (United States)

    Römer, Wolfgang

    2008-08-01

    In southern São Paulo the Serra do Mar is characterized by three distinct terrain types: 1) highly dissected areas with closely spaced ridges and accordant summit heights; 2) multiconvex hills; and 3) terrains with highly elevated watershed areas, irregular summit heights, and locally subdued relief. The development of this landscape is considered to be the result of the Cenozoic block-faulting and of the influences that are exerted by the differing lithological and structural setting of block-faulted compartments on weathering and erosion processes. In areas characterized by pronounced accordant summits the close coincidence between hillslope angle and the angle of limiting stability against landsliding points to a close adjustment of hillslope gradients and the mechanical properties of the regolith. The relative height of the hillslopes is functionally related to the spacing of the valleys and the gradient of the hillslopes. In areas with a regular spacing of v-shaped valleys and uniform rocks, this leads to the intersection of valley-side slopes in summits and ridges at a certain elevation. This elevation is determined by the length and steepness of the valley-side slopes. Therefore, the heights of the summits are geometrically constrained and are likely to indicate the upper limit of summit heights or an "upper denudation level" that is adjusted by hillslope processes to the incising streams. Accordant summit heights of this type are poor indicators of formerly more extensive denudation surfaces as it is also likely that they are a result of the long-term adjustment of hillslopes to river incision. The steep mountain flanks of block-faulted compartments on the other hand, comprise regolith-covered hillslopes that are closely adjusted to the maximum stable gradient as well as rock-slopes that are controlled by the rock-mass strength. Their summits are usually not accommodated into uniform summit levels. Highly elevated watershed areas exhibiting a subdued

  3. Forming Social Justice Projects: Student Activists Reflect on Coalition-Building

    Directory of Open Access Journals (Sweden)

    Darren E. Lund

    2010-05-01

    Full Text Available Student activists share their experiences with racism and more specifically, their attempts to form school diversity initiatives. The author outlines a problematic lack of engagement of student activists in the scholarly literature on social justice, particularly related to their undervalued role as leaders in school-based antiracist coalitions. Excerpts from in-depth interviews with seven student participants in western Canadian schools offer new understandings on the potential of school-based activists. They explain the challenges and successes in building and sustaining activist coalitions and in pursuing their social justice efforts beyond school. Their contributions represent new voices to join the ongoing conversation in educational research and community activism.

  4. Conducting cancer control and survivorship research via cooperative groups: a report from the American Society of Preventive Oncology.

    Science.gov (United States)

    Palesh, Oxana; Demark-Wahnefried, Wendy; Mustian, Karen; Minasian, Lori; Rowland, Julia; Sprod, Lisa; Janelsins, Michelle; Peppone, Luke; Sloan, Jeff; Engquist, Karen Basen; Jones, Lee; Buist, Diana; Paskett, Electra D

    2011-05-01

    As the number of cancer survivors expands, the need for cancer control and survivorship research becomes increasingly important. The National Cancer Institute (NCI) Cooperative Groups may offer a viable platform to perform such research. Observational, preventive, and behavioral research can often be performed within the cooperative group setting, especially if resources needed for evaluation are fairly simple, if protocols are easily implemented within the typical clinical setting, and if interventions are well standardized. Some protocols are better suited to cooperative groups than are others, and there are advantages and disadvantages to conducting survivorship research within the cooperative group setting. Behavioral researchers currently involved in cooperative groups, as well as program staff within the NCI, can serve as sources of information for those wishing to pursue symptom management and survivorship studies within the clinical trial setting. The structure of the cooperative groups is currently changing, but going forward, survivorship is bound to be a topic of interest and one that perhaps may be more easily addressed using the proposed more centralized structure. ©2011 AACR.

  5. Development and Survivorship of Scirtothrips dorsalis Hood (Thysanoptera: Thripidae in Different Growth Stages of Mango and Selected Weeds

    Directory of Open Access Journals (Sweden)

    Affandi

    2018-02-01

    Full Text Available The research objective was to quantify the development and survivorship rate of S. dorsalis in different phenological stages of mango and selected weeds. The research was conducted in the laboratory of PT. Trigatra Rajasa, Mango plantation in Ketowan, Arjasa, Situbondo, East Java, Indonesia from February to September 2015. The development and survivorship rate were done through observation of life span of S. dorsalis from egg to pupa. Analysis of Variance and Duncan Multiple Range Test (p = 0.05 with 5 replications were applied to ensure the significant differences among the treatments. The result showed that development and survivorship of Scirtothrips dorsalis were supported by mango flushes and flower as well as some weeds such as Leucania leucochepala, Ipomoea triloba, Achalypha indica, Desmanthus leptophyllus and Azadirachta indica as source of food. Achalypha indica was the most suitable host with development time (12.82 ± 0.21 days and survivorship (33 %. Weed Tridax procumbent, Momordica charantia and Mimosa pudica were unable to provide the living requirement for immature developmental stage of S. dorsalis.

  6. Patterns of interventions and the effect of coalitions and sociality on male fitness.

    Science.gov (United States)

    Kulik, Lars; Muniz, Laura; Mundry, Roger; Widdig, Anja

    2012-02-01

    In group living animals, especially among primates, there is consistent evidence that high-ranking males gain a higher reproductive output than low-ranking males. Primate studies have shown that male coalitions and sociality can impact male fitness; however, it remains unclear whether males could potentially increase their fitness by preferentially supporting and socializing with females. Here we investigate patterns of male interventions and the effect of coalitions and sociality on male fitness in rhesus macaques (Macaca mulatta) with particular focus on male-female interactions. We combined behavioural observations collected on Cayo Santiago with genetic data analysed for male reproductive output and relatedness. Our results revealed that the ten top-ranking males provided the majority of all male support observed. In contrast to other primates, male rhesus macaques mainly formed all-down coalitions suggesting that coalitions are less likely used to enhance male dominance. Males supporting females during and before their likely conception were not more likely to fertilize those females. We also found no evidence that males preferably support their offspring or other close kin. Interestingly, the most important predictor of male support was sociality, since opponents sharing a higher sociality index with a given male were more likely to be supported. Furthermore, a high sociality index of a given male-female dyad resulted in a higher probability of paternity. Overall, our results strengthen the evidence that sociality affects fitness in male primates, but also suggest that in species in which males queue for dominance, it is less likely that males derive fitness benefits from coalitions. © 2011 Blackwell Publishing Ltd.

  7. When a policy decision meets practice realities: The case of cancer survivorship care and rehabilitation needs assessment.

    Science.gov (United States)

    Handberg, Charlotte; Thorne, Sally; Maribo, Thomas

    2018-04-01

    To analyze and describe health professionals' attitudes and perspectives on the complexities of cancer survivorship and rehabilitation needs assessment in a shared cancer care context. The design and methodology for this study was Interpretive Description and the analysis was informed by Symbolic Interactionism as the theoretical framework. Between April and December 2015 an ethnographic fieldwork was carried out by the first author in haematological wards at two Danish hospitals and in two primary care settings conducting cancer survivorship care programs. Participants were 41 health professionals working with needs assessment. The findings revealed an understanding of the health professionals' attitudes and perspectives and were distinguishable in relation to three structural conditions associated with the dimensions of survivorship care: Patient Context, Workplace Priorities and Practice Culture. Despite shared beliefs that needs assessment was essential to ensure survivorship care, the differential conditions surrounding the hospital and the primary care settting impeded the wider idea of formalized needs assessment, creating barriers to a seamless link between the sectors. Meaningful resolution of these disjunctures will require broad solutions, recognizing that the organization of healthcare into disconnected systems, with their different conditions, history, habits and traditions, will certainly plague the "transition" problems in healthcare unless a wider perspective is taken. Thoughtful and informed clinicians working with decision makers and those who know the evidence and can interpret systems in context can certainly bring better options to light in order to develop high quality survivorship care that will support patients throughout their cancer trajectory. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. Coalitional game theory as a promising approach to identify candidate autism genes.

    Science.gov (United States)

    Gupta, Anika; Sun, Min Woo; Paskov, Kelley Marie; Stockham, Nate Tyler; Jung, Jae-Yoon; Wall, Dennis Paul

    2018-01-01

    Despite mounting evidence for the strong role of genetics in the phenotypic manifestation of Autism Spectrum Disorder (ASD), the specific genes responsible for the variable forms of ASD remain undefined. ASD may be best explained by a combinatorial genetic model with varying epistatic interactions across many small effect mutations. Coalitional or cooperative game theory is a technique that studies the combined effects of groups of players, known as coalitions, seeking to identify players who tend to improve the performance--the relationship to a specific disease phenotype--of any coalition they join. This method has been previously shown to boost biologically informative signal in gene expression data but to-date has not been applied to the search for cooperative mutations among putative ASD genes. We describe our approach to highlight genes relevant to ASD using coalitional game theory on alteration data of 1,965 fully sequenced genomes from 756 multiplex families. Alterations were encoded into binary matrices for ASD (case) and unaffected (control) samples, indicating likely gene-disrupting, inherited mutations in altered genes. To determine individual gene contributions given an ASD phenotype, a "player" metric, referred to as the Shapley value, was calculated for each gene in the case and control cohorts. Sixty seven genes were found to have significantly elevated player scores and likely represent significant contributors to the genetic coordination underlying ASD. Using network and cross-study analysis, we found that these genes are involved in biological pathways known to be affected in the autism cases and that a subset directly interact with several genes known to have strong associations to autism. These findings suggest that coalitional game theory can be applied to large-scale genomic data to identify hidden yet influential players in complex polygenic disorders such as autism.

  9. Bicruciate-retaining Total Knee Replacement Provides Satisfactory Function and Implant Survivorship at 23 Years.

    Science.gov (United States)

    Pritchett, James W

    2015-07-01

    One of the goals of a TKA is to approximate the function of a normal knee. Preserving the natural ligaments might provide a method of restoring close to normal function. Sacrifice of the ACL is common and practical during a TKA. However, this ligament is functional in more than 60% of patients undergoing a TKA and kinematic studies support the concept of bicruciate-retaining (that is, ACL-preserving) TKA; however, relatively few studies have evaluated patients treated with bicruciate-retaining TKA implants. I asked: (1) what is the long-term (minimum 20-year) survivorship, (2) what are the functional results, and (3) what are the reasons for revision of bicruciate-retaining knee arthroplasty prostheses? From January 1989 to September 1992, I performed 639 total knee replacements in 537 patients. Of these, 489 were performed in 390 patients using a bicruciate-retaining, minimally constrained device. During the period in question, this knee prosthesis was used for all patients observed intraoperatively to have an intact, functional ACL with between 15° varus and 15° valgus joint deformity. There were 234 women and 156 men with a mean age at surgery of 65 years (range, 42-84 years) and a primary diagnosis of osteoarthritis in 89%. The patella was resurfaced in all knees. The mean followup was 23 years (range, 20-24 years). At the time of this review, 199 (51%) patients had died and 31 (8%) patients were lost to followup, leaving 160 (41%) patients (214 knees) available for review. Component survivorship was determined by competing-risks analysis and Kaplan Meier survivorship analysis with revision for any reason as the primary endpoint. Patients were evaluated every 2 years to assess ROM, joint laxity, knee stability, and to determine American Knee Society scores. The Kaplan-Meier survivorship was 89% (95% CI, 82%-93%) at 23 years with revision for any reason as the endpoint. Competing-risks survivorship was 94% (95% CI, 91%%-96 %) at 23 years. At followup, the mean

  10. Coalitions and family problem solving with preadolescents in referred, at-risk, and comparison families.

    Science.gov (United States)

    Vuchinich, S; Wood, B; Vuchinich, R

    1994-12-01

    This study tested the hypothesis that the mother-father coalition, parent-child coalitions, and parental warmth expressed toward the child are associated with family problem solving in families with a preadolescent child referred for treatment of behavior problems (n = 30), families with a child at-risk for conduct disorder (n = 68), and a sample of comparison families (n = 90). Referred and at-risk families displayed less effective problem solving. A regression analysis, which controlled for gender of the child, family structure, family income, marital satisfaction, and severity of child problems, showed that strong parental coalitions were linked to low levels of family problem solving in at-risk and referred families. Parent-child coalitions had little apparent impact while parental warmth was highly correlated with better family problem solving. The results may be interpreted as evidence for a tendency for parents in at-risk and referred families to "scapegoat" a preadolescent during family problem-solving sessions. This may undermine progress on family problem solutions and may complicate family-based prevention and treatment programs that use family problem-solving sessions.

  11. Overlapping coalition formation games in wireless communication networks

    CERN Document Server

    Wang, Tianyu; Saad, Walid; Han, Zhu

    2017-01-01

    This brief introduces overlapping coalition formation games (OCF games), a novel mathematical framework from cooperative game theory that can be used to model, design and analyze cooperative scenarios in future wireless communication networks. The concepts of OCF games are explained, and several algorithmic aspects are studied. In addition, several major application scenarios are discussed. These applications are drawn from a variety of fields that include radio resource allocation in dense wireless networks, cooperative spectrum sensing for cognitive radio networks, and resource management for crowd sourcing. For each application, the use of OCF games is discussed in detail in order to show how this framework can be used to solve relevant wireless networking problems. Overlapping Coalition Formation Games in Wireless Communication Networks provides researchers, students and practitioners with a concise overview of existing works in this emerging area, exploring the relevant fundamental theories, key techniqu...

  12. Tamarisk coalition - native riparian plant materials program

    Science.gov (United States)

    Stacy Kolegas

    2012-01-01

    The Tamarisk Coalition (TC), a nonprofit organization dedicated to riparian restoration in the western United States, has created a Native Plant Materials Program to address the identified need for native riparian plant species for use in revegetation efforts on the Colorado Plateau. The specific components of the Native Plant Materials Program include: 1) provide seed...

  13. From diagnosis through survivorship: health-care experiences of colorectal cancer survivors with ostomies

    Science.gov (United States)

    Grant, Marcia; McMullen, Carmit K.; Altschuler, Andrea; Mohler, M. Jane; Hornbrook, Mark C.; Herrinton, Lisa J.; Krouse, Robert S.

    2014-01-01

    Purpose The journey from diagnosis through treatment to survivorship can be challenging for colorectal cancer (CRC) survivors with permanent ostomies. Memories of both the positive and negative health-care interactions can persist years after the initial diagnosis and treatment. The purpose of this paper is to describe the health-care experiences of long-term (>5 years) CRC survivors with ostomies. Methods Thirty-three CRC survivors with ostomies who were members of Kaiser Permanente, an integrated care organization, in Oregon, southwestern Washington and northern California participated in eight focus groups. Discussions from the focus groups were recorded, transcribed, and analyzed for potential categories and themes. Results Health-care-related themes described CRC survivors’ experiences with diagnosis, treatment decision-making, initial experiences with ostomy, and survivorship. Participants discussed both positive and negative health-care-related experiences, including the need for continued access to trained nurses for ostomy self-care, access to peer support, and resources related to managing persistent, debilitating symptoms. Conclusions Long-term CRC survivors with ostomies have both positive and negative health-care experiences, regardless of health-related quality of life (HRQOL) and gender. Long-term support mechanisms and quality survivorship care that CRC survivors with ostomies can access are needed to promote positive adjustments and improved HRQOL. Structured abstract The current literature in CRC survivor-ship suggests that HRQOL concerns can persist years after treatment completion. The coordination of care to manage persistent late- and long-term effects are still lacking for CRC survivors living with an ostomy. Findings from this qualitative analysis will aid in the development of support strategies that foster more positive adjustments for CRC survivors living with an ostomy and support their ongoing ostomy-related needs. PMID:24442998

  14. Nuclear terrorism: after the Washington summit

    International Nuclear Information System (INIS)

    Hautecouverture, Benjamin

    2016-01-01

    In this note, the author comments the issues addressed by the 2016 Nuclear Safety Summit (NSS) of Washington, and the content of its final statement. He notices that the scope of addressed topics has evolved since the first summits (issues related to highly enriched uranium and to plutonium), that not only technological but also political and diplomatic issues are taken into account, and that GNOs are always more involved. The author briefly comments some aspects of the content of the final statement: threat of nuclear terrorism, improvement of nuclear safety since 2010, recall of the three main pillars of the non proliferation Treaty (non proliferation, disarmament, specific uses of nuclear energy), implementation of nuclear safety under at the own responsibility and duty of countries possessing nuclear materials. Finally, the author discusses how the NSS process will go on, and evokes remaining questions regarding the existence of an actual international constraining regime, and financial and functional issues

  15. The social summit: a gender perspective.

    Science.gov (United States)

    1995-01-01

    This editorial introduction to an issue of INSTRAW News notes that the UN has undertaken a year long series of important international conferences, starting with the September 1994 Conference on Population and Development. The second major conference is the World Summit for Social Development, and the third is the Fourth World Conference on Women. At these conferences, the international community is coming together to rescue the people whose lives have been threatened by the legacy of the Cold War: ethnic, religious, and cultural violence and exacerbation of the gap between rich and poor. Women are an integral part of the developing social agenda because women are a magnifying glass, rather than simply a mirror, of the problems of society. This issue of INSTRAW News provides a broad overview of how gender issues have evolved and the changes which occurred as a result. Specific gender issues are analyzed as they impact the three core items of the Social Summit agenda: attacking poverty, creating jobs, and building social solidarity.

  16. Smart transactive energy framework in grid-connected multiple home microgrids under independent and coalition operations

    DEFF Research Database (Denmark)

    Marzband, Mousa; Azarinejadian, Fatemeh; Savaghebi, Mehdi

    2018-01-01

    This paper presents a smart Transactive energy (TE) framework in which home microgrids (H-MGs) can collaborate with each other in a multiple H-MG system by forming coalitions for gaining competitiveness in the market. Profit allocation due to coalition between H-MGs is an important issue...

  17. Frequency Resource Sharing and Allocation Scheme Based on Coalition Formation Game in Hybrid D2D-Cellular Network

    Directory of Open Access Journals (Sweden)

    Qing Ou

    2015-01-01

    Full Text Available A distributed cooperation scheme on frequency resource sharing is proposed to improve the quality of service (QoS in device-to-device (D2D communications underlaying cellular networks. Specifically, we formulate the resource allocation problem as a coalition formation game with transferable utility, in which all users have the incentive to cooperate with some others and form a competitive group to maximize the probability of obtaining their favorite spectrum resources. Taking the cost for coalition formation into account, such as the path loss for data sharing, we prove that the core of the proposed game is empty, which shows the impossibility of grand coalition. Hence, we propose a distributed merge-and-split based coalition formation algorithm based on a new defined Max-Coalition order to effectively solve the coalition game. Compared with the exhaustive search, our algorithm has much lower computer complexity. In addition, we prove that stability and convergence of the proposed algorithm using the concept of a defection function. Finally, the simulation results show that the proposed scheme achieves a suboptimal performance in terms of network sum rate compared with the centralized optimal resource allocation scheme obtained via exhaustive search.

  18. Survivorship and complications of total hip arthroplasty in patients with dwarfism.

    Science.gov (United States)

    Modi, Ronuk M; Kheir, Michael M; Tan, Timothy L; Penny, Gregory S; Chen, Chi-Lung; Shao, Hongyi; Chen, Antonia F

    2017-09-19

    Total hip arthroplasty (THA) is a common procedure used to treat bony hip deformities and skeletal dysplasia in dwarfism. These surgeries are often more difficult than conventional THA as they may involve malformed joints and poor bone quality, and may require smaller prostheses. This study aims to investigate whether implant survivorship and revision rates vary among patients with and without dwarfism undergoing THA. A retrospective case-control study was performed for 102 THAs completed between 1997 and 2014 in patients under the height threshold of 147.32 cm. This cohort was matched 1:1.5 with patients of normal height with respect to age, gender, year of surgery, and Charlson comorbidities. All cases had a minimum follow-up of 1 year. A chart review was performed to identify patient and surgical characteristics, including outcomes. Radiographs were assessed for deformity, loosening, and periprosthetic fractures among other factors. The 2-, 5-, and 10-year survivorship of THA in patients with dwarfism was 92.9%, 92.9%, and 80.7%, respectively; and 94.4%, 86.4%, and 86.4% for controls, respectively (p = 0.95). The dwarfism cohort demonstrated an OR of 3.81 and 3.02 for revision for periprosthetic fractures (p = 0.11) and mechanical wear (p = 0.21), respectively. THA in patients with dwarfism achieves comparable results to a non-dwarfism population with regards to implant survivorship; however, there is a trend toward increased periprosthetic fractures and wear-related failures. Surgeons should be aware of this potentially higher risk in this population and take morphological differences into account during surgical planning and technique.

  19. The Meta-Leadership Summit for Preparedness Initiative: An Innovative Model to Advance Public Health Preparedness and Response

    Science.gov (United States)

    Sobelson, Robyn K.; Young, Andrea C.; Marcus, Leonard J.; Dorn, Barry C.; Neslund, Verla S.; McNulty, Eric J.

    2017-01-01

    This article reports on the design, evaluation framework, and results from the Meta-Leadership Summit for Preparedness Initiative. The Meta-Leadership Summit for Preparedness was a 5-year initiative based on the premise that national preparedness and emergency response is not solely the responsibility of government. From 2006 to 2011, 36 Meta-Leadership Summits were delivered in communities across the country. Summits were customized, 10-hour leadership development, networking, and community action planning events. They included participation from targeted federal, state, local, nonprofit/philanthropic, and private sector leaders who are directly involved in decision making during a major community or state-wide emergency. A total of 4,971 government, nonprofit, and business leaders attended Meta-Leadership Summits; distribution of attendees by sector was balanced. Ninety-three percent of respondents reported the summit was a valuable use of time, 91% reported the overall quality as “good” or “outstanding,” and 91% would recommend the summit to their colleagues. In addition, approximately 6 months after attending a summit, 80% of respondents reported that they had used meta-leadership concepts or principles. Of these, 93% reported that using meta-leadership concepts or principles had made a positive difference for them and their organizations. The Meta-Leadership Summit for Preparedness Initiative was a value-added opportunity for communities, providing the venue for learning the concepts and practice of meta-leadership, multisector collaboration, and resource sharing with the intent of substantively improving preparedness, response, and recovery efforts. PMID:24251597

  20. The meta-leadership summit for preparedness initiative: an innovative model to advance public health preparedness and response.

    Science.gov (United States)

    Sobelson, Robyn K; Young, Andrea C; Marcus, Leonard J; Dorn, Barry C; Neslund, Verla S; McNulty, Eric J

    2013-12-01

    This article reports on the design, evaluation framework, and results from the Meta-Leadership Summit for Preparedness Initiative. The Meta-Leadership Summit for Preparedness was a 5-year initiative based on the premise that national preparedness and emergency response is not solely the responsibility of government. From 2006 to 2011, 36 Meta-Leadership Summits were delivered in communities across the country. Summits were customized, 10-hour leadership development, networking, and community action planning events. They included participation from targeted federal, state, local, nonprofit/philanthropic, and private sector leaders who are directly involved in decision making during a major community or state-wide emergency. A total of 4,971 government, nonprofit, and business leaders attended Meta-Leadership Summits; distribution of attendees by sector was balanced. Ninety-three percent of respondents reported the summit was a valuable use of time, 91% reported the overall quality as "good" or "outstanding," and 91% would recommend the summit to their colleagues. In addition, approximately 6 months after attending a summit, 80% of respondents reported that they had used meta-leadership concepts or principles. Of these, 93% reported that using meta-leadership concepts or principles had made a positive difference for them and their organizations. The Meta-Leadership Summit for Preparedness Initiative was a value-added opportunity for communities, providing the venue for learning the concepts and practice of meta-leadership, multisector collaboration, and resource sharing with the intent of substantively improving preparedness, response, and recovery efforts.

  1. Fighting Windmills: The Coalition of Industrialists and Environmentalists in the Climate Change Issue

    DEFF Research Database (Denmark)

    Brandt, Urs Steiner; Svendsen, Gert Tinggaard

    2004-01-01

    environmental quality. We focus on the case of international climate negotiations and the promotion of wind-based energy. Along the lines of the Ackerman and Hassler approach, we suggest that one reason for EU eagerness to push forward ambitious reduction target levels (and thereby promote new green industries......) could be a similar coalition between industrialists and environmentalists. Such a strategy can be seen in the context of the Bootleggers and Baptist theory developed by Yandle [‘Bootleggers and Baptists: the Education of a Regulatory Economist,’ Regulation, 7, 12–16], where the Baptists (in our case...... for the coalition of industrialists and environmentalists offering both market protection and improved environmental quality. Solving the current deadlock in international climate negotiations may well imply fighting the strong coalition of industrialists and environmentalists. Such a political battle may turn out...

  2. Proceedings of the November 2011 Traceability Research Summit: this report is the third in a series on Traceability Summits sponsored by IFT beginning in July 2011.

    Science.gov (United States)

    Hickey, Caitlin; Bhatt, Tejas

    2013-12-01

    Fifty thought leaders in the area of food traceability met for a 3rd time to discuss methodologies and finalize the principles that define their vision for traceability. Participants in the summit included representatives from industry, trade associations, government, academia, consumer groups, and more. One main focus of this summit included a discussion on the current regulations and voluntary initiatives in place regarding traceability. Overall, it was recognized that the recommendations from this summit group would be more specific and stringent in comparison to these current regulations and initiatives. The participants sought to be leaders in the traceability arena, with their recommendations leading the industry to optimal traceability systems and methods. Participants agreed on many principles for their vision of traceability, emphasizing the importance of access to traceability data. They discussed having industry be asked for "basic" tracing data prior to the need for a large-scale investigation, having standards for sharing data, and having the data in electronic form. Participants foresaw the importance of capturing data electronically in the future, although they recognized that many firms do not currently do this. The group also saw a need for a transition period to implement changes, and to provide implementation training and resource aid to small businesses. Summit participants discussed specific definitions and examples for key data elements and critical tracking events that could be used by industry to capture tracing data at specific points within the supply chain. Overall, participants refined the goals of the summit group and started to identify specific ways to achieve those goals. © 2013 Institute of Food Technologists®

  3. Air cargo in the Mid-America Freight Coalition region.

    Science.gov (United States)

    2012-08-01

    This report contains a contextual review of air cargo transportation in the 10-state Mid-America Freight Coalition (MAFC) region including the industrys recent history, security implications, and integration within the greater MAFC economy. The re...

  4. Advancing the Agenda. IAEA Technical Co-operation in support of the Earth Summit's Agenda 21

    International Nuclear Information System (INIS)

    Garner, Andy W.; Wedekind, Lothar

    2001-09-01

    The Earth Summit took place in September 2002 in Johannesburg, South Africa to discuss the far-reaching goals of Agenda 21 - an ambitious and comprehensive plan of action covering all spheres of social, economic, and human development affecting our environment. The Summit - officially named the World Summit on Sustainable Development - was expected to attract more than 60,000 national and international delegates, including heads of State and leaders of major organizations and institutes. Agenda 21 was among the documents that governments adopted at the first Earth Summit in 1992, officially known as the UN Conference on Environment and Development, held in Rio de Janeiro, Brazil

  5. Global Summit on Student Affairs and Services

    African Journals Online (AJOL)

    introduced to the 3rd Global Summit on Student Affairs and Services that was hosted by Stellenbosch University (SU) in Cape Town, South Africa, this past .... students to act as partners and change agents in their educational experience.

  6. Detecting and Mitigating Smart Insider Jamming Attacks in MANETs Using Reputation-Based Coalition Game

    Directory of Open Access Journals (Sweden)

    Ashraf Al Sharah

    2016-01-01

    Full Text Available Security in mobile ad hoc networks (MANETs is challenging due to the ability of adversaries to gather necessary intelligence to launch insider jamming attacks. The solutions to prevent external attacks on MANET are not applicable for defense against insider jamming attacks. There is a need for a formal framework to characterize the information required by adversaries to launch insider jamming attacks. In this paper, we propose a novel reputation-based coalition game in MANETs to detect and mitigate insider jamming attacks. Since there is no centralized controller in MANETs, the nodes rely heavily on availability of transmission rates and a reputation for each individual node in the coalition to detect the presence of internal jamming node. The nodes will form a stable grand coalition in order to make a strategic security defense decision, maintain the grand coalition based on node reputation, and exclude any malicious node based on reputation value. Simulation results show that our approach provides a framework to quantify information needed by adversaries to launch insider attacks. The proposed approach will improve MANET’s defense against insider attacks, while also reducing incorrect classification of legitimate nodes as jammers.

  7. Values for graph-restricted games with coalition structure

    NARCIS (Netherlands)

    Khmelnitskaya, Anna Borisovna

    We consider a new model for TU games with both coalition and cooperation structures that applies to different network situations, in particular, to sharing an international river with multiple users without international firms. Our approach to the value for such a game is close to that of Myerson

  8. Vocational Home Economics Education. Coalition Statement. Second Edition.

    Science.gov (United States)

    Home Economics Education Association, Gainesville, VA.

    This pamphlet contains the statement of the Coalition of the American Home Economics Association, American Vocational Association, and Home Economics Education Association regarding the scope and definition of vocational home economics education. It is intended to serve as a basis for professional action. Sections of this statement address the…

  9. Community Coalitions' Gender-Aware Policy and Systems Changes to Improve the Health of Women and Girls.

    Science.gov (United States)

    Kowalczyk, Shelly; Randolph, Suzanne M; Oravecz, Linda

    2017-10-17

    Addressing environmental barriers and community conditions through policy and systems change provides the foundation for creating sustainable public health change at the population level. In an effort to influence population-level change that is gender aware, the United States Department of Health and Human Services Office on Women's Health funded the Coalition for a Healthier Community initiative supporting 10 grantees in the implementation of gender-based, public health systems approaches to improve women and girls' health. A national evaluation assessed the extent to which these gender-aware public health systems approaches result in programs and policies that are sustainable and cost effective in addressing health disparities in women and girls. For this paper, a review of policies reported on in grantees' quarterly progress reports was conducted, and policies were categorized based on each policy's status, level, sector affected, and whether it was gender aware. The review revealed 77 policies at varying stages of development or implementation intended to facilitate systems-level change at the coalition, school, organizational, local, or state level. Fifty-one percent of these policies were identified as being gender aware, because they were intended to reduce barriers to or increase facilitators of gender equity. Community coalitions, like the Coalition for a Healthier Community coalitions, can be valuable channels for promoting policy change, as demonstrated by the many policies developed and/or supported by the Coalition for a Healthier Community grantees in their attempt to meet the needs of women and girls. Copyright © 2017. Published by Elsevier Inc.

  10. Mass balance and surface movement of the Greenland Ice Sheet at Summit, Central Greenland

    DEFF Research Database (Denmark)

    Hvidberg, C.S.; Keller, K.; Gundestrup, N.S.

    1997-01-01

    During the GRIP deep drilling in Central Greenland, the ice sheet topography and surface movement at Summit has been mapped with GPS. Measurements of the surface velocity are presented for a strain net consisting of 13 poles at distances of 25-60 km from the GRIP site. Some results are: The GRIP...... site is located approximately 2 km NW of the topographic summit; the surface velocity at the GISP 2 site is 1.7 m/yr in the W direction. The present mass balance at Summit is calculated to be -0.03+/-0.04 m/yr, i.e. close to steady state. This result is the best now available for Summit. A small...... thinning rate might be a transient response of the Greenland Ice Sheet due to the temperature increase at the Wisconsin-Holocene transition....

  11. Cohesion and Coalition Formation in the European Parliament: Roll-Call Votes and Twitter Activities.

    Science.gov (United States)

    Cherepnalkoski, Darko; Karpf, Andreas; Mozetič, Igor; Grčar, Miha

    2016-01-01

    We study the cohesion within and the coalitions between political groups in the Eighth European Parliament (2014-2019) by analyzing two entirely different aspects of the behavior of the Members of the European Parliament (MEPs) in the policy-making processes. On one hand, we analyze their co-voting patterns and, on the other, their retweeting behavior. We make use of two diverse datasets in the analysis. The first one is the roll-call vote dataset, where cohesion is regarded as the tendency to co-vote within a group, and a coalition is formed when the members of several groups exhibit a high degree of co-voting agreement on a subject. The second dataset comes from Twitter; it captures the retweeting (i.e., endorsing) behavior of the MEPs and implies cohesion (retweets within the same group) and coalitions (retweets between groups) from a completely different perspective. We employ two different methodologies to analyze the cohesion and coalitions. The first one is based on Krippendorff's Alpha reliability, used to measure the agreement between raters in data-analysis scenarios, and the second one is based on Exponential Random Graph Models, often used in social-network analysis. We give general insights into the cohesion of political groups in the European Parliament, explore whether coalitions are formed in the same way for different policy areas, and examine to what degree the retweeting behavior of MEPs corresponds to their co-voting patterns. A novel and interesting aspect of our work is the relationship between the co-voting and retweeting patterns.

  12. Intercell scheduling: A negotiation approach using multi-agent coalitions

    Science.gov (United States)

    Tian, Yunna; Li, Dongni; Zheng, Dan; Jia, Yunde

    2016-10-01

    Intercell scheduling problems arise as a result of intercell transfers in cellular manufacturing systems. Flexible intercell routes are considered in this article, and a coalition-based scheduling (CBS) approach using distributed multi-agent negotiation is developed. Taking advantage of the extended vision of the coalition agents, the global optimization is improved and the communication cost is reduced. The objective of the addressed problem is to minimize mean tardiness. Computational results show that, compared with the widely used combinatorial rules, CBS provides better performance not only in minimizing the objective, i.e. mean tardiness, but also in minimizing auxiliary measures such as maximum completion time, mean flow time and the ratio of tardy parts. Moreover, CBS is better than the existing intercell scheduling approach for the same problem with respect to the solution quality and computational costs.

  13. Crisis and Policy Reformcraft: Advocacy Coalitions and Crisis-induced Change in Swedish Nuclear Energy Policy

    Energy Technology Data Exchange (ETDEWEB)

    Nohrstedt, Daniel

    2007-04-15

    This dissertation consists of three interrelated essays examining the role of crisis events in Swedish nuclear energy policymaking. The study takes stock of the idea of 'crisis exceptionalism' raised in the literature, which postulates that crisis events provide openings for major policy change. In an effort to explain crisis-induced outcomes in Swedish nuclear energy policy, each essay explores and develops theoretical assumptions derived from the Advocacy Coalition Framework (ACF). The introduction discusses the ACF and other theoretical perspectives accentuating the role of crisis in policymaking and identifies three explanations for crisis-induced policy outcomes: minority coalition mobilization, learning, and strategic action. Essay 1 analyzes the nature and development of the Swedish nuclear energy subsystem. The results contradict the ACF assumption that corporatist systems nurture narrow subsystems and small advocacy coalitions, but corroborate the assumption that advocacy coalitions remain stable over time. While this analysis identifies temporary openings in policymaking venues and in the advocacy coalition structure, it is argued that these developments did not affect crisis policymaking. Essay 2 seeks to explain the decision to initiate a referendum on nuclear power following the 1979 Three Mile Island accident. Internal government documents and other historical records indicate that strategic considerations superseded learning as the primary explanation in this case. Essay 3 conducts an in-depth examination of Swedish policymaking in the aftermath of the 1986 Chernobyl accident in an effort to explain the government's decision not to accelerate the nuclear power phaseout. Recently disclosed government documents show that minority coalition mobilization was insufficient to explain this decision. In this case, rational learning and strategic action provided a better explanation. The main theoretical contribution derived from the three

  14. Crisis and Policy Reformcraft: Advocacy Coalitions and Crisis-induced Change in Swedish Nuclear Energy Policy

    International Nuclear Information System (INIS)

    Nohrstedt, Daniel

    2007-04-01

    This dissertation consists of three interrelated essays examining the role of crisis events in Swedish nuclear energy policymaking. The study takes stock of the idea of 'crisis exceptionalism' raised in the literature, which postulates that crisis events provide openings for major policy change. In an effort to explain crisis-induced outcomes in Swedish nuclear energy policy, each essay explores and develops theoretical assumptions derived from the Advocacy Coalition Framework (ACF). The introduction discusses the ACF and other theoretical perspectives accentuating the role of crisis in policymaking and identifies three explanations for crisis-induced policy outcomes: minority coalition mobilization, learning, and strategic action. Essay 1 analyzes the nature and development of the Swedish nuclear energy subsystem. The results contradict the ACF assumption that corporatist systems nurture narrow subsystems and small advocacy coalitions, but corroborate the assumption that advocacy coalitions remain stable over time. While this analysis identifies temporary openings in policymaking venues and in the advocacy coalition structure, it is argued that these developments did not affect crisis policymaking. Essay 2 seeks to explain the decision to initiate a referendum on nuclear power following the 1979 Three Mile Island accident. Internal government documents and other historical records indicate that strategic considerations superseded learning as the primary explanation in this case. Essay 3 conducts an in-depth examination of Swedish policymaking in the aftermath of the 1986 Chernobyl accident in an effort to explain the government's decision not to accelerate the nuclear power phaseout. Recently disclosed government documents show that minority coalition mobilization was insufficient to explain this decision. In this case, rational learning and strategic action provided a better explanation. The main theoretical contribution derived from the three essays is to posit

  15. Coalition contract management as a systems change strategy for HIV prevention.

    Science.gov (United States)

    Darrow, William W; Montanea, Julie E; Sánchez-Braña, Elizabeth

    2010-11-01

    Racial and Ethnic Approaches to Community Health (REACH) 2010 provided a unique opportunity for minority community-based organizations (CBOs) to work together to eliminate disparities in HIV disease. A coalition was formed in Broward County to respond to the REACH 2010 program announcement, a university was chosen to coordinate efforts, and contracts were negotiated with CBO partners to develop, implement, and evaluate a community action plan. Contract management provided stability, focus, and a mechanism for coalition partners to measure progress toward achieving project objectives. By emphasizing documentation as well as the delivery of services, however, contract conditions also placed a heavy burden on educational outreach workers, restricted the reimbursable activities of member organizations, and created friction between minority agencies and university staff. Although the coalition met many of its objectives, the introduction and enforcement of a mutually agreed on set of rules and obligations as a way of promoting systems change in Broward County failed to make a lasting impact among community partners. CBOs continued to compete with one another for HIV prevention project funding and stopped collaborating as closely with another when federal support for our REACH 2010 community demonstration project ran out.

