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Sample records for comparing traditional open

  1. Comparing blastocyst quality and live birth rates of intravaginal culture using INVOcell™ to traditional in vitro incubation in a randomized open-label prospective controlled trial.

    Science.gov (United States)

    Doody, Kevin J; Broome, E Jason; Doody, Kathleen M

    2016-04-01

    The purpose of this study is to to compare the efficacy of intravaginal culture (IVC) of embryos in INVOcell™ (INVO Bioscience, MA, USA) to traditional in vitro fertilization (IVF) incubators in a laboratory setting using a mild pre-determined stimulation regimen based solely on anti-mullerian hormone (AMH) and body weight with minimal ultrasound monitoring. The primary endpoint examined was total quality blastocysts expressed as a percentage of total oocytes placed in incubation. Secondary endpoints included percentage of quality blastocysts transferred, pregnancy, and live birth rates. In this prospective randomized open-label controlled single-center study, 40 women aged culture. IVF produced a greater percentage of total quality embryos as compared to IVC (50.6 vs. 30.7 %, p = 0.0007, respectively). There was no significant difference between in IVF and IVC in the percentage of quality blastocysts transferred (97.5 vs. 84.9 %, p = 0.09) or live birth rate (60 % IVF, 55 % IVC). IVF was shown to be superior to IVC in creating quality blastocysts. However, both IVF and IVC produced identical blastocysts for transfer resulting in similar live birth rates. IVC using INVOcell™ is effective and may broaden access to fertility care in selected patient populations by ameliorating the need for a traditional IVF laboratory setting. Further studies will help elucidate the potential physiological, psychological, geographic, and financial impact of IVC on the delivery of fertility care.

  2. Open learning recognition in traditional universities

    Directory of Open Access Journals (Sweden)

    Miguel Gea Megías

    2013-07-01

    Full Text Available At present, there is great interest over the concept of Open Educational Resources (OER in all of its forms: OpenCourseware repositories OCW, spare open resources, or even more recently as Massive Online Open Courses (also called MOOC. This panorama has generated considerable debate about their effectiveness in terms of learning, sustainability and especially the role that higher education institutions play in this context. We understand that most of the students are interested in making the most of their education (formal and informal, and that will require universities to recognize their skills and abilities. In this article we start from the point of view of the university as a certifying OER-based institution, and we describe the different scenarios that arises. First of all the institution should know what is facing and what are the existing scenarios. From the experience of the European project OERtest, in which five higher education institutions have conducted a pilot on this issue, we can offer some conclusions regarding the feasibility of certifying and award credits to a student (internal or external to the institution when this service is requested.

  3. Chimney stoves modestly improved indoor air quality measurements compared with traditional open fire stoves: results from a small-scale intervention study in rural Peru.

    Science.gov (United States)

    Hartinger, S M; Commodore, A A; Hattendorf, J; Lanata, C F; Gil, A I; Verastegui, H; Aguilar-Villalobos, M; Mäusezahl, D; Naeher, L P

    2013-08-01

    Nearly half of the world's population depends on biomass fuels to meet domestic energy needs, producing high levels of pollutants responsible for substantial morbidity and mortality. We compare carbon monoxide (CO) and particulate matter (PM2.5) exposures and kitchen concentrations in households with study-promoted intervention (OPTIMA-improved stoves and control stoves) in San Marcos Province, Cajamarca Region, Peru. We determined 48-h indoor air concentration levels of CO and PM2.5 in 93 kitchen environments and personal exposure, after OPTIMA-improved stoves had been installed for an average of 7 months. PM2.5 and CO measurements did not differ significantly between OPTIMA-improved stoves and control stoves. Although not statistically significant, a post hoc stratification of OPTIMA-improved stoves by level of performance revealed mean PM2.5 and CO levels of fully functional OPTIMA-improved stoves were 28% lower (n = 20, PM2.5, 136 μg/m(3) 95% CI 54-217) and 45% lower (n = 25, CO, 3.2 ppm, 95% CI 1.5-4.9) in the kitchen environment compared with the control stoves (n = 34, PM2.5, 189 μg/m(3), 95% CI 116-261; n = 44, CO, 5.8 ppm, 95% CI 3.3-8.2). Likewise, although not statistically significant, personal exposures for OPTIMA-improved stoves were 43% and 17% lower for PM2.5 (n = 23) and CO (n = 25), respectively. Stove maintenance and functionality level are factors worthy of consideration for future evaluations of stove interventions.