  16. The Vermont transportation energy report : Vermont Clean Cities Coalition.

    Science.gov (United States)

    2010-08-01

    The mission of the Vermont Clean Cities Coalition (VCCC) is to reduce the states reliance on : fossil fuels for transportation. This annual report provides policy makers with relevant and : timely data on the status of fuel consumption, vehicle pu...

  17. The Africanization of poverty: a retrospective on "Make Poverty History".

    Science.gov (United States)

    Harrison, Graham

    2010-01-01

    This article explores the ways in which the British campaign coalition Make Poverty History represented Africa throughout 2005. Focusing particularly on the G8 Gleneagles summit, Make Poverty History (MPH) asserted a series of justice claims which had no geographical reference. Nevertheless, as a result of internal tensions within the coalition, and especially as a result of the ways in which MPH interacted with other political agencies as the summit approached, MPH's messages became increasingly interpolated by references to Africa as a result of the emergence of government, media, and celebrity involvement. The result of this was that global poverty increasingly became an African issue. As 2005 became the "Year of Africa," the justice messages that constituted MPH were largely effaced by the more familiar imperial legacy which represents Africa as a place of indigence in need of outside assistance.

  18. Long-Term Sustainability of Evidence-Based Prevention Interventions and Community Coalitions Survival: a Five and One-Half Year Follow-up Study.

    Science.gov (United States)

    Johnson, Knowlton; Collins, David; Shamblen, Steve; Kenworthy, Tara; Wandersman, Abraham

    2017-07-01

    This study examines (1) coalition survival, (2) prevalence of evidence-based prevention interventions (EBPIs) to reduce substance abuse implemented as part of the Tennessee Strategic Prevention Framework (SPF) State Incentive Grant (SIG), (3) EBPI sustainability, and (4) factors that predict EBPI sustainability. Secondary data were collected on 27 SPF SIG-funded coalitions and 88 EBPI and non-EBPI implementations. Primary data were collected by a telephone interview/web survey five and one-half years after the SPF SIG ended. Results from secondary data show that 25 of the 27 coalitions survived beyond the SPF SIG for one to five and one-half years; 19 coalitions (70%) were still active five and one-half years later. Further, 88 EBPIs and non-EBPIs were implemented by 27 county SPF SIG coalitions. Twenty-one (21) of 27 coalitions (78%) implemented one to three EBPIs, totaling 37 EBPI implementations. Based on primary survey data on 29 of the 37 EBPI implementations, 28 EBPIs (97%) were sustained between two and five and one-half years while 22 EBPI implementations (76%) were sustained for five and one-half years. When controlling for variability among coalitions (nesting of EBPIs in coalitions), increases in data resources (availability of five types of prevention data) was a strong predictor of length of EBPI sustainability. Positive change in extramural funding resources and level of expertise during SPF SIG implementation, as well as level of coalition formalization at the end of the SPF SIG predicted EBPI sustainability length. One intervention attribute (trialability) also predicted length of sustainability. Implications are discussed.

  19. Core of Coalition Games on MV-algebras

    Czech Academy of Sciences Publication Activity Database

    Kroupa, Tomáš

    2011-01-01

    Roč. 21, č. 3 (2011), s. 479-492 ISSN 0955-792X R&D Projects: GA MŠk 1M0572; GA ČR GA102/08/0567 Institutional research plan: CEZ:AV0Z10750506 Keywords : coalition game * core * MV-algebra Subject RIV: BA - General Mathematics Impact factor: 0.611, year: 2011 http://library.utia.cas.cz/separaty/2011/MTR/kroupa-0359839.pdf

  20. 2. Coalition Collapse in the Context of Negotiation and Inter-Party Cooperation Theory

    OpenAIRE

    Biira, Catherine Promise

    2013-01-01

    Although most negotiators are primarily focused on reaching an agreement, the case of the opposition Inter-Party Cooperation coalition in Uganda demonstrates that “getting to yes” is not enough. The IPC collapsed just five months before it could participate in the very election it had been formed to commonly contest. As suggested in the previous section, while disagreement as to whether the coalition should participate in the 2011 election was publicly stated as the cause of the IPC collapse,...

  1. Creation of the Quebrada Arriba Community and Academic Partnership: An Effective Coalition for Addressing Health Disparities in Older Puerto Ricans.

    Science.gov (United States)

    Orellano-Colón, Elsa M; González-Laboy, Yolanda; De Jesús-Rosario, Amarelis

    2017-06-01

    The objective of this project was to develop a community-academic coalition partnership to conduct community-based participatory research (CBPR) to address health disparities in older adults with chronic conditions living in the Quebrada Arriba community. We used the 'Developing and Sustaining CPPR Partnerships: A Skill-Building Curriculum', to create the Quebrada Arriba Community-Academic Partnership (QACAP). We assessed the meetings effectiveness and the CBPR experiences of the coalition members in the community-academic partnership. The stepwise process resulted in: the development of The Coalition for the Health and Wellbeing of Older People of Quebrada Arriba; the partnership's mission and vision; the operating procedures; the formulation of the research question, and; the action plan for obtaining funding resources. The mean levels of satisfaction for each of the items of the Meeting Effectiveness Evaluation tool were 100%. The mean agreement rating scores on variables related to having a positive experience with the coalition, members' representativeness of community interest, respectful contacts between members, the coalition's vision and mission, the participation of the members in establishing the prioritized community problem, and sharing of resources between the members was 100%. The steps used to build the QACAP provided an effective structure to create the coalition and captured the results of coalition activities. Partners' time to build trust and developing a sufficient understanding of local issues, high interest of the community members, flexibility of the partners, capitalization on the partners' strengths, and the shared decision building process were key contributors of this coalition's success.

  2. Evaluation of DELTA PREP: A Project Aimed at Integrating Primary Prevention of Intimate Partner Violence Within State Domestic Violence Coalitions

    Science.gov (United States)

    Freire, Kimberley E.; Zakocs, Ronda; Le, Brenda; Hill, Jessica A.; Brown, Pamela; Wheaton, Jocelyn

    2018-01-01

    Background Intimate partner violence (IPV) has been recognized as a public health problem since the late 20th century. To spur IPV prevention efforts nationwide, the DELTA PREP Project selected 19 state domestic violence coalitions to build organizational prevention capacity and catalyze IPV primary prevention strategies within their states. Objective DELTA PREP’s summative evaluation addressed four major questions: (1) Did coalitions improve their prevention capacity during the project period? (2) Did coalitions serve as catalysts for prevention activities within their states during the project period? (3) Was initial prevention capacity associated with the number of prevention activity types initiated by coalitions by the end of the project? (4) Did coalitions sustain their prevention activities 6 months after the end of the project period? Results DELTA PREP achieved its capacity-building goal, with all 19 participant coalitions integrating prevention within their organizations and serving as catalysts for prevention activities in their states. At 6 months follow up, coalitions had sustained almost all prevention activities they initiated during the project. Baseline prevention capacity (Beginner vs. Intermediate) was not associated with the number of prevention activity types coalitions implemented by the end of the project. Conclusion Service and treatment organizations are increasingly asked to integrate a full spectrum of prevention strategies. Selecting organizations that have high levels of general capacity and readiness for an innovation like integrating a public health approach to IPV prevention will likely increase success in building an innovation-specific capacity, and in turn implementing an innovation. PMID:26245932

  3. Assessment and monitoring of recreation impacts and resource conditions on mountain summits: examples from the Northern Forest, USA

    Science.gov (United States)

    Monz, Christopher A.; Marion, Jeffrey L.; Goonan, Kelly A.; Manning, Robert E.; Wimpey, Jeremy; Carr, Christopher

    2010-01-01

    Mountain summits present a unique challenge to manage sustainably: they are ecologically important and, in many circumstances, under high demand for recreation and tourism activities. This article presents recent advances in the assessment of resource conditions and visitor disturbance in mountain summit environments, by drawing on examples from a multiyear, interdisciplinary study of summits in the northeastern United States. Primary impact issues as a consequence of visitor use, such as informal trail formation, vegetation disturbance, and soil loss, were addressed via the adaption of protocols from recreation ecology studies to summit environments. In addition, new methodologies were developed that provide measurement sensitivity to change previously unavailable through standard recreation monitoring protocols. Although currently limited in application to the northeastern US summit environments, the methods presented show promise for widespread application wherever summits are in demand for visitor activities.

  4. The effect of structural complexity, prey density, and "predator-free space" on prey survivorship at created oyster reef mesocosms

    Science.gov (United States)

    Humphries, Austin T.; La Peyre, Megan K.; Decossas, Gary A.

    2011-01-01

    Interactions between predators and their prey are influenced by the habitat they occupy. Using created oyster (Crassostrea virginica) reef mesocosms, we conducted a series of laboratory experiments that created structure and manipulated complexity as well as prey density and “predator-free space” to examine the relationship between structural complexity and prey survivorship. Specifically, volume and spatial arrangement of oysters as well as prey density were manipulated, and the survivorship of prey (grass shrimp, Palaemonetes pugio) in the presence of a predator (wild red drum, Sciaenops ocellatus) was quantified. We found that the presence of structure increased prey survivorship, and that increasing complexity of this structure further increased survivorship, but only to a point. This agrees with the theory that structural complexity may influence predator-prey dynamics, but that a threshold exists with diminishing returns. These results held true even when prey density was scaled to structural complexity, or the amount of “predator-free space” was manipulated within our created reef mesocosms. The presence of structure and its complexity (oyster shell volume) were more important in facilitating prey survivorship than perceived refugia or density-dependent prey effects. A more accurate indicator of refugia might require “predator-free space” measures that also account for the available area within the structure itself (i.e., volume) and not just on the surface of a structure. Creating experiments that better mimic natural conditions and test a wider range of “predator-free space” are suggested to better understand the role of structural complexity in oyster reefs and other complex habitats.

  5. Geneva summit aims to bridge 'digital divide'

    CERN Multimedia

    Williams, F

    2003-01-01

    "With almost all the political hurdles swept aside in negotiations last weekend, the huge World Summit on the Information Society that opens in Geneva today will be clearly focused on its initial objective - boosting the use of information and communication technologies in the developing world" (1 page).

  6. Modelling the survivorship of Nigeria children in their first 10 years of ...

    African Journals Online (AJOL)

    Fagbamigbe

    Conflict of Interest: Authors declared no conflict of interest ... Keywords: Survivorship, Nigeria, children mortality, Kaplan Meier, Brass Indirect method, Prediction ... variables or sex of older siblings, post- neonatal mortality is 12% higher and 2nd ... Relationship between maternal education and child survival in developing ...

  7. TTI Phase 2 Institutional Support: Advocates Coalition for ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le financement contribuera à renforcer le rôle de l'Advocates Coalition for Development and Environment (ACODE) en tant qu'organisme crédible de recherche sur les politiques publiques en Ouganda, en améliorant sa capacité à fournir des recherches de qualité supérieure, influentes et utiles en matière de politiques.

  8. "A Paradox Persists When the Paradigm Is Wrong": Pisacano Scholars' Reflections from the Inaugural Starfield Summit.

    Science.gov (United States)

    Doohan, Noemi; Coutinho, Anastasia J; Lochner, Jennifer; Wohler, Diana; DeVoe, Jennifer

    The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates. Among the family physicians invited were both current and past PLF (Pisacano) scholars. After the Summit, a small group of current and past Pisacano scholars formed a writing group to reflect on and summarize key lessons and conclusions from the Summit. A Summit participant's statement, "a paradox persists when the paradigm is wrong," became a repeated theme regarding the paradox of primary care within the context of the health care system in the United States. The Summit energized participants to renew their commitment to Dr. Starfield's 4 C's of Primary Care (first contact access, continuity, comprehensiveness, and care coordination) and to the Quadruple Aim (quality, value, and patient and physician satisfaction) and to continue to explore how primary care can best shape the future of the nation's health care system. © Copyright 2016 by the American Board of Family Medicine.

  9. Set-Theoretic Inequalities in Stochastic Noncooperative Games with Coalition

    Directory of Open Access Journals (Sweden)

    Ailada Treerattrakoon

    2008-04-01

    Full Text Available We model and analyze antagonistic stochastic games of three players, two of whom form a coalition against the third one. The actions of the players are modeled by random walk processes recording the cumulative damages to each player at any moment of time. The game continues until the single player or the coalition is defeated. The defeat of any particular player takes place when the associated process (representing the collateral damage crosses a fixed threshold. Once the threshold is exceeded at some time, the associated player exits the game. All involved processes are being “observed by a third party process” so that the information regarding the status of all players is restricted to those special epochs. Furthermore, all processed are modulated (with their parameters being modified in due course of the game. We obtain a closed form joint functional of the named processes at key reference points.

  10. Gait analysis with an integrated system for functional assessment of talocalcaneal coalition.

    Science.gov (United States)

    Giacomozzi, Claudia; Benedetti, Maria Grazia; Leardini, Alberto; Macellari, Velio; Giannini, Sandro

    2006-01-01

    There is little knowledge of the functional performance of patients with talocalcaneal coalition because of the marginal quantitative information accessible using current motion-analysis and plantar pressure-measurement techniques. A novel system was developed for comprehensively measuring foot-floor interaction during the stance phase of gait that integrates instrumentation for simultaneously measuring bony segment position, ground reaction force, and plantar pressure with synchronization of spatial and temporal variables. An advanced anatomically based analysis of foot joint rotations was also applied. Tracking of numerous anatomical landmarks allowed accurate selection of three footprint subareas and reliable estimation of relevant local forces and moments. Eight patients (11 feet) with talocalcaneal coalition were analyzed. Major impairment of the rearfoot was found in nonsurgical patients, with an everted attitude, limited plantarflexion, and overloading in all three components of ground reaction force. Surgical patients showed more normal loading patterns in each footprint subarea. This measuring system allowed for accurate inspection of the effects of surgical treatment in the entire foot and at several footprint subareas. Surgical treatment of talocalcaneal coalition seems to be effective in restoring more physiologic subtalar and forefoot motion and loading patterns.

  11. Port Stakeholder Summit: Advancing More Sustainable Ports (April 2014)

    Science.gov (United States)

    EPA's National Port Stakeholders Summit, Advancing More Sustainable Ports, focused on actions to protect air quality while reducing climate risk and supporting economic growth, making ports more environmentally sustainable.

  12. Career advancement opportunities and the ACVP/STP Coalition.

    Science.gov (United States)

    Cockerell, Gary

    2014-07-01

    A new service to facilitate career advancement opportunities has been implemented by the American College of Veterinary Pathologists (ACVP)/Society of Toxicologic Pathology (STP) Coalition for Veterinary Pathology Fellows. This service will allow rapid communication of these opportunities between veterinary pathologists in academia, industry, and government, and will be useful to trainees as well as established pathologists. © 2014 by The Author(s).

  13. Role-Based Access Control for Coalition Partners in Maritime Domain Awareness

    National Research Council Canada - National Science Library

    McDaniel, Christopher R; Tardy, Matthew L

    2005-01-01

    The need for Shared Situational Awareness (SSA) in accomplishing joint missions by coalition militaries, law enforcement, the intelligence community, and the private sector creates a unique challenge to providing access control...

  14. Summit on Improving the Economics of America's Nuclear Power Plants

    International Nuclear Information System (INIS)

    Collins, John; Mason, Charles

    2016-01-01

    The Summit on Improving the Economics of America's Nuclear Power Plants was convened May 19, 2016, by Secretary of Energy Ernest Moniz and co-sponsored by Idaho Senator Mike Crapo to stress the importance of existing nuclear reactors in meeting our nation's energy goals. The summit was also designed to identify and discuss policy options that can be pursued at federal and state levels to address economic challenges, as well as technical options that utilities can use to improve the economic competitiveness of operating nuclear power plants (NPPs) and avoid early plant retirements that are driven by temporary market conditions. The owners of NPPs face difficult economic decisions and are working to improve the performance of existing NPPs. However, it soon became clear that some of the actions taken by states and regional markets have had an impact on the economic viability of existing power plants, including carbon free NPPs. Summit speakers identified concepts and actions that could be taken at state and federal levels to improve the economics of the existing fleet within these regulated and restructured electricity markets. This report summarizes the speeches, concepts, and actions taken.

  15. Energy summit discussions with Federal Chancellor Merkel - potential legislative consequences

    International Nuclear Information System (INIS)

    Heller, W.

    2006-01-01

    The energy summit discussions held by Federal Chancellor Merkel are to converge in a consistent energy policy concept by late 2007. The second summit held on October 9, 2006 was prepared by three working groups. Working Group 1 was to handle 'International Aspects', Working Group 2, the 'National Aspects of Energy Supply', and Working Group 3, finally, 'Research and Energy Efficiency'. The reports dealing with international aspects and with research and energy efficiency were in the focus of discussions at the summit. The report about national aspects had not yet reached the level of maturity required for discussion. None of the reports contained anything under the headings of 'Setting aside the Gorleben Moratorium' and 'Continued Exploration of the Salt Dome for a Repository' and 'Extension of the Plant Life of Our Nuclear Power Plants'. This sounds very easy and is urgently required, but it is neither announced nor seriously debated in politics. If these legislative measures were taken and the rhetoric about the broad energy mix turned into energy policy reality, many problems in climate protection, in energy supply continuity, and in competitive electricity supply could be solved more easily. (orig.)

  16. Report from the 2012 European Gender Summit

    CERN Document Server

    European Gender Summit, 2012

    2012-01-01

    Report from the 2012 European Gender Summit to the European Parliament and the Council, the European Commission, the Council of Europe, EU Member and Associate States, Science Institutions. Developing Systematic Implementation Strategy to Advance EU Policy on Gender Equality in Science, as part of HORIZON 2020, European Research Area and Innovation Union.

  17. 45 CFR 1370.4 - State domestic violence coalition grants.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false State domestic violence coalition grants. 1370.4 Section 1370.4 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES FAMILY VIOLENCE PREVENTION AND SERVICES PROGRAMS FAMILY VIOLENCE PREVENTION AND SERVICES...

  18. An alternative model of the formation of political coalitions

    NARCIS (Netherlands)

    van der Rijt, J.W.

    Most models of the formation of political coalitions use either Euclidean spaces or rely purely on game theory. This limits their applicability. In this article, a single model is presented which is more broadly applicable. In principle any kind of set can be used as a policy space. The model is

  19. Diet and Nutrition in Cancer Survivorship and Palliative Care

    OpenAIRE

    Anthony J. Bazzan; Andrew B. Newberg; William C. Cho; Daniel A. Monti

    2013-01-01

    The primary goal of palliative cancer care is typically to relieve suffering and improve quality of life. Most approaches to diet in this setting have focused only on eating as many calories as possible to avoid cachexia. However, as the concept of palliative care has evolved to include all aspects of cancer survivorship and not just end of life care, there is an increasing need to thoughtfully consider diet and nutrition approaches that can impact not only quality of life but overall health ...

  20. Long-term survivorship of stemless anatomical shoulder replacement.

    Science.gov (United States)

    Beck, Sascha; Beck, Verena; Wegner, Alexander; Dudda, Marcel; Patsalis, Theodor; Jäger, Marcus

    2018-01-24

    Like in many other joints, current shoulder replacement designs aim at bone preservation. According to the literature available, stemless total shoulder arthroplasty (TSA) compares favourably with stemmed designs in terms of function and survivorship of the implant. However, long-term results of stemless shoulder arthroplasty are still missing. Therefore, the aim of the present study was to evaluate long-term results of stemless anatomical TSA. Between 2006 and 2009, 51 shoulders in 46 patients were resurfaced using the Biomet Total Evolutive Shoulder System (TESS). Thirty-one shoulders in 26 patients who were aged 66.7 ± 10.0 (range 34-82) years were available for review at a mean follow-up of 94.7 ± 11.3 (76-124) months. The implant survival rate was 93.5% at eight years. The overall revision rate of the TESS implant was 9.7%. Radiolucent lines were found on the glenoid side of the TESS arthroplasty in 90.9% of the cases. All stemless humeral corolla implants showed solid fixation at follow-up. Clinical scores significantly improved at long-term follow-up (VAS from 8.1 ± 0.9 to 1.0 ± 1.2, p < 0.001; Quick-DASH from 67.9 ± 13.5 to 18.7 ± 16.5, p < 0.001 and Constant score from 14.7 ± 6.1 to 68.8 ± 13.2, p < 0.001). Stemless TSA has stood the test of time at eight years in terms of clinical scores, radiographic loosening, complication rates and implant survivorship.

  1. Discourse coalitions in Swiss waste management: gridlock or winds of change?

    Science.gov (United States)

    Duygan, Mert; Stauffacher, Michael; Meylan, Grégoire

    2018-02-01

    As a complex socio-technical system, waste management is crucially important for the sustainable management of material and energy flows. Transition to better performing waste management systems requires not only determining what needs to be changed but also finding out how this change can be realized. Without understanding the political context, insights from decision support tools such as life cycle assessment (LCA) are likely to be lost in translation to decision and policy making. This study strives to provide a first insight into the political context and address the opportunities and barriers pertinent to initiating a change in Swiss waste management. For this purpose, the discourses around a major policy process are analysed to uncover the policy beliefs and preferences of actors. Discourse coalitions are delineated by referring to the Advocacy Coalition Framework (Sabatier, 1998) and using the Discourse Network Analysis (Leifeld and Haunss, 2012) method. The results display an incoherent regime (Fuenfschilling and Truffer, 2014) with divergent belief clusters on core issues in waste management. Yet, some actors holding different beliefs appear to have overlapping interests on secondary issues such as the treatment of biogenic waste or plastics. Although the current political context hinders a system-wide disruptive change, transitions can be initiated at local or regional scale by utilizing the shared interest across different discourse coalitions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. An Incidental Finding of a Talonavicular and Talocalcaneal Joint Coalition After a Tibial Pilon Fracture: A Case Report.

    Science.gov (United States)

    Godoy, Heidi M; Micciche, Mark J

    It has been proposed that patients with talocalcaneal and talonavicular coalitions have decreased ankle joint range of motion. It has also been reported that rotational forces regularly absorbed by the talocalcaneal joint are transferred to the ankle joint in patients with coalitions, increasing the stress on the ankle joint after trauma. To the best of our knowledge, only 1 reported study has detailed the increased stress placed on the ankle joint secondary to a coalition. We present a case study of a 53-year-old female who experienced a traumatic fall and subsequent right ankle fracture. Advanced imaging studies revealed a comminuted tibial pilon fracture and talocalcaneal and talonavicular joint coalitions. She underwent open reduction and internal fixation for treatment of the fracture, and the coalitions were not treated because they were asymptomatic. She was kept non-weightbearing for 6 weeks postoperatively and was returned to a regular sneaker at 10 weeks postoperatively. The postoperative films revealed stable intact fixation and pain-free gait with no increased restriction in her ankle joint range of motion. The hardware was removed at 13 months postoperatively. She had not experienced increased pain or arthritic changes at 15 months postoperatively. Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  3. Dynamic and adaptive policy models for coalition operations

    Science.gov (United States)

    Verma, Dinesh; Calo, Seraphin; Chakraborty, Supriyo; Bertino, Elisa; Williams, Chris; Tucker, Jeremy; Rivera, Brian; de Mel, Geeth R.

    2017-05-01

    It is envisioned that the success of future military operations depends on the better integration, organizationally and operationally, among allies, coalition members, inter-agency partners, and so forth. However, this leads to a challenging and complex environment where the heterogeneity and dynamism in the operating environment intertwines with the evolving situational factors that affect the decision-making life cycle of the war fighter. Therefore, the users in such environments need secure, accessible, and resilient information infrastructures where policy-based mechanisms adopt the behaviours of the systems to meet end user goals. By specifying and enforcing a policy based model and framework for operations and security which accommodates heterogeneous coalitions, high levels of agility can be enabled to allow rapid assembly and restructuring of system and information resources. However, current prevalent policy models (e.g., rule based event-condition-action model and its variants) are not sufficient to deal with the highly dynamic and plausibly non-deterministic nature of these environments. Therefore, to address the above challenges, in this paper, we present a new approach for policies which enables managed systems to take more autonomic decisions regarding their operations.

  4. Database for the Geologic Map of the Summit Region of Kilauea Volcano, Hawaii

    Science.gov (United States)

    Dutton, Dillon R.; Ramsey, David W.; Bruggman, Peggy E.; Felger, Tracey J.; Lougee, Ellen; Margriter, Sandy; Showalter, Patrick; Neal, Christina A.; Lockwood, John P.

    2007-01-01

    INTRODUCTION The area covered by this map includes parts of four U.S. Geological Survey (USGS) 7.5' topographic quadrangles (Kilauea Crater, Volcano, Ka`u Desert, and Makaopuhi). It encompasses the summit, upper rift zones, and Koa`e Fault System of Kilauea Volcano and a part of the adjacent, southeast flank of Mauna Loa Volcano. The map is dominated by products of eruptions from Kilauea Volcano, the southernmost of the five volcanoes on the Island of Hawai`i and one of the world's most active volcanoes. At its summit (1,243 m) is Kilauea Crater, a 3 km-by-5 km collapse caldera that formed, possibly over several centuries, between about 200 and 500 years ago. Radiating away from the summit caldera are two linear zones of intrusion and eruption, the east and the southwest rift zones. Repeated subaerial eruptions from the summit and rift zones have built a gently sloping, elongate shield volcano covering approximately 1,500 km2. Much of the volcano lies under water: the east rift zone extends 110 km from the summit to a depth of more than 5,000 m below sea level; whereas, the southwest rift zone has a more limited submarine continuation. South of the summit caldera, mostly north-facing normal faults and open fractures of the Koa`e Fault System extend between the two rift zones. The Koa`e Fault System is interpreted as a tear-away structure that accommodates southward movement of Kilauea's flank in response to distension of the volcano perpendicular to the rift zones. This digital release contains all the information used to produce the geologic map published as USGS Geologic Investigations Series I-2759 (Neal and Lockwood, 2003). The main component of this digital release is a geologic map database prepared using ArcInfo GIS. This release also contains printable files for the geologic map and accompanying descriptive pamphlet from I-2759.

  5. Self-Organizing Coalitions for Conflict Evaluation and Resolution in Femtocells

    DEFF Research Database (Denmark)

    Garcia, Luis Guilherme Uzeda; Da Costa, Gustavo Wagner Oliveira; Cattoni, Andrea Fabio

    2010-01-01

    consists of a set of distributed and scalable rules for building coalitions; these rules essentially resolve the conflicts among avid femtocells competing for a limited amount of resources. The proposed scheme has been designed by targeting localized reconfigurations, thus avoiding reconfiguration storms...

  6. Challenge and threat responses to anger communication in coalition formation

    NARCIS (Netherlands)

    van Beest, I.; Scheepers, D.

    2013-01-01

    Research on multiparty negotiation has investigated how parties form coalitions to secure payoffs but has not assessed the underlying self-regulatory and physiological principles. Integrating insights from research on the social functions of emotions and the bio-psychosocial model as proposed by

  7. The global summit on nurse faculty migration.

    Science.gov (United States)

    Thompson, Patricia E; Benton, David C; Adams, Elizabeth; Morin, Karen H; Barry, Jean; Prevost, Suzanne S; Vlasich, Cynthia; Oywer, Elizabeth

    2014-01-01

    As global demand for health care workers burgeons, information is scant regarding the migration of faculty who will train new nurses. With dual roles as clinicians and educators, and corresponding dual sets of professional and legal obligations, nurse faculty may confront unique circumstances in migration that can impact nations' ability to secure an adequate, stable nursing workforce. In a seminal effort to address these concerns, the Honor Society of Nursing, Sigma Theta Tau International, and the International Council of Nurses invited a diverse group of international experts to a summit designed to elucidate forces that drive nurse faculty migration. The primary areas of consideration were the impact on nurse faculty migration of rapid health care workforce scale-up, international trade agreements, and workforce aging. Long-term summit goals included initiating action affecting national, regional, and global supplies of nurse educators and helping to avert catastrophic failure of health care delivery systems caused by an inadequate ability to educate next-generation nurses. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. Sustainable development, a summit for the future

    International Nuclear Information System (INIS)

    Dessus, B.

    2002-01-01

    The Johannesburg summit, which took place at the end of the summer of 2002, was the opportunity to spread out to the large public worldwide the notion of sustainable development, a notion that remained confidential so far. It was also a good opportunity to show that the share of energy resources is a vital point for the future. The institute of energy and environment of the French-speaking world has published a huge dossier which takes stock of the overall questions raised by the summit and answered by French-speaking experts. This article reprints some large extracts of two contributions devoted to the energy and its key role in the sustainable development. The first contribution deals with the four energy stakes of the sustainable development: the energy and the fight against poverty, the mastery of energy demand, the development of renewable energy sources, and the nuclear question. The second contribution treats of the five points of the action plan of the world energy council (CME) for the implementation of a durable energy policy in developing countries. (J.S.)

  9. An internet tool for creation of cancer survivorship care plans for survivors and health care providers: design, implementation, use and user satisfaction.

    Science.gov (United States)

    Hill-Kayser, Christine E; Vachani, Carolyn; Hampshire, Margaret K; Jacobs, Linda A; Metz, James M

    2009-09-04

    Survivorship care plans have been recommended by the Institute of Medicine for all cancer survivors. We implemented an Internet-based tool for creation of individualized survivorship care plans. To our knowledge, this is the first tool of this type to be designed and made publicly accessible. To investigate patterns of use and satisfaction with an Internet-based tool for creation of survivorship care plans. OncoLife, an Internet-based program for creation of survivorship care plans, was designed by a team of dedicated oncology nurses and physicians at the University of Pennsylvania. The program was designed to provide individualized, comprehensive health care recommendations to users responding to queries regarding demographics, diagnosis, and cancer treatments. After being piloted to test populations, OncoLife was made publicly accessible via Oncolink, a cancer information website based at the University of Pennsylvania which averages 3.9 million page views and over 385,000 unique visits per month. Data entered by anonymous public users was maintained and analyzed. From May 2007 to November 2008, 3343 individuals utilized this tool. Most (63%) identified themselves as survivors, but also health care providers (25%) and friends/family of survivors (12%). Median age at diagnosis was 48 years (18-100+), and median current age 51 (19-100+). Most users were Caucasian (87%), female (71%), and college-educated (82%). Breast cancer was the most common diagnosis (46%), followed by hematologic (12%), gastrointestinal (11%), gynecologic (9%), and genitourinary (8%). Of all users, 84% had undergone surgery, 80% chemotherapy, and 60% radiotherapy. Half of users (53%) reported receiving follow-up care from only an oncologist, 13% only a primary care provider (PCP), and 32% both; 12% reported having received survivorship information previously. Over 90% of users, both survivors and health care providers, reported satisfaction levels of "good" to "excellent" using this tool

  10. Development of a text messaging system to improve receipt of survivorship care in adolescent and young adult survivors of childhood cancer.

    Science.gov (United States)

    Casillas, Jacqueline; Goyal, Anju; Bryman, Jason; Alquaddoomi, Faisal; Ganz, Patricia A; Lidington, Emma; Macadangdang, Joshua; Estrin, Deborah

    2017-08-01

    This study aimed to develop and examine the acceptability, feasibility, and usability of a text messaging, or Short Message Service (SMS), system for improving the receipt of survivorship care for adolescent and young adult (AYA) survivors of childhood cancer. Researchers developed and refined the text messaging system based on qualitative data from AYA survivors in an iterative three-stage process. In stage 1, a focus group (n = 4) addressed acceptability; in stage 2, key informant interviews (n = 10) following a 6-week trial addressed feasibility; and in stage 3, key informant interviews (n = 23) following a 6-week trial addressed usability. Qualitative data were analyzed using a constant comparative analytic approach exploring in-depth themes. The final system includes programmed reminders to schedule and attend late effect screening appointments, tailored suggestions for community resources for cancer survivors, and messages prompting participant feedback regarding the appointments and resources. Participants found the text messaging system an acceptable form of communication, the screening reminders and feedback prompts feasible for improving the receipt of survivorship care, and the tailored suggestions for community resources usable for connecting survivors to relevant services. Participants suggested supplementing survivorship care visits and forming AYA survivor social networks as future implementations for the text messaging system. The text messaging system may assist AYA survivors by coordinating late effect screening appointments, facilitating a partnership with the survivorship care team, and connecting survivors with relevant community resources. The text messaging system has the potential to improve the receipt of survivorship care.

  11. Do Perceived Needs Affect Willingness to Use Traditional Chinese Medicine for Survivorship Care Among Chinese Cancer Survivors? A Cross-Sectional Survey

    Directory of Open Access Journals (Sweden)

    Lingyun Sun

    2017-12-01

    Full Text Available Purpose: We aimed to quantify Chinese cancer survivors’ perceived needs for survivorship care and to evaluate whether these needs could impact their willingness to use traditional Chinese medicine (TCM. Methods: We conducted a cross-sectional survey with members of the Beijing Anti-Cancer Association in China. We measured perceived needs with the seven-item Brief Chinese Cancer Survivorship Needs Scale that assesses psychological, functional, nutritional, social, body image, pain, and symptom needs. The outcome variable was willingness to use TCM for survivorship care. We performed multivariable logistic regression analyses to evaluate whether perceived needs are associated with willingness. Results: A total of 600 patients were invited, with a response rate of 81%. The mean (standard deviation score of the perceived needs scale (0 to 10 was 4.4 (2.2, with the majority of participants endorsing nutritional (72%, symptom (65%, and psychological (54% needs. Among survivors, 387 (80%; 95% CI, 76% to 83% were willing to use TCM for survivorship care. In multivariable analysis, a higher perceived needs score (adjusted odds ratio [OR], 1.33; 95% CI, 1.14 to 1.56; P < .001 was associated with greater willingness to use TCM. Specifically, nutritional (OR, 3.17; 95% CI, 1.79 to 5.62; P < .001 and symptom needs (OR, 3.15; 95% CI, 1.79 to 5.55; P < .001 had the strongest relationship. Conclusion: A higher level of perceived needs, especially in the areas of nutrition and symptoms, was associated with greater willingness to use TCM for survivorship care.

  12. Do Perceived Needs Affect Willingness to Use Traditional Chinese Medicine for Survivorship Care Among Chinese Cancer Survivors? A Cross-Sectional Survey.

    Science.gov (United States)

    Sun, Lingyun; Yang, Yufei; Vertosick, Emily; Jo, SungHwa; Sun, Guilan; Mao, Jun J

    2017-12-01

    Purpose We aimed to quantify Chinese cancer survivors' perceived needs for survivorship care and to evaluate whether these needs could impact their willingness to use traditional Chinese medicine (TCM). Methods We conducted a cross-sectional survey with members of the Beijing Anti-Cancer Association in China. We measured perceived needs with the seven-item Brief Chinese Cancer Survivorship Needs Scale that assesses psychological, functional, nutritional, social, body image, pain, and symptom needs. The outcome variable was willingness to use TCM for survivorship care. We performed multivariable logistic regression analyses to evaluate whether perceived needs are associated with willingness. Results A total of 600 patients were invited, with a response rate of 81%. The mean (standard deviation) score of the perceived needs scale (0 to 10) was 4.4 (2.2), with the majority of participants endorsing nutritional (72%), symptom (65%), and psychological (54%) needs. Among survivors, 387 (80%; 95% CI, 76% to 83%) were willing to use TCM for survivorship care. In multivariable analysis, a higher perceived needs score (adjusted odds ratio [OR], 1.33; 95% CI, 1.14 to 1.56; P < .001) was associated with greater willingness to use TCM. Specifically, nutritional (OR, 3.17; 95% CI, 1.79 to 5.62; P < .001) and symptom needs (OR, 3.15; 95% CI, 1.79 to 5.55; P < .001) had the strongest relationship. Conclusion A higher level of perceived needs, especially in the areas of nutrition and symptoms, was associated with greater willingness to use TCM for survivorship care.

  13. Mid-term survivorship and clinical outcomes of cobalt-chrome and oxidized zirconium on highly crosslinked polyethylene.

    Science.gov (United States)

    Petis, Stephen M; Vasarhelyi, Edward M; Lanting, Brent A; Howard, James L; Naudie, Douglas D R; Somerville, Lyndsay E; McCalden, Richard W

    2016-02-01

    The choice of bearing articulation for total hip arthroplasty in younger patients is amenable to debate. We compared mid-term patient-reported outcomes and survivorship across 2 different bearing articulations in a young patient cohort. We reviewed patients with cobalt-chrome or oxidized zirconium on highly crosslinked polyethylene who were followed prospectively between 2004 and 2012. Kaplan-Meier analysis was used to determine predicted cumulative survivorship at 5 years with all-cause and aseptic revisions as the outcome. We compared patient-reported outcomes, including the Harris hip score (HHS), Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Short-form 12 (SF-12) scores. A total of 622 patients were followed during the study period. Mean follow-up was 8.2 (range 2.0-10.6) years for cobalt-chrome and 7.8 (range 2.1-10.7) years for oxidized zirconium. Mean age was 54.9 ± 10.6 years for cobalt-chrome and 54.8 ± 10.7 years for oxidized zirconium. Implant survivorship was 96.0% (95% confidence interval [CI] 94.9%-97.1%) for cobalt-chrome and 98.7% (95% CI 98.0%-99.4%) for oxidized zirconium on highly crosslinked polyethylene for all-cause revisions, and 97.2% (95% CI 96.2%-98.2%) for cobalt-chrome and 99.0% (95% CI 98.4%-99.6%) for oxidized zirconium for aseptic revisions. An age-, sex- and diagnosis-matched comparison of the HHS, WOMAC and SF-12 scores demonstrated no significant changes in clinical outcomes across the groups. Both bearing surface couples demonstrated excellent mid-term survivorship and outcomes in young patient cohorts. Future analyses on wear and costs are warranted to elicit differences between the groups at long-term follow-up.

  14. The Education Summit; A Different Signal

    Science.gov (United States)

    Lagowski, J. J.

    1996-05-01

    The last National Education Summit held by the Governors occurred in Charlottesville, Virginia in 1989. That Summit, chaired by then Governor Clinton, produced the national goals for education announced by President Bush. These top-down goals are unfulfilled and are, for all practical purposes, dead. The 1996 Education Summit seems different, although its recommendations may suffer the same fate of those of the 1989 Summit. The 1996 Education Summit was held at IBM's Executive Conference Center in Palisades, New York. The Governors invited 44 executives of major businesses from virtually every state. CEO's from IBM, AT&T, Bell South, Eastman Kodak, Procter & Gamble, and Boeing were a part of the planning committee. Absent, for the most part, were professional educators and their organizations. The constitution of the 1996 Education Summit sent a clear signal, viz., that the "professional educators," whatever their individual talents, as a group have failed the nation's public schools and now its time for someone else to try. The "someone else" is the group of individuals that are the ultimate consumers of the output of the American education system. The collective point of view of the attending CEO's is that companies have undergone radical changes to become globally competitive, now it's time to keep the work force equally competitive. And this can only come through radical changes in the educational system. The CEO's point out that the companies they represent live or die by the (international) standards they establish, some of which are expressed in the principles of Total Quality Management (TQM), which represents a systemic approach to the changes American industry had to undergo to stay competitive. The executives clearly have run out of patience with the current system of public education. Many feel that they are running out of talented people to fill the important jobs that this society will need to fill to keep it moving forward. That talent is not being

  15. 77 FR 51731 - All-Terrain Vehicle Safety Summit

    Science.gov (United States)

    2012-08-27

    ...; Physical sizing of ATVs 2. Consumer Awareness Suggested topics: Point-of-purchase information; on-product... safety require additional research that is beyond the Commission's current budget and resources. CPSC.... The Summit will take place over 2 days and will feature a mix of rulemaking and nonrulemaking topic...

  16. Snow Drift Management: Summit Station Greenland

    Science.gov (United States)

    2016-05-01

    management Snow surveys Transport analysis Winds -- Speed 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF...that about 25% of the estimated snow that the wind transports to Summit each winter is deposited and forms drifts, mostly in close proxim- ity to...the structures. This analysis demonstrates that weather data ( wind speed and direction) and a transport analysis can aid in estimating the vol- ume of

  17. Report of the DHS National Small Vessel Security Summit

    National Research Council Canada - National Science Library

    Brownstein, Charles; Baker, John; Hull, Peter; Minogue, Nicholas; Murphy, George; Winston, Phyllis

    2007-01-01

    The purpose of the National Small Vessel Security Summit (NSVSS) was to engage private, commercial and government stakeholders in discussions on a range of issues involving the security risks posed by small vessels in the U.S...

  18. When’s the Party (or Coalition? Agenda-Setting in a Highly Fragmented, Decentralized Legislature

    Directory of Open Access Journals (Sweden)

    Mónica Pachón

    2016-01-01

    Full Text Available This paper examines committee behavior in Colombia to determine whether parties or coalitions exert agenda-setting powers despite the fact that the formal rules seemingly create little incentive for cooperation. Colombia’s party system is extremely fragmented, electoral volatility is high, and there is a long history of candidate-centered electoral rules, all of which suggests that party and coalition leaders have few tools to control the legislative agenda. Additionally, chairs do not directly control committee reports as in other presidential cases. However, the naming of ponentes (rapporteurs to write ponencias (bill reports for the committee may give leaders the opportunity to set the agendas in committees. Hence, we test whether committee chairs strategically name ponentes to control the agenda and favor their partisan or coalition interests. We test these ideas using a unique dataset covering two complete legislative sessions and thousands of bills. Overall, we find that committee chairs use the ponente process to set the agenda and privilege legislation sponsored by allies, especially the executive.

  19. Friends Indeed? Coalition Burden Sharing and the War In Iraq. Volume 1

    National Research Council Canada - National Science Library

    Baltrusaitis, Daniel F

    2008-01-01

    .... This research examines the conditions that influence state burden sharing behavior for ad hoc security coalitions and examines the decision making model developed by Andrew Bennett, Joseph Lepgold, and Danny...

  20. Power and Politics in the Global Health Landscape: Beliefs, Competition and Negotiation Among Global Advocacy Coalitions in the Policy-Making Process

    Science.gov (United States)

    McDougall, Lori

    2016-01-01

    Background: Advocacy coalitions play an increasingly prominent role within the global health landscape, linking actors and institutions to attract political attention and resources. This paper examines how coalitions negotiate among themselves and exercise hidden forms of power to produce policy on the basis of their beliefs and strategic interests. Methods: This paper examines the beliefs and behaviours of health advocacy coalitions using Sabatier’s Advocacy Coalition Framework (ACF) as an informal theoretical lens. Coalitions are further explored in relation to the concept of transnational advocacy networks (Keck and Sikkink) and of productive power (Shiffman). The ACF focuses on explaining how policy change takes place when there is conflict concerning goals and technical approaches among different actors. This study uses participant observation methods, self-reported survey results and semi-structured qualitative interviews to trace how a major policy project of the Millennium Development Goal (MDG) era, the Global Strategy for Women’s and Children’s Health, was constructed through negotiations among maternal, newborn, and child health (MNCH) and sexual and reproductive health and rights (SRHR) advocacy coalitions. Results: The Global Strategy represented a new opportunity for high-level political attention. Despite differing policy beliefs, MNCH and SRHR actors collaborated to produce this strategy because of anticipated gains in political attention. While core beliefs did not shift fundamentally and collaboration was primarily a short-term tactical response to a time-bound opportunity, MNCH actors began to focus more on human rights perspectives and SRHR actors adopted greater use of quantifiable indicators and economic argumentation. This shift emphasises the inherent importance of SRHR to maternal and child health survival. Conclusion: As opportunities arise, coalitions respond based on principles and policy beliefs, as well as to perceptions of

  1. Power and Politics in the Global Health Landscape: Beliefs, Competition and Negotiation Among Global Advocacy Coalitions in the Policy-Making Process.

    Science.gov (United States)

    McDougall, Lori

    2016-01-30

    Advocacy coalitions play an increasingly prominent role within the global health landscape, linking actors and institutions to attract political attention and resources. This paper examines how coalitions negotiate among themselves and exercise hidden forms of power to produce policy on the basis of their beliefs and strategic interests. This paper examines the beliefs and behaviours of health advocacy coalitions using Sabatier's Advocacy Coalition Framework (ACF) as an informal theoretical lens. Coalitions are further explored in relation to the concept of transnational advocacy networks (Keck and Sikkink) and of productive power (Shiffman). The ACF focuses on explaining how policy change takes place when there is conflict concerning goals and technical approaches among different actors. This study uses participant observation methods, self-reported survey results and semi-structured qualitative interviews to trace how a major policy project of the Millennium Development Goal (MDG) era, the Global Strategy for Women's and Children's Health, was constructed through negotiations among maternal, newborn, and child health (MNCH) and sexual and reproductive health and rights (SRHR) advocacy coalitions. The Global Strategy represented a new opportunity for high-level political attention. Despite differing policy beliefs, MNCH and SRHR actors collaborated to produce this strategy because of anticipated gains in political attention. While core beliefs did not shift fundamentally and collaboration was primarily a short-term tactical response to a time-bound opportunity, MNCH actors began to focus more on human rights perspectives and SRHR actors adopted greater use of quantifiable indicators and economic argumentation. This shift emphasises the inherent importance of SRHR to maternal and child health survival. As opportunities arise, coalitions respond based on principles and policy beliefs, as well as to perceptions of advantage. Global health policy-making is an arena of

  2. Blockchain-based framework for ontology-oriented robots’ coalition formation in cyberphysical systems

    Directory of Open Access Journals (Sweden)

    Teslya Nikolay

    2018-01-01

    Full Text Available The creation and functioning of intelligent robots coalition is impossible without the organization of an information interaction environment between them. To solve this problem, it is proposed to use the concept of cyberphysical framework, which involves the unification of physical and cyber (virtual environments. Intelligent robots can interact with each of the environments. The paper proposes methodology of the cyber physical smart space creation for the intelligent robots’ coalition formation and functioning, based on the concept of the “blackboard” with the support of smart contracts over the blockchain technology. It provides a new approach to the distribution of sensory, computational, information-control and service tasks between intelligent robots, embedded devices, fixed service equipment, cloud computing and information resources.

  3. 77 FR 36549 - Nursing Workforce Diversity Invitational Summit-“Nursing in 3D: Workforce Diversity, Health...

    Science.gov (United States)

    2012-06-19

    ... Workforce Diversity Invitational Summit--``Nursing in 3D: Workforce Diversity, Health Disparities, and..., Division of Nursing, will host an invitational summit that focuses on Nursing Workforce Diversity (NWD..., thought leaders, and key workforce diversity stakeholders to identify the full range of academic and...

  4. Rise to SUMMIT: the Sydney University Multiple-Mirror Telescope

    Science.gov (United States)

    Moore, Anna M.; Davis, John

    2000-07-01

    The Sydney University Multiple Mirror Telescope (SUMMIT) is a medium-sized telescope designed specifically for high resolution stellar spectroscopy. Throughout the design emphasis has been placed on high efficiency at low cost. The telescope consists of four 0.46 m diameter mirrors mounted on a single welded steel frame. Specially designed mirror cells support and point each mirror, allowing accurate positioning of the images on optical fibers located at the foci of the mirrors. Four fibers convey the light to the future location of a high resolution spectrograph away from the telescope in a stable environment. An overview of the commissioning of the telescope is presented, including the guidance and automatic mirror alignment and focussing systems. SUMMIT is located alongside the Sydney University Stellar Interferometer at the Paul Wild Observatory, near Narrabri, Northern New South Wales.

  5. Massage Therapy and Canadians’ Health Care Needs 2020: Proceedings of a National Research Priority Setting Summit

    Science.gov (United States)

    Dryden, Trish; Sumpton, Bryn; Shipwright, Stacey; Kahn, Janet; Reece, Barbara (Findlay)

    2014-01-01

    Background The health care landscape in Canada is changing rapidly as forces, such as an aging population, increasingly complex health issues and treatments, and economic pressure to reduce health care costs, bear down on the system. A cohesive national research agenda for massage therapy (MT) is needed in order to ensure maximum benefit is derived from research on treatment, health care policy, and cost effectiveness. Setting A one-day invitational summit was held in Toronto, Ontario to build strategic alliances among Canadian and international researchers, policy makers, and other stakeholders to help shape a national research agenda for MT. Method Using a modified Delphi method, the summit organizers conducted two pre-summit surveys to ensure that time spent during the summit was relevant and productive. The summit was facilitated using the principles of Appreciative Inquiry which included a “4D” strategic planning approach (defining, discovery, dreaming, designing) and application of a SOAR framework (strengths, opportunities, aspirations, and results). Participants Twenty-six researchers, policymakers, and other stakeholders actively participated in the events. Results Priority topics that massage therapists believe are important to the Canadian public, other health care providers, and policy makers and massage therapists themselves were identified. A framework for a national massage therapy (MT) research agenda, a grand vision of the future for MT research, and a 12-month action plan were developed. Conclusion The summit provided an excellent opportunity for key stakeholders to come together and use their experience and knowledge of MT to develop a much-needed plan for moving the MT research and professionalization agenda forward. PMID:24592299

  6. Massage therapy and canadians' health care needs 2020: proceedings of a national research priority setting summit.

    Science.gov (United States)

    Dryden, Trish; Sumpton, Bryn; Shipwright, Stacey; Kahn, Janet; Reece, Barbara Findlay

    2014-03-01

    The health care landscape in Canada is changing rapidly as forces, such as an aging population, increasingly complex health issues and treatments, and economic pressure to reduce health care costs, bear down on the system. A cohesive national research agenda for massage therapy (MT) is needed in order to ensure maximum benefit is derived from research on treatment, health care policy, and cost effectiveness. A one-day invitational summit was held in Toronto, Ontario to build strategic alliances among Canadian and international researchers, policy makers, and other stakeholders to help shape a national research agenda for MT. Using a modified Delphi method, the summit organizers conducted two pre-summit surveys to ensure that time spent during the summit was relevant and productive. The summit was facilitated using the principles of Appreciative Inquiry which included a "4D" strategic planning approach (defining, discovery, dreaming, designing) and application of a SOAR framework (strengths, opportunities, aspirations, and results). Twenty-six researchers, policymakers, and other stakeholders actively participated in the events. Priority topics that massage therapists believe are important to the Canadian public, other health care providers, and policy makers and massage therapists themselves were identified. A framework for a national massage therapy (MT) research agenda, a grand vision of the future for MT research, and a 12-month action plan were developed. The summit provided an excellent opportunity for key stakeholders to come together and use their experience and knowledge of MT to develop a much-needed plan for moving the MT research and professionalization agenda forward.

  7. Glacial erosion of high-elevation low-relief summits on passive continental margins constrained by cosmogenic nuclides

    DEFF Research Database (Denmark)

    Andersen, Jane Lund; Egholm, David Lundbek; Knudsen, Mads Faurschou

    We present a new, extensive in-situ cosmogenic 10Be and 26Al dataset from high-elevation low-relief summits along Sognefjorden in Norway. Contrary to previous studies of high-elevation low-relief summits in cold regions, we find only limited cosmogenic nuclide inheritance in bedrock surfaces......, indicating that warm-based ice eroded the summits during the last glacial period. From the isotope concentrations we model denudation histories using a recently developed Monte Carlo Markov Chain inversion model (Knudsen et al, 2015). The model relies on the benthic d18O curve (Lisiecki and Raymo, 2005...

  8. Denmark’s participation in the coalition against IS reflects the country’s commitment to ‘ethical militarism’

    DEFF Research Database (Denmark)

    Schouenborg, Laust

    2014-01-01

    The United States has put together a coalition of several western and Arab states to support military action against Islamic State (IS) forces in Iraq and Syria. Laust Schouenborg writes on the participation of Denmark in this coalition. He argues that the decision to take part reflects a principle...... of ‘ethical militarism’ which the country has adopted in previous conflicts over the last 25 years....

  9. Global Summit on Student Affairs and Services | Moscaritolo ...

    African Journals Online (AJOL)

    Global Summit on Student Affairs and Services. Lisa Bardill Moscaritolo, Karen Davis. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors ...

  10. Globalization and Summit Reform: An Experiment in International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2 juin 2008 ... Featuring a Foreword by Dr Gordon Smith, an Afterword by the Right Honourable Paul Martin, former Prime Minister of Canada, and a glossary of terms, Globalization and Summit Reform provides a unique, insiders' perspective on the process of international governance and its future prospects. A course ...

  11. Increasing human resource capacity in African countries: A nursing and midwifery Research Summit

    Directory of Open Access Journals (Sweden)

    Carolyn Sun

    2017-01-01

    Conclusions: Evaluations provided favorable feedback regarding the process leading up to as well as the content of the Research Summit. While further long-term evaluations will be needed to determine the sustainability of this initiative, the Summit format afforded the opportunity for regional experts to meet, examine research priorities, and develop strategic action and mentorship plans. This paper describes a replicable method that could be utilized in other regions using available resources to minimize costs and modest grant funding.

  12. Modal extensions of Lukasiewicz logic for modelling coalitional power

    Czech Academy of Sciences Publication Activity Database

    Kroupa, Tomáš; Teheux, B.

    2017-01-01

    Roč. 27, č. 1 (2017), s. 129-154 ISSN 0955-792X R&D Projects: GA ČR GAP402/12/1309 Institutional support: RVO:67985556 Keywords : Coalition Logic * Lukasiewicz modal logic * effectivity function Subject RIV: BA - General Mathematics OBOR OECD: Pure mathematics Impact factor: 0.909, year: 2016 http://library.utia.cas.cz/separaty/2017/MTR/kroupa-0471671.pdf

  13. Sustaining Physics Teacher Education Coalition Programs in Physics Teacher Education

    Science.gov (United States)

    Scherr, Rachel E.; Plisch, Monica; Goertzen, Renee Michelle

    2017-01-01

    Understanding the mechanisms of increasing the number of physics teachers educated per year at institutions with thriving physics teacher preparation programs may inspire and support other institutions in building thriving programs of their own. The Physics Teacher Education Coalition (PhysTEC), led by the American Physical Society (APS) and the…

  14. Changing Public Discourse on the Environment: Danish Media Coverage of the Rio and Johannesburg UN Summits

    DEFF Research Database (Denmark)

    Petersen, Lars Kjerulf

    2008-01-01

    Environmental degradation and unsustainable development were addressed on a global scale at the UN Summits in Rio de Janeiro in 1992 and Johannesburg in 2002. This article presents analyses of Danish television coverage of these two summits and related topics viewing the media stories as exemplary...

  15. Optimal sharing of quantity risk for a coalition of wind power producers facing nodal prices

    KAUST Repository

    Bitar, E. Y.; Baeyens, E.; Khargonekar, P. P.; Poolla, K.; Varaiya, P.

    2012-01-01

    It is widely accepted that aggregation of geographically diverse wind energy resources offers compelling potential to mitigate wind power variability, as wind speed at different geographic locations tends to decorrelate with increasing spatial separation. In this paper, we explore the extent to which a coalition of wind power producers can exploit the statistical benefits of aggregation to mitigate the risk of quantity shortfall with respect to forward contract offerings for energy. We propose a simple augmentation of the existing two-settlement market system with nodal pricing to permit quantity risk sharing among wind power producers by affording the group a recourse opportunity to utilize improved forecasts of their ensuing wind energy production to collectively modify their forward contracted positions so as to utilize the projected surplus in generation at certain buses to balance the projected shortfall in generation at complementary buses. Working within this framework, we show that the problem of optimally sizing a set of forward contracts for a group of wind power producers reduces to convex programming and derive closed form expressions for the set of optimal recourse policies. We also asses the willingness of individual wind power producers to form a coalition to cooperatively offer contracts for energy. We first show that the expected profit derived from coalitional contract offerings with recourse is greater than that achievable through independent contract offerings. And, using tools from coalitional game theory, we show that the core for our game is non-empty.

  16. Optimal sharing of quantity risk for a coalition of wind power producers facing nodal prices

    KAUST Repository

    Bitar, E. Y.

    2012-06-01

    It is widely accepted that aggregation of geographically diverse wind energy resources offers compelling potential to mitigate wind power variability, as wind speed at different geographic locations tends to decorrelate with increasing spatial separation. In this paper, we explore the extent to which a coalition of wind power producers can exploit the statistical benefits of aggregation to mitigate the risk of quantity shortfall with respect to forward contract offerings for energy. We propose a simple augmentation of the existing two-settlement market system with nodal pricing to permit quantity risk sharing among wind power producers by affording the group a recourse opportunity to utilize improved forecasts of their ensuing wind energy production to collectively modify their forward contracted positions so as to utilize the projected surplus in generation at certain buses to balance the projected shortfall in generation at complementary buses. Working within this framework, we show that the problem of optimally sizing a set of forward contracts for a group of wind power producers reduces to convex programming and derive closed form expressions for the set of optimal recourse policies. We also asses the willingness of individual wind power producers to form a coalition to cooperatively offer contracts for energy. We first show that the expected profit derived from coalitional contract offerings with recourse is greater than that achievable through independent contract offerings. And, using tools from coalitional game theory, we show that the core for our game is non-empty.

  17. 11. International Oil Summit 2010

    International Nuclear Information System (INIS)

    Anon.

    2010-01-01

    In his introduction at the 11. international oil summit 2010, Mr N. Ait-Laoussine (President of Nalcosa and past Energy Minister in Algeria) has summarized the main points which will be approached during the meeting: 1)after the crisis of 2008, what will be the challenges of the petroleum industry? the environmental constraints? the availability of the new technologies? Will the prices volatility be permanent? 2)what will be the strategy at middle/long term of the national petroleum companies, of the international petroleum companies and of the service companies (partnership, research and innovation,....)? (O.M.)

  18. Translocation as a conservation tool for Agassiz's desert tortoises: Survivorship, reproduction, and movements

    Science.gov (United States)

    K. E. Nussear; C. R. Tracy; P. A. Medica; D. S. Wilson; R. W. Marlow; P. S. Corn

    2012-01-01

    We translocated 120 Agassiz's desert tortoises to 5 sites in Nevada and Utah to evaluate the effects of translocation on tortoise survivorship, reproduction, and habitat use. Translocation sites included several elevations, and extended to sites with vegetation assemblages not typically associated with desert tortoises in order to explore the possibility of moving...

  19. Albert Sabin and the Coalition to Eliminate Polio from the Americas.

    Science.gov (United States)

    Hampton, Lee

    2009-01-01

    Albert B. Sabin, MD, developer of the oral polio vaccine, was also a major proponent of its use in annual vaccination campaigns aimed at the elimination of polio. Sabin argued that administering his vaccine simultaneously to every child in a country would break polio's chains of transmission. Although he was already promoting mass vaccination by the 1960s, Sabin's efforts expanded considerably when he became an adviser to groups fighting polio in the Americas in the 1980s. Sabin's experiences provide a window into both the formation of the coalition that eliminated poliomyelitis from the Western Hemisphere and what can happen when biomedical researchers become public health policy advisers. Although the polio elimination coalition succeeded in part because member groups often accommodated each other's priorities, Sabin was often limited by his indifference to the interests of those he was advising and to the shortcomings of his vaccine.

  20. Implementing change in health professions education: stakeholder analysis and coalition building.

    Science.gov (United States)

    Baum, Karyn D; Resnik, Cheryl D; Wu, Jennifer J; Roey, Steven C

    2007-01-01

    The challenges facing the health sciences education fields are more evident than ever. Professional health sciences educators have more demands on their time, more knowledge to manage, and ever-dwindling sources of financial support. Change is often necessary to either keep programs viable or meet the changing needs of health education. This article outlines a simple but powerful three-step tool to help educators become successful agents of change. Through the application of principles well known and widely used in business management, readers will understand the concepts behind stakeholder analysis and coalition building. These concepts are part of a powerful tool kit that educators need in order to become effective agents of change in the health sciences environment. Using the example of curriculum change at a school of veterinary medicine, we will outline the three steps involved, from stakeholder identification and analysis to building and managing coalitions for change.

  1. Coalitional Games, Excessive Competition and a Lack of Trust: an Experimental Aproach

    Directory of Open Access Journals (Sweden)

    Dawid Ners

    2017-06-01

    Full Text Available The article tackles the issues of the effectiveness and rationality of making choices in the conditions of competition and cooperation. It confronts the economic theory of rational choice with the empirical results from an experiment. The aim of the article is to show that excessive competition and a lack of trust cause limitation of rational choice in coalitional games. In the experiment conducted for this study purposes, a public good was used to construct a situation in which making a huge coalition is the winning strategy. Despite this fact, the research proves that under competition supported by uncertainty, which results from the lack of trust, the decision making entities behave far less rationally than the game theory would suggest. People competing with each other often take decisions irrationally.

  2. Toward Community Research and Coalitional Literacy Practices for Educational Justice

    Science.gov (United States)

    Campano, Gerald; Ghiso, María Paula; Yee, Mary; Pantoja, Alicia

    2013-01-01

    Community-based research can provide an avenue for understanding the complexities of students' and families' lives and working together for educational justice through what we refer to as coalitional literacy practices. In this article, we share a critical incident about a student's absence from school as an illustrative case of the grass-roots…

  3. Cancer survivorship services for indigenous peoples: where we stand, where to improve? A systematic review.

    Science.gov (United States)

    Cavanagh, Bridget M; Wakefield, Claire E; McLoone, Jordana K; Garvey, Gail; Cohn, Richard J

    2016-04-01

    There are few support programs with evidence-based practices which address the needs of cancer survivors from indigenous populations. This systematic review analysed the experiences and current support services for cancer survivors from indigenous populations following the cessation of cancer treatment. The data sourced for this article was identified from a systematic search of five databases (MEDLINE, MEDLINE In-Process, PyscINFO, CINAHL, and EMBASE). Studies were selected if they described the experiences of indigenous cancer survivors, their families, and/or clinicians primarily responsible for their care. In total 208 unique abstracts were screened, from which 17 studies were identified as having fulfilled all selection criteria. Of the 17 articles reviewed, 12 described qualitative data and 5 provided quantitative data. Common themes identified included the importance of family support throughout the survivorship period, the negative effect of community stigmatization, fatalistic attitudes towards cancer, and the importance of spirituality in coping with, and understanding, the cancer experience. Potential barriers to accessing care included distance and difficulties revisiting the survivor's cancer experience due to an associated fear of cancer recurrence. Indigenous cancer survivors would benefit from survivorship programs more specifically tailored to their individual circumstances, such as personalized spiritual care, facilitation of increased involvement of family members, and connection to other indigenous cancer survivors. The results from this review indicate that there is a need for survivorship care to be shaped specifically for the needs of indigenous cancer survivors.

  4. The appeasement effect of a United Nations climate summit on the German public

    Science.gov (United States)

    Brüggemann, Michael; de Silva-Schmidt, Fenja; Hoppe, Imke; Arlt, Dorothee; Schmitt, Josephine B.

    2017-11-01

    The annual UN climate summits receive intense global media coverage, and as such could engage local publics around the world, stimulate debate and knowledge about climate politics, and, ultimately, mobilize people to combat climate change. Here we show that, in contrast to these hopes, although the German public were exposed to news about the 2015 Paris summit, they did not engage with it in a more active way. Comparing knowledge and attitudes before, during and after the summit using a three-wave online panel survey (quota sample, N = 1,121), we find that respondents learnt a few basic facts about the conference but they continue to lack basic background knowledge about climate policy. Trust in global climate policy increased a little, but citizens were less inclined to support a leading role for Germany in climate politics. Moreover, they were not more likely to engage personally in climate protection. These results suggest that this global media event had a modest appeasing rather than mobilizing effect.

  5. Intermediary Organizations in Charter School Policy Coalitions: Evidence from New Orleans

    Science.gov (United States)

    DeBray, Elizabeth; Scott, Janelle; Lubienski, Christopher; Jabbar, Huriya

    2014-01-01

    This article develops a framework for investigating research use, using an "advocacy coalition framework" and the concepts of a "supply side" (mainly organizations) and "demand side" (policymakers). Drawing on interview data and documents from New Orleans about the charter school reforms that have developed there…

  6. Adding Reports to Coalition Battle Management Language for NATO MSG-048

    NARCIS (Netherlands)

    Pullen, J.M.; Corner, D.; Singapogo, S.S.; Clarc, N.; Cordonnier, N.; Menane, M.; Khimeche, L.; Mevassvik, O.M.; Alstad, A.; Schad, U.; Frey, M.; Reus, N. M. de; Krom, P.P.J. de; Grand, N.P. le; Brook, A.

    2009-01-01

    The NATO Modeling and Simulation Group Technical Activity 48 (MSG-048) was chartered in 2006 to investigate the potential of a Coalition Battle Management Language for multinational and NATO interoperation of command and control systems with modeling and simulation. Its initial work in defining and

  7. Native legume transplant survivorship and subsequent seedling recruitment on unamended coal mine soils in the Canadian Rocky Mountains

    Energy Technology Data Exchange (ETDEWEB)

    Smyth, C.R.

    1997-05-01

    Transplant survivorship, growth, and reproductive performance of several indigenous high-elevation legume species grown in unamended spoil were studied at three coal mines in the Canadian Rocky Mountains. Survivorship varied with species but was highest for Astragalus aboriginum (62%), Astragalus alpinus (73-57%), Astragalus vexilliflexus var. nubilus (73-63%), and Oxytropis sericea (77-62%). Mortality was greatest during the first two years for most species. The causes of transplant mortality are considered to be drought stress, deep-seated `frost-popping`/root exposure, and damage, for example, root exposure and destruction of meristematic tissues by foraging mammals such as bighorn sheep, mountain goats, grizzly bears, and marmots. Survivorship, growth, and reproductive activity were greatest at the two subalpine disturbances. Growth varied with species, but the greatest growth increments (height and diameter) were recorded during the first and second years. Reproductive activity for the Astragalus species began during the first year at one location but, in general, flowering and seed set did not begin until the second or third years. Recruitment from seed was small ({lt} 10/year). Several of these species appear to be suitable for revegetation of subalpine and alpine surface mine disturbances.

  8. Worker life tables, survivorship, and longevity in colonies of Bombus (Fervidobombus atratus (Hymenoptera: Apidae

    Directory of Open Access Journals (Sweden)

    Eunice Vieira da Silva-Matos

    2000-06-01

    Full Text Available Survivorship curves and longevity of workers were studied in two queenright and two queenless colonies of Bombus (Fervidobombus atratus. Survivorship curves for workers of all colonies were, in general, convex, indicating an increasing mortality rate with increasing age. The mean longevity for the workers from queenright colonies, 24.3 days and 17.6 days, was not significantly different from that in queenless colonies, 21.2 days and 20.2 days. In all colonies workers started foraging activities when aged 0-5 days, and the potential forager rates rose progressively with increasing age. Mortality rates within each age interval were significantly correlated with the foraging worker rates in all colonies. Only in two of the colonies (one queenright and one queenless longevity was significantly correlated with worker size. The duration of brood development period seems to be one of the most important factors influencing adult worker longevity in this bumble bee species.

  9. Current research in aging: a report from the 2015 Ageing Summit.

    Science.gov (United States)

    Moyse, Emmanuel; Lahousse, Lies; Krantic, Slavica

    2015-01-01

    Ageing Summit, London, UK, 10-12 February 2015 The Ageing Summit 2015 held on 10-12 February 2015 in London (UK) provided an extensive update to our knowledge of the 'Biology of Ageing' and a forum to discuss the participants' latest research progress. The meeting was subdivided into four thematic sessions: cellular level research including the aging brain; slowing down progression, rejuvenation and self-repair; genetic and epigenetic regulation; and expression and pathology of age-related diseases. Each session included multiple key presentations, three to five short research communications and ongoing poster presentations. The meeting provided an exciting multidisciplinary overview of the aging process from cellular and molecular mechanisms to medico-social aspects of human aging.

  10. World Materials Summit (3rd). Held in Washington, DC on 9-12 October, 2011

    Science.gov (United States)

    2012-05-23

    creates bumps on the backplane of a thin monocrystalline silicon solar cell. This increases the efficiency through a light trapping mechanism. They are...atoms in motion," Brinkman said. The third and fourth days of the Summit were occupied with panel sessions, each discussing one aspect of materials...lighting; energy fuels; water; renewables; and policy and education. Some highlights of the panel reports to the Summit as a whole: • The smart

  11. Landscape preservation under ice? In-situ 10Be and 26Al from summit surfaces along Sognefjord, Norway

    DEFF Research Database (Denmark)

    Andersen, Jane Lund; Egholm, David Lundbek; Knudsen, Mads Faurschou

    then be used to determine the total Quaternary bedrock erosion between the summits. However, the amount of Quaternary erosion of these summit flats remains debated (e.g. Steer, 2012) Here, we present an extensive new dataset of in-situ produced cosmogenic 10Be and 26Al in bedrock and boulders from high...... and flat summits along a 200 km long transect from the coast to the inner parts of Sognefjorden. Our results indicate substantial glacial modification of the summits within the last 50 ka. Close to the coast, at an elevation of around 700 meters, the cosmogenic nuclide signal was reset around the Younger...... et al. Landscape preservation under Fennoscandian ice sheets determined from in situ produced 10 Be and 26 Al. Earth and Planetary Science Letters 201(2), 397-406, 2002. Gjermundsen et al. Minimal erosion of Arctic alpine topography during late Quaternary glaciation. Nature Geoscience 8(10), 789...

  12. A case study of conflict management in bonobos: how does a bonobo (Pan paniscus) mother manage conflicts between her sons and her female coalition partner?

    Science.gov (United States)

    Legrain, L; Stevens, J; Alegria Iscoa, J; Destrebecqz, A

    2011-01-01

    Female coalitions are an important part of the social organization of bonobos. The strength of the mother-son relationship is another essential part of this social structure. A bonobo mother is therefore facing a dilemma when a conflict arises between her sons and her female coalition partners. Will she take her coalition partner's side and favour the social organization of the group or support her son in order to defend her offspring? In order to address this issue, we performed an observational study of the captive group at Planckendael (Belgium) and used social grooming and proximity to assess the relationship between individuals. As a case study, we focused on the relationships between Hortense, one of the group's mothers, her 3 sons Redi, Vifijo and Zamba, and her coalition partner Hermien. Surprisingly, we observed that Hortense preferentially supported her female coalition partner. For Hortense's social status in the group, it may be more important to maintain the strong relationship with her higher-ranking female coalition partner than to support her sons. Copyright © 2012 S. Karger AG, Basel.

  13. Towards a New Theory of Feminist Coalition: Accounting for the Heterogeneity of Gender, Race, Class, and Sexuality through an Exploration of Power and Responsibility

    Directory of Open Access Journals (Sweden)

    Holly Jeanine Boux

    2016-06-01

    Full Text Available This paper develops a novel theory of feminist coalition that centers and redefines the concepts of power and responsibility. After outlining several key ways in which feminist coalition work has been addressed by both theorists and practitioners, it goes on to explore how accounting for the complex experiences of identity rooted in factors such as race, class, gender, and sexuality continues to complicate the process of coalition building and theorizing. From these foundations, the article develops a theory of feminist coalition that speaks to how such a movement—or organizations within such a movement—can drive the political will for transformation and turn this will into political action without glossing over vital differences in people’s daily experiences of gender as it intersects with other systems of domination and oppression. The key argument made herein is that an explicit focus on power and responsibility can help us develop more functional answers to critical and still pressing questions, such as: Who is included—explicitly or implicitly—in feminist coalitions? And what issues, or agendas, are we working towards changing through these coalitions?

  14. Building and Maintaining an Effective Campus-Wide Coalition for Suicide Prevention

    Science.gov (United States)

    Kaslow, Nadine J.; Garcia-Williams, Amanda; Moffitt, Lauren; McLeod, Mark; Zesiger, Heather; Ammirati, Rachel; Berg, John P.; McIntosh, Belinda J.

    2012-01-01

    Preventing suicide is a commonly shared priority among college administrators, faculty, staff, students, and family members. Coalitions are popular health promotion mechanisms for solving community-wide problems and are valuable in campus-wide suicide prevention efforts. This article provides an example of an effective suicide prevention…

  15. Understanding the outcomes of advocacy coalitions in education: a comparative perspective

    NARCIS (Netherlands)

    Verger, A.; Novelli, M.; Verger, A.; Novelli, M.