  4. Comparative Analysis of Laparoscopic and Traditional Open Surgery in the Treatment of Colon Cancer%腹腔镜与传统开腹手术治疗结肠癌的疗效对比分析

    Institute of Scientific and Technical Information of China (English)

    郭贞; 王建; 王陆本

    2016-01-01

    目的:分析对比腹腔镜与传统开腹手术治疗结肠癌的疗效。方法将2012年5月~2015年5月我院收治的68结肠癌手术患者作为研究对象。根据手术方法,将其分为腹腔镜组34例与开腹组34例。观察对比两组术中情况、术后恢复时间、并发症情况及1年内局部复发率。结果腹腔镜组术中出血量、下床活动时间、恢复排气时间及住院时间均低于开腹组(P<0.05);两组患者手术时间对比,差异无统计学意义(P>0.05)。腹腔镜组术后并发症发生率2.94%,低于开腹组23.53%(P<0.05)。两组患者1年内局部复发率对比,差异无统计学意义(P>0.05)。结论相较于开腹手术,腹腔镜治疗结肠癌具有出血少、恢复快、并发症概率低等优势。%Objective TTo compare and analyze the curative effect of laparoscopic and traditional open surgery in the treatment of colon cancer. Methods From May 2012 to May 2015 in our hospital 68 patients with colorectal cancer surgery patients as the research object. According to the operation method, cases were divided into 34 cases of laparoscopic group and 34 cases in the open group. Two groups were observed and compared in the groups, the postoperative recovery time, the complications and local recurrence rate in 1 year.Results The amount of bleeding, the time of getting out of bed, the exhaust time and the length of stay in the laparoscopic group were lower than those in the open group (P0.05). The incidence rate of postoperative complications in laparoscopic group was 2.94%, lower than that in open surgery group 23.53% (P0.05).Conclusion Compared with open surgery, Laparoscopic surgery for colon cancer has advantages of less bleeding, faster recovery, low probability of complications, and so on.

  5. Comparing laparoscopic appendectomy to open appendectomy in ...

    African Journals Online (AJOL)

    Comparing laparoscopic appendectomy to open appendectomy in managing ... South African Journal of Surgery ... Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader.

  6. Traditional Chinese and Thai medicine in a comparative perspective.

    Science.gov (United States)

    He, Ke

    2015-12-01

    The work presented in this paper compares traditional Chinese medicine and traditional Thai medicine, expounding on origins, academic thinking, theoretical system, diagnostic method and modern development. Based on a secondary analysis of available literature, the paper concentrates on two crucial historical developments: (1) the response to, and consequences of, the impact of the Western medicine; and (2) the revival of traditional medicine in these two countries and its prospects. From a comparative perspective, the analysis has led to the conclusion that the rise and fall of traditional medicine is an issue closely related with social and political issues; and the development of traditional medicines requires national policy and financial support from governments, human resource development, the improvement of service quality, and the dissemination of traditional medicine knowledge to the public. In addition, this paper also suggests deepening exchanges and cooperation between China and Thailand, strengthening cooperation between traditional medicine and medical tourism.

  7. FROM TRADITIONAL DISTANCE LEARNING TO MASS ONLINE OPEN COURSES

    Directory of Open Access Journals (Sweden)

    V. N. Vasilev

    2014-01-01

    Full Text Available The issue of transition for higher education institutions of Russia from traditional distance learning to mass electronic education on the basis of the online open courses is considered, its relevance is proved. Analysis of the major prerequisites for transition success is carried out (a demand for the educational Internet resources from mobile devices; existence of a large number of various electronic resources which are successfully used in practice by higher education institutions in remote educational technologies; maintaining experience for electronic magazines of students’ progress for planning and estimation of training results; essential growth of material costs in the world online training market. Key issues of transition are defined and the basic principles of electronic online courses development are formulated. A technique for electronic online course development aimed at the result is given. The technique contains the following four stages: planning of expected training results, course electronic content structuring and training scenarios creation, development of the tests plan and electronic estimated means for automatic control of the planned training results; course realization by means of game mechanics and technologies of network communication between students. Requirements to various forms of control planned in the course of learning results are defined. Two kinds of electronic online courses are assigned (knowledge-intensive and technological courses. Examples of their realization in the authors’ online courses "Wave Optics", "Theory of Graphs ", "Development of Web Interfaces on the Basis of HTML and CSS" created and practically used in NRU ITMO in 2013 are given. Finally, the actual tasks of mass open education development in the leading higher education institutions of Russia are set forth.