    2012-01-01

    In this chapter, we use comparative analysis lenses to better understand the nature of civil society coalitions and their impact in the educational field. The arguments provide a synthesis of core issues that have emerged from the case studies presented in earlier chapters. In particular, this

  16. Power and Politics in the Global Health Landscape: Beliefs, Competition and Negotiation Among Global Advocacy Coalitions in the Policy-Making Process

    Directory of Open Access Journals (Sweden)

    Lori McDougall

    2016-05-01

    Full Text Available Background Advocacy coalitions play an increasingly prominent role within the global health landscape, linking actors and institutions to attract political attention and resources. This paper examines how coalitions negotiate among themselves and exercise hidden forms of power to produce policy on the basis of their beliefs and strategic interests. Methods This paper examines the beliefs and behaviours of health advocacy coalitions using Sabatier’s Advocacy Coalition Framework (ACF as an informal theoretical lens. Coalitions are further explored in relation to the concept of transnational advocacy networks (Keck and Sikkink and of productive power (Shiffman. The ACF focuses on explaining how policy change takes place when there is conflict concerning goals and technical approaches among different actors. This study uses participant observation methods, self-reported survey results and semistructured qualitative interviews to trace how a major policy project of the Millennium Development Goal (MDG era, the Global Strategy for Women’s and Children’s Health, was constructed through negotiations among maternal, newborn, and child health (MNCH and sexual and reproductive health and rights (SRHR advocacy coalitions. Results The Global Strategy represented a new opportunity for high-level political attention. Despite differing policy beliefs, MNCH and SRHR actors collaborated to produce this strategy because of anticipated gains in political attention. While core beliefs did not shift fundamentally and collaboration was primarily a short-term tactical response to a time-bound opportunity, MNCH actors began to focus more on human rights perspectives and SRHR actors adopted greater use of quantifiable indicators and economic argumentation. This shift emphasises the inherent importance of SRHR to maternal and child health survival. Conclusion As opportunities arise, coalitions respond based on principles and policy beliefs, as well as to perceptions

  17. 6th Annual Homeland Security and Defense Education Summit, Developing an Adaptive Homeland Security Environment

    OpenAIRE

    2013-01-01

    6th Annual Homeland Security and Defense Education Summit Developing an Adaptive Homeland Security Environment, Burlington, MA, September 26-28, 2013 2013 Summit Agenda Naval Postgraduate School Center for Homeland Defense and Security In Partnership With Northeastern University, Department of Homeland Security, Federal Emergency Management Agency, National Guard Homeland Security Institute, National Homeland Defense Foundation Naval Postgraduate School Center for Homeland Defense and S...

  18. Summary of the 2015 International Paediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute.

    Science.gov (United States)

    Jacobs, Jeffrey P; Quintessenza, James A; Karl, Tom R; Asante-Korang, Alfred; Everett, Allen D; Collins, Susan B; Ramirez-Correa, Genaro A; Burns, Kristin M; Cohen, Mitchell; Colan, Steven D; Costello, John M; Daly, Kevin P; Franklin, Rodney C G; Fraser, Charles D; Hill, Kevin D; Huhta, James C; Kaushal, Sunjay; Law, Yuk M; Lipshultz, Steven E; Murphy, Anne M; Pasquali, Sara K; Payne, Mark R; Rossano, Joseph; Shirali, Girish; Ware, Stephanie M; Xu, Mingguo; Jacobs, Marshall L

    2015-08-01

    In the United States alone, ∼14,000 children are hospitalised annually with acute heart failure. The science and art of caring for these patients continues to evolve. The International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute was held on February 4 and 5, 2015. The 2015 International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute was funded through the Andrews/Daicoff Cardiovascular Program Endowment, a philanthropic collaboration between All Children's Hospital and the Morsani College of Medicine at the University of South Florida (USF). Sponsored by All Children's Hospital Andrews/Daicoff Cardiovascular Program, the International Pediatric Heart Failure Summit assembled leaders in clinical and scientific disciplines related to paediatric heart failure and created a multi-disciplinary "think-tank". The purpose of this manuscript is to summarise the lessons from the 2015 International Pediatric Heart Failure Summit of Johns Hopkins All Children's Heart Institute, to describe the "state of the art" of the treatment of paediatric cardiac failure, and to discuss future directions for research in the domain of paediatric cardiac failure.

  19. Two magma bodies beneath the summit of Kilauea Volcano unveiled by isotopically distinct melt deliveries from the mantle

    Science.gov (United States)

    Pietruszka, Aaron J.; Heaton, Daniel E.; Marske, Jared P.; Garcia, Michael O.

    2015-01-01

    The summit magma storage reservoir of Kīlauea Volcano is one of the most important components of the magmatic plumbing system of this frequently active basaltic shield-building volcano. Here we use new high-precision Pb isotopic analyses of Kīlauea summit lavas—from 1959 to the active Halema‘uma‘u lava lake—to infer the number, size, and interconnectedness of magma bodies within the volcano's summit reservoir. From 1971 to 1982, the 206Pb/204Pb ratios of the lavas define two separate magma mixing trends that correlate with differences in vent location and/or pre-eruptive magma temperature. These relationships, which contrast with a single magma mixing trend for lavas from 1959 to 1968, indicate that Kīlauea summit eruptions since at least 1971 were supplied from two distinct magma bodies. The locations of these magma bodies are inferred to coincide with two major deformation centers identified by geodetic monitoring of the volcano's summit region: (1) the main locus of the summit reservoir ∼2–4 km below the southern rim of Kīlauea Caldera and (2) a shallower magma body 4 km3 of lava erupted), must therefore be sustained by a nearly continuous supply of new melt from the mantle. The model results show that a minimum of four compositionally distinct, mantle-derived magma batches were delivered to the volcano (at least three directly to the summit reservoir) since 1959. These melt inputs correlate with the initiation of energetic (1959 Kīlauea Iki) and/or sustained (1969–1974 Mauna Ulu, 1983-present Pu‘u ‘Ō‘ō and 2008-present Halema‘uma‘u) eruptions. Thus, Kīlauea's eruptive behavior is partly tied to the delivery of new magma batches from the volcano's source region within the Hawaiian mantle plume.

  20. Coalition Logistics: A Case Study in Operation Restore Hope

    Science.gov (United States)

    1994-06-03

    prerequisites forbid the intake of certain foods include Israel (no pork, Kosher prepared), Muslim nations (no pork, Halal prepared), and Hindu nations (no beef...communications. The critical life support supplies, such as food , water, and medicine, were pushed into the theater along with the transportation and...dictates a common sense burden-sharing philosophy.ś In a coalition operation, countries share common resources such as food , water, blood, transportation

  1. Summit on Improving the Economics of America's Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Collins, John [Idaho National Lab. (INL), Idaho Falls, ID (United States); Mason, Charles [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-09-01

    The Summit on Improving the Economics of America’s Nuclear Power Plants was convened May 19, 2016, by Secretary of Energy Ernest Moniz and co-sponsored by Idaho Senator Mike Crapo to stress the importance of existing nuclear reactors in meeting our nation’s energy goals. The summit was also designed to identify and discuss policy options that can be pursued at federal and state levels to address economic challenges, as well as technical options that utilities can use to improve the economic competitiveness of operating nuclear power plants (NPPs) and avoid early plant retirements that are driven by temporary market conditions. The owners of NPPs face difficult economic decisions and are working to improve the performance of existing NPPs. However, it soon became clear that some of the actions taken by states and regional markets have had an impact on the economic viability of existing power plants, including carbon free NPPs. Summit speakers identified concepts and actions that could be taken at state and federal levels to improve the economics of the existing fleet within these regulated and restructured electricity markets. This report summarizes the speeches, concepts, and actions taken.

  2. NATO Summit – 2016: results and prospects for Ukraine

    Directory of Open Access Journals (Sweden)

    O. S. Vonsovych

    2016-06-01

    Full Text Available The article investigates the results and prospects of the NATO Summit in Warsaw in 2016 for Ukraine. It was determined that one of the Summit’s outcomes for Ukraine can be considered categorical NATO’s condemnation of aggression acts of the Russian Federation against our country, and also that will never be legitimized its actions on the change of borders, in particular the annexation of Crimea and support of separatism in Ukraine. It is proved that the approval of the Comprehensive Assistance Package for Ukraine will contribute to the reforming of the defense and security structures based on NATO’s standards and principles, including the establishment of civilian democratic control over the armed forces and to ensure their interoperability with NATO. Reasoned argument that the presentation of the Strategic Defense Bulletin of Ukraine at the Summit is a demonstration of execution of the programming steps of Ukraine’s cooperation with NATO, but at the same time, its practical component of the full implementation raises a number of doubts. It is founded that the content of the joint statement of the Commission Ukraine – NATO at the highest level is, to a greater extent, declarative than practical. It made a conclusion that the outcomes of the NATO Summit on Ukraine could be more if the Ukrainian delegation had previously worked in more detail the practical component of their positions. It was determined that an important issue for Ukraine in the future will clearly define NATO’s position with regard to the Russian Federation. On how quickly this happens will depends the further determining (or, perhaps, transformation of the course of cooperation with NATO.

  3. Mapping one strong 'Ohana: using network analysis and GIS to enhance the effectiveness of a statewide coalition to prevent child abuse and neglect.

    Science.gov (United States)

    Cardazone, Gina; U Sy, Angela; Chik, Ivan; Corlew, Laura Kate

    2014-06-01

    Network analysis and GIS enable the presentation of meaningful data about organizational relationships and community characteristics, respectively. Together, these tools can provide a concrete representation of the ecological context in which coalitions operate, and may help coalitions identify opportunities for growth and enhanced effectiveness. This study uses network analysis and GIS mapping as part of an evaluation of the One Strong 'Ohana (OSO) campaign. The OSO campaign was launched in 2012 via a partnership between the Hawai'i Children's Trust Fund (HCTF) and the Joyful Heart Foundation. The OSO campaign uses a collaborative approach aimed at increasing public awareness of child maltreatment and protective factors that can prevent maltreatment, as well as enhancing the effectiveness of the HCTF Coalition. This study focuses on three elements of the OSO campaign evaluation: (1) Network analysis exploring the relationships between 24 active Coalition member organizations, (2) GIS mapping of responses to a randomized statewide phone survey (n = 1,450) assessing awareness of factors contributing to child maltreatment, and (3) Combined GIS maps and network data, illustrating opportunities for geographically-targeted coalition building and public awareness activities.

  4. Education Policy and Governance in England under the Coalition Government (2010-15): Academies, the Pupil Premium, and Free Early Education

    Science.gov (United States)

    West, Anne

    2015-01-01

    This paper explores the governance of school-based and early education in England under the Conservative-Liberal Democrat Coalition Government (2010-15). It draws on three prominent Coalition policy areas--the academies programme, the pupil premium, and free part-time early education--and focuses on changes to the role played by central government…

  5. Ground Tilt Time Delays between Kilauea Volcano's Summit and East Rift Zone Caused by Magma Reservoir Buffering

    Science.gov (United States)

    Haney, M. M.; Patrick, M. R.; Anderson, K. R.

    2016-12-01

    A cyclic pattern of ground deformation, called a deflation-inflation (DI) cycle, is commonly observed at Kilauea Volcano, Hawai`i. These cycles are an important part of Kilauea's eruptive activity because they directly influence the level of the summit lava lake as well as the effusion rate (and resulting lava flow hazard) at the East Rift Zone eruption site at Pu`u `O`o. DI events normally span several days, and are measured both at the summit and at Pu`u `O`o cone (20 km distance). Signals appear first at the summit and are then observed at Pu`u `O`o after an apparent delay of between 0.5 and 10 hours, which has been previously interpreted as reflecting magma transport time. We propose an alternate explanation, in which the apparent delay is an artifact of buffering by the small magma reservoir thought to exist at Pu`u `O`o. Simple Poiseuille flow modeling demonstrates that this apparent delay can be reproduced by the changing balance of inflow (from the summit) and outflow (to surface lava flows) at the Pu`u `O`o magma reservoir. The apparent delay is sensitive to the geometry of the conduit leaving Pu`u `O`o, feeding surface lava flows. We demonstrate how the reservoir buffering is quantitatively equivalent to a causal low-pass filter, which explains both the apparent delay as well as the smoothed, skewed nature of the signal at Pu`u `O`o relative to the summit. By comparing summit and Pu`u `O`o ground tilt signals over an extended time period, it may be possible to constrain the changing geometry of the shallow magmatic system through time.

  6. Influencing the political process through coalitions: the Michigan Council for Maternal and Child Health.

    Science.gov (United States)

    Holm, R S; Shaheen, P N

    1995-08-01

    Building a coalition with others is an effective tool for increasing influence at the state level of the political process. It allows for the hiring of a staff who are able to maintain a constant presence in the ever-changing state political arena, which individual physicians and other caregivers simply cannot do. It allows for the development of increased sophistication among its members, which likewise increases the ability to affect the political process. It should be done with a philosophical set of standards that preserves its integrity and focuses on its goals, which must be carefully delineated from the inception. Coalitions are an effective way to deal with public issues of maternal and child health.

  7. Effect of non-nutritive sugars to decrease the survivorship of spotted wing drosophila, Drosophila suzukii

    Science.gov (United States)

    In this study, we investigated the effects of non-nutritive sugars and sugar alcohols on the survivorship of spotted wing drosophila, Drosophila suzukii, and found erythritol and erythrose as potentially toxic to the fly. In a dose-dependent study, erythritol and erythrose significantly reduced fly ...

  8. Customer Satisfaction Among the Members of the Summit Point Golf and Country Club

    Directory of Open Access Journals (Sweden)

    VERONICA JOY V. BENCITO

    2014-04-01

    Full Text Available This study focused on the customer satisfaction among the members of the Summit Point Golf and Country Club which served as the basis for continuous improvement. It determined the level of customer satisfaction on the services offered by the Summit Point employees in terms of food and beverages, customer service and facilities. Lastly, it also tested the significant differences on the level of customer satisfactions when grouped according to their membership variables of the club. The descriptive type of research was used to assess the operation of the club. Data gathered were analyzed using the weighted mean and ANOVA method. The members of the Summit Point Golf and Country Club are generally satisfied in terms of facilities and amenities, food and beverages and customer service. The hypothesis has no significant difference between the membership profile and level of customer satisfaction in terms of facilities and amenities and customer service is rejected. This means that their responses differ as to their reasons of joining the club, their obtained degree and the frequency of playing in the club.

  9. Coalitions and the Decision making Process on the Common Flexicurity Principles

    DEFF Research Database (Denmark)

    Simonsen, Mikkel Mailand

    than the regimes and cut to some extent across the usual division of countries, in that Scandinavian and the Anglo-Saxon countries form the core of one of the coalitions, whereas a number of continental countries - Belgium, Luxembourg, Italy, Greece and Spain - are now found in the core of the other...

  10. Dynamics of ozone and nitrogen oxides at Summit, Greenland

    NARCIS (Netherlands)

    Dam, Van Brie; Helmig, Detlev; Toro, Claudia; Doskey, Paul; Kramer, Louisa; Murray, Keenan; Ganzeveld, Laurens; Seok, Brian

    2015-01-01

    A multi-year investigation of ozone (O3) and nitrogen oxides (NOx) in snowpack interstitial air down to a depth of 2.8 m was conducted at Summit, Greenland, to elucidate mechanisms controlling the production and destruction of these important trace gases within the snow.

  11. Multidisciplinary and multisectoral coalitions as catalysts for action against antimicrobial resistance: Implementation experiences at national and regional levels.

    Science.gov (United States)

    Joshi, Mohan P; Chintu, Chifumbe; Mpundu, Mirfin; Kibuule, Dan; Hazemba, Oliver; Andualem, Tenaw; Embrey, Martha; Phulu, Bayobuya; Gerba, Heran

    2018-03-20

    The multi-faceted complexities of antimicrobial resistance (AMR) require consistent action, a multidisciplinary approach, and long-term political commitment. Building coalitions can amplify stakeholder efforts to carry out effective AMR prevention and control strategies. We have developed and implemented an approach to help local stakeholders kick-start the coalition-building process. The five-step process is to (1) mobilise support, (2) understand the local situation, (3) develop an action plan, (4) implement the plan, and (5) monitor and evaluate. We first piloted the approach in Zambia in 2004, then used the lessons learned to expand it for use in Ethiopia and Namibia and to the regional level through the Ecumenical Pharmaceutical Network [EPN]. Call-to-action declarations and workshops helped promote a shared vision, resulting in the development of national AMR action plans, revision of university curricula to incorporate relevant topics, infection control activities, engagement with journalists from various mass media outlets, and strengthening of drug quality assurance systems. Our experience with the coalition-building approach in Ethiopia, Namibia, Zambia, and with the EPN shows that coalitions can form in a variety of ways with many different stakeholders, including government, academia, and faith-based organisations, to organise actions to preserve the effectiveness of existing antimicrobials and contain AMR.

  12. Report on the operation of incineration plant of the Coalite Chemical Works, Bolsover, Derbyshire, from commissioning to closure and the subsequent prosecution of the last operator Coalite Products Ltd by H M Inspectorate of Pollution under Section 5 of the Health and Safety at Work Etc. Act 1974

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    In June 1991 elevated concentrations of polychlorinated dibenzo-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were reported in cows` milk on farms in the Bolsover area in Derbyshire, UK. Monitoring by the HMIP showed that PCDDs and PCDFs were present in flue gases emitted from a chemical waste incinerator at the Coalite Chemical Works and to a lesser extent from the Coalite smokeless fuel works nearby. A soil survey and further sampling of vegetation showed the Coalite Chemical Works to be the major source of PCDDs and PCDFs. Coalite Products Ltd., pleaded guilty to operating the incinerator in breach of the Health and Safety Act in a case brought against then by HMIP on 20 February 1996. This report describes the investigation undertaken to establish the conditions of operation of the incinerator from its commissioning in 1978 to closure in November 1991. 12 refs., 8 figs., 6 tabs., 3 apps.

  13. Coalitions in Primary Triads: Reexamining the Theoretical Constructs From A Feminist Perspective.

    Science.gov (United States)

    Milstein, Kaylene; Baldwin, Cynthia

    1997-01-01

    Examines the theoretical constructs about the effects of coalitions in the father-mother-child triad from a family systems perspective. How this triadic view interacts with the historical patriarchal structure and with issues of power is addressed from a feminist perspective. (Author/MKA)

  14. Longpath DOAS observations of surface BrO at Summit, Greenland

    Directory of Open Access Journals (Sweden)

    J. Stutz

    2011-09-01

    Full Text Available Reactive halogens, and in particular bromine oxide (BrO, have frequently been observed in regions with large halide reservoirs, for example during bromine catalyzed coastal polar ozone depletion events. Much less is known about the presence and impact of reactive halogens in areas without obvious halide reservoirs, such as the polar ice sheets or continental snow.

    We report the first LP-DOAS measurements of BrO at Summit research station in the center of the Greenland ice sheet at an altitude of 3200 m. BrO mixing ratios in May 2007 and June 2008 were typically between 1–3 pmol mol−1, with maxima of up to 5 pmol mol−1. These measurements unequivocally show that halogen chemistry is occurring in the remote Arctic, far from known bromine reservoirs, such as the ocean. During periods when FLEXPART retroplumes show that airmasses resided on the Greenland ice sheet for 3 or more days, BrO exhibits a clear diurnal variation, with peak mixing ratios of up to 3 pmol mol−1 in the morning and at night. The diurnal cycle of BrO can be explained by a changing boundary layer height combined with photochemical formation of reactive bromine driven by solar radiation at the snow surface. The shallow stable boundary layer in the morning and night leads to an accumulation of BrO at the surface, leading to elevated BrO despite the expected smaller release from the snowpack during these times of low solar radiation. During the day when photolytic formation of reactive bromine is expected to be highest, efficient mixing into a deeper neutral boundary layer leads to lower BrO mixing ratios than during mornings and nights.

    The extended period of contact with the Greenland snowpack combined with the diurnal profile of BrO, modulated by boundary layer height, suggests that photochemistry in the snow is a significant source of BrO measured at Summit during the 2008 experiment. In addition, a rapid transport event

  15. Genotype and local environment dynamically influence growth, disturbance response and survivorship in the threatened coral, Acropora cervicornis.

    Science.gov (United States)

    Drury, Crawford; Manzello, Derek; Lirman, Diego

    2017-01-01

    The relationship between the coral genotype and the environment is an important area of research in degraded coral reef ecosystems. We used a reciprocal outplanting experiment with 930 corals representing ten genotypes on each of eight reefs to investigate the influence of genotype and the environment on growth and survivorship in the threatened Caribbean staghorn coral, Acropora cervicornis. Coral genotype and site were strong drivers of coral growth and individual genotypes exhibited flexible, non-conserved reaction norms, complemented by ten-fold differences in growth between specific G-E combinations. Growth plasticity may diminish the influence of local adaptation, where foreign corals grew faster than native corals at their home sites. Novel combinations of environment and genotype also significantly affected disturbance response during and after the 2015 bleaching event, where these factors acted synergistically to drive variation in bleaching and recovery. Importantly, small differences in temperature stress elicit variable patterns of survivorship based on genotype and illustrate the importance of novel combinations of coral genetics and small differences between sites representing habitat refugia. In this context, acclimatization and flexibility is especially important given the long lifespan of corals coping with complex environmental change. The combined influence of site and genotype creates short-term differences in growth and survivorship, contributing to the standing genetic variation needed for adaptation to occur over longer timescales and the recovery of degraded reefs through natural mechanisms.

  16. The Toxicology Education Summit: building the future of toxicology through education.

    Science.gov (United States)

    Barchowsky, Aaron; Buckley, Lorrene A; Carlson, Gary P; Fitsanakis, Vanessa A; Ford, Sue M; Genter, Mary Beth; Germolec, Dori R; Leavens, Teresa L; Lehman-McKeeman, Lois D; Safe, Stephen H; Sulentic, Courtney E W; Eidemiller, Betty J

    2012-06-01

    Toxicology and careers in toxicology, as well as many other scientific disciplines, are undergoing rapid and dramatic changes as new discoveries, technologies, and hazards advance at a blinding rate. There are new and ever increasing demands on toxicologists to keep pace with expanding global economies, highly fluid policy debates, and increasingly complex global threats to public health. These demands must be met with new paradigms for multidisciplinary, technologically complex, and collaborative approaches that require advanced and continuing education in toxicology and associated disciplines. This requires paradigm shifts in educational programs that support recruitment, development, and training of the modern toxicologist, as well as continued education and retraining of the midcareer professional to keep pace and sustain careers in industry, government, and academia. The Society of Toxicology convened the Toxicology Educational Summit to discuss the state of toxicology education and to strategically address educational needs and the sustained advancement of toxicology as a profession. The Summit focused on core issues of: building for the future of toxicology through educational programs; defining education and training needs; developing the "Total Toxicologist"; continued training and retraining toxicologists to sustain their careers; and, finally, supporting toxicology education and professional development. This report summarizes the outcomes of the Summit, presents examples of successful programs that advance toxicology education, and concludes with strategies that will insure the future of toxicology through advanced educational initiatives.

  17. Severe Hallux Valgus With Coalition of the Hallux Sesamoids Treated With Modified Lapidus Procedure: A Case Report.

    Science.gov (United States)

    Kurashige, Toshinori; Suzuki, Seiichi

    2017-12-01

    Coalition of the hallux sesamoids is an extremely rare condition. To our knowledge, only 1 case report has been published. We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. The coalitions themselves were asymptomatic; however, this severe hallux valgus deformity needed to be surgically treated. The hallux sesamoids in both feet appeared to be fused and heart shaped on anteroposterior radiographs and dumbbell shaped on axial radiographs. It is known that postoperative incomplete reduction of the medial sesamoids can be a risk factor for the recurrence of hallux valgus. The computed tomography scan demonstrated a groove in the bottom of the center of the heart-shaped sesamoid. The flexor hallucis longus tendon was located in the groove. Therefore, a modified Lapidus procedure was performed considering the medial half of the heart-shaped sesamoid as the medial sesamoid. Although delayed union occurred, successful correction of the deformity was achieved. Level IV.

  18. Comparative Experience Factors among Black, Asian, and Hispanic Americans: Coalitions or Conflicts?

    Science.gov (United States)

    Anderson, Talmadge

    1992-01-01

    Compares the culture, sociology, politics, and economics of African Americans, Hispanic Americans, and Asian Americans in the United States. Describes increased racial-ethnic national pluralism, the increased possibility of conflict between groups, and the need for dialogue and work toward coalition among these groups. (JB)

  19. Kayenta Township Building & Safety Department, Tribal Green Building Code Summit Presentation

    Science.gov (United States)

    Tribal Green Building Code Summit Presentation by Kayenta Township Building & Safety Department showing how they established the building department, developed a code adoption and enforcement process, and hired staff to carry out the work.

  20. Gender Summit 2011: Equality Research and Innovation Through Equality

    Czech Academy of Sciences Publication Activity Database

    Tenglerová, Hana

    2011-01-01

    Roč. 19, č. 2 (2011), s. 72-74 ISSN 1210-6658. [European Gender Summit 2011: Equality Research and Innovation Through Equality . Brusel, 07.11.2011-08.11.2011] R&D Projects: GA MŠk OK08007 Institutional research plan: CEZ:AV0Z70280505 Keywords : gender equality * science * policy Subject RIV: AO - Sociology, Demography

  1. Summary points and consensus recommendations from the international protein summit

    NARCIS (Netherlands)

    Hurt, Ryan T; McClave, Stephen A; Martindale, Robert G; Ochoa Gautier, Juan B; Coss-Bu, Jorge A; Dickerson, Roland N; Heyland, Daren K; Hoffer, L John; Moore, Frederick A; Morris, Claudia R; Paddon-Jones, Douglas; Patel, Jayshil J; Phillips, Stuart M; Rugeles, Saúl J; Sarav Md, Menaka; Weijs, Peter J M; Wernerman, Jan; Hamilton-Reeves, Jill; McClain, Craig J; Taylor, Beth

    2017-01-01

    The International Protein Summit in 2016 brought experts in clinical nutrition and protein metabolism together from around the globe to determine the impact of high-dose protein administration on clinical outcomes and address barriers to its delivery in the critically ill patient. It has been

  2. Proceedings of the clean air and climate change summit

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    The Clean Air Partnership was established in the Greater Toronto Area (GTA) over 10 years ago to work on issues related to air pollution and climate change. This summit presented details of the partnership's municipal activities and provided an outline of various projects conducted to reduce air pollution, increase the use of green energy, and encourage residents to reduce their ecological footprint. Climate change was discussed in relation to the recent economic crisis and recently discovered problems related to ocean acidification. The International Energy Agency (IEA) annual report was discussed in relation to peak oil and future economic crises. Advancements in green energy policy in Ontario were outlined. Sustainable housing and renewable energy projects in Germany were presented along with successful urban designs in Melbourne, New York City, and Denver. The GTA-CAC inter-governmental declaration on clean air was discussed, and an interim progress report was presented. The summit concluded with a video presentation of a collaborative artistic piece about climate change and the Arctic. 11 figs.

  3. Proceedings of the clean air and climate change summit

    International Nuclear Information System (INIS)

    2010-01-01

    The Clean Air Partnership was established in the Greater Toronto Area (GTA) over 10 years ago to work on issues related to air pollution and climate change. This summit presented details of the partnership's municipal activities and provided an outline of various projects conducted to reduce air pollution, increase the use of green energy, and encourage residents to reduce their ecological footprint. Climate change was discussed in relation to the recent economic crisis and recently discovered problems related to ocean acidification. The International Energy Agency (IEA) annual report was discussed in relation to peak oil and future economic crises. Advancements in green energy policy in Ontario were outlined. Sustainable housing and renewable energy projects in Germany were presented along with successful urban designs in Melbourne, New York City, and Denver. The GTA-CAC inter-governmental declaration on clean air was discussed, and an interim progress report was presented. The summit concluded with a video presentation of a collaborative artistic piece about climate change and the Arctic. 11 figs.

  4. Report of the 2014 Programming Models and Environments Summit

    Energy Technology Data Exchange (ETDEWEB)

    Heroux, Michael [US Dept. of Energy, Washington, DC (United States); Lethin, Richard [US Dept. of Energy, Washington, DC (United States)

    2016-09-19

    Programming models and environments play the essential roles in high performance computing of enabling the conception, design, implementation and execution of science and engineering application codes. Programmer productivity is strongly influenced by the effectiveness of our programming models and environments, as is software sustainability since our codes have lifespans measured in decades, so the advent of new computing architectures, increased concurrency, concerns for resilience, and the increasing demands for high-fidelity, multi-physics, multi-scale and data-intensive computations mean that we have new challenges to address as part of our fundamental R&D requirements. Fortunately, we also have new tools and environments that make design, prototyping and delivery of new programming models easier than ever. The combination of new and challenging requirements and new, powerful toolsets enables significant synergies for the next generation of programming models and environments R&D. This report presents the topics discussed and results from the 2014 DOE Office of Science Advanced Scientific Computing Research (ASCR) Programming Models & Environments Summit, and subsequent discussions among the summit participants and contributors to topics in this report.

  5. Annual report of the Summit Members' Working Group on Controlled Thermonuclear Fusion (Fusin Working Group (FWG))

    International Nuclear Information System (INIS)

    1987-04-01

    The Summit Members' Working Group on Controlled Thermonuclear Fusion [Fusion Working Group (FWG)] was established in 1983 in response to the Declaration of the Heads of State and Government at the Versailles Economic Summit meeting of 1982, and in response to the subsequent report of the Working Group in Technology, Growth and Employment (TGE) as endorsed at the Williamsburg Summit meeting, 1983. This document contains the complete written record of each of the three FWG meetings which include the minutes, lists of attendees, agendas, statements, and summary conclusions as well as the full reports of the Technical Working Party. In addition, there is a pertinent exchange of correspondence between FWG members on the role of the Technical Working Party and a requested background paper on the modalities associated with a possible future ETR project

  6. Lava lake activity at the summit of Kīlauea Volcano in 2016

    Science.gov (United States)

    Patrick, Matthew R.; Orr, Tim R.; Swanson, Donald A.; Elias, Tamar; Shiro, Brian

    2018-04-10

    The ongoing summit eruption at Kīlauea Volcano, Hawai‘i, began in March 2008 with the formation of the Overlook crater, within Halema‘uma‘u Crater. As of late 2016, the Overlook crater contained a large, persistently active lava lake (250 × 190 meters). The accessibility of the lake allows frequent direct observations, and a robust geophysical monitoring network closely tracks subtle changes at the summit. These conditions present one of the best opportunities worldwide for understanding persistent lava lake behavior and the geophysical signals associated with open-vent basaltic eruptions. In this report, we provide a descriptive and visual summary of lava lake activity during 2016, a year consisting of continuous lava lake activity. The lake surface was composed of large black crustal plates separated by narrow incandescent spreading zones. The dominant motion of the surface was normally from north to south, but spattering produced transient disruptions to this steady motion. Spattering in the lake was common, consisting of one or more sites on the lake margin. The Overlook crater was continuously modified by the deposition of spatter (often as a thin veneer) on the crater walls, with frequent collapses of this adhered lava into the lake. Larger collapses, involving lithic material from the crater walls, triggered several small explosive events that deposited bombs and lapilli around the Halema‘uma‘u Crater rim, but these did not threaten public areas. The lava lake level varied over several tens of meters, controlled primarily by changes in summit magma reservoir pressure (in part driven by magma supply rates) and secondarily by fluctuations in spattering and gas release from the lake (commonly involving gas pistoning). The lake emitted a persistent gas plume, normally averaging 1,000–8,000 metric tons per day (t/d) of sulfur dioxide (SO2), as well as a constant fallout of small juvenile and lithic particles, including Pele’s hair and tears. The

  7. Modeling Multi-Mobile Agents System Based on Coalition Signature Mechanism Using UML

    Institute of Scientific and Technical Information of China (English)

    SUNZhixin; HUANGHaiping; WANGRuchuan

    2004-01-01

    With the development of electronic commerce and agent techniques, multi-mobile agents cooperation can not only improve the efficiency of electronic business trade, but more importantly, it has a comprehensive applicative value in solving the security issues of mobile agent system. This paper firstly describes the mechanism of multi-mobile agents coalition signature aiming at the system security. Subsequently it brings forward a basic architecture of Multi-mobile agents system (MMAS) based on the design pattern of multi-mobile agents. The paper uses the diagrs_rn of UML, such as use case diagram, class diagram and sequence diagram to build the detailed model of the coalition signature and multi-mobile agents cooperation results. Through security analysis, we find that multimobile agents cooperation and interaction can solve some security problems of mobile agents in transfer, and also it can improve the efficiency of business trade. These results indicate that MMAS has a high security performance and can be widely used in E-commerce trade.

  8. A medium-term coalition-forming model of heterogeneous DERs for a commercial virtual power plant

    International Nuclear Information System (INIS)

    Shabanzadeh, Morteza; Sheikh-El-Eslami, Mohammad-Kazem; Haghifam, Mahmoud-Reza

    2016-01-01

    Highlights: • A medium-term coalition-forming scheme is proposed for commercial VPPs. • Decision making on the optimal selection of VPP coalition members, bilateral and forward contracting, and pool involvement. • VPP acts as an arbitrageur by exercising arbitrage between diverse energy trading floors. • Stochastic programming approach applied to characterize the uncertainty and to derive informed decisions. - Abstract: Within a medium-term market horizon, this research work provides a methodology that allows a commercial virtual power plant (CVPP) to form an optimal coalition of heterogeneous distributed energy resources (DERs) based on weekly bilateral contracting, futures-market involvement, and pool participation. The established model aims at composing an optimal portfolio of available DERs and jointly takes into account the risk associated with the energy trading strategy of the CVPP. Perceiving the fact that pool prices have highly uncertain nature, a framework based on stochastic programming approach is utilized to model this decision-making problem. The proposed framework consists of two stages. The first stage deals with decisions regarding DERs optimal selection for the VPP coalition, the amount of agreed quantity in the bilateral negotiation, and the type and quantity selection of futures-market contracts as well. In the second stage, decisions are made based on the most plausible realizations of the stochastic prices in the day-ahead market. For a given pre-specified risk level on profit volatility, the main objective is to maximize the expected profit for the VPP manager over the planning horizon. The efficiency and applicability of the developed model is illustrated and analyzed by its implementation in a system with few heterogeneous DERs and through different scenarios, and finally thereby meaningful conclusions are duly drawn.

  9. Advancing Strategies for Agenda Setting by Health Policy Coalitions: A Network Analysis of the Canadian Chronic Disease Prevention Survey.

    Science.gov (United States)

    McGetrick, Jennifer Ann; Raine, Kim D; Wild, T Cameron; Nykiforuk, Candace I J

    2018-06-11

    Health in all policies can address chronic disease morbidity and mortality by increasing population-level physical activity and healthy eating, and reducing tobacco and alcohol use. Both governmental and nongovernmental policy influencers are instrumental for health policy that modifies political, economic, and social environments. Policy influencers are informed and persuaded by coalitions that support or oppose changing the status quo. Empirical research examining policy influencers' contact with coalitions, as a social psychological exposure with health policy outcomes, can benefit from application of health communication theories. Accordingly, we analyzed responses to the 2014 Chronic Disease Prevention Survey for 184 Canadian policy influencers employed in provincial governments, municipalities, large workplaces, school boards, and the media. In addition to contact levels with coalitions, respondents' jurisdiction, organization, and ideology were analyzed as potential moderators. Calculating authority score centrality using network analysis, we determined health policy supporters to be more central in policy influencer networks, and theorized their potential to impact health policy public agenda setting via priming and framing processes. We discuss the implications of our results as presenting opportunities to more effectively promote health policy through priming and framing by coordinating coalitions across risk behaviors to advance a societal imperative for chronic disease prevention.

  10. 76 FR 47596 - Notice of Scientific Summit; The Science of Compassion-Future Directions in End-of-Life and...

    Science.gov (United States)

    2011-08-05

    ...; The Science of Compassion--Future Directions in End-of-Life and Palliative Care SUMMARY: Notice is... science at the end-of-life. On August 11-12, the summit will feature keynote presentations, three plenary...), Department of Health and Human Services, will convene a scientific summit titled ``The Science of Compassion...

  11. Non-cancer drug consumption during the early trajectory of lymphoma survivorship.

    Science.gov (United States)

    Rioufol, Catherine; Lamy, Sébastien; Conte, Cécile; Jeanneau, Pauline; Compaci, Giselle; Delpierre, Cyrille; Lapeyre-Mestre, Maryse; Laurent, Guy; Despas, Fabien

    2017-11-22

    This study explored the use of non-cancer drugs in lymphoma survivors during the early trajectory (0 to 2 years) of cancer survivorship and determined the factors that influenced this consumption. Between January and March 2014, a cross-sectional survey was conducted to assess drug consumption in adult lymphoma survivors at the Toulouse University Hospital. This study was based on a questionnaire consisting of ten open questions related to medical prescription and/or self-medication occurring within the last 3 months. A total of 83/103 lymphoma survivors returned the questionnaire. This study showed that 91.6% of patients were drug consumers (about twice more than the general French population). Twenty percent of patients were treated with≥5 drugs. Overall drug consumption mainly concerned analgesics, anti-inflammatory drugs and psychotropics. The presence of comorbidity, urban residence and female gender were associated with overall drug consumption. Moreover, half of survivors required at least one self-medication. Finally, only seven survivors (8.4%) reported no use of any medication. This study shows that, at least during the early trajectory of cancer survivorship, lymphoma patients are heavily treated with non-cancer drug therapy. This drug consumption profile may have serious implications in terms of safety, overall benefit and health economics. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  12. The Coalition for Sustainable Egg Supply project: An introduction.

    Science.gov (United States)

    Swanson, J C; Mench, J A; Karcher, D

    2015-03-01

    In the United States, empirical information on the sustainability of commercial-scale egg production is lacking. The passage of state regulations specific to hen housing created urgency to better understand the effects of different housing systems on the sustainability of the egg supply, and stimulated the formation of a coalition, the Coalition for a Sustainable Egg Supply (CSES), to conduct research on this topic. The CSES is a multi-stakeholder group with 27 members, including food manufacturers, research institutions, scientists, restaurants, food service, retail food companies, egg suppliers, and nongovernmental organizations. A commercial-scale study was developed to better understand the effect of 3 housing systems (conventional cage, enriched colony, and cage-free aviary) on 5 areas related to a sustainable egg supply. These 5 sustainability areas represent effects on people, animals, and the environment: animal health and well-being, environment, food safety, worker health and safety, and food affordability. Five teams of scientists, each associated with a sustainability area, conducted an integrated field study at a commercial site in the upper Midwest through 2 flock cycles in 3 housing systems. This paper provides a brief overview of the CSES project to serve as an introduction for the papers that follow in this volume of Poultry Science. © The Author 2015. Published by Oxford University Press on behalf of Poultry Science Association.

  13. If we work together, i will have greater power: Coalitions in networked innovation

    NARCIS (Netherlands)

    Sie, Rory; Sloep, Peter; Bitter-Rijpkema, Marlies

    2018-01-01

    The present article uses agent-based social simulation to study rational behaviour in networked innovation. A simulation model that includes network characteristics and network participant’s characteristics is run using parameter sweeping, yielding 1450 simulation cases. The notion of coalitions was

  14. Genotype and local environment dynamically influence growth, disturbance response and survivorship in the threatened coral, Acropora cervicornis.

    Directory of Open Access Journals (Sweden)

    Crawford Drury

    Full Text Available The relationship between the coral genotype and the environment is an important area of research in degraded coral reef ecosystems. We used a reciprocal outplanting experiment with 930 corals representing ten genotypes on each of eight reefs to investigate the influence of genotype and the environment on growth and survivorship in the threatened Caribbean staghorn coral, Acropora cervicornis. Coral genotype and site were strong drivers of coral growth and individual genotypes exhibited flexible, non-conserved reaction norms, complemented by ten-fold differences in growth between specific G-E combinations. Growth plasticity may diminish the influence of local adaptation, where foreign corals grew faster than native corals at their home sites. Novel combinations of environment and genotype also significantly affected disturbance response during and after the 2015 bleaching event, where these factors acted synergistically to drive variation in bleaching and recovery. Importantly, small differences in temperature stress elicit variable patterns of survivorship based on genotype and illustrate the importance of novel combinations of coral genetics and small differences between sites representing habitat refugia. In this context, acclimatization and flexibility is especially important given the long lifespan of corals coping with complex environmental change. The combined influence of site and genotype creates short-term differences in growth and survivorship, contributing to the standing genetic variation needed for adaptation to occur over longer timescales and the recovery of degraded reefs through natural mechanisms.

  15. Distribution, survivorship and mortality sources in immature stages of the neotropical leaf miner Pachyschelus coeruleipennis Kerremans (Coleoptera: Buprestidae

    Directory of Open Access Journals (Sweden)

    QUEIROZ J. M.

    2002-01-01

    Full Text Available Distribution, sources of mortality, and survivorship of immatures was investigated during the reproductive season of the neotropical buprestid leaf miner, Pachyschelus coeruleipennis, that burrows in leaves of Croton floribundus (Euphorbiaceae in SE, Brazil. Immature distribution was investigated by a random sample of 120 shrubs of C. floribundus growing along forest edges. Marked leaves were followed to recorded sources of mortality and survivorship of immature stages. Females lay their eggs preferentially in the young leaves of the host plant, with mines and pupal cells having been found on the middle part of plants. Densities of eggs, active mines, and pupal cells were, respectively, 25 ± 2, 6 ± 1, and 1 ± 0.3 per 100 leaves. Predators and parasitoids accounted for the majority of losses in the immature P. coeruleipennis population. Mortality was 3 times lower in the egg stage than in the last larval instar. Predation rate was greater than parasitism but the latter increased much more during the development of immatures. Survivorship and sources of mortality were different between early and late season sample of leaf-miner immatures. Parasitism rate was greater in the late-season whereas predation was greater in early-season samples. These results are compared with mortality patterns described for other buprestid leaf miners in temperate and tropical regions.

  16. Cyborg Dreams in Asian American Transnationality: Transgression, Myth, Simulation, Coalition

    OpenAIRE

    Song, Mary

    2012-01-01

    By deploying a cyberculture theory of cyborg politics in my literary analyses of Asian American literature, I deconstruct Asian American subjectivity through the trope of transnationality. In the Asian American transnational, I locate four prominent traits of Donna Haraway's socialist feminist cyborg: boundary transgression, the recognition and re-scripting of myth, simulations of identity, and coalitions of affinity. By adopting the language of cyberculture, I envision Asian American literat...

  17. Sustaining Physics Teacher Education Coalition programs in physics teacher education

    OpenAIRE

    Rachel E. Scherr; Monica Plisch; Renee Michelle Goertzen

    2017-01-01

    Understanding the mechanisms of increasing the number of physics teachers educated per year at institutions with thriving physics teacher preparation programs may inspire and support other institutions in building thriving programs of their own. The Physics Teacher Education Coalition (PhysTEC), led by the American Physical Society (APS) and the American Association of Physics Teachers (AAPT), has supported transformation of physics teacher preparation programs at a number of institutions aro...

  18. Outcomes and Suggestions of the Nuclear Security Summit

    International Nuclear Information System (INIS)

    Kim, Jae San; Jung, Myung Tak

    2014-01-01

    Through The third Nuclear Security Summit (NSS), the measurement for the nuclear security has become more strengthening and participating countries could recognize the importance of nuclear security than before. From the NSS sessions, the leaders of participating countries and international organizations (IAEA, UN, EU and INTERPOL) had an in-depth discussion about the seriousness of the nuclear terrorism, the urgency issues for strengthening the nuclear security, etc. What issues was discussed in NSS processes since 2010 and which facts become more important than ever for nuclear security? The purpose of this paper is to provide the substantive outcomes from the 1st to 3rd NSS and suggestions for consolidating the next NSS. The summit process has helped strengthen the nuclear security measures. In the following two years before 4th NSS, there will be various follow-up activities for making an effort to implementing national commitments, joint statement, continuous outreach with IAEA/UN and agreed measures in Hague. It should produce the substantial measures for enhancing the nuclear security that are aimed to the each country. And preemptively, it is necessary to understand the each nuclear security level by using the concrete questionnaire sheets substitute for the national progress report

  19. Outcomes and Suggestions of the Nuclear Security Summit

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae San; Jung, Myung Tak [Korea Institute of Nuclear Nonproliferation and Control Daejeon (Korea, Republic of)

    2014-10-15

    Through The third Nuclear Security Summit (NSS), the measurement for the nuclear security has become more strengthening and participating countries could recognize the importance of nuclear security than before. From the NSS sessions, the leaders of participating countries and international organizations (IAEA, UN, EU and INTERPOL) had an in-depth discussion about the seriousness of the nuclear terrorism, the urgency issues for strengthening the nuclear security, etc. What issues was discussed in NSS processes since 2010 and which facts become more important than ever for nuclear security? The purpose of this paper is to provide the substantive outcomes from the 1st to 3rd NSS and suggestions for consolidating the next NSS. The summit process has helped strengthen the nuclear security measures. In the following two years before 4th NSS, there will be various follow-up activities for making an effort to implementing national commitments, joint statement, continuous outreach with IAEA/UN and agreed measures in Hague. It should produce the substantial measures for enhancing the nuclear security that are aimed to the each country. And preemptively, it is necessary to understand the each nuclear security level by using the concrete questionnaire sheets substitute for the national progress report.

  20. Modernizing the G8 Summit Process | CRDI - Centre de recherches ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Modernizing the G8 Summit Process. This project is based on the premise that emerging countries must be full participants in key agenda-setting bodies if international governance mechanisms are to be realistic and relevant. The project brings together leaders, senior advisors, experts, researchers and opinion leaders to ...

  1. Structural and Community Change Outcomes of the Connect-to-Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention, Testing, and Medical Care.

    Science.gov (United States)

    Miller, Robin Lin; Reed, Sarah J; Chiaramonte, Danielle; Strzyzykowski, Trevor; Spring, Hannah; Acevedo-Polakovich, Ignacio D; Chutuape, Kate; Cooper-Walker, Bendu; Boyer, Cherrie B; Ellen, Jonathan M

    2017-09-01

    Connect to Protect (C2P), a 10-year community mobilization effort, pursued the dual aims of creating communities competent to address youth's HIV-related risks and removing structural barriers to youth health. We used Community Coalition Action Theory (CCAT) to examine the perceived contributions and accomplishments of 14 C2P coalitions. We interviewed 318 key informants, including youth and community leaders, to identify the features of coalitions' context and operation that facilitated and undermined their ability to achieve structural change and build communities' capability to manage their local adolescent HIV epidemic effectively. We coded the interviews using an a priori coding scheme informed by CCAT and scholarship on AIDS-competent communities. We found community mobilization efforts like C2P can contribute to addressing the structural factors that promote HIV-risk among youth and to community development. We describe how coalition leadership, collaborative synergy, capacity building, and local community context influence coalitions' ability to successfully implement HIV-related structural change, demonstrating empirical support for many of CCAT's propositions. We discuss implications for how community mobilization efforts might succeed in laying the foundation for an AIDS-competent community. © Society for Community Research and Action 2017.

  2. Midterm Survivorship and Complications of Total Knee Arthroplasty in Patients With Dwarfism.

    Science.gov (United States)

    Tan, Timothy L; Kheir, Michael M; Modi, Ronuk; Chen, Chi-Lung; Shao, Hongyi; Chen, Antonia F

    2017-11-01

    Dwarfism is associated with skeletal dysplasias and joint deformities that frequently result in osteoarthritis requiring treatment with total knee arthroplasty (TKA). These surgeries can be challenging because of alignment deformities, poor bone stock, and smaller components. This study aims to compare TKA implant survivorship and complications between dwarf and nondwarf patients. A retrospective case-control study was performed from 1997-2014 evaluating 115 TKAs in patients under the height threshold of 147.32 cm. This cohort was compared with 164 patients of normal height. Medical records were reviewed for demographics, surgical characteristics, and outcomes. All cases had 2-year minimum follow-up. The revision rate was 8.7% in dwarfs compared with 3.7% in controls (P = .08). The 2-, 5-, and 10-year implant survivorship in dwarfs was 96.4%, 92.5%, and 90.2%, respectively; and 96.6%, 95.6%, and 94.8% for controls, respectively (P = .24). Dwarfs underwent significantly more manipulations for arthrofibrosis (P = .002). There was greater femoral (17.4% vs 2.1%, P manipulation; the increased propensity for stiffness may be associated with oversized components, as evidenced by greater component overhang. Surgeons should be aware of this increased risk and may consider using smaller or customized implants to account for the morphological differences in this patient population. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Resource allocation on the frontlines of public health preparedness and response: report of a summit on legal and ethical issues.

    Science.gov (United States)

    Barnett, Daniel J; Taylor, Holly A; Hodge, James G; Links, Jonathan M

    2009-01-01

    In the face of all-hazards preparedness challenges, local and state health department personnel have to date lacked a discrete set of legally and ethically informed public health principles to guide the distribution of scarce resources in crisis settings. To help address this gap, we convened a Summit of academic and practice experts to develop a set of principles for legally and ethically sound public health resource triage decision-making in emergencies. The invitation-only Summit, held in Washington, D.C., on June 29, 2006, assembled 20 experts from a combination of academic institutions and nonacademic leadership, policy, and practice settings. The Summit featured a tabletop exercise designed to highlight resource scarcity challenges in a public health infectious disease emergency. This exercise served as a springboard for Summit participants' subsequent identification of 10 public health emergency resource allocation principles through an iterative process. The final product of the Summit was a set of 10 principles to guide allocation decisions involving scarce resources in public health emergencies. The principles are grouped into three categories: obligations to community; balancing personal autonomy and community well-being/benefit; and good preparedness practice. The 10 Summit-derived principles represent an attempt to link law, ethics, and real-world public health emergency resource allocation practices, and can serve as a useful starting framework to guide further systematic approaches and future research on addressing public health resource scarcity in an all-hazards context.

  4. Sub-surface structures and collapse mechanisms of summit pit craters

    Science.gov (United States)

    Roche, O.; van Wyk de Vries, B.; Druitt, T. H.

    2001-01-01

    Summit pit craters are found in many types of volcanoes and are generally thought to be the product of collapse into an underpressured reservoir caused by magma withdrawal. We investigate the mechanisms and structures associated with summit pit crater formation by scaled analogue experiments and make comparisons with natural examples. Models use a sand plaster mixture as analogue rock over a cylinder of silicone simulating an underpressured magma reservoir. Experiments are carried out using different roof aspect ratios (roof thickness/roof width) of 0.2-2. They reveal two basic collapse mechanisms, dependant on the roof aspect ratio. One occurs at low aspect ratios (≤1), as illustrated by aspect ratios of 0.2 and 1. Outward dipping reverse faults initiated at the silicone margins propagates through the entire roof thickness and cause subsidence of a coherent block. Collapse along the reverse faults is accommodated by marginal flexure of the block and tension fractures at the surface (aspect ratio of 0.2) or by the creation of inward dipping normal faults delimiting a terrace (aspect ratio of 1). At an aspect ratio of 1, overhanging pit walls are the surface expressions of the reverse faults. Experiments at high aspect ratio (>1.2) reveal a second mechanism. In this case, collapse occurs by stopping, which propagates upwards by a complex pattern of both reverse faults and tension fractures. The initial underground collapse is restricted to a zone above the reservoir and creates a cavity with a stable roof above it. An intermediate mechanism occurs at aspect ratios of 1.1-1.2. In this case, stopping leads to the formation of a cavity with a thin and unstable roof, which collapses suddenly. The newly formed depression then exhibits overhanging walls. Surface morphology and structure of natural examples, such as the summit pit craters at Masaya Volcano, Nicaragua, have many of the features created in the models, indicating that the internal structural geometry of

  5. Introduction to linear programming: Coalitional game experiments

    Energy Technology Data Exchange (ETDEWEB)

    Lucas, W.

    1994-12-31

    Many solution notions in the multiperson cooperative games (in characteristic function form) make use of linear programming (LP). The popular concept of the {open_quotes}core{close_quotes} of a coalitional game is a special type of LP. It can be introduced in a very simple and quite exciting manner by means of a group experiment. A total of fifty dollars will be given to three randomly selected attendees who will take part in an experiment during this talk, presuming they behave in a Pareto optimal manner. Furthermore, the dual of the particular LP for the core gives rise to the idea of {open_quotes}balanced sets{close_quotes} which is an interesting combinatorial structure in its own right.

  6. Cancer Survivorship: Defining the Incidence of Incisional Hernia After Resection for Intra-Abdominal Malignancy.

    Science.gov (United States)

    Baucom, Rebeccah B; Ousley, Jenny; Beveridge, Gloria B; Phillips, Sharon E; Pierce, Richard A; Holzman, Michael D; Sharp, Kenneth W; Nealon, William H; Poulose, Benjamin K

    2016-12-01

    Cancer survivorship focuses largely on improving quality of life. We aimed to determine the rate of ventral incisional hernia (VIH) formation after cancer resection, with implications for survivorship. Patients without prior VIH who underwent abdominal malignancy resections at a tertiary center were followed up to 2 years. Patients with a viewable preoperative computed tomography (CT) scan and CT within 2 years postoperatively were included. Primary outcome was postoperative VIH on CT, reviewed by a panel of surgeons uninvolved with the original operation. Factors associated with VIH were determined using Cox proportional hazards regression. 1847 CTs were reviewed among 491 patients (59 % men), with inter-rater reliability 0.85 for the panel. Mean age was 60 ± 12 years; mean follow-up time 13 ± 8 months. VIH occurred in 41 % and differed across diagnoses: urologic/gynecologic (30 %), colorectal (53 %), and all others (56 %) (p VIH (adjusting for stage, age, adjuvant therapy, smoking, and steroid use) included: incision location [flank (ref), midline, hazard ratio (HR) 6.89 (95 %CI 2.43-19.57); periumbilical, HR 6.24 (95 %CI 1.84-21.22); subcostal, HR 4.55 (95 %CI 1.51-13.70)], cancer type [urologic/gynecologic (ref), other {gastrointestinal, pancreatic, hepatobiliary, retroperitoneal, and others} HR 1.86 (95 %CI 1.26-2.73)], laparoscopic-assisted operation [laparoscopic (ref), HR 2.68 (95 %CI 1.44-4.98)], surgical site infection [HR 1.60 (95 %CI 1.08-2.37)], and body mass index [HR 1.06 (95 %CI 1.03-1.08)]. The rate of VIH after abdominal cancer operations is high. VIH may impact cancer survivorship with pain and need for additional operations. Further studies assessing the impact on QOL and prevention efforts are needed.

  7. Annual report of the Summit Members' Working Group on Controlled Thermonuclear Fusion (Fusin Working Group (FWG))

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1987-04-01

    The Summit Members' Working Group on Controlled Thermonuclear Fusion (Fusion Working Group (FWG)) was established in 1983 in response to the Declaration of the Heads of State and Government at the Versailles Economic Summit meeting of 1982, and in response to the subsequent report of the Working Group in Technology, Growth and Employment (TGE) as endorsed at the Williamsburg Summit meeting, 1983. This document contains the complete written record of each of the three FWG meetings which include the minutes, lists of attendees, agendas, statements, and summary conclusions as well as the full reports of the Technical Working Party. In addition, there is a pertinent exchange of correspondence between FWG members on the role of the Technical Working Party and a requested background paper on the modalities associated with a possible future ETR project.

  8. Predictors for Long-Term Hip Survivorship Following Acetabular Fracture Surgery: Importance of Gap Compared with Step Displacement.

    Science.gov (United States)

    Verbeek, Diederik O; van der List, Jelle P; Tissue, Camden M; Helfet, David L

    2018-06-06

    Historically, the greatest residual (gap or step) displacement is used to predict clinical outcome following acetabular fracture surgery. Gap and step displacement may, however, impact the outcome to different degrees. We assessed the individual relationship between gap or step displacement and hip survivorship and determined their independent association with conversion to total hip arthroplasty. Patients who had acetabular fracture fixation (from 1992 through 2014), follow-up of ≥2 years (or early conversion to total hip arthroplasty), and postoperative computed tomography (CT) scans were included. Of 227 patients, 55 (24.2%) had conversion to total hip arthroplasty at a mean follow-up (and standard deviation) of 8.7 ± 5.6 years. Residual gap and step displacement were measured using a standardized CT-based method, and assessors were blinded to the outcome. Kaplan-Meier survivorship curves for the hips were plotted and compared (log-rank test) using critical cutoff values for gap and step displacement. These values were identified using receiver operating characteristic curves. Multivariate analysis was performed to identify independent variables associated with conversion to total hip arthroplasty. Subgroup analysis was performed in younger patients (step displacement. Hip survivorship at 10 years was 82.0% for patients with a gap of step of step of ≥1.0 mm (p = 0.012). A gap of ≥5 mm (hazard ratio [HR], 2.3; p = 0.012) and an age of ≥50 years (HR, 4.2; p step of ≥1 mm (HR, 6.4; p = 0.017) was an independent factor for conversion to total hip arthroplasty. Residual gap and step displacement as measured on CT scans are both related to long-term hip survivorship, but step displacement (1 mm) is tolerated less than gap displacement (5 mm). Of the 2 types of displacement, only a large gap displacement (≥5 mm) was independently associated with conversion to total hip arthroplasty. In younger patients who had less articular impaction with smaller residual

  9. Multivariate survivorship analysis using two cross-sectional samples.

    Science.gov (United States)

    Hill, M E

    1999-11-01

    As an alternative to survival analysis with longitudinal data, I introduce a method that can be applied when one observes the same cohort in two cross-sectional samples collected at different points in time. The method allows for the estimation of log-probability survivorship models that estimate the influence of multiple time-invariant factors on survival over a time interval separating two samples. This approach can be used whenever the survival process can be adequately conceptualized as an irreversible single-decrement process (e.g., mortality, the transition to first marriage among a cohort of never-married individuals). Using data from the Integrated Public Use Microdata Series (Ruggles and Sobek 1997), I illustrate the multivariate method through an investigation of the effects of race, parity, and educational attainment on the survival of older women in the United States.

  10. Hydrothermal activity on the summit of Loihi Seamount, Hawaii

    Energy Technology Data Exchange (ETDEWEB)

    Sakai, H; Tsubota, H; Nakai, T; Ishibashi, J; Akagi, T; Gamo, T; Tilbrook, B; Igarashi, G; Kodera, M; Shitashima, K

    1987-01-01

    Loihi Seamount is located about 30km southeast of the Island of Hawaii; it rises from the sea floor at a depth of 4000m and reaches a maximum elevation of 1000m blow sea level. Oceanographic studies including CTD survey of warm sites and bottom photography confirmed several hydrothermal fields on the summit of the seamount. The summit is covered with hydrothermal plumes which are extremely rich in methane, helium, carbon dioxide, iron and manganese; the maximum concentration of helium is 91.8 n1/1, the highest so far reported for open-ocean water. The /sup 3/He//sup 4/He ratio of helium injected into seawater is 14 times the atmospheric level. The 3He/heat and CO/sub 2//heat ratios in the plumes are one to two orders of magnitude greater than those at oceanic spreading centers, implying a more primitive source region for hotspot volcanism. The plumes also show negative pH anomalies up to half a pH unit from ambient owing to the high injection rate of CO/sub 2/. (4 figs, 3 photos, 1 tab, 31 refs)

  11. Online Air-Conditioning Energy Management under Coalitional Game Framework in Smart Community

    Directory of Open Access Journals (Sweden)

    Wei Fan

    2016-08-01

    Full Text Available Motivated by the potential ability of air conditioning (A/C units in demand response, this paper explores how to utilize A/C units to increase the profit of a smart community. A coalitional game between the households and the load serving entity (LSE in a smart community is studied, where the LSE joins by selling renewable energy to householders and providing an energy saving service to them through an A/C controller. The A/C controller is designed to reduce the amount of electricity purchased from the main grid by controlling A/C units. An online A/C energy management algorithm is developed, based on Lyapunov optimization, that considers both the A/C energy consumption and the thermal comfort level of consumers. In order to quantify the contribution of A/C units, the Shapley value is adopted for distribution of the reward among the participating householders and the LSE, based on their contribution. The simulation result verifies the effectiveness of the proposed coalitional game for a smart community and the algorithm for A/C.

  12. Adoption, Acceptability, and Effectiveness of a Mobile Health App for Personalized Prostate Cancer Survivorship Care: Protocol for a Realist Case Study of the Ned App.

    Science.gov (United States)

    Pham, Quynh; Cafazzo, Joseph A; Feifer, Andrew

    2017-10-12

    By 2030, prostate cancer will be the most commonly diagnosed cancer in North America. To mitigate this impending challenge, comprehensive support mechanisms for disease- and treatment-specific changes in health and well-being must be proactively designed and thoughtfully implemented for streamlined survivorship care. mHealth apps have been lauded as a promising complement to current outpatient treatment and monitoring strategies, but have not yet been widely used to support prostate cancer survivorship needs. A realist evaluation is needed to examine the impact of such apps on the prostate cancer survivorship experience. We seek to gain an understanding of how an mHealth app for prostate cancer survivorship care called Ned (No Evident Disease) is adopted and accepted by patients, caregivers, and clinicians. We also aim to determine the effect of Ned on health-related quality of life, satisfaction with cancer care, unmet needs, self-efficacy, and prostate cancer-related levels of anxiety. The Ned case study is a 12-month mixed-methods embedded single-case study with a nested within-group pre-post comparison of health outcomes. We will give 400 patients, 200 caregivers, and 10 clinicians access to Ned. Participants will be asked to complete study assessments at baseline, 2 months, 6 months, and 12 months. We will conduct 30 semistructured qualitative interviews with patients (n=20) and their caregivers (n=10) poststudy to gain insight into their experience with the app. We recruited our first survivor in October 2017 and anticipate completing this study by May 2019. This will, to our knowledge, be the first realist case study to evaluate an app for prostate cancer survivorship care. Prostate cancer survivors are set to increase in number and longevity, heightening the need for integrated survivorship solutions to provide them with optimal and durable outcomes. The knowledge gained from this study will comprehensively inform how and why Ned works, for whom, and in

  13. Culture and Inter-Group Relations Theory as a Pathway to Improve Decision Making in Coalition Operations

    National Research Council Canada - National Science Library

    O'Mara, William J; Heacox, Nancy J; Gwynne, John W; Smillie, Robert J

    2000-01-01

    The U.S. military frequently participates in coalitions involving foreign military organizations as well as domestic and foreign civilian groups, such as governmental organizations, private volunteer...

  14. The Dynamic VPN Controller. Secure Information Sharing in a Coalition Environment

    Science.gov (United States)

    2005-03-01

    coalitionName=" COALA "> <Security>Class A</Security> <Site siteName="SITE1"> <Remote> <Hostname>dvc.site1.com</Hostname> <IPAddress...34 COALA "> <Security>Class A</Security> <Site siteName="SITE1"> <Remote> <Hostname>dvc.site1.com</Hostname> <IPAddress>10.1.1.1

  15. Climate Change Student Summits: A Model that Works (Invited)

    Science.gov (United States)

    Huffman, L. T.

    2013-12-01

    The C2S2: Climate Change Student Summit project has completed four years of activities plus a year-long longitudinal evaluation with demonstrated positive impacts beyond the life of the project on both students and teachers. This presentation will share the lessons learned about implementing this climate change science education program and suggest that it is a successful model that can be used to scale up from its Midwestern roots to achieve measurable national impact. A NOAA Environmental Literacy grant allowed ANDRILL (ANtarctic geological DRILLing) to grow a 2008 pilot program involving 2 Midwestern sites, to a program 4 years later involving 10 sites. The excellent geographical coverage included 9 of the U.S. National Climate Assessment regions defined by the U.S. Global Change Research Program. Through the delivery of two professional development (PD) workshops, a unique opportunity was provided for both formal and informal educators to engage their classrooms/audiences in understanding the complexities of climate change. For maximum contact hours, the PD experience was extended throughout the school year through the use of an online grouphub. Student teams were involved in a creative investigative science research and presentation experience culminating in a Climate Change Student Summit, an on-site capstone event including a videoconference connecting all sites. The success of this program was based on combining multiple aspects, such as encouraging the active involvement of scientists and early career researchers both in the professional development workshops and in the Student Summit. Another key factor was the close working relationships between informal and formal science entities, including involvement of informal science learning facilities and informal science education leaders. The program also created cutting-edge curriculum materials titled the ELF, (Environmental Literacy Framework with a focus on climate change), providing an earth systems

  16. The political economy of local government in Croatia: winning coalitions, corruption, and taxes

    Directory of Open Access Journals (Sweden)

    Vuk Vukovic

    2017-12-01

    Full Text Available This paper represents the first comprehensive effort to provide a theoretical and empirical explanation of systemic corruption in Croatian local government. It follows the logic of the selectorate theory, according to which staying in power for long periods of time depends on creating a small group of loyal but powerful supporters (the winning coalition. Mayors that exist within such environments not only maximize their chances of staying in power; they also engage in greater corruption and set higher taxes. Its citizens are stuck in a negative spiral of corruption, high taxes, and a politician that regardless of this keeps winning elections. The paper makes two main contributions to the current literature. First it provides a theoretical extension of the selectorate theory to Croatian local government by explicitly modeling the link between corruption and winning coalitions, and second, it empirically verifies the theoretical findings using a novel matching approach called entropy balancing.

  17. Coordination and Convening of the 2016 Arctic Science Summit Week

    Energy Technology Data Exchange (ETDEWEB)

    Hinzman, Larry D. [Univ. of Alaska, Fairbanks, AK (United States)

    2016-11-13

    The Arctic Science Summit Week, Arctic Observing Summit, Arctic Council Senior Arctic Officials, Model Arctic Council, and International Arctic Assembly were convened on the campus of the University of Alaska Fairbanks with great productivity and satisfaction of the participants. We were pleased to welcome over 1000 participants from 30 different nations and over 130 different institutions. The organization and execution of these meetings was extensive and complex involving more than 250 coordinators, volunteers and contributors from across Alaska. The participants were enthusiastic in their praise of the content and accomplishments of the meeting, but they were equally happy about the genuine welcome offered to our guests by the people of Alaska. Hosting a complex event such as this summit required an army of supporting services and we were blessed to have volunteers from Fairbanks, North Pole, Anchorage and other communities throughout Alaska helping us meet these needs. This truly was an event hosted by the people of Alaska. The significance of these events cannot be overstated. The US and global communities are finally coming to the realization of the important role that the Arctic plays in international politics, economics, and science. The Arctic has experienced tremendous changes in recent years, offering new opportunities that may be addressed through international collaborations, and serious challenges that must be addressed through active investment, adaptation and national and international coordination. Over 10% of the meeting participants were indigenous peoples, from indigenous organizations or hailed from small remote communities. This is still lower than we had hoped, but it is greater participation than similar meetings have experienced in the past. It is through such engagement that we can attack problems related to the changing environment, stagnant economies, and social ills.

  18. Coalitions of things: supporting ISR tasks via internet of things approaches

    Science.gov (United States)

    Preece, Alun; Taylor, Ian; Dawson, Andrew; Braines, Dave; O'Leary, Nick; Thomas, Anna; Tomsett, Richard; La Porta, Tom; Bakdash, Jonathan Z.; Zaroukian, Erin

    2017-05-01

    In the wake of rapid maturing of Internet of Things (IoT) approaches and technologies in the commercial sector, the IoT is increasingly seen as a key `disruptive' technology in military environments. Future operational environments are expected to be characterized by a lower proportion of human participants and a higher proportion of autonomous and semi-autonomous devices. This view is reflected in both US `third offset' and UK `information age' thinking and is likely to have a profound effect on how multinational coalition operations are conducted in the future. Much of the initial consideration of IoT adoption in the military domain has rightly focused on security concerns, reflecting similar cautions in the early era of electronic commerce. As IoT approaches mature, this initial technical focus is likely to shift to considerations of interactivity and policy. In this paper, rather than considering the broader range of IoT applications in the military context, we focus on roles for IoT concepts and devices in future intelligence, surveillance and reconnaissance (ISR) tasks, drawing on experience in sensor-mission resourcing and human-computer collaboration (HCC) for ISR. We highlight the importance of low training overheads in the adoption of IoT approaches, and the need to balance proactivity and interactivity (push vs pull modes). As with sensing systems over the last decade, we emphasize that, to be valuable in ISR tasks, IoT devices will need a degree of mission-awareness in addition to an ability to self-manage their limited resources (power, memory, bandwidth, computation, etc). In coalition operations, the management and potential sharing of IoT devices and systems among partners (e.g., in cross-coalition tactical-edge ISR teams) becomes a key issue due heterogeneous factors such as language, policy, procedure and doctrine. Finally, we briefly outline a platform that we have developed in order to experiment with human-IoT teaming on ISR tasks, in both

  19. Improving Health, Social Welfare, and Human Development Through Women's Empowerment in Developing Countries: The 2016 Girl Up Leadership Summit, Washington, DC, USA.

    Science.gov (United States)

    Mendoza, Janel

    2016-01-01

    The United Nations Foundation's Girl Up campaign, an initiative dedicated to promoting the health, education, and leadership of adolescent girls in developing communities around the world, hosted its annual Girl Up Leadership Summit in Washington, DC from July 11-13, 2016. The summit welcomed more than 275 girl empowerment and women empowerment proponents to take part in leadership training, listen to and learn from influential figures like United Nations Deputy High Commissioner for Human Rights Kate Gilmore and Treasurer of the United States Rosie Rios, as well as engage in an official lobby day in the nation's capital. Topics discussed at the summit ranged from the issue of child marriage and sexual and reproductive health rights to intersectional feminism and the importance of the next generation of global girl advocates. The purpose and, later on, achievement of the conference was the development of such leaders and Girl Up representatives. Summit attendee and Girl Up Campus Leader Janel Mendoza shares her experience as a longstanding Girl Up supporter and reflects on the preeminent conversations held during and following the summit.

  20. Principle and geomorphological applicability of summit level and base level technique using Aster Gdem satellite-derived data and the original software Baz

    Directory of Open Access Journals (Sweden)

    Akihisa Motoki

    2015-05-01

    Full Text Available This article presents principle and geomorphological applicability of summit level technique using Aster Gdem satellite-derived topographicdata. Summit level corresponds to thevirtualtopographic surface constituted bylocalhighest points, such as peaks and plateau tops, and reconstitutes palaeo-geomorphology before the drainage erosion. Summit level map is efficient for reconstitution of palaeo-surfaces and detection of active tectonic movement. Base level is thevirtualsurface composed oflocallowest points, as valley bottoms. The difference between summit level and base level is called relief amount. Thesevirtualmapsareconstructed by theoriginalsoftwareBaz. Themacroconcavity index, MCI, is calculated from summit level and relief amount maps. The volume-normalised three-dimensional concavity index, TCI, is calculated from hypsometric diagram. The massifs with high erosive resistance tend to have convex general form and low MCI and TCI. Those with low resistance have concave form and high MCI and TCI. The diagram of TCI vs. MCI permits to distinguish erosive characteristics of massifs according to their constituent rocks. The base level map for ocean bottom detects the basement tectonic uplift which occurred before the formation of the volcanic seamounts.

  1. Culture and Inter-Group Relations Theory as a Pathway to Improve Decision Making in Coalition Operations

    National Research Council Canada - National Science Library

    O'Mara, William J; Heacox, Nancy J; Gwynne, John W; Smillie, Robert J

    2000-01-01

    ... organizations, and special interest groups. Due to the wide cultural and organizational diversity of the participant groups, coalition operations pose significant challenges to the U.S. military...

  2. 75 FR 56651 - ITS Joint Program Office; Trucking Industry Mobility & Technology Coalition Annual Meeting

    Science.gov (United States)

    2010-09-16

    ... DEPARTMENT OF TRANSPORTATION ITS Joint Program Office; Trucking Industry Mobility & Technology... Transportation. ACTION: Notice. The Trucking Industry Mobility & Technology Coalition (TIMTC) Annual [[Page 56652...: Beating Gridlock with a Smart Grid; U.S. DOT Truck Technology Initiatives; and State and Federal...

  3. European Summit on the Prevention and Self-Management of Chronic Respiratory Diseases: report of the European Union Parliament Summit (29 March 2017).

    Science.gov (United States)

    Hellings, Peter W; Borrelli, David; Pietikainen, Sirpa; Agache, Ioana; Akdis, Cezmi; Bachert, Claus; Bewick, Michael; Botjes, Erna; Constantinidis, Jannis; Fokkens, Wytske; Haahtela, Tari; Hopkins, Claire; Illario, Maddalena; Joos, Guy; Lund, Valerie; Muraro, Antonella; Pugin, Benoit; Seys, Sven; Somekh, David; Stjärne, Pär; Valiulis, Arunas; Valovirta, Erkka; Bousquet, Jean

    2017-01-01

    On March 29, 2017, a European Summit on the Prevention and Self-Management of Chronic Respiratory Diseases (CRD) was organized by the European Forum for Research and Education in Allergy and Airway Diseases. The event took place in the European Parliament of Brussels and was hosted by MEP David Borrelli and MEP Sirpa Pietikainen. The aim of the Summit was to correspond to the needs of the European Commission and of patients suffering from CRD to join forces in Europe for the prevention and self-management. Delegates of the European Rhinologic Society, European Respiratory Society, European Academy of Allergy and Clinical Immunology, European Academy of Paediatrics, and European Patients Organization EFA all lectured on their vision and action plan to join forces in achieving adequate prevention and self-management of CRD in the context of Precision Medicine. Recent data highlight the preventive capacity of education on optimal care pathways for CRD. Self-management and patient empowerment can be achieved by novel educational on-line materials and by novel mobile health tools enabling patients and doctors to monitor and optimally treat CRDs based on the level of control. This report summarizes the contributions of the representatives of different European academic stakeholders in the field of CRD.

  4. Strategies for sustainable regional development and conditions for vital coalitions in the Netherlands

    NARCIS (Netherlands)

    Horlings, L.G.

    2011-01-01

    The question that is addressed in this chapter is how processes can be stimulated in rural–urban areas which contribute to sustainable development? How can capacity to act be realized? Our hypothesis is: Specific informal networks in the form of vital coalitions between private and public actors can

  5. A structural model for stress, coping, and psychosocial adjustment: A multi-group analysis by stages of survivorship in Korean women with breast cancer.