  8. Open archive solutions to traditional archive/library cooperation

    Directory of Open Access Journals (Sweden)

    Donatella Castelli

    2003-09-01

    Full Text Available The diffusion of Internet is changing the role of archives and libraries and it is opening a wide range of new possibilities. The new vision is that in few years it will be possible to cross-access multiple libraries, archives, museums, and data repositories. The implementation of this revolutionary vision requires the solution of a number of technical, organizational, sociological, and economical issues. Recently, the proposal of a new, low cost technical solution for open repositories of pre-print material, the Open Archives Initiative Protocol for Metadata Harvesting ( OAI-PMH, has greatly stimulated the discussion about these issues in many application frameworks. This paper overviews the status of this discussion in the library and conventional archives frameworks.

  9. Comparative Study on Chinese and Western Traditional Festivals

    Institute of Scientific and Technical Information of China (English)

    唐小凌

    2015-01-01

    This essay compares and analysis the main traditional festivals in Chinese and Western countries and discusses the cultural meaning,similarities and differences.The traditional festivals are the outstanding cultural heritage of a nation,and the precious spiritual wealth of mankind,so different festivals can reflect different cultures.As we all know,Chinese and Western traditional festivals are two different cultural forms evolved from comparatively independent cultural systems,which possess peculiar characteristics and varied manifestation.The comparison of festival cultures between China and western countries can not only help us learn English,but also make us know more about our cultures and promote the cultural communication of China and the West.

  10. EDUCATION SYSTEMS AND ACADEMIC SATISFACTION: A Study on Rural and Urban Students of Traditional Vs Open Education System in India

    Directory of Open Access Journals (Sweden)

    Shashi SINGH,

    2012-07-01

    Full Text Available A satisfaction and dissatisfaction level within an individual influences the motivation level and his/her performance throughout the life. When an individual is satisfied with his/her work, he/she gets pleasure and feels motivated. Obtaining satisfaction from their education system is very important for students as this will lead to better learning possibilities. This paper aims to compare the level of academic satisfaction among the students of Traditional Education System and Open Education System. This paper also investigates academic satisfaction of urban and rural based students and comparing them over traditional (Urban: 110; Rural: 90, and open (Urban: 80; Rural: 71 education system. Statistical tests demonstrate that there is significant difference in the level of academic satisfaction among the students of Open Education System (OES and Traditional Education System (TES.

  11. Comparative Study of Traditional Open Surgery and Laparoscopic Surgery in the Treatment of Gastroduodenal Ulcer Perforation%传统开腹与腹腔镜手术治疗胃十二指肠溃疡穿孔的疗效比较研究

    Institute of Scientific and Technical Information of China (English)

    缑卫锋

    2016-01-01

    目的:探究胃十二指肠溃疡穿孔治疗中采用腹腔镜手术和传统开腹手术的临床治疗效果。方法选择胃十二指肠溃疡穿孔患者68例,根据治疗方式不同分为对照组(传统开腹手术)和实验组(腹腔镜手术),对比术后效果。结果实验组术后各项指标均优于对照组,P<0.05。结论在胃十二指肠溃疡穿孔治疗中采用腹腔镜手术方式效果理想。%Objective To explore the clinical therapeutic effect of laparoscopic operation and traditional open surgery in the treatment of perforated duodenal ulcer. Methods 68 patients with perforation of gastric and duodenal ulcer were divided into control group(traditional open surgery)and experimental group (laparoscopic surgery),according to the different treatment methods. And the results were compared with the control group.Results The indexes of the experimental group were better than those of the control group after operation,P<0.05.Conclusion The effect of laparoscopic surgery in the treatment of gastric duodenal ulcer perforation is more obvious.

  12. Comparing student role perceptions: traditional to community-based curriculum.

    Science.gov (United States)

    Nickerson, Carolyn; Resick, Lenore K

    2010-01-01

    This phenomenological study explored role perceptions of senior baccalaureate nursing students in a traditional curriculum (TC) and a community-based curriculum (CBC) following one U.S. school's curriculum revision. Researchers inquired into that moment when students intervened like a nurse. Results were analyzed by groups and then compared. The assumptions and style of the Dutch school of phenomenology guided the collection and analysis of data. Among identified themes were traditional nursing role functions. Students from the CBC perceived a comparatively broader scope for nursing practice, broader definition of client, and a more nuanced description of the nurse's role. Seniors from the TC described a developmental trajectory which culminated in being able to intervene like a nurse. Responses from both participant groups confirm the importance of nurse-client and nurse-nurse proximities for the development of professional nursing in both structured and unstructured settings.

  13. Examination of Alternative Fabric Joining Techniques Compared to Traditional Sewing

    Directory of Open Access Journals (Sweden)

    Boles, Kerrie

    2012-10-01

    Full Text Available Ultrasonic seaming could soon replace the needle and thread technique with a safer, more efficient technology. In this designed experiment, the Chase FS-90 Ultrasonic Sewing Machine will be compared to the traditional sewing machine. The goal is to examine the sewing quality of textile fabric using ultrasonic methods by finding ideal parameters. The parameters are amplitude, speed, and pressure by using materials, including one thermoplastic fabric, one natural fabric, and low-melting polymer tape. The ultrasonic seam with the best properties will then be compared to the traditional needle and thread seam. The final product will be a designed dress using all ultrasonic seams. The material found to have the best seam properties will be used for the design.

  14. Laparoscopic hepatic left lateral Iobectomy combined with fiber choledochoscopic exploration of the common bile duct and traditional open operation

    Institute of Scientific and Technical Information of China (English)

    Kun Zhang; ShaoGeng Zhang; Yi Jiang; Peng-Fen Gao; Hai-Ying Xie; Zhi-Hong Xie

    2008-01-01

    AIM:To investigate the possibilities and advantages of laparoscopic hepatic left lateral Iobectomy combined with fiber choledochoscopic exploration of the common bile duct compaired with traditional open operation.METHODS:Laparoscopic hepatic left lateral Iobectomy combined with fiber choledochoscopic exploration of the common bile duct and traditional open operation were performed in two groups of patients who had gallstones in the left lobe of liver and in the common bile duct.The hospitalization time,hospitalization costs,operation time,operative complications and post-operative liver functions of the two groups of patients were studied.RESULTS:The operation time and post-operative liver functions of the two groups of patients had no significant differences,while the hospitalization time,hospitalization costs and operative complications of the laparoscopic hepatic left lateral Iobectomy combined with fiber choledochoscopic exploration in the common bile duct group were significantly lower than those in the traditional open operation group.CONCLUSION:For patients with gallstones in the left lobe of liver and in the common bile duct,laparoscopic hepatic left lateral Iobectomy combined with fiber choledochoscopic exploration of the common bile duct can significantly shorten the hospitalization time,reduce the hospitalization costs and the post-operative complications,without prolonging the operation time and bringing about more liver function damages compared with traditional open operation.This kind of operation has more advantages than traditional open operation.

  15. Can we compare SMS marketing to traditional marketing communications?

    OpenAIRE

    Roozen, Irene; Genin, Emile

    2008-01-01

    Nowadays most companies acknowledge the importance of SMS marketing in reaching and interacting with their customers (Kavassalis et al. 2003; Dickinger et al. 2004; Tsang, Ho & Liang 2004; Sharl, Dickinger & Murphy 2005; Muk 2007). However, there is much discussion in the press regarding the effectiveness when it comes to SMS marketing. Are customers willing to accept, reading and using SMS messages: how effective is SMS marketing compared to traditional marketing communications? The goal of ...

  16. Psychophysiological Characteristics and School Performance of Children in Open and Traditional Classrooms.

    Science.gov (United States)

    Koester, Lynne Sanford; Farley, Frank H.

    1982-01-01

    Children in open and traditional classrooms were observed and tested on physiological and performance measures. The children were categorized into subgroups according to their arousal level. Analyses of variance revealed that performance of high-arousal children in open classrooms decreased over time in contrast to all other subgroups. (Author/AL)

  17. Traditional and modern cohabitation in Latin America: A comparative typology

    Directory of Open Access Journals (Sweden)

    Maira Covre-Sussai

    2015-05-01

    Full Text Available Background: The existence of cohabitation is a historical feature of nuptiality in Latin America. Traditionally, cohabitation was common in less developed regions, among the lower social classes. But today its occurrence is increasing and in social groups and regions in which it was not common. The features of this latter type of cohabitation remain unclear. Objective: We differentiate types of cohabitation in Latin America on the basis of relationship context at its outset and its outcomes in terms of childbearing. The comparability of these types over countries is attested, as well as their evolution over time and the educational and age profiles of cohabitants. Methods: Demographic and Health Survey data for the 1980s, 1990s, and 2000s for up to eight countries are analyzed by means of Multiple Group Latent Class Analysis. Results: Three types of cohabitation are found. The traditional type includes young and lower-educated women who start to cohabit during adolescence. They have more children at younger ages. The remaining two types of cohabitation included higher-educated women and are considered modern. The innovative type groups women from all age groups, with fewer children born at a higher age and never as a single woman. Blended cohabitation refers to older women, who could negotiate a marriage, but do not. They start to cohabit during adulthood, but always after single pregnancy. Conclusions: The persistence of historical trends is attested. Traditional cohabitation is related to socioeconomic deprivation and prevails in Central American and Caribbean countries.However, two modern types of cohabitation are emerging in the region. They are concentrated in the South and related to women's independence.