    Science.gov (United States)

    Jang, Miyoung; Kim, Jiyoung

    2018-04-01

    Prospective studies have examined factors directly affecting psychosocial adjustment during breast cancer treatment. Survivorship stage may moderate a direct effect of stress on psychosocial adjustment. This study aimed to examine relationships between stress, social support, self-efficacy, coping, and psychosocial adjustment to construct a model of the effect pathways between those factors, and determine if survivorship stage moderates those effects. Six hundred people with breast cancer completed questionnaires. Examined stages of survivorship after treatment were as follows: acute (i.e., 5 years). Stress (Perceived Stress Scale), social support (Multidimensional Scale of Perceived Social Support), self-efficacy (New General Self Efficacy Scale), coping (Ways of Coping Checklist), and psychosocial adjustment (Psychosocial Adjustment to Illness Scale-Self-Report-Korean Version) were measured. Self-efficacy significantly correlated with psychosocial adjustment in the acute survival stage (γ = -0.37, P psychosocial adjustment was greater in the acute (γ = -0.42, P psychosocial adjustment was stronger in the lasting survival stage (β = 0.42, P psychosocial adjustment of female breast cancer patients. Copyright © 2018 Elsevier Ltd. All rights reserved.

  6. Global Summit on Student Affairs and Services: Prof. Adam Habib's ...

    African Journals Online (AJOL)

    2016-11-01

    Nov 1, 2016 ... He was a keynote speaker at the 2016 Global Summit on Student Affairs and Services held from 27–28 October ... and Services, with 50 student affairs leaders in attendance. To survive the 21st century, .... While Habib knew there was tax avoidance, if increased taxes resulted in a 20% contraction in gross ...

  7. Efficient Mobility Summit: Transportation and the Future of Dynamic Mobility Systems

    Energy Technology Data Exchange (ETDEWEB)

    2015-12-01

    On October 27, 2015, The U.S. Department of Energy's National Renewable Energy Laboratory (NREL) brought together local and national thought leaders to discuss the convergence of connectivity, vehicle automation, and transportation infrastructure investments at the Future Energy Efficient Mobility Workshop. The half-day workshop was held in conjunction with the Colorado Department of Transportation's (CDOT) Transportation Matters Summit and featured four panel sessions that showcased perspectives on efficient mobility from federal and state agencies, automakers and their suppliers, transportation data providers, and freight companies. This summary provides highlights from the meeting's exchanges of ideas and existing applications. Transportation's (CDOT) Transportation Matters Summit and featured four panel sessions that showcased perspectives on efficient mobility from federal and state agencies, automakers and their suppliers, transportation data providers, and freight companies. This summary provides highlights from the meeting's exchanges of ideas and existing applications.

  8. Talent Development Research, Policy, and Practice in Europe and the United States: Outcomes from a Summit of International Researchers

    Science.gov (United States)

    Subotnik, Rena F.; Stoeger, Heidrun; Olszewski-Kubilius, Paula

    2017-01-01

    The goal of this article is to convey a summary of research and conversation on talent development on the part of a small group of European and American researchers who participated in the Inaugural American European Research Summit in Washington. In the final hours of the summit, participants discussed the state of research on talent development…

  9. COalitions in COOperation Networks (COCOON): Social Network Analysis and Game Theory to Enhance Cooperation Networks

    NARCIS (Netherlands)

    Sie, Rory

    2012-01-01

    Sie, R. L. L. (2012). COalitions in COOperation Networks (COCOON): Social Network Analysis and Game Theory to Enhance Cooperation Networks (Unpublished doctoral dissertation). September, 28, 2012, Open Universiteit in the Netherlands (CELSTEC), Heerlen, The Netherlands.

  10. A mixed method exploration of survivorship among Chinese American and non-Hispanic White breast cancer survivors: the role of socioeconomic well-being.

    Science.gov (United States)

    Wang, Judy Huei-yu; Adams, Inez F; Tucker-Seeley, Reginald; Gomez, Scarlett Lin; Allen, Laura; Huang, Ellen; Wang, Yiru; Pasick, Rena J

    2013-12-01

    Cancer-related stress is heavily influenced by culture. This study explored similarities and differences in survivorship care concerns among Chinese American and non-Hispanic White (NHW) breast cancer survivors. A sequential, mixed-method design (inductive/qualitative research-phase I and deductive/quantitative research-phase II) was employed. Eligible women identified from the Greater Bay Area Cancer Registry were age ≥21, diagnosed with stage 0-IIa breast cancer between 2006 and 2011, and had no recurrence or other cancers. In phase I, we conducted 4 Chinese (n = 19) and 4 NHW (n = 22) focus groups, and 31 individual telephone interviews (18 Chinese immigrants, 7 Chinese US-born, and 6 NHW). Content analysis was conducted to examine qualitative data. In phase II, another 296 survivors (148 NHW age-matched to 148 Chinese cases) completed a cross-sectional survey. Descriptive statistics and linear regression analysis were conducted to examine quantitative data. Qualitative data revealed "socioeconomic well-being" (SWB) as a dominant survivorship concern, which was operationalized as a cancer survivor's perceived economic and social resources available to access care. Quantitative data showed that low-acculturated Chinese immigrants reported the poorest SWB, controlling for covariates. Highly acculturated Chinese immigrants and the US-born Chinese/NHW group reported similar SWB. Women who had low-income levels or chemotherapy had poorer SWB. SWB emerged as an important aspect of breast cancer survivorship. Immigration stress, cancer care costs, and cultural values all contributed to immigrants' socioeconomic distress. Immigrant and US-born breast cancer survivors experienced different socioeconomic circumstances and well-being following treatment. Our findings warrant further investigation of socioeconomic distress and survivorship outcomes.

  11. Fragmentation in the branching coral Acropora palmata (Lamarck): growth, survivorship, and reproduction of colonies and fragments.

    Science.gov (United States)

    Lirman

    2000-08-23

    Acropora palmata, a branching coral abundant on shallow reef environments throughout the Caribbean, is susceptible to physical disturbance caused by storms. Accordingly, the survivorship and propagation of this species are tied to its capability to recover after fragmentation. Fragments of A. palmata comprised 40% of ramets within populations that had experienced recent storms. While the survivorship of A. palmata fragments was not directly related to the size of fragments, removal of fragments from areas where they settled was influenced by size. Survivorship of fragments was also affected by type of substratum; the greatest mortality (58% loss within the first month) was observed on sand, whereas fragments placed on top of live colonies of A. palmata fused to the underlying tissue and did not experience any losses. Fragments created by Hurricane Andrew on a Florida reef in August 1992 began developing new growth (proto-branches) 7 months after the storm. The number of proto-branches on fragments was dependent on size, but growth was not affected by the size of fragments. Growth-rates of proto-branches increased exponentially with time (1.7 cm year(-1) for 1993-1994, 2.7 cm year(-1) for 1994-1995, 4.2 cm year(-1) for 1995-1996, and 6.5 cm year(-1) for 1996-1997), taking over 4 years for proto-branches to achieve rates comparable to those of adult colonies on the same reef (6.9 cm year(-1)). In addition to the initial mortality and reduced growth-rates, fragmentation resulted in a loss of reproductive potential. Neither colonies that experienced severe fragmentation nor fragments contained gametes until 4 years after the initial damage. Although A. palmata may survive periodic fragmentation, the long-term effects of this process will depend ultimately on the balance between the benefits and costs of this process.

  12. Executive Summary from the 2017 Emergency Medicine Resident Wellness Consensus Summit.

    Science.gov (United States)

    Battaglioli, Nicole; Ankel, Felix; Doty, Christopher I; Chung, Arlene; Lin, Michelle

    2018-03-01

    Physician wellness has recently become a popular topic of conversation and publication within the house of medicine and specifically within emergency medicine (EM). Through a joint collaboration involving Academic Life in Emergency Medicine's (ALiEM) Wellness Think Tank, Essentials of Emergency Medicine (EEM), and the Emergency Medicine Residents' Association (EMRA), a one-day Resident Wellness Consensus Summit (RWCS) was organized. The RWCS was held on May 15, 2017, as a pre-day event prior to the 2017 EEM conference in Las Vegas, Nevada. Seven months before the RWCS event, pre-work began in the ALiEM Wellness Think Tank, which was launched in October 2016. The Wellness Think Tank is a virtual community of practice involving EM residents from the U.S. and Canada, hosted on the Slack digital-messaging platform. A working group was formed for each of the four predetermined themes: wellness curriculum development; educator toolkit resources for specific wellness topics; programmatic innovations; and wellness-targeted technologies. Pre-work for RWCS included 142 residents from 100 different training programs in the Wellness Think Tank. Participants in the actual RWCS event included 44 EM residents, five EM attendings who participated as facilitators, and three EM attendings who acted as participants. The four working groups ultimately reached a consensus on their specific objectives to improve resident wellness on both the individual and program level. The Resident Wellness Consensus Summit was a unique and novel consensus meeting, involving residents as the primary stakeholders. The summit demonstrated that it is possible to galvanize a large group of stakeholders in a relatively short time by creating robust trust, communication, and online learning networks to create resources that support resident wellness.

  13. Blueprint for Action: Visioning Summit on the Future of the Workforce in Pediatrics.

    Science.gov (United States)

    Sectish, Theodore C; Hay, William W; Mahan, John D; Mendoza, Fernando S; Spector, Nancy D; Stanton, Bonita; Szilagyi, Peter G; Turner, Teri L; Walker, Leslie R; Slaw, Kenneth

    2015-07-01

    The Federation of Pediatric Organizations engaged members of the pediatric community in an 18-month process to envision the future of the workforce in pediatrics, culminating in a Visioning Summit on the Future of the Workforce in Pediatrics. This article documents the planning process and methods used. Four working groups were based on the 4 domains that are likely to affect the future workforce: Child Health Research and Training, Diversity and Inclusion, Gender and Generations, and Pediatric Training Along the Continuum. These groups identified the issues and trends and prioritized their recommendations. Before the summit, 5 key megatrends cutting across all domains were identified:1. Aligning Education to the Emerging Health Needs of Children and Families 2. Promoting Future Support for Research Training and for Child Health Research 3. Striving Toward Mastery Within the Profession 4. Aligning and Optimizing Pediatric Practice in a Changing Health Care Delivery System 5. Taking Advantage of the Changing Demographics and Expertise of the Pediatric Workforce At the Visioning Summit, we assembled members of each of the working groups, the Federation of Pediatric Organizations Board of Directors, and several invited guests to discuss the 5 megatrends and develop the vision, solutions, and actions for each megatrend. Based on this discussion, we offer 10 recommendations for the field of pediatrics and its leading organizations to consider taking action. Copyright © 2015 by the American Academy of Pediatrics.

  14. Advance care planning within survivorship care plans for older cancer survivors: A systematic review.

    Science.gov (United States)

    O'Caoimh, Rónán; Cornally, Nicola; O'Sullivan, Ronan; Hally, Ruth; Weathers, Elizabeth; Lavan, Amanda H; Kearns, Tara; Coffey, Alice; McGlade, Ciara; Molloy, D William

    2017-11-01

    Advances in the medical treatment of cancer have increased the number of survivors, particularly among older adults, who now represent the majority of these. Survivorship care plans (SCPs) are documents that cancer patients receive summarising their care, usually at the end of treatment but preferably from initial diagnosis. These may increase patient satisfaction and represent an opportunity to initiate preventative strategies and address future care needs. Advance care planning (ACP), incorporating advance healthcare decision-making, including formal written directives, increases satisfaction and end-of-life care. This paper systematically reviews evaluations of ACP within SCPs among older (≥65 years) cancer survivors. No studies meeting the inclusion criteria were identified by search strategies conducted in PubMed/MEDLINE and the Cochrane databases. One paper examined cancer survivors' mainly positive views of ACP. Another discussed the use of a SCP supported by a 'distress inventory' that included an advance care directive (living will) as an issue, though no formal evaluation was reported. Although ACP is important for older adults, no study was found that evaluated its role within survivorship care planning. Despite the risk of recurrence and the potential for morbidity and mortality, especially among older cancer survivors, ACP is not yet a feature of SCPs. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. Member and Affiliate Contact Directory. Triangle Coalition for Science and Technology Education. Second Edition.

    Science.gov (United States)

    Triangle Coalition for Science and Technology Education, College Park, MD.

    This directory is designed to assist local action groups (existing local alliances; science mathematics, and technology teachers; superintendents, principals, and supervisors; guidance counselors and resource specialists; and university and college professors) in making contact with the local structure of the Triangle Coalition for Science and…

  16. Bringing Psychological Science to the Forefront of Educational Policy: Collaborative Efforts of the American Psychological Association's Coalition for Psychology in the Schools and Education

    Science.gov (United States)

    Rollin, Stephen A.; Subotnik, Rena F.; Bassford, Maya; Smulson, Jennifer

    2008-01-01

    The following article details the work of the American Psychological Association's (APA's) Coalition for Psychology in the Schools and Education (CPSE). First, a brief history of the background and creation of the coalition is described. The article then details the projects, completed and ongoing, of the CPSE. Those projects include a Teacher…

  17. Improving Health, Social Welfare, and Human Development Through Women’s Empowerment in Developing Countries: The 2016 Girl Up Leadership Summit, Washington, DC, USA

    Science.gov (United States)

    Mendoza, Janel

    2016-01-01

    The United Nations Foundation’s Girl Up campaign, an initiative dedicated to promoting the health, education, and leadership of adolescent girls in developing communities around the world, hosted its annual Girl Up Leadership Summit in Washington, DC from July 11-13, 2016. The summit welcomed more than 275 girl empowerment and women empowerment proponents to take part in leadership training, listen to and learn from influential figures like United Nations Deputy High Commissioner for Human Rights Kate Gilmore and Treasurer of the United States Rosie Rios, as well as engage in an official lobby day in the nation’s capital. Topics discussed at the summit ranged from the issue of child marriage and sexual and reproductive health rights to intersectional feminism and the importance of the next generation of global girl advocates. The purpose and, later on, achievement of the conference was the development of such leaders and Girl Up representatives. Summit attendee and Girl Up Campus Leader Janel Mendoza shares her experience as a longstanding Girl Up supporter and reflects on the preeminent conversations held during and following the summit. PMID:28058195

  18. Reaching the Summit: Deaf Adults as Essential Partners in Education

    Science.gov (United States)

    Bourne-Firl, Bridgetta

    2016-01-01

    How do we reach the summit in terms of supporting the best transition possible for each young deaf or hard of hearing individual in the United States? Should professionals who are hearing work alone to succeed with deaf and hard of hearing students? No matter how good the intention, if we want deaf and hard of hearing students to transition from…

  19. Assessing quality of life in young adult cancer survivors: development of the Survivorship-Related Quality of Life scale.

    Science.gov (United States)

    Park, Crystal L; Wortmann, Jennifer H; Hale, Amy E; Cho, Dalnim; Blank, Thomas O

    2014-10-01

    Scientific advances in treatments and outcomes for those diagnosed with cancer in late adolescence and early adulthood depend, in part, on the availability of adequate assessment tools to measure health-related quality of life (HRQOL) for survivors in this age group. Domains especially relevant to late adolescence and young adulthood (LAYA; e.g., education and career, committed romantic relationships, worldview formation) are typically overlooked in studies assessing the impact of cancer, usually more appropriate for middle-aged or older survivors. Current HRQOL measures also tend to assess issues that are salient during or shortly after treatment rather than reflecting life years after treatment. To develop a new measure to better capture the experience of LAYA cancer survivors in longer-term survivorship (the LAYA Survivorship-Related Quality of Life measure, LAYA-SRQL), we completed an extensive measure development process. After a literature review and focus groups with LAYA cancer survivors, we generated items and ran confirmatory factor and reliability analyses using a sample of 292 LAYA cancer survivors. We then examined validity using existing measures of physical and mental health, quality of life, and impact of cancer. The final model consisted of two domains (satisfaction and impact), each consisting of ten factors: existential/spirituality, coping, relationship, dependence, vitality, health care, education/career, fertility, intimacy/sexuality, and cognition/memory. Confirmatory factor analysis and validity analyses indicated that the LAYA-SRQL is a psychometrically sound instrument with good validity. The LAYA-SRQL fills an important need in survivorship research, providing a way to assess HRQOL in LAYAs in a developmentally informed way.

  20. Density dependence drives habitat production and survivorship of Acropora cervicornis used for restoration on a Caribbean coral reef

    Directory of Open Access Journals (Sweden)

    Mark C Ladd

    2016-12-01

    Full Text Available AbstractCoral restoration is gaining traction as a viable strategy to help restore degraded reefs. While the nascent field of coral restoration has rapidly progressed in the past decade, significant knowledge gaps remain regarding the drivers of restoration success that may impede our ability to effectively restore coral reef communities. Here, we conducted a field experiment to investigate the influence of coral density on the growth, habitat production, and survival of corals outplanted for restoration. We used nursery-raised colonies of Acropora cervicornis to experimentally establish populations of corals with either 3, 6, 12, or 24 corals within 4m2 plots, generating a gradient of coral densities ranging from 0.75 corals m-2 to 12 corals m-2. After 13 months we found that density had a significant effect on the growth, habitat production, and survivorship of restored corals. We found that coral survivorship increased as colony density decreased. Importantly, the signal of density dependent effects was context dependent. Our data suggest that positive density dependent effects influenced habitat production at densities of 3 corals m-2, but further increases in density resulted in negative density dependent effects with decreasing growth and survivorship of corals. These findings highlight the importance of density dependence for coral restoration planning and demonstrate the need to evaluate the influence of density for other coral species used for restoration. Further work focused on the mechanisms causing density dependence such as increased herbivory, rapid disease transmission, or altered predation rates are important next steps to advance our ability to effectively restore coral reefs.

  1. Text of the joint U.S.-Soviet summit statement

    International Nuclear Information System (INIS)

    1987-12-01

    The document reproduces the text of the joint U.S.-Soviet summit statement issued on 10 December 1987 at the conclusion of the meeting between the President of the United States and the General Secretary of the Central Committee of the Communist Party of the Soviet Union (Washington, December 7-10, 1987). It refers to the arms control (including nuclear weapons), human rights and humanitarian concerns, regional issues, bilateral affairs and further meetings

  2. Factors influencing implementation of a Survivorship Care Plan : A quantitative process evaluation of the ROGY Care Trial

    NARCIS (Netherlands)

    de Rooij, B.H.; Ezendam, N.P.M.; Nicolaije, K.A.H.; Vos, M.C.; Pijnenborg, J.M.A.; Boll, Dorry; Kruitwagen, R.F.P.M.; van de Poll-Franse, L.V.

    2017-01-01

    Purpose The aim of this study is to investigate the factors that influence implementation of Survivorship Care Plans (SCPs) in the intervention arm of the ROGY Care trial by (1) assessing the level of SCP receipt in the ROGY Care trial and (2) identifying patient- and provider-level factors that

  3. On sustainable development problems, also according to the world summit in Johannesburg

    Directory of Open Access Journals (Sweden)

    Gino Moncada lo Giudice

    2002-02-01

    Full Text Available In the intervention at the Environment Commission of the Senate on the problems of the sustainable development, following the recent World Summit in Johannesburg, some fundamental points are underpinned: the question is summed up and an exam is made about the results of the Summit and on the meaning of the commitments taken for the future. Indeed, it is universally accepted that, to be considered sustainable, the development must reach a compromise between economical, social and environmental goals, to maximize the present well-being, without challenging the right of future generations to satisfy their own needs. It is also accepted that this cannot be realised without defence for our eco-system and without a simultaneous and well coordinated intervention of all Countries and the participation of all productive and social categories; probably, this should be the true finality of the so much acclaimed “globalisation”.

  4. Smart transactive energy framework in grid-connected multiple home microgrids under independent and coalition operations

    DEFF Research Database (Denmark)

    Marzband, Mousa; Azarinejadian, Fatemeh; Savaghebi, Mehdi

    2018-01-01

    This paper presents a smart Transactive energy (TE) framework in which home microgrids (H-MGs) can collaborate with each other in a multiple H-MG system by forming coalitions for gaining competitiveness in the market. Profit allocation due to coalition between H-MGs is an important issue...... for ensuring the optimal use of installed resources in the whole multiple H-MG system. In addition, considering demand fluctuations, energy production based on renewable resources in the multiple H-MG can be accomplished by demand-side management strategies that try to establish mechanisms to allow...... for a flatter demand curve. In this regard, demand shifting potential can be tapped through shifting certain amounts of energy demand from some time periods to others with lower expected demand, typically to match price values and to ensure that existing generation will be economically sufficient. It is also...

  5. Captive-housed male cheetahs (Acinonyx jubatus soemmeringii) form naturalistic coalitions: measuring associations and calculating chance encounters.

    Science.gov (United States)

    Chadwick, Carly L; Rees, Paul A; Stevens-Wood, Barry

    2013-01-01

    Cheetahs are known to reproduce poorly in captivity and research suggests that the reasons for this are behavioral, rather than physiological. In the wild, male cheetahs remain in stable groups, or coalitions, throughout their lifetime. Appropriate social group housing is important in enhancing welfare and reproductive success in captivity and this study examined the effect of changes in social group composition on the behavior of four male cheetahs: two siblings and two half siblings. During the study, the cheetahs were housed both in pairs and as a group of four, before one male was relocated. The remaining cheetahs were then housed in a trio. Affiliative behaviors were frequently shown within pairs and overt aggression was seldom observed. Association indices were calculated for each cheetah pair and corrected for chance encounters based on data generated from a Monte Carlo simulation. The indices showed that two coalitions existed before the relocated male departed. Following the relocation of one of the half siblings, the remaining cheetahs appeared to form a coalition of three, as the indices of association between the unrelated male and the siblings increased and allogrooming between unrelated individuals was observed. The findings of this study indicate that natural social groupings of male cheetahs can be successfully replicated in captivity, which could potentially improve the chances of reproductive success when they are introduced to female cheetahs. © 2013 Wiley Periodicals, Inc.

  6. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and Positive Psychology: The 2017 Resident Wellness Consensus Summit

    OpenAIRE

    Jon Smart; Michael Zdradzinski; Sarah Roth; Alecia Gende; Kylie Conroy; Nicole Battaglioli

    2018-01-01

    Introduction: Burnout, depression, and suicidality among residents of all specialties have become a critical focus of attention for the medical education community. Methods: As part of the 2017 Resident Wellness Consensus Summit in Las Vegas, Nevada, resident participants from 31 programs collaborated in the Educator Toolkit workgroup. Over a seven-month period leading up to the summit, this workgroup convened virtually in the Wellness Think Tank, an online resident community, to perform a li...

  7. Group size effects on survivorship and adult development in the gregarious larvae of Euselasia chrysippe (Lepidoptera, Riodinidae)

    Science.gov (United States)

    P. E. Allen

    2010-01-01

    Caterpillars living in aggregations may derive several benefits that outweigh the costs, including better survivorship and improved growth rates. I tested whether larval group size had an effect on these two vital rates in Euselasia chrysippe. These caterpillars feed gregariously during all instars and move in processionary form over the host plant...

  8. Research Reactors Coalitions

    International Nuclear Information System (INIS)

    Borio, Andrea; Bradley, E.; Vyshniauskas, Judy; Ridikas, Danas

    2013-01-01

    When considering the potential role of an existing RR or possibly the construction of a new RR, it is clear that a nuclear science and technology programme (including nuclear power) could benefit provided the RR is safely and competently managed, well utilised and adequately funded. Based on MSs experience, a domestic RR may not be required to develop a nuclear power programme, provided the decision takes advantage of foreign expertise, including access to foreign RRs facilities and RRs regional/international networks. If a country decides to gain access to a foreign research reactor, it may need considering the potential risk of change in the political relationship with the host country that could compromise the achievement of its national relevant objectives. This risk may be offset by availability of many options within one or more regional/international RRs networks and coalitions. Examples include the use of existing RRs in vendor, non-vendor countries and, in some cases non-nuclear power countries, to develop human resources in support of the introduction of nuclear power elsewhere. International RR networking trends are most evident with high flux, higher capability, and more complex fuel and material testing RRs being shared through international partnerships. However, networks involving low-medium power RRs for education and training purposes are also gaining a more prominent role to support nuclear capacity building in newcomer MSs. Networking through the internet seems also to be a promising way to support, as complementary offer to direct access to RRs facilities, MSs nuclear capacity building objectives (e.g. the IRL project)

  9. Executive Summary from the 2017 Emergency Medicine Resident Wellness Consensus Summit

    Directory of Open Access Journals (Sweden)

    Felix Ankel

    2018-02-01

    Full Text Available Introduction: Physician wellness has recently become a popular topic of conversation and publication within the house of medicine and specifically within emergency medicine (EM. Through a joint collaboration involving Academic Life in Emergency Medicine’s (ALiEM Wellness Think Tank, Essentials of Emergency Medicine (EEM, and the Emergency Medicine Residents’ Association (EMRA, a one-day Resident Wellness Consensus Summit (RWCS was organized. Methods: The RWCS was held on May 15, 2017, as a pre-day event prior to the 2017 EEM conference in Las Vegas, Nevada. Seven months before the RWCS event, pre-work began in the ALiEM Wellness Think Tank, which was launched in October 2016. The Wellness Think Tank is a virtual community of practice involving EM residents from the U.S. and Canada, hosted on the Slack digital-messaging platform. A working group was formed for each of the four predetermined themes: wellness curriculum development; educator toolkit resources for specific wellness topics; programmatic innovations; and wellness-targeted technologies. Results: Pre-work for RWCS included 142 residents from 100 different training programs in the Wellness Think Tank. Participants in the actual RWCS event included 44 EM residents, five EM attendings who participated as facilitators, and three EM attendings who acted as participants. The four working groups ultimately reached a consensus on their specific objectives to improve resident wellness on both the individual and program level. Conclusion: The Resident Wellness Consensus Summit was a unique and novel consensus meeting, involving residents as the primary stakeholders. The summit demonstrated that it is possible to galvanize a large group of stakeholders in a relatively short time by creating robust trust, communication, and online learning networks to create resources that support resident wellness.

  10. Accessibility, Availability, and Potential Benefits of Psycho-Oncology Services: The Perspective of Community-Based Physicians Providing Cancer Survivorship Care.

    Science.gov (United States)

    Zimmermann-Schlegel, Verena; Hartmann, Mechthild; Sklenarova, Halina; Herzog, Wolfgang; Haun, Markus W

    2017-06-01

    As persons of trust, community-based physicians providing survivorship care (e.g., general practitioners [GPs]) often serve as the primary contacts for cancer survivors disclosing distress. From the perspective of physicians providing survivorship care for cancer patients, this study explores (a) the accessibility, availability, and potential benefits of psycho-oncology services; (b) whether physicians themselves provide psychosocial support; and (c) predictors for impeded referrals of survivors to services. In a cross-sectional survey, all GPs and community-based specialists in a defined region were interviewed. In addition to descriptive analyses, categorical data were investigated by applying chi-square tests. Predictors for impeded referrals were explored through logistic regression. Of 683 responding physicians, the vast majority stated that survivors benefit from psycho-oncology services (96.8%), but the physicians also articulated that insufficient coverage of psycho-oncology services (90.9%) was often accompanied by impeded referrals (77.7%). A substantial proportion (14.9%) of physicians did not offer any psychosocial support. The odds of physicians in rural areas reporting impeded referrals were 1.91 times greater than the odds of physicians in large urban areas making a similar report (95% confidence interval [1.07, 3.40]). Most community-based physicians providing survivorship care regard psycho-oncology services as highly beneficial. However, a large number of physicians report tremendous difficulty referring patients. Focusing on those physicians not providing any psychosocial support, health policy approaches should specifically (a) raise awareness of the role of physicians as persons of trust for survivors, (b) highlight the effectiveness of psycho-oncology services, and (c) encourage a proactive attitude toward the assessment of unmet needs and the initiation of comprehensive care. Community-based physicians providing survivorship care for cancer

  11. Summit CO2 emission rates by the CO2/SO2 ratio method at Kīlauea Volcano, Hawaiʻi, during a period of sustained inflation

    Science.gov (United States)

    Hager, S.A.; Gerlach, T.M.; Wallace, P.J.

    2008-01-01

    The emission rate of carbon dioxide escaping from the summit of Kīlauea Volcano, Hawaiʻi, proved highly variable, averaging 4900 ± 2000 metric tons per day (t/d) in June–July 2003 during a period of summit inflation. These results were obtained by combining over 90 measurements of COSPEC-derived SO2emission rates with synchronous CO2/SO2 ratios of the volcanic gas plume along the summit COSPEC traverse. The results are lower than the CO2 emission rate of 8500 ± 300 t/d measured by the same method in 1995–1999 during a period of long-term summit deflation [Gerlach, T.M., McGee, K.A., Elias, T., Sutton, A.J. and Doukas, M.P., 2002. Carbon dioxide emission rate of Kīlauea Volcano: Implications for primary magma and the summit reservoir. Journal of Geophysical Research-Solid Earth, 107(B9): art. no.-2189.]. Analysis of the data indicates that the emission rates of the present study likely reflect changes in the magma supply rate and residence time in the summit reservoir. It is also likely that emission rates during the inflation period were heavily influenced by SO2 pulses emitted adjacent to the COSPEC traverse, which biased CO2/SO2 ratios towards low values that may be unrepresentative of the global summit gas plume. We conclude that the SO2 pulses are consequences of summit re-inflation under way since 2003 and that CO2 emission rates remain comparable to, but more variable than, those measured prior to re-inflation.

  12. A unified degree day model describes survivorship of Copitarsia corruda Pogue & Simmons (Lepidoptera: Noctuidae) at different constant temperatures

    Science.gov (United States)

    N.N. G& #243; mez; R.C. Venette; J.R. Gould; D.F. Winograd

    2009-01-01

    Predictions of survivorship are critical to quantify the probability of establishment by an alien invasive species, but survival curves rarely distinguish between the effects of temperature on development versus senescence. We report chronological and physiological age-based survival curves for a potentially invasive noctuid, recently described as Copitarsia...

  13. Melanoma survivorship: research opportunities.

    Science.gov (United States)

    Oliveria, Susan A; Hay, Jennifer L; Geller, Alan C; Heneghan, Maureen K; McCabe, Mary S; Halpern, Allan C

    2007-03-01

    The rising incidence and mortality rates of melanoma, the most fatal form of skin cancer, are among the greatest increases of all preventable cancers over the past decade. However, because of recent advances in early detection, secondary prevention efforts, and treatment, the number of melanoma survivors is increasing. Little research has been conducted on melanoma survivors and important opportunities exist for research in this understudied population. Here, we outline the important research opportunities related to the study of melanoma survivorship and summarize the paucity of literature currently available. A computerized literature search was performed of the MEDLINE database of the National Library of Medicine from 1966-2005. The scope of the search was limited to those studies published in English. The search was conducted using the following MeSH headings: melanoma, neoplasms, skin neoplasms, survival, and survival rate. The reference lists of relevant book chapters and review articles were further reviewed, and printed materials from recent scientific meetings addressing this topic were obtained. Several factors that affect melanoma survivors warrant further study, including: physiologic long-term effects; psychosocial, behavioral, and cognitive factors; demographic characteristics; surveillance practices; recurrences, secondary primaries, and other cancers; family members of survivors; and economic issues, access to health care/life insurance. Understanding recurrence and second primary cancer risk, psychosocial and cognitive characteristics, behaviors, surveillance patterns, economic sequelae, and family issues of melanoma survivors is important from a public health standpoint to promote the health and well-being of this cohort. Melanoma is an understudied cancer, and the incidence and mortality of this disease are increasing. Describing the long term burden of this cancer and identifying factors that contribute to them will facilitate efforts to develop

  14. Erratum: Report on the summit on the future ofacademic medicine in ...

    African Journals Online (AJOL)

    The prescribed forms should be completed. 8. The ethical rules should be complied with at all times. 7. Die voorgeskrewe vorms moet voltooi word. 8. Die etiese reels moet te alle tye nagekom word. Erratum: Report on the summit on the future ofacademic medicine in SA. Please npte that this repon, which was published on ...

  15. Travel Daily China Travel Innovation Summit to Be Held in Beijing

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Guangzhou,China,April 7th- TravelDaily (www.traveldaily.cn), China’s leading online publisher and event organizer with emphasis on trends in the distribution,marketing and technology of the travel and tourism industries,today announced it will partner with PhoCusWright to host the 2009 China Travel Innovation Summit in Beijing from May 12 to 13,2009.

  16. The World Solar Summit Process. The solar electricity highway for peace and environment

    International Nuclear Information System (INIS)

    Berkovski, B.

    1996-01-01

    Due to the growth of the world, energy demand will continue to increase. The question of providing additional energy is discussed by the World Solar Summit Process (WSSP). The actions, plans, recommendations and possible prospects of WSSP are discussed. (R.P.)

  17. Elevated temperature affects development, survivorship, and settlement of the elkhorn coral, Acropora palmata (Lamarck 1816).

    Science.gov (United States)

    Randall, Carly J; Szmant, Alina M

    2009-12-01

    Elevated seawater temperatures during the late summer have the potential to negatively affect the development and survivorship of the larvae of reef corals that are reproductive during that time of year. Acropora palmata, a major Caribbean hermatype, reproduces annually during August and September. A. palmata populations have severely declined over the past three decades, and recovery will require high recruitment rates. Such recruitment will be limited if larval supply is reduced by elevated temperatures. The effects of elevated temperatures on development, survival, and larval settlement of A. palmata were investigated by culturing newly fertilized eggs at temperatures ranging from 27.5 to 31.5 degrees C. Development was accelerated and the percentage of developmental abnormalities increased at higher temperatures. Embryo mortality peaked during gastrulation, indicating that this complex developmental process is particularly sensitive to elevated temperatures. Larvae cultured at 30 and 31.5 degrees C experienced as much as an 8-fold decrease in survivorship compared to those at 28 degrees C. Additionally, settlement was 62% at 28 degrees C compared to 37% at 31.5 degrees C. These results indicate that embryos and larvae of A. palmata will be negatively affected as sea surface temperatures continue to warm, likely reducing recruitment and the recovery potential of A. palmata on Caribbean reefs.

  18. Excellent Companies and Coalition-Building among the Fortune 500: A Value- and Relationship-Based Theory.

    Science.gov (United States)

    Wilson, Laurie J.

    1994-01-01

    Discusses ways a revolution in business management emphasizing people, values, integrity, and communication should also change the approach to public relations. Reviews research to demonstrate that coalition companies possess the characteristics of excellent companies. Argues that perhaps this community relations function will lead from the…

  19. 78 FR 21928 - Demand Response Coalition v. PJM Interconnection, L.L.C.; Notice of Complaint

    Science.gov (United States)

    2013-04-12

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-57-000] Demand Response... Demand Response Coalition \\1\\ (Complainant) filed a formal complaint against the PJM Interconnection, L.L... Plan Enhancements'') violate section 205 of the FPA and are therefore unenforceable. \\1\\ The Demand...

  20. Supplemental diets containing yeast, sucrose, and soy powder enhance the survivorship, growth, and development of prey-limited cursorial spiders

    Science.gov (United States)

    We examined the effects of a food spray mixture (‘wheast’) and its individual ingredients (sucrose, yeast, and toasted soy flour) on the survivorship, growth, and development of a cursorial spider, Hibana futilis Banks (Anyphaenidae). Some treatments included eggs of Helicoverpa zea, a favored prey...

  1. Three-body interactions in sociophysics and their role in coalition forming

    Science.gov (United States)

    Naumis, Gerardo G.; Samaniego-Steta, F.; del Castillo-Mussot, M.; Vázquez, G. J.

    2007-06-01

    An study of the effects of three-body interactions in the process of coalition formation is presented. In particular, we modify a spin glass model of bimodal propensities and also a Potts model in order to include a particular three-body Hamiltonian that reproduces the main features of the required interactions. The model can be used to study conflicts, political struggles, political parties, social networks, wars and organizational structures. As an application, we analyze a simplified model of the Iraq war.

  2. More Fragmented, and yet More Networked: Analysing the Responses of Two Local Authorities in England to the Coalition's "Self-Improving School-Led System" Reforms

    Science.gov (United States)

    Greany, Toby

    2015-01-01

    This paper explores school reform in England under the Conservative-led Coalition government, elected in 2010, through a focus on the changing roles and status of Local Authorities (LAs). The Coalition's stated aim was the development of a "self-improving, school-led" system in which LAs should become "champions for children."…

  3. California: Environmental Health Coalition Clean Ports, Healthy Communities in San Diego (A Former EPA CARE Project)

    Science.gov (United States)

    The Environmental Health Coalition (EHC) is a recipient of a CARE Level II cooperative agreement grant. The Clean Ports, Healthy Communities in San Diego targets the Barrio Logan and Old Town National City areas located along San Diego Bay.

  4. Report on World Homoeopathy Summit organized by Global Homeopathy Foundation

    Directory of Open Access Journals (Sweden)

    Eswara Das

    2015-01-01

    Full Text Available The Global Homeopathy Foundation (GHF organized the World Homoeopathy Summit (WHS at Birla Matoshree Sabhaghar, Mumbai, 400020, India on 11-12 April, 2015. Ministry of AYUSH, Central Council for Research in Homoeopathy, Central Council of Homoeopathy and Homoeopathic Pharmacopeia Laboratory were the institutional collaborators. Homoeopathic Medical Association of India, Indian Homoeopathic Medical Association and the Indian Chapter of Liga Medicorum Homeopathica Internationalis supported the event. The WHS was aimed at enhancing research aptitudes of young homoeopaths, increasing clinical proficiency of practitioners, encouraging scientists from pure and applied sciences to associate in fundamental research and also inviting government as well as non government institutions to patronize research in Homoeopathy. About 800 delegates from across the country, mainly practitioners, teaching faculties, postgraduate students, Ph.D. scholars and scientists attended the summit. Scientific sessions on nature of homoeopathic medicine, Evidence and Mechanism of its action were presented by molecular biologists, engineers, physicists, immunologists, pharmacologists, chemists, nano-technologists, zoologists, homeopaths and conventional doctors from some of the premium Universities. The conference ended with panel discussion moderated by Dr. Raj K. Manchanda and Dr. Rajesh Shah. It was recommended to encourage more scientific research and better documentation in Homoeopathy and to review the existing approaches in practice.

  5. 77 FR 42738 - Patient Safety Organizations: Voluntary Relinquishment From the Coalition for Quality and Patient...

    Science.gov (United States)

    2012-07-20

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Relinquishment From the Coalition for Quality and Patient Safety of Chicagoland (CQPS.... SUMMARY: The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act), Public Law 109-41,42...

  6. Coalitions and Competition in Malaysia – Incremental Transformation of a Strong-party System

    Directory of Open Access Journals (Sweden)

    Meredith L. Weiss

    2013-01-01

    Full Text Available The seeming entrenchment of a two-coalition system in Malaysia solidifies the centrality of strongly institutionalised parties in the polity. The primary parties in Malaysia reach deeply into society and nest within dense networks of both intra-party and external organisations. Given this order – which differentiates Malaysia from its neighbours in the region – political liberalisation, if it happens, should be expected largely via electoral politics, and, specifically, through inter-party challenges. Indeed, the ideological and material premises of the emergent Pakatan Rakyat (People’s Alliance differ substantially from those of the long-standing Barisan Nasional (National Front, even as both pursue the same broad swathe of voters. This distinction reflects and furthers transformation in Malaysian politics, including not just a shift in the salience of communal identities and in policy proposals and issues, but also in patterns of political engagement both within and outside of parties, regardless of which coalition controls parliament.

  7. A decade of volcanic construction and destruction at the summit of NW Rota-1 seamount: 2004-2014

    Science.gov (United States)

    Schnur, Susan R.; Chadwick, William W.; Embley, Robert W.; Ferrini, Vicki L.; de Ronde, Cornel E. J.; Cashman, Katharine V.; Deardorff, Nicholas D.; Merle, Susan G.; Dziak, Robert P.; Haxel, Joe H.; Matsumoto, Haru

    2017-03-01

    Arc volcanoes are important to our understanding of submarine volcanism because at some sites frequent eruptions cause them to grow and collapse on human timescales. This makes it possible to document volcanic processes. Active submarine eruptions have been observed at the summit of NW Rota-1 in the Mariana Arc. We use remotely operated vehicle videography and repeat high-resolution bathymetric surveys to construct geologic maps of the summit of NW Rota-1 in 2009 and 2010 and relate them to the geologic evolution of the summit area over a 10 year period (2004-2014). We find that 2009 and 2010 were characterized by different eruptive styles, which affected the type and distribution of eruptive deposits at the summit. Year 2009 was characterized by ultraslow extrusion and autobrecciation of lava at a single eruptive vent, producing a large cone of blocky lava debris. In 2010, higher-energy explosive eruptions occurred at multiple closely spaced vents, producing a thin blanket of pebble-sized tephra overlying lava flow outcrops. A landslide that occurred between 2009 and 2010 had a major effect on lithofacies distribution by removing the debris cone and other unconsolidated deposits, revealing steep massive flow cliffs. This relatively rapid alternation between construction and destruction forms one end of a seamount growth and mass wasting spectrum. Intraplate seamounts, which tend to grow larger than arc volcanoes, experience collapse events that are orders of magnitude larger and much less frequent than those occurring at subduction zone settings. Our results highlight the interrelated cyclicity of eruptive activity and mass wasting at submarine arc volcanoes.

  8. Actor coalitions and implementation in strategic delta planning: Opening the Haringvliet sluices in the Netherlands

    Science.gov (United States)

    Vermoolen, Myrthe; Hermans, Leon

    2016-04-01

    The sustained development of urbanizing deltas is influenced by natural and societal processes. These processes are characterized by their long time span, in which conflicting interests of different stakeholders have to be reconciled. Reaching consent between actors is a challenge itself, but maintaining this consent throughout different stages of strategic planning - from advocacy and agenda setting to implementation - over these long periods of time is even more difficult. The implementation stage still includes many different actors involved, some of which are different than the ones who agreed before, due to both the long run of the strategic delta planning, and to a shift of tasks and responsibilities. Thus, implementation of strategic plans often features delays, deviations of agreed plans and unintended outcomes. A key question therefore is how coalition dynamics in (pre-)planning stages influence and are influenced by the coalition dynamics during implementation. The different stages in strategic planning are often studied from either a plan formulation or an implementation perspective, but the connection between the two proves an important bottleneck for strategic planning in deltas. For instance, many building with nature solutions are still in their pilot-phase, and their upscaling can profit from lessons concerning past implementation efforts. The proposed contribution will use the case of the management of the Dutch Haringvliet sluices and the decision ('Kierbesluit') in 2000 to put these sluices ajar, to study the link between the different strategic delta planning stages and the role of the formation and change of actor coalitions herein. With the completion of the Haringvliet dam with outlet sluices in 1970, the Haringvliet estuary of the rivers Rhine and Meuse was closed off from the sea, creating a fresh water lake. This was done to make the Dutch Southwest delta safe from flooding, and had positive effects for agricultural water supply and

  9. Participants to the 3rd HEP Information Resources Summit, 6-7 May 2009

    CERN Multimedia

    Fermilab, Photo Service

    2009-01-01

    The broad theme of the 3rd HEP Information Resources Summit was "Collaboration between Information Services." As HEP increasingly borders fields such as instrumentation and astrophysics, it was discussed what potential interrelationships and communication this group have to serve this broader research community seamlessly.

  10. IMPLEMENTASI PROGRAM CORPORATE SOCIAL RESPONSIBILITY (CSR USED MOTORCYCLE DEPARTMENT DALAM MENINGKATKAN CITRA PT. SUMMIT OTO FINANCE

    Directory of Open Access Journals (Sweden)

    FERRIANSYAH FIRDAUS

    2016-11-01

    Full Text Available Corporate Social Responsibility (CSR is a program that held by the company as a form of social or environmental responsibility. UMC Dept of PT Summit Oto Finance do the CSR programs to establish good relations with the public and dealers. CSR program is handled by some sections, namely UMC Dept. Head, UMC Staff, Branch Manager and Marketing Head.The purpose of this report is to investigate the preparation, implementation and evaluation of Corporate Social Responsibility (CSR UMC Department to improve the image of PT Summit Oto Finance. The concept of this research is public relations, corporate social responsibility and corporate image. This study used a qualitative approach with case study method. The data obtained by using observation, library research and in-depth interviews of key informants. The results of this study discusses the UMC Dept. CSR program in improving the image of PT Summit Oto Finance are divided into three stages, namely the preparation and planning stages, stages of implementation and evaluation stages. These three stages are carried out by the HO (head office that UMC Dept. Head and Staff and from the branch are Branch Manager and Marketing Head. The conclusion of this report is the CSR program UMC held on July 22, 2014. The three stages are performed optimally for results that have been planned, namely to establish good relations with the community and dealers as well as increasing the image that has been built.   Tanggung Jawab Sosial Perusahaan (CSR adalah program yang diselenggarakan oleh perusahaan sebagai bentuk tanggung jawab sosial atau lingkungan. UMC Dept dari PT Summit Oto Finance melakukan program CSR untuk menjalin hubungan baik dengan masyarakat dan dealer. Program CSR ditangani oleh beberapa bagian, yaitu Kepala Dept UMC, Staf UMC, Branch Manager dan Marketing Head. Tujuan dari laporan ini adalah untuk mengetahui persiapan, pelaksanaan dan evaluasi Tanggung Jawab Sosial Perusahaan UMC untuk memperbaiki

  11. 78 FR 21906 - Six Rivers National Forest, California, Trinity Summit Range Assessment Environmental Impact...

    Science.gov (United States)

    2013-04-12

    ..., wilderness characteristics, water quality, soil productivity, and quality fish and wildlife habitat... DEPARTMENT OF AGRICULTURE Forest Service Six Rivers National Forest, California, Trinity Summit Range Assessment Environmental Impact Statement AGENCY: Forest Service, USDA. ACTION: Notice of Intent...

  12. International Summit Consensus Statement: Intellectual Disability Inclusion in National Dementia Plans.

    Science.gov (United States)

    Watchman, Karen; Janicki, Matthew P; Splaine, Michael; Larsen, Frode K; Gomiero, Tiziano; Lucchino, Ronald

    2017-06-01

    The World Health Organization (WHO) has called for the development and adoption of national plans or strategies to guide public policy and set goals for services, supports, and research related to dementia. It called for distinct populations to be included within national plans, including adults with intellectual disability (ID). Inclusion of this group is important as having Down's syndrome is a significant risk factor for early-onset dementia. Adults with other ID may have specific needs for dementia-related care that, if unmet, can lead to diminished quality of old age. An International Summit on Intellectual Disability and Dementia, held in Scotland, reviewed the inclusion of ID in national plans and recommended that inclusion goes beyond just description and relevance of ID. Reviews of national plans and reports on dementia show minimal consideration of ID and the challenges that carers face. The Summit recommended that persons with ID, as well as family carers, should be included in consultation processes, and greater advocacy is required from national organizations on behalf of families, with need for an infrastructure in health and social care that supports quality care for dementia.

  13. Democracy in Brazil: presidentialism, party coalitions and the decision making process

    Directory of Open Access Journals (Sweden)

    Fernando Limongi

    Full Text Available There is no reason to treat the Brazilian political system as singular. Coalitions obey and are governed by party principles. The president, whose institutional power was enhanced by the 1988 Constitution, has a monopoly over legislative initiative, which approximates the Brazilian system to the European parliamentary democracies. Even though it is based upon empirical data, this essay formulates theoretical problems, such as the importance of institutional choices and how these impact on relations between the majority and minority in democratic governments.

  14. Survivorship care and support following treatment for breast cancer: a multi-ethnic comparative qualitative study of women's experiences.

    Science.gov (United States)

    Tompkins, Charlotte; Scanlon, Karen; Scott, Emma; Ream, Emma; Harding, Seeromanie; Armes, Jo

    2016-08-18

    As the number of breast cancer survivors continues to rise, Western populations become more ethnically and socially diverse and healthcare resources become ever-more stretched, follow-up that focuses on monitoring for recurrence is no longer viable. New models of survivorship care need to ensure they support self-management and are culturally appropriate across diverse populations. This study explored experiences and expectations of a multi-ethnic sample of women with breast cancer regarding post-treatment care, in order to understand potential barriers to receiving care and inform new models of survivorship care. A phenomenological qualitative research design was employed. In-depth interviews were conducted with women from diverse socio-demographic backgrounds in England, who completed treatment for breast cancer in the 12 months prior to the study. Data were analysed using Framework Analysis. Sixty-six women participated and reported expectations and needs were unmet at follow-up. Whilst there were more commonalities in experiences, discernible differences, particularly by ethnicity and age, were identified relating to three key themes: emotional responses on transition to follow-up; challenges communicating with healthcare professionals at follow-up; and challenges finding and accessing information and support services to address unmet needs. There are cultural differences in the way healthcare professionals and women communicate, not necessarily differences in their post-treatment needs. We do not know if new models of care meet survivors' needs, or if they are appropriate for everyone. Further testing and potential cultural and linguistic adaptation of models of care is necessary to ensure their appropriateness and acceptability to survivors from different backgrounds. New ways of providing survivorship care mean survivors will need to be better prepared for the post-treatment period and the role they will have to play in managing their symptoms and care.

  15. When culture does not matter: Experimental evidence from coalition formation ultimatum games in Austria and Japan

    NARCIS (Netherlands)

    Okada, A.; Riedl, A.M.

    1999-01-01

    This paper reports the results of a cross-country comparison between Austria andJapan for an experimental 3-personcoalition formation ultimatum game. The experimental design allows thecomparison with respect to three decisions. (i)The coalition decision, (ii) proposers' demand behavior in 2- and

  16. World Summit on the Information Society finding the best use of a global asset

    CERN Multimedia

    2003-01-01

    "The first global summit on bridging the digital divide between rich and poor countries - the first meeting of its kind - convened in Geneva last week as governments struggled to agree on what they wanted to achieve" (2 pages)

  17. Political Appointments and Coalition Management in Brazil, 2007-2010 Nominaciones Partidárias e Coaliciones en Brasil, 2007-2010

    Directory of Open Access Journals (Sweden)

    Sérgio Praça

    2011-01-01

    Full Text Available Studies on coalition management in presidential systems usually focus on two types of goods used by the president and formateur party to hold together coalitions: exchange goods (such as individual budget amendments and coalition goods (such as ministries. This research note analyzes, with an original dataset of party members and political appointees in Brazil, a different type of good: presidential political appointments. Our study shows that partisan political appointees vary greatly among Brazilian ministries and within them. We also found that there is a disconnect between how many seats a political party holds in Congress and the number of political appointment offices it controls. This has implications for the literature on bureaucracy and politics and the literature on coalition management.La investigación sobre el manejo de coaliciones en sistemas presidenciales normalmente se concentra en dos tipos de bienes utilizados por el presidente y su partido para formar coaliciones: intercambio de bienes (a modo de enmiendas presupuestarias individuales y los bienes propios de la coalición (a través de gabinetes ministeriales. En base a un banco de datos original sobre afiliación y nombramientos partidários para cargos de confianza en el poder ejecutivo brasileño, este artículo analiza un tipo diferente de bien de intercambio: los nombramientos presidenciales. Nuestro estudio demuestra que los patrones de nombramientos partidarios varían horizontalmente (de ministerio a ministerio y verticalmente (dentro de un ministerio específico. El análisis también muestra que no hay relación entre el número de legisladores que pertenecen a un partido y la capacidad de este de efectuar nombramientos políticos.

  18. Framing the News on the Summits of Climate Change on Spanish Television

    Directory of Open Access Journals (Sweden)

    Juan Carlos Aguila Coghlan

    2013-05-01

    Full Text Available The MDCS Research Group at the Universidad Complutense de Madrid, has analyzed the television coverage of the news in Spain on climate change summits developed in Cancun (2010 and Durban (2011. On a base of 309 news records, 169 and 140 respectively and through a registration protocol specially designed by the team for audiovisual works, we conducted a content analysis of the news corpus. Reference is made to the framing of the news, the social context and the cognitive framework of media formats. The information obtained was processed using SPSS. As a result of this analysis, this paper presents a comparison of the frequencies of some of the variables in the news of the two summits. Compared variables are:  Number of news per day;  No. of “Totales” (A “total” means someone is displayed with its own voice talking; Off Theme, Off Mode, Duration of news, Source of images,  Features of images (stock images, present images, Mood of the Presentation Phrases,  Problem solutions,  Responsibilities in the case of no solution.

  19. Perspectives from the Third International Summit on Medical Nutrition Education and Research.

    Science.gov (United States)

    Crowley, Jennifer Jean; Laur, Celia; Carter, Harrison David Edward; Jones, Glenys; Ray, Sumantra

    2018-01-01

    Nutrition is an important component of public health and health care, including in education and research, and in the areas of policy and practice. This statement was the overarching message during the third annual International Summit on Medical Nutrition Education and Research, held at Wolfson College, University of Cambridge, United Kingdom, in August 2017. This summit encouraged attendees to think more broadly about the impact of nutrition policy on health and communities, including the need to visualize the complete food system from "pre-farm to post-fork." Evidence of health issues related to food and nutrition were presented, including the need for translation of knowledge into policy and practice. Methods for this translation included the use of implementation and behavior change techniques, recognizing the needs of health-care professionals, policy makers, and the public. In all areas of nutrition and health, clear and effective messages, supported by open data, information, and actionable knowledge, are also needed along with strong measures of impact centered on an ultimate goal: to improve nutritional health and wellbeing for patients and the public.

  20. INFORMATION AND RECOMMENDATIONS CONCERNING THE ENLARGED G8 SUMMIT MEETING AT EVIAN

    CERN Multimedia

    2003-01-01

    Despite the difficulties that CERN might encounter, the Organization will pursue its activities for the duration of the G8 Summit Meeting. The Management and Division leaders will take the necessary steps to ensure the proper functioning of the Organization, while taking account of the aforementioned difficulties. The Swiss and French authorities have informed CERN of the following general security and traffic arrangements associated with the enlarged G8 summit: a) Road traffic Between 22 May and 6 June traffic on certain roads in the Canton of Geneva (notably on the left bank) and in neighbouring France (mainly Haute-Savoie) will be disrupted and, in some cases, roads closed. As far as border crossings between 22 May and 4 June are concerned, the frontier posts will be divided into three categories (see map): - posts closed to all traffic (diversion signs will be in place), - posts open at certain times, - posts open at all times. N.B. : the road from Prévessin to Mategnin will be closed and traffic div...

  1. Diet and Nutrition in Cancer Survivorship and Palliative Care

    Directory of Open Access Journals (Sweden)

    Anthony J. Bazzan

    2013-01-01

    Full Text Available The primary goal of palliative cancer care is typically to relieve suffering and improve quality of life. Most approaches to diet in this setting have focused only on eating as many calories as possible to avoid cachexia. However, as the concept of palliative care has evolved to include all aspects of cancer survivorship and not just end of life care, there is an increasing need to thoughtfully consider diet and nutrition approaches that can impact not only quality of life but overall health outcomes and perhaps even positively affect cancer recurrence and progression. In this regard, there has been a recent emphasis in the literature on nutrition and cancer as an important factor in both quality of life and in the pathophysiology of cancer. Hence, the primary purpose of this paper is to review the current data on diet and nutrition as it pertains to a wide range of cancer patients in the palliative care setting.

  2. From the Earth Summit to Rio+20: integration of health and sustainable development.

    Science.gov (United States)

    Haines, Andy; Alleyne, George; Kickbusch, Ilona; Dora, Carlos

    2012-06-09

    In 2012, world leaders will meet at the Rio+20 conference to advance sustainable development--20 years after the Earth Summit that resulted in agreement on important principles but insufficient action. Many of the development goals have not been achieved partly because social (including health), economic, and environmental priorities have not been addressed in an integrated manner. Adverse trends have been reported in many key environmental indicators that have worsened since the Earth Summit. Substantial economic growth has occurred in many regions but nevertheless has not benefited many populations of low income and those that have been marginalised, and has resulted in growing inequities. Variable progress in health has been made, and inequities are persistent. Improved health contributes to development and is underpinned by ecosystem stability and equitable economic progress. Implementation of policies that both improve health and promote sustainable development is urgently needed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Grassroots Responsiveness to Human Rights Abuse: History of the Washtenaw Interfaith Coalition for Immigrant Rights

    Science.gov (United States)

    Sanders, Laura; Martinez, Ramiro; Harner, Margaret; Harner, Melanie; Horner, Pilar; Delva, Jorge

    2013-01-01

    The purpose of this article is to discuss how a community agency based in Washtenaw County, the Washtenaw Interfaith Coalition for Immigration Rights (WICIR), emerged in response to increasing punitive immigration practices and human rights abuses toward the Latino community. The article discusses how WICIR is engaged in advocacy, community…

  4. Practical Child Safety Education in England: A National Survey of the Child Safety Education Coalition

    Science.gov (United States)

    Mulvaney, Caroline A.; Watson, Michael C.; Walsh, Patrick

    2013-01-01

    Objective: To examine the provision of practical safety education by Child Safety Education Coalition (CSEC) organizations in England. Design: A postal survey. Setting: Providers of child practical safety education who were also part of CSEC. Methods: In February 2010 all CSEC organizations were sent a self-completion postal questionnaire which…

  5. An empirical test of new developments in coalition theory for the design of international environmental agreements

    NARCIS (Netherlands)

    Finus, M.; Sáiz Pérez, M.E.; Hendrix, E.M.T.

    2009-01-01

    We consider new developments in coalition theory for the design of international environmental agreements (IEAs). Applying an empirical model on climate change that comprises benefit and cost estimates from abatement for 12 world regions, we analyze how the design of an agreement affects the success

  6. Pedaling into high gear for bicycle policy in Canada : lessons from bike summit 2008 in Toronto

    International Nuclear Information System (INIS)

    2008-01-01

    The 2008 bike summit provided a forum for the discussion of international and Canadian best practices related to bicycles and bicycling policy. The aim of the summit was to assist communities across Canada to improve conditions for cycling in the urban environment and help to generate a cultural shift towards greater acceptance of cycling on roads. This paper discussed lessons learned during the summit and outlined new methods of improving cycling in communities. The City of London has recently increased the amount of cyclists using its roads by 200 per cent. Cycling infrastructure is more affordable than constructing major public transit or road infrastructure. Savings in healthcare costs will be accrued over time as a result of the healthier lifestyles promoted by regular cycling activity. Bicycle trips can help to alleviate over-demand on heavy transit routes. Encouraging commuters to cycle will also reduce the amounts of greenhouse gases (GHGs) emitted in urban areas. Lane width reductions will help to reduce speeds as drivers are forced to pay more attention when driving. Public bike sharing programs and bike stations are now being used in many North American cities. It was concluded that strong advocacy is needed to ensure the growth and acceptance of cycling in urban centres. 23 figs

  7. Coalitions and Competition in Malaysia – Incremental Transformation of a Strong-party System

    OpenAIRE

    Meredith L. WEISS

    2013-01-01

    "The seeming entrenchment of a two-coalition system in Malaysia solidifies the centrality of strongly institutionalised parties in the polity. The primary parties in Malaysia reach deeply into society and nest within dense networks of both intra-party and external organisations. Given this order - which differentiates Malaysia from its neighbours in the region - political liberalisation, if it happens, should be expected largely via electoral politics, and, specifically, through inter-party c...

  8. Pits, rifts and slumps: the summit structure of Piton de la Fournaise

    Science.gov (United States)

    Carter, Adam; van Wyk de Vries, Benjamin; Kelfoun, Karim; Bachèlery, Patrick; Briole, Pierre

    2007-06-01

    A clear model of structures and associated stress fields of a volcano can provide a framework in which to study and monitor activity. We propose a volcano-tectonic model for the dynamics of the summit of Piton de la Fournaise (La Reunion Island, Indian Ocean). The summit contains two main pit crater structures (Dolomieu and Bory), two active rift zones, and a slumping eastern sector, all of which contribute to the actual fracture system. Dolomieu has developed over 100 years by sudden large collapse events and subsequent smaller drops that include terrace formation. Small intra-pit collapse scars and eruptive fissures are located along the southern floor of Dolomieu. The western pit wall of Dolomieu has a superficial inward dipping normal fault boundary connected to a deeper ring fault system. Outside Dolomieu, an oval extension zone containing sub-parallel pit-related fractures extends to a maximum distance of 225 m from the pit. At the summit the main trend for eruptive fissures is N80°, normal to the north south rift zone. The terraced structure of Dolomieu has been reproduced by analogue models with a roof to width ratio of approximately 1, suggesting an original magma chamber depth of about 1 km. Such a chamber may continue to act as a storage location today. The east flank has a convex concave profile and is bounded by strike-slip fractures that define a gravity slump. This zone is bound to the north by strike-slip fractures that may delineate a shear zone. The southern reciprocal shear zone is probably marked by an alignment of large scoria cones and is hidden by recent aa lavas. The slump head intersects Dolomieu pit and may slide on a hydrothermally altered layer known to be located at a depth of around 300 m. Our model has the summit activity controlled by the pit crater collapse structure, not the rifts. The rifts become important on the mid-flanks of the cone, away from pit-related fractures. On the east flank the superficial structures are controlled

  9. Raising the profile of worker safety: highlights of the 2013 North American Agricultural Safety Summit.

    Science.gov (United States)

    Nelson, William J; Heiberger, Scott; Lee, Barbara C

    2014-01-01

    The 2013 North American Agricultural Safety Summit, an unprecedented gathering of industry leaders and safety experts, was held September 25-27 in Minneapolis, MN. Hosted by the industry-led Agricultural Safety and Health Council of America (ASHCA), there were 250 attendees, 82 speakers, 76 abstracts with poster presentations, along with "best practices" videos, genius bars sessions, learning stations, exhibits, breakfast roundtable topics, and receptions. The event was a mix of knowledge, inspiration and networking to enable participants to influence the adoption of safety practices in their home/work settings. Given the agriculture industry's commitment to feed nine billion people, the projected world population by 2050, it is imperative that producers and agribusiness strive to do it safely, humanely and sustainably. Evaluation feedback was very positive, indicating ASHCA's original objectives for the Summit were achieved.

  10. A Comparative Analysis on the Strategy of Impression Management and Public Diplomacy of Two Indonesian Presidents at APEC CEO Summit

    OpenAIRE

    INDRAYANI, INRI INGGRIT

    2016-01-01

    This research aims to analyze speeches of the former Indonesian President SusiloBambang Yudhoyono (SBY) and the current Indonesia President Joko Widodo(Jokowi) at the APEC CEO Summit. Jokowi gave his speech in Beijing, China in2014, while SBY delivered his speech in Bali in 2013. Both speeches have constructively examined as image management strategies to build an impressionmanagement at the APEC CEO Summit. APEC is one of crucial forum to buildinternational relationships, draw the investment...

  11. Expose-R experiment on effects of open space condition on survivorship in dormant stages of aquatic invertebrates

    Science.gov (United States)

    Alekseev, Victor; Novikova, Nataliya; Levinskikh, Margarita; Sychev, Vladimir; Yusoff, Fatimah; Azuraidi, Osman

    2012-07-01

    Dormancy protects animals and plants in harsh environmental conditions from months up to hundred years. This phenomenon is perspective for space researches especially for interplanetary missions. Direct experiments in open space BYORYSK supported in principle the fact of survivorship of bacteria, fungi spores, seed of plants and crustacean dormant cysts. Even though the rate of survivorship in long-term treatments was low but good enough to conclude that biological invasion even to Mars is a real danger. As soon as the BYORYSK lunch was made of metal the possibility for resting stages to survive under UV treatment in vacuum without some protection was not clear. To test it an ESA and RSA equipment titled EXPOSE-R was applied. The EXPOSE-R facility was an external facility attached to the outside of the Zvezda Service Module in ISS in the end of November 2008. It had glace windows transparent for UV-radiation and possibility to measure temperature, space- and UV-radiation. Among a number of experiments requiring exposure to the open space environment it had a biological launch containing resting stages of terrestrial and aquatic organisms. These stages included dried ephippia of cladoceran Daphnia magna differentiated on size, dormant eggs of ostracode Eucypris ornate, cysts of fair-shrimp Streptocephalus torvicornis ( all from hemi desert Caspian area) and Artemis salina from salt lake Crimean populations. All dormant stages were kept in transparent to UV plastic bags placed in three layers. After about two years of exposing in open space dormant stages of 3 species A. salina, D. magna, S. torvicornis successfully survived at different scales but in second and third layers only . The highest level of survivorship was found in A. salina cysts. In preliminary land experiments that imitated land EXPOSE imitation of outside space station UV and vacuum conditions survivorship in resting eggs of D .magna, S. torvicornis and E. ornate was tested also. The total UV dose of

  12. Peran Penting Asia Africa Smart City Summit (AASCS 2015 terhadap Perkembangan Paradiplomasi Kota Bandung

    Directory of Open Access Journals (Sweden)

    Irsyaad Suharyadi

    2016-05-01

    Full Text Available Bandung merupakan salah satu kota yang telah menerapkan  konsep smart city untuk menghadapi berbagai permasalahan kota. Sayangnya, konsep ini masih terkendala pada ketersediaan dana dan teknologi. Oleh karena itu, Ridwan Kamil sebagai kepala pemerintahan kota Bandung melakukan kegiatan paradiplomasi untuk mempromosikan Smart Kota Bandung. Salah satunya, melalui program 'Mercusuar' Asia Afrika Cerdas Kota Summit (AASCS. Kegitan Asia Afrika Cerdas Kota Summit (AASCS ini dihadiri oleh 26 walikota di seluruh Asia dan Afrika, dan delegasi dari 39 negara dan mengeluarkan kesepakatan Bandung Declaration on Smart Cities. Dalam penelitian ini, penulis akan menilai manfaat dan AASCS peran dalam kegiatan paradiplomasi Bandung menggunakan teori paradiplomasi yang dipopulerkan oleh Ivo Duchacek (1990, dan membandingkannya dengan prestasi kota lain, seperti Amsterdam dan Bogota. Hasil penelitian ini menunjukkan bahwa konferensi internasional seperti AASCS mampu meningkatkan secara signifikan popularitas kota, serta kesempatan untuk mengadakan kerjasama lebih lanjut.

  13. El único hotel asociado con summit hotels & resorts en Colombia - Hotel Bogotá Plaza

    Directory of Open Access Journals (Sweden)

    Diana Carolina Rojas

    2008-11-01

    Full Text Available Es importante conocer acerca de la historia del Hotel Bogotá Plaza. Este es el primer hotel del norte de Bogotá. La misión del hotel es permanecer en el corazón de los huéspedes y visitantes, al satisfacer sus deseos con amor, calidez, amabilidad, seguridad y servicio de excelente calidad. Desde 1996 el Bogotá Plaza Hotel ha pertenecido a Summit Hotels & Resorts. Esta es una firma que proporciona al hotel un sistema de reservas por Internet, esta alianza ha generado que el hotel sea reconocido en muchos países del mundo. Summit además se ha establecido como una organización líder en ventas, mercadeo y reservas hoteleras del mundo. Es importante asociarse con compañías destacadas así como lo hizo el Hotel Bogotá Plaza.

  14. 2012 ARPA-E Energy Innovation Summit Keynote Presentation (Arun Majumdar)

    Energy Technology Data Exchange (ETDEWEB)

    Majumdar, Arun

    2012-02-28

    The third annual ARPA-E Energy Innovation Summit was held in Washington D.C. in February, 2012. The event brought together key players from across the energy ecosystem - researchers, entrepreneurs, investors, corporate executives, and government officials - to share ideas for developing and deploying the next generation of energy technologies. Director of ARPA-E, Arun Majumdar, gave the final keynote address for Tuesday, February 28th. He discussed APRA-E's role in meeting 21st century energy needs with American innovation.

  15. Coalition Warfare Program Presentation to: 2009 EUCOM/AFRICOM Science and Technology Conference

    Science.gov (United States)

    2009-06-01

    compac an nexpens ve m cro- fluxgate magnetometer for use in multiple COCOMs. To continue T&E with joint services and apply lessons learned to...Partners in EUCOM/AFRICOM FY08 Starts • Advanced Dynamic Magnetometer FY09 Starts • ADNS Coalition Network FY10 New Starts • Clip-on Night Vision...Partner 2008 New Starts Advanced Dynamic Magnetometer for Static and Moving Applications T d l t d i i i US Navy (SPAWAR) Italy, Sweden o eve op a a

  16. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.

    Science.gov (United States)

    Bradley, Elizabeth H; Brewster, Amanda L; McNatt, Zahirah; Linnander, Erika L; Cherlin, Emily; Fosburgh, Heather; Ting, Henry H; Curry, Leslie A

    2018-03-01

    Quality collaboratives are widely endorsed as a potentially effective method for translating and spreading best practices for acute myocardial infarction (AMI) care. Nevertheless, hospital success in improving performance through participation in collaboratives varies markedly. We sought to understand what distinguished hospitals that succeeded in shifting culture and reducing 30-day risk-standardised mortality rate (RSMR) after AMI through their participation in the Leadership Saves Lives (LSL) collaborative. We conducted a longitudinal, mixed methods intervention study of 10 hospitals over a 2-year period; data included surveys of 223 individuals (response rates 83%-94% depending on wave) and 393 in-depth interviews with clinical and management staff most engaged with the LSL intervention in the 10 hospitals. We measured change in culture and RSMR, and key aspects of working related to team membership, turnover, level of participation and approaches to conflict management. The six hospitals that experienced substantial culture change and greater reductions in RSMR demonstrated distinctions in: (1) effective inclusion of staff from different disciplines and levels in the organisational hierarchy in the team guiding improvement efforts (referred to as the 'guiding coalition' in each hospital); (2) authentic participation in the work of the guiding coalition; and (3) distinct patterns of managing conflict. Guiding coalition size and turnover were not associated with success (p values>0.05). In the six hospitals that experienced substantial positive culture change, staff indicated that the LSL learnings were already being applied to other improvement efforts. Hospitals that were most successful in a national quality collaborative to shift hospital culture and reduce RSMR showed distinct patterns in membership diversity, authentic participation and capacity for conflict management. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

  17. POLITICAL MONETARY CYCLES IN COALITION AND SINGLE PARTY GOVERNMENT PERIODS: A CASE STUDY ON TURKEY

    Directory of Open Access Journals (Sweden)

    AHMET EMRAH TAYYAR

    2017-12-01

    Full Text Available According to the theory of political monetary cycles, the government manipulates monetary policy during election periods in order to be re-elected. According to the said theory, expansionary monetary policies are implemented before the elections with opportunistic objective, while the contractionary monetary policies are implemented to stabilize the economy immediately after the elections. The use of monetary policy instruments for political purposes depends on the presence of a non-autonomous central bank, flexible exchange rate regime in the country, and the coordination between fiscal and monetary policies. Thus, the changes in the monetary policy indicators in election periods during coalition and single party governments in Turkey between 1990 and 2016 were examined in the present study. The money in circulation (M0, M1 money supply, domestic loans and inflation series were analyzed with the seasonal Box-Jenkins method for the above mentioned periods. Based on the findings of the study, political monetary cycles were not observed during the 1990-2000 coalition governments. It was determined that there were political monetary cycles during the single party government period between 2000 and 2016.Furthermore, although it could be expected that the political monetary cycles would be removed with the liberalization of the Turkish central bank on 25 April 2001, the existence of political monetary cycles during the period of 2000-2016 indicates that central bank independence was not fully achieved in Turkey. Based on another finding of the present study, the lack of political monetary cycles during the coalition government periods could lead to the failure in financing the budget deficit that increase due to political reasons with monetary policies. However, due to the existence of political monetary cycles during the single party government period, it could be argued that politically induced budget deficits changed in consistence with the

  18. [Contribution of the Peruvian Multisectorial Coalition against Cancer].

    Science.gov (United States)

    Pinillos-Ashton, Luis; Limache-García, Abel

    2013-03-01

    Cancer is a public health problem due to its high incidence and mortality, its high social and economic cost, and the lack of intra and intersectorial strategies resulting in failure to access information and screening tests. For this reason, it is necessary to address this problem with a comprehensive and sustainable approach. After performing a diagnosis of the human and material resources at the national level, and after having observed the attitude of healthcare decisors, the Multisector Coalition against Cancer was created with the participation of the public and nonpublic sector. A strategic plan was developed, followed by a national plan for strengthening cancer prevention and control. As a result, intersectorial work and health promotion oriented to cancer prevention through information, education and communication were strengthened. Service supply was improved and optimized through decentralization of oncological care.

  19. Assessing Summit Engagement with Other International Organizations in Global Governance

    Directory of Open Access Journals (Sweden)

    Marina Larionova

    2016-03-01

    Full Text Available Recent decades have witnessed dramatic changes all over the world. One major trend is the proliferation and diversification of actors, forums and their arrangements to address global governance challenges, which has led to fragmentation in global governance. However, such contested multilateralism has a positive dimension, as the emergence of informal multilateral institutions claiming a major role in defining the global governance agenda creates alternatives for providing common goods. New arrangements acquire their own actorness and place in the system of global governance. In certain policy areas, there is a clear trend for the new summit institutions’ leadership. The most visible recent cases include the Group of 20 (G20, the BRICS group of Brazil, Russia, India, China and South Africa, and the Asia-Pacific Economic Cooperation (APEC forum, with APEC gaining importance regionally and globally. These new informal groupings work on their own agenda. They also engage with established international organizations to steer global governance processes. Taken together, the transformative trends in international relations, the emergence of new actors, tensions between exclusive and inclusive clubs, and demands for the legitimacy and effectiveness of the international institutions define the relevance of the study, systematization and comparative analysis of the effectiveness of this model of cooperation among international institutions. This article builds an analytical framework by undertaking three tasks. It first reviews the key concepts. Second, it argues for a rational choice institutionalist approach. Third, it puts forward a hypothesis for research: to compensate for their inefficiencies, summit institutions engage with other international organizations in a mode they regard most efficient for attainment of their goals. The modes of those institutions’ engagement with other international organizations as reflected in the leaders

  20. Connecting and Reconnecting: Outfitting the Figure of the Cyborg for Transnational Coalition-building

    OpenAIRE

    Jessica E. Brophy

    2016-01-01

    This work attempts to rehabilitate Donna Haraway’s (1991) figure of the cyborg to increase the possibilities of alliances between transnational feminism and cyborg or technoscience feminism. Haraway’s cyborg offers little impetus for political investment and coalition building. This work develops an optional prosthesis of responseability for the cyborg figuration, one that enables the cyborg to invest locally. This ethic of response-ability is developed via the work of Mary Strine (1989), Ad...

  1. Curva de sobrevivência e estimativa de entropia em Lucilia cuprina (Diptera, Calliphoridae Survivorship curve and estimate of entropy in Lucilia cuprina (Diptera, Calliphoridae

    Directory of Open Access Journals (Sweden)

    Francely M. Fernandes

    2003-09-01

    Full Text Available Lucilia cuprina (Wiedemann, 1830 is a cosmopolite blowfly species of medical and veterinary importance because it produces myiasis, mainly in ovine. In order to evaluate the demographic characteristics of this species, survivorship curves for 327 adult males and 323 adult females, from generation F1 maintained under experimental conditions, were obtained. Entropy was utilized as the estimator of the survival pattern to quantify the mortality distribution of individuals as a function of age. The entropy values 0.216 (males and 0.303 (females were obtained. These results denote that, considering the survivorship interval until the death of the last individual for each sex, the males present a tendency of mortality in more advanced age intervals, in comparison with the females.

  2. The Social Construction of Young People within Education Policy: Evidence from the UK's Coalition Government

    Science.gov (United States)

    Brooks, Rachel

    2013-01-01

    Since assuming power in May 2010, the UK's Coalition government has devoted considerable energy to formulating its policies with respect to young people. Evidence of this can be found in "Positive for youth: a new approach to cross-government policy for young people aged 13-19", a policy text that outlines a wide range of measures to be…

  3. Social factors matter in cancer risk and survivorship.

    Science.gov (United States)

    Dean, Lorraine T; Gehlert, Sarah; Neuhouser, Marian L; Oh, April; Zanetti, Krista; Goodman, Melody; Thompson, Beti; Visvanathan, Kala; Schmitz, Kathryn H

    2018-07-01

    Greater attention to social factors, such as race/ethnicity, socioeconomic position, and others, are needed across the cancer continuum, including breast cancer, given differences in tumor biology and genetic variants have not completely explained the persistent Black/White breast cancer mortality disparity. In this commentary, we use examples in breast cancer risk assessment and survivorship to demonstrate how the failure to appropriately incorporate social factors into the design, recruitment, and analysis of research studies has resulted in missed opportunities to reduce persistent cancer disparities. The conclusion offers recommendations for how to better document and use information on social factors in cancer research and care by (1) increasing education and awareness about the importance of inclusion of social factors in clinical research; (2) improving testing and documentation of social factors by incorporating them into journal guidelines and reporting stratified results; and (3) including social factors to refine extant tools that assess cancer risk and assign cancer care. Implementing the recommended changes would enable more effective design and implementation of interventions and work toward eliminating cancer disparities by accounting for the social and environmental contexts in which cancer patients live and are treated.

  4. Senior executive transportation & public safety summit : national traffic incident management leadership & innovation roadmap for success

    Science.gov (United States)

    2012-09-05

    This report summarizes the proceedings, findings, and recommendations from a two-day Senior Executive Summit on Transportation and Public Safety, held June 26 and 27, 2012 at the United States Department of Transportation (USDOT) in Washington, D.C. ...

  5. Consensus statement of the International Summit on Intellectual Disability and Dementia on valuing the perspectives of persons with intellectual disability.

    Science.gov (United States)

    Watchman, Karen; Janicki, Matthew P; Udell, Leslie; Hogan, Mary; Quinn, Sam; Beránková, Anna

    2018-01-01

    The International Summit on Intellectual Disability and Dementia covered a range of issues related to dementia and intellectual disability, including the dearth of personal reflections of persons with intellectual disability affected by dementia. This article reflects on this deficiency and explores some of the personal perspectives gleaned from the literature, from the Summit attendees and from the experiences of persons with intellectual disability recorded or scribed in advance of the two-day Summit meeting. Systemic recommendations included reinforcing the value of the involvement of persons with intellectual disability in (a) research alongside removing barriers to inclusion posed by institutional/ethics review boards, (b) planning groups that establish supports for dementia and (c) peer support. Practice recommendations included (a) valuing personal perspectives in decision-making, (b) enabling peer-to-peer support models, (c) supporting choice in community-dwelling arrangements and (d) broadening availability of materials for persons with intellectual disability that would promote understanding of dementia.

  6. Technology for Children With Brain Injury and Motor Disability: Executive Summary From Research Summit IV.

    Science.gov (United States)

    Christy, Jennifer B; Lobo, Michele A; Bjornson, Kristie; Dusing, Stacey C; Field-Fote, Edelle; Gannotti, Mary; Heathcock, Jill C; OʼNeil, Margaret E; Rimmer, James H

    Advances in technology show promise as tools to optimize functional mobility, independence, and participation in infants and children with motor disability due to brain injury. Although technologies are often used in adult rehabilitation, these have not been widely applied to rehabilitation of infants and children. In October 2015, the Academy of Pediatric Physical Therapy sponsored Research Summit IV, "Innovations in Technology for Children With Brain Insults: Maximizing Outcomes." The summit included pediatric physical therapist researchers, experts from other scientific fields, funding agencies, and consumers. Participants identified challenges in implementing technology in pediatric rehabilitation including accessibility, affordability, managing large data sets, and identifying relevant data elements. Participants identified 4 key areas for technology development: to determine (1) thresholds for learning, (2) appropriate transfer to independence, (3) optimal measurement of subtle changes, and (4) how to adapt to growth and changing abilities.

  7. Importance ratings on patient-reported outcome items for survivorship care: comparison between pediatric cancer survivors, parents, and clinicians.

    Science.gov (United States)

    Jones, Conor M; Baker, Justin N; Keesey, Rachel M; Eliason, Ruth J; Lanctot, Jennifer Q; Clegg, Jennifer L; Mandrell, Belinda N; Ness, Kirsten K; Krull, Kevin R; Srivastava, Deokumar; Forrest, Christopher B; Hudson, Melissa M; Robison, Leslie L; Huang, I-Chan

    2018-04-18

    To compare importance ratings of patient-reported outcomes (PROs) items from the viewpoints of childhood cancer survivors, parents, and clinicians for further developing short-forms to use in survivorship care. 101 cancer survivors, 101 their parents, and 36 clinicians were recruited from St. Jude Children's Research Hospital. Participants were asked to select eight items that they deemed useful for clinical decision making from each of the four Patient-Reported Outcomes Measurement Information System Pediatric item banks. These item banks were pain interference (20 items), fatigue (23 items), psychological stress (19 items), and positive affect (37 items). Compared to survivors, clinicians rated more items across four domains that were statistically different than did parents (23 vs. 13 items). Clinicians rated five items in pain interference domain (ORs 2.33-6.01; p's important but rated three items in psychological stress domain (ORs 0.14-0.42; p's important than did survivors. In contrast, parents rated seven items in positive affect domain (ORs 0.25-0.47; p's important than did survivors. Survivors, parents, and clinicians viewed importance of PRO items for survivorship care differently. These perspectives should be used to assist the development of PROs tools.

  8. The aspen mortality summit; December 18 and 19, 2006; Salt Lake City, UT

    Science.gov (United States)

    Dale L. Bartos; Wayne D. Shepperd

    2010-01-01

    The USDA Forest Service Rocky Mountain Research Station sponsored an aspen summit meeting in Salt Lake City, Utah, on December 18 and19, 2006, to discuss the rapidly increasing mortality of aspen (Populus tremuloides) throughout the western United States. Selected scientists, university faculty, and managers from Federal, State, and non-profit agencies with experience...

  9. G8 SUMMIT MEETING AT EVIAN

    CERN Multimedia

    2003-01-01

    The Swiss and French authorities have informed CERN that plans are in hand for the safety and traffic arrangements associated with the G8 Summit Meeting, which will be held in Evian between 1 and 3 June 2003. Detailed information will be communicated in the coming weeks. However, changes to traffic arrangements on certain sections of the road network in the Canton of Geneva (particularly the left bank) and the neighbouring parts of France (specially Haute-Savoie) from 22 May 2003 can already be predicted. All pertinent information and any recommendations by the authorities concerned will be brought to the attention of the personnel as soon as possible. In the mean time, those concerned can consult the various Web sites devoted to this event, especially: - http://www.g8.fr/evian/english/home.html (French site); - http://www.g8info.ch/accueil.htm (Swiss site). Relations with the Host States Service http://www.cern.ch/relations/ Tel. 72848

  10. Optimization Review: French Gulch/Wellington-Oro Mine Site Water Treatment Plant, Breckenridge, Summit County, Colorado

    Science.gov (United States)

    The French Gulch/Wellington-Oro Mine Site is located near the town of Breckenridge in Summit County, Colorado. Environmental contamination of surface water, groundwater, soil and sediment at the site resulted from mining activities dating to the 1880s.

  11. Elevated CO2 and O3 effects on fine-root survivorship in ponderosa pine mesocosms.

    Science.gov (United States)

    Phillips, Donald L; Johnson, Mark G; Tingey, David T; Storm, Marjorie J

    2009-07-01

    Atmospheric carbon dioxide (CO(2)) and ozone (O(3)) concentrations are rising, which may have opposing effects on tree C balance and allocation to fine roots. More information is needed on interactive CO(2) and O(3) effects on roots, particularly fine-root life span, a critical demographic parameter and determinant of soil C and N pools and cycling rates. We conducted a study in which ponderosa pine (Pinus ponderosa) seedlings were exposed to two levels of CO(2) and O(3) in sun-lit controlled-environment mesocosms for 3 years. Minirhizotrons were used to monitor individual fine roots in three soil horizons every 28 days. Proportional hazards regression was used to analyze effects of CO(2), O(3), diameter, depth, and season of root initiation on fine-root survivorship. More fine roots were produced in the elevated CO(2) treatment than in ambient CO(2). Elevated CO(2), increasing root diameter, and increasing root depth all significantly increased fine-root survivorship and median life span. Life span was slightly, but not significantly, lower in elevated O(3), and increased O(3) did not reduce the effect of elevated CO(2). Median life spans varied from 140 to 448 days depending on the season of root initiation. These results indicate the potential for elevated CO(2) to increase the number of fine roots and their residence time in the soil, which is also affected by root diameter, root depth, and phenology.

  12. Detecting vegetation cover change on the summit of Cadillac Mountain using multi-temporal remote sensing datasets: 1979, 2001, and 2007.

    Science.gov (United States)

    Kim, Min-Kook; Daigle, John J

    2011-09-01

    This study examines the efficacy of management strategies implemented in 2000 to reduce visitor-induced vegetation impact and enhance vegetation recovery at the summit loop trail on Cadillac Mountain at Acadia National Park, Maine. Using single-spectral high-resolution remote sensing datasets captured in 1979, 2001, and 2007, pre-classification change detection analysis techniques were applied to measure fractional vegetation cover changes between the time periods. This popular sub-alpine summit with low-lying vegetation and attractive granite outcroppings experiences dispersed visitor use away from the designated trail, so three pre-defined spatial scales (small, 0-30 m; medium, 0-60 m; and large, 0-90 m) were examined in the vicinity of the summit loop trail with visitor use (experimental site) and a site chosen nearby in a relatively pristine undisturbed area (control site) with similar spatial scales. Results reveal significant changes in terms of rates of vegetation impact between 1979 and 2001 extending out to 90 m from the summit loop trail with no management at the site. No significant differences were detected among three spatial zones (inner, 0-30 m; middle, 30-60 m; and outer, 60-90 m) at the experimental site, but all were significantly higher rates of impact compared to similar spatial scales at the control site (all p time period. In addition, the advantages and some limitations of using remote sensing technologies are discussed in detecting vegetation change in this setting and potential application to other recreation settings.

  13. Fertility Preservation: A Key Survivorship Issue for Young Women with Cancer

    Science.gov (United States)

    Angarita, Ana Milena; Johnson, Cynae A.; Fader, Amanda Nickles; Christianson, Mindy S.

    2016-01-01

    Fertility preservation in the young cancer survivor is recognized as a key survivorship issue by the American Society of Clinical Oncology and the American Society of Reproductive Medicine. Thus, health-care providers should inform women about the effects of cancer therapy on fertility and should discuss the different fertility preservation options available. It is also recommended to refer women expeditiously to a fertility specialist in order to improve counseling. Women’s age, diagnosis, presence of male partner, time available, and preferences regarding use of donor sperm influence the selection of the appropriate fertility preservation option. Embryo and oocyte cryopreservation are the standard techniques used while ovarian tissue cryopreservation is new, yet promising. Despite the importance of fertility preservation for cancer survivors’ quality of life, there are still communication and financial barriers faced by women who wish to pursue fertility preservation. PMID:27200291

  14. Fertility preservation: A key survivorship issue for young women with cancer

    Directory of Open Access Journals (Sweden)

    Ana M Angarita

    2016-04-01

    Full Text Available Fertility preservation in the young cancer survivor is recognized as a key survivorship issue by the American Society of Clinical Oncology and the American Society of Reproductive Medicine. Thus, health care providers should inform women about the effects of cancer therapy on fertility and should discuss the different fertility preservation options available. It is also recommended to refer women expeditiously to a fertility specialist in order to improve counseling. Women’s age, diagnosis, presence of male partner, time available and preferences regarding use of donor sperm influence the selection of the appropriate fertility preservation option. Embryo and oocyte cryopreservation are the standard techniques used while ovarian tissue cryopreservation is new, yet promising. Despite the importance of fertility preservation for cancer survivors’ quality of life, there are still communication and financial barriers faced by women who wish to pursue fertility preservation.

  15. The impact of the survivorship care plan on health care use

    DEFF Research Database (Denmark)

    Jeppesen, Mette Moustgaard; Ezendam, Nicole P M; Pijnenborg, Johanna M A

    2018-01-01

    PURPOSE: The purpose of this paper was to assess the impact of survivorship care plan (SCP) provision and moderating factors on health care use following endometrial cancer treatment. METHODS: Women newly diagnosed with endometrial cancer were included in a pragmatic cluster randomized trial at 12...... of general practitioner, specialist, and additional health care was collected through questionnaires after diagnosis and at 6-, 12-, and 24-month follow-up and compared using linear multilevel regression analyses. RESULTS: Women who received an SCP had more cancer-related primary care visits compared...... to the usual care arm during the first year after diagnosis (β = 0.7, p women in the SCP group used more additional health care compared to women receiving usual care (24 vs. 11%, p = 0.04). Women with anxious symptoms (p = 0.03) and women who received radiotherapy (p = 0.01) had...

  16. Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition.

    Science.gov (United States)

    Baxter, Mary Frances; Newman, Robin; Longpré, Sheila M; Polo, Katie M

    Improved medical care has resulted in a documented increase in cancer survivors in the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value. Copyright © 2017 by the American Occupational Therapy Association, Inc.

  17. Nuclear Power Plant Performance: Ascending The Summit

    International Nuclear Information System (INIS)

    Anderson, T. M.

    1986-01-01

    When we look back over the years and consider the progress we have made in improving nuclear plant performance, I'm sure that many of you must feel the same mixture of elation and apprehension the mountain climber feels when he finally confronts his summit. In the curse of the last 10 years, many of US have watched availability averages rise from 50% to 60%, to 65% -- and recently, to 70%, 80% and beyond. Yet, as impressive an accomplishment as that is, there comes, I think, a growing realization that the steady increases we have achieved up to now may, in fact, have been the easy part of the journey, the trek from base camp -- and that within a very small handful of years, we may find ourselves pushing plant performance right to the limit, only to discover that it is pushing back

  18. Advocating for schools to provide effective HIV and sexuality education: a case study in how social service organizations working in coalition can (and should) affect sustained policy change.

    Science.gov (United States)

    Ogusky, Jeremy; Tenner, Adam

    2010-05-01

    Advocates believed that to slow an expanding HIV/ AIDS epidemic in Washington, D.C., a local effort could ensure that HIV prevention was brought to scale. Schools were chosen as the focus and a new coalition advocated for the city government to pass new academic standards for health education. HIV and sex education policies had not been revised in more than 12 years and HIV education in D.C. public schools varied greatly in quality. Metro TeenAIDS (MTA), a traditional social service organization with no real history of advocacy work, reached only 10% of D.C. adolescents with critical HIV/AIDS prevention information. Clearly, to make a sustained impact, system change was necessary. After deciding to pursue a campaign focused on updating health education policy and creating standards, MTA convened a variety of reproductive health, adolescent medicine, and other organizations to establish the DC Healthy Youth Coalition. The Coalition used three complementary strategies to achieve campaign goals: mobilizing grassroots community support, involving parents in the discussion, and educating city leaders. By building an alliance of social service organizations and influencing critical public policy, the coalition ensured that new educational standards were passed.

  19. Conducting Cancer Control and Survivorship Research via Cooperative Groups: A Report from the American Society of Preventive Oncology

    OpenAIRE

    Palesh, Oxana; Demark-Wahnefried, Wendy; Mustian, Karen; Minasian, Lori; Rowland, Julia; Sprod, Lisa; Janelsins, Michelle; Peppone, Luke; Sloan, Jeff; Engquist, Karen Basen; Jones, Lee; Buist, Diana; Paskett, Electra

    2011-01-01

    As the number of cancer survivors expands, the need for cancer control and survivorship research becomes increasingly important. The National Cancer Institute (NCI) Cooperative Groups may offer a viable platform to perform such research. Observational, preventive, and behavioral research can often be performed within the cooperative group setting, especially if resources needed for evaluation are fairly simple, if protocols are easily implemented within the typical clinical setting, and if in...

  20. An Analysis of the United States-Led Coalition Air Campaign Conducted During the 1991 War with IRAQ: Desert Storm

    National Research Council Canada - National Science Library

    Murphy, John

    2002-01-01

    Evaluation of the 1991 United States led coalition Persian Gulf War (DESERT STORM) Air Campaign is performed to measure its adherence to basic principles of war and to determine the potential implications for the future conduct of war...

  1. The power of play: Innovations in Getting Active Summit 2011: a science panel proceedings report from the American Heart Association.

    Science.gov (United States)

    Lieberman, Debra A; Chamberlin, Barbara; Medina, Ernie; Franklin, Barry A; Sanner, Brigid McHugh; Vafiadis, Dorothea K

    2011-05-31

    To examine the influence active-play video gaming (also referred to as exergaming, exertainment, and active gaming) might have on improving health-related skills, enhancing self-esteem and self-efficacy, promoting social support, and ultimately motivating positive changes in health behaviors, the American Heart Association convened The Power of Play: Innovations in Getting Active Summit. The summit, as well as a follow-up science panel, was hosted by the American Heart Association and Nintendo of America. The science panel discussed the current state of research on active-play video gaming and its potential to serve as a gateway experience that might motivate players to increase the amount and intensity of physical activity in their daily lives. The panel identified the need for continued research on the gateway concept and on other behavioral health outcomes that could result from active-play video games and considered how these games could potentially affect disparate populations. The summit represented an exciting first step in convening healthcare providers, behavioral researchers, and professionals from the active-play video game industry to discuss the potential health benefits of active-play video games. Research is needed to improve understanding of processes of behavior change with active games. Future games and technologies may be designed with the goal to optimize physical activity participation, increase energy expenditure, and effectively address the abilities and interests of diverse and targeted populations. The summit helped the participants gain an understanding of what is known, identified gaps in current research, and supported a dialogue for continued collaboration.

  2. 77 FR 13232 - Security Zones; G8/North Atlantic Treaty Organization (NATO) Summit, Chicago, IL

    Science.gov (United States)

    2012-03-06

    ... political figures, the G8/NATO Summit is expected to draw significant domestic and international media... mitigate the threat of violence and ensure the safety and security of those who attend, participate, and... NATO; the high concentration of dignitaries and political figures; the expected interest of domestic...

  3. Biomedical imaging graduate curricula and courses: report from the 2005 Whitaker Biomedical Engineering Educational Summit.

    Science.gov (United States)

    Louie, Angelique; Izatt, Joseph; Ferrara, Katherine

    2006-02-01

    We present an overview of graduate programs in biomedical imaging that are currently available in the US. Special attention is given to the emerging technologies of molecular imaging and biophotonics. Discussions from the workshop on Graduate Imaging at the 2005 Whitaker Educational Summit meeting are summarized.

  4. Enhancing Survivorship Care Planning for Patients With Localized Prostate Cancer Using a Couple-Focused mHealth Symptom Self-Management Program: Protocol for a Feasibility Study.

    Science.gov (United States)

    Song, Lixin; Dunlap, Kaitlyn L; Tan, Xianming; Chen, Ronald C; Nielsen, Matthew E; Rabenberg, Rebecca L; Asafu-Adjei, Josephine K; Koontz, Bridget F; Birken, Sarah A; Northouse, Laurel L; Mayer, Deborah K

    2018-02-26

    This project explores a new model of care that enhances survivorship care planning and promotes health for men with localized prostate cancer transitioning to posttreatment self-management. Survivorship care planning is important for patients with prostate cancer because of its high incidence rate in the United States, the frequent occurrence of treatment-related side effects, and reduced quality of life (QOL) for both men and their partners. A key component of comprehensive survivorship care planning is survivorship care plans (SCPs), documents that summarize cancer diagnosis, treatment, and plans for follow-up care. However, research concerning the effectiveness of SCPs on patient outcomes or health service use has thus far been inconclusive. SCPs that are tailored to individual patients' needs for information and care may improve effectiveness. This study aims to examine the feasibility of an enhanced survivorship care plan (ESCP) that integrates a symptom self-management mHealth program called Prostate Cancer Education and Resources for Couples (PERC) into the existing standardized SCP. The specific aims are to (1) examine the feasibility of delivering ESCPs and (2) to estimate the magnitude of benefit of ESCPs. We will use a two-group randomized controlled pretest-posttest design and collect data at baseline (T1) and 4 months later (T2) among 50 patients completing initial treatment for localized prostate cancer and their partners. First, we will assess the feasibility of ESCP by recruitment, enrollment, and retention rates; program satisfaction with the ESCP; and perceived ease of use of the ESCP. To achieve the secondary aim, we will compare the ESCP users with the standardized SCP users and assess their primary outcomes of QOL (overall, physical, emotional, and social QOL); secondary outcomes (reduction in negative appraisals and improvement in self-efficacy, social support, and health behaviors to manage symptoms); and number of visits to posttreatment

  5. Alpine plant distribution and thermic vegetation indicator on Gloria summits in the central Greater Caucasus

    International Nuclear Information System (INIS)

    Gigauri, K.; Abdaladze, O.; Nakhutsrishvili, G

    2016-01-01

    The distribution of plant species within alpine areas is often directly related to climate or climate-influenced ecological factors. Responding to observed changes in plant species, cover and composition on the GLORIA summits in the Central Caucasus, an extensive setup of 1m * 1m permanent plots was established at the treeline-alpine zones and nival ecotone (between 2240 and 3024 m a.s.l.) on the main watershed range of the Central Greater Caucasus nearby the Cross Pass, Kazbegi region, Georgia. Recording was repeated in a representative selection of 64 quadrates in 2008. The local climatic factors - average soil T degree C and growing degree days (GDD) did not show significant increasing trends. For detection of climate warming we used two indices: thermic vegetation indicator S and thermophilization indicator D. They were varying along altitudinal and exposition gradients. The thermic vegetation indicator decrease in all monitoring summits. The abundance rank of the dominant and endemic species did not change during monitoring period. (author)

  6. Reactive oxygen species production and Brugia pahangi survivorship in Aedes polynesiensis with artificial Wolbachia infection types.

    Directory of Open Access Journals (Sweden)

    Elizabeth S Andrews

    Full Text Available Heterologous transinfection with the endosymbiotic bacterium Wolbachia has been shown previously to induce pathogen interference phenotypes in mosquito hosts. Here we examine an artificially infected strain of Aedes polynesiensis, the primary vector of Wuchereria bancrofti, which is the causative agent of Lymphatic filariasis (LF throughout much of the South Pacific. Embryonic microinjection was used to transfer the wAlbB infection from Aedes albopictus into an aposymbiotic strain of Ae. polynesiensis. The resulting strain (designated "MTB" experiences a stable artificial infection with high maternal inheritance. Reciprocal crosses of MTB with naturally infected wild-type Ae. polynesiensis demonstrate strong bidirectional incompatibility. Levels of reactive oxygen species (ROS in the MTB strain differ significantly relative to that of the wild-type, indicating an impaired ability to regulate oxidative stress. Following a challenge with Brugia pahangi, the number of filarial worms achieving the infective stage is significantly reduced in MTB as compared to the naturally infected and aposymbiotic strains. Survivorship of MTB differed significantly from that of the wild-type, with an interactive effect between survivorship and blood feeding. The results demonstrate a direct correlation between decreased ROS levels and decreased survival of adult female Aedes polynesiensis. The results are discussed in relation to the interaction of Wolbachia with ROS production and antioxidant expression, iron homeostasis and the insect immune system. We discuss the potential applied use of the MTB strain for impacting Ae. polynesiensis populations and strategies for reducing LF incidence in the South Pacific.

  7. The dynamics of reproductive rate, offspring survivorship and growth in the lined seahorse, Hippocampus erectus Perry, 1810

    Directory of Open Access Journals (Sweden)

    Qiang Lin

    2012-02-01

    Seahorses are the vertebrate group with the embryonic development occurring within a special pouch in males. To understand the reproductive efficiency of the lined seahorse, Hippocampus erectus Perry, 1810 under controlled breeding experiments, we investigated the dynamics of reproductive rate, offspring survivorship and growth over births by the same male seahorses. The mean brood size of the 1-year old pairs in the 1st birth was 85.4±56.9 per brood, which was significantly smaller than that in the 6th birth (465.9±136.4 per brood (P<0.001. The offspring survivorship and growth rate increased with the births. The fecundity was positively correlated with the length of brood pouches of males and trunk of females. The fecundity of 1-year old male and 2-year old female pairs was significantly higher than that from 1-year old couples (P<0.001. The brood size (552.7±150.4 of the males who mated with females that were isolated for the gamete-preparation, was larger than those (467.8±141.2 from the long-term pairs (P<0.05. Moreover, the offspring from the isolated females had higher survival and growth rates. Our results showed that the potential reproductive rate of seahorses H. erectus increased with the brood pouch development.

  8. Proceedings of resources for optimal care of acute care and emergency surgery consensus summit Donegal Ireland

    NARCIS (Netherlands)

    Sugrue, M.; Maier, R.; Moore, E. E.; Boermeester, M.; Catena, F.; Coccolini, F.; Leppaniemi, A.; Peitzman, A.; Velmahos, G.; Ansaloni, L.; Abu-Zidan, F.; Balfe, P.; Bendinelli, C.; Biffl, W.; Bowyer, M.; DeMoya, M.; de Waele, J.; di Saverio, S.; Drake, A.; Fraga, G. P.; Hallal, A.; Henry, C.; Hodgetts, T.; Hsee, L.; Huddart, S.; Kirkpatrick, A. W.; Kluger, Y.; Lawler, L.; Malangoni, M. A.; Malbrain, M.; MacMahon, P.; Mealy, K.; O'Kane, M.; Loughlin, P.; Paduraru, M.; Pearce, L.; Pereira, B. M.; Priyantha, A.; Sartelli, M.; Soreide, K.; Steele, C.; Thomas, S.; Vincent, J. L.; Woods, L.

    2017-01-01

    Background: Opportunities to improve emergency surgery outcomes exist through guided better practice and reduced variability. Few attempts have been made to define optimal care in emergency surgery, and few clinically derived key performance indicators (KPIs) have been published. A summit was

  9. Developing the science of end-of-life and palliative care research: National Institute of Nursing Research summit.

    Science.gov (United States)

    Csikai, Ellen L

    2011-01-01

    A rare opportunity to examine accomplishments and identify ways to advance research in end-of-life and palliative care was offered by the National Institute of Nursing Research (NINR) through a summit meeting held in August 2011. The Science of Compassion: Future Directions in End-of-Life and Palliative Care brought together nationally recognized leaders in end-of-life and palliative care research, including grantees of NINR, as well as more than 700 attendees from all disciplines. It was an exciting affirmation of the importance of moving forward in the field. Presented in this article is a summary of the summit and a call to action for end-of-life and palliative care social workers to engage in seeking funding to conduct needed research and to ensure our unique perspective is represented.

  10. Mobilizing Communities around HIV Prevention for Youth: How Three Coalitions Applied Key Strategies to Bring about Structural Changes

    Science.gov (United States)

    Chutuape, Kate S.; Willard, Nancy; Sanchez, Kenia; Straub, Diane M.; Ochoa, Tara N.; Howell, Kourtney; Rivera, Carmen; Ramos, Ibrahim; Ellen, Jonathan M.

    2010-01-01

    Increasingly, HIV prevention efforts must focus on altering features of the social and physical environment to reduce risks associated with HIV acquisition and transmission. Community coalitions provide a vehicle for bringing about sustainable structural changes. This article shares lessons and key strategies regarding how three community…

  11. Text of the Moscow nuclear safety and security summit declaration Moscow, 19-20 April 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-04

    As requested by the Resident Representatives to the International Atomic Energy Agency of France and the Russian Federation, the two States -Co-Chairmen of the summit meeting held in Moscow from 19-20 April 1996, the text of the Moscow Nuclear Safety and Security Declaration is being circulated.

  12. Curtain Down and Nothing Settled. Global Sustainability Governance after the 'Rio 20+20' Earth Summit

    NARCIS (Netherlands)

    Biermann, F.

    2012-01-01

    The United Nations Conference on Sustainable Development, held in June 2012 in Rio de Janeiro, was probably the largest event in a long series of mega-summits on environmental protection and sustainable development. Roughly 44000 participants descended on Rio de Janeiro to take part in ten days of

  13. Text of the Moscow nuclear safety and security summit declaration Moscow, 19-20 April 1996

    International Nuclear Information System (INIS)

    1996-01-01

    As requested by the Resident Representatives to the International Atomic Energy Agency of France and the Russian Federation, the two States -Co-Chairmen of the summit meeting held in Moscow from 19-20 April 1996, the text of the Moscow Nuclear Safety and Security Declaration is being circulated

  14. Rise and Fall of a Coalition: The Supreme War Council and Marshal Foch, 1917-1919

    Science.gov (United States)

    2017-05-26

    Britain and France During the First World War ( Cambridge : Cambridge University Press, 2009), 169. 5 World Peace Foundation, “The Supreme War Council...Second World War conflict. It illustrated how unified policies as a coalition from the First World War served a reminder for strategists and operational...France During the First World War ( Cambridge : Cambridge University Press, 2009); Elizabeth Greenhalgh, Foch in Command: The Forging of a First World

  15. Fiftieth Anniversary at the summit : neither fear of heights nor the cold succeeded in cooling the ardour of four brave climbers from CERN who celebrated CERN's 50th Anniversary at the summit of Mount Kilimanjaro (5,895 metres).

    CERN Multimedia

    2005-01-01

    On the way back from the summit, Miguel Cerqueira Bastos (AB/PO), David Collados Polidura (IT/GM), Sandra Sequeira Tavares (PH/CMI) and Daniel Cano Ott (n_TOF) raised the official CERN Jubilee flag at 4750 metres altitude.

  16. Economic impact of the world summit on sustainable development

    Directory of Open Access Journals (Sweden)

    JH Martins

    2004-04-01

    Full Text Available South Africa hosted the World Summit on Sustainable Development (WSSD in 2002.  This event is regarded as the single biggest conference to be held anywhere in the world. The aim of this paper is to set out the estimated economic impact of the WSSD and its parallel events on South Africa.  This impact can be expressed in monetary terms as well as employment figures.  The impact is calculated by using an input-output model and employment spin-offs determined from the IO table by using partial multipliers.  The input data were derived from a survey amongst WSSD delegates as well as information on government and private investments made.

  17. Lessons Learned from the Young Breast Cancer Survivorship Network.

    Science.gov (United States)

    Gisiger-Camata, Silvia; Nolan, Timiya S; Vo, Jacqueline B; Bail, Jennifer R; Lewis, Kayla A; Meneses, Karen

    2017-11-30

    The Young Breast Cancer Survivors Network (Network) is an academic and community-based partnership dedicated to education, support, and networking. The Network used a multi-pronged approach via monthly support and networking, annual education seminars, website networking, and individual survivor consultation. Formative and summative evaluations were conducted using group survey and individual survivor interviews for monthly gatherings, annual education meetings, and individual consultation. Google Analytics was applied to evaluate website use. The Network began with 4 initial partnerships and grew to 38 in the period from 2011 to 2017. During this 5-year period, 5 annual meetings (598 attendees), 23 support and networking meetings (373), and 115 individual survivor consultations were conducted. The Network website had nearly 12,000 individual users and more than 25,000 page views. Lessons learned include active community engagement, survivor empowerment, capacity building, social media outreach, and network sustainability. The 5-year experiences with the Network demonstrated that a regional program dedicated to the education, support, networking, and needs of young breast cancer survivors and their families can become a vital part of cancer survivorship services in a community. Strong community support, engagement, and encouragement were vital components to sustain the program.

  18. Evidence acquisition and evaluation for evidence summit on enhancing provision and use of maternal health services through financial incentives.

    Science.gov (United States)

    Higgs, Elizabeth S; Stammer, Emily; Roth, Rebecca; Balster, Robert L

    2013-12-01

    Recognizing the need for evidence to inform US Government and governments of the low- and middle-income countries on efficient, effective maternal health policies, strategies, and programmes, the US Government convened the Evidence Summit on Enhancing Provision and Use of Maternal Health Services through Financial Incentives in April 2012 in Washington, DC, USA. This paper summarizes the background and methods for the acquisition and evaluation of the evidence used for achieving the goals of the Summit. The goal of the Summit was to obtain multidisciplinary expert review of literature to inform both US Government and governments of the low- and middle-income countries on evidence-informed practice, policies, and strategies for financial incentives. Several steps were undertaken to define the tasks for the Summit and identify the appropriate evidence for review. The process began by identifying focal questions intended to inform governments of the low-and middle-income countries and the US Government about the efficacy of supply- and demand-side financial incentives for enhanced provision and use of quality maternal health services. Experts were selected representing the research and programme communities, academia, relevant non-governmental organizations, and government agencies and were assembled into Evidence Review Teams. This was followed by a systematic process to gather relevant peer-reviewed literature that would inform the focal questions. Members of the Evidence Review Teams were invited to add relevant papers not identified in the initial literature review to complete the bibliography. The Evidence Review Teams were asked to comply with a specific evaluation framework for recommendations on practice and policy based on both expert opinion and the quality of the data. Details of the search processes and methods used for screening and quality reviews are described.

  19. Consensus statement of the international summit on intellectual disability and Dementia related to post-diagnostic support.

    Science.gov (United States)

    Dodd, Karen; Watchman, Karen; Janicki, Matthew P; Coppus, Antonia; Gaertner, Claudia; Fortea, Juan; Santos, Flavia H; Keller, Seth M; Strydom, Andre

    2017-09-07

    Post diagnostic support (PDS) has varied definitions within mainstream dementia services and different health and social care organizations, encompassing a range of supports that are offered to adults once diagnosed with dementia until death. An international summit on intellectual disability and dementia held in Glasgow, Scotland in 2016 identified how PDS applies to adults with an intellectual disability and dementia. The Summit proposed a model that encompassed seven focal areas: post-diagnostic counseling; psychological and medical surveillance; periodic reviews and adjustments to the dementia care plan; early identification of behaviour and psychological symptoms; reviews of care practices and supports for advanced dementia and end of life; supports to carers/ support staff; and evaluation of quality of life. It also explored current practices in providing PDS in intellectual disability services. The Summit concluded that although there is limited research evidence for pharmacological or non-pharmacological interventions for people with intellectual disability and dementia, viable resources and guidelines describe practical approaches drawn from clinical practice. Post diagnostic support is essential, and the model components in place for the general population, and proposed here for use within the intellectual disability field, need to be individualized and adapted to the person's needs as dementia progresses. Recommendations for future research include examining the prevalence and nature of behavioral and psychological symptoms (BPSD) in adults with an intellectual disability who develop dementia, the effectiveness of different non-pharmacological interventions, the interaction between pharmacological and non-pharmacological interventions, and the utility of different models of support.

  20. Coalition of distributed generation units to virtual power players - a game theory approach

    DEFF Research Database (Denmark)

    Morais, Hugo; Sousa, Tiago M; Santos, Gabriel

    2015-01-01

    and the existence of new management players such as several types of aggregators. This paper proposes a methodology to facilitate the coalition between distributed generation units originating Virtual Power Players (VPP) considering a game theory approach. The proposed approach consists in the analysis...... strategies, size and goals, each parameter has different importance. VPP can also manage other type of energy resources, like storage units, electric vehicles, demand response programs or even parts of the MV and LV distribution network. A case study with twelve VPPs with different characteristics and one...