  18. Ayurveda and Traditional Chinese Medicine: A Comparative Overview

    Directory of Open Access Journals (Sweden)

    Bhushan Patwardhan

    2005-01-01

    Full Text Available Ayurveda, the traditional Indian medicine (TIM and traditional Chinese medicine (TCM remain the most ancient yet living traditions. There has been increased global interest in traditional medicine. Efforts to monitor and regulate herbal drugs and traditional medicine are underway. China has been successful in promoting its therapies with more research and science-based approach, while Ayurveda still needs more extensive scientific research and evidence base. This review gives an overview of basic principles and commonalities of TIM and TCM and discusses key determinants of success, which these great traditions need to address to compete in global markets.

  19. Sasang Constitutional Medicine and Traditional Chinese Medicine: A Comparative Overview

    Directory of Open Access Journals (Sweden)

    Junghee Yoo

    2012-01-01

    Full Text Available Sasang constitutional medicine (SCM is a holistic typological constitution medicine which balances psychological, social, and physical aspects of an individual to achieve wellness and increase longevity. SCM has the qualities of preventative medicine, as it emphasizes daily health management based on constitutionally differentiated regimens and self-cultivation of the mind and body. This review's goal is to establish a fundamental understanding of SCM and to provide a foundation for further study. It compares the similarities and differences of philosophical origins, perspectives on the mind (heart, typological systems, pathology, and therapeutics between SCM and traditional Chinese medicine (TCM. TCM is based on the Taoist view of the universe and humanity. The health and longevity of an individual depends on a harmonious relationship with the universe. On the other hand, SCM is based on the Confucian view of the universe and humanity. SCM focuses on the influence of human affairs on the psyche, physiology, and pathology.

  20. 传统开腹手术与腹腔镜手术治疗慢性萎缩性胆囊炎效果对比分析%Comparing the Effect of Traditional Open Surgery and Laparoscopic Surgery for Chronic Atrophic Cholecystitis

    Institute of Scientific and Technical Information of China (English)

    廖方; 廖锦岐; 方永平; 段进东; 游锦华

    2016-01-01

    Objective:To compare analyzing clinical effects of the traditional open surgery and laparoscopic surgery for chronic atrophic cholecystitis. Methods:To select 86 cases of chronic atrophic cholecystitis patients were randomly divided into observation group and control group. They were given lapa-roscopic surgery and traditional open surgery. To compare sur-gery, postoperative complications were pain killers and usage of the two groups of patients. Results:Observation group were op-eration time, flatus time, hospital stay, time to extubation com-pared with the control group were significantly reduced blood loss compared with the control group were significantly lower hospital costs but significantly increased incidence of postoper-ative complications in patients in the observation group only 2.33%, painkiller usage of only 6.98%, while the incidence of postoperative complications in patients in the control group 20.93%painkiller usage up 27.91 percent, the differences were statistically significant (P <0.05). Conclusion:Laparoscopic surgery for chronic atrophic cholecystitis than conventional open surgery significantly improved clinical efficacy, shorten the operation time, reduce the amount of blood transfusion, and promote the rehabilitation of patients after surgery to reduce the incidence of complications, worthy of further application in clin-ical practice.%目的:对比分析传统开腹手术与腹腔镜手术治疗慢性萎缩性胆囊炎的临床效果。方法:选取86例慢性萎缩性胆囊炎患者随机分为观察组和对照组,分别采用腹腔镜手术和传统开腹手术治疗,比较两组患者手术情况,术后并发症发生情况及止痛药使用情况。结果:观察组患者手术时间、肛门排气时间、住院时间、拔管时间较对照组患者显著缩短,术中出血量较对照组患者显著降低,但住院费用显著提高,观察组患者术后并发症发生率仅为2.33%,止痛药使用率仅为6

  1. A Comparative Analysis of MOOC (Massive Open Online Course Platforms

    Directory of Open Access Journals (Sweden)

    Maria CONACHE

    2016-01-01

    Full Text Available The MOOC platforms have known a considerable development in recent years due to the enlargement of online space and the shifting between traditional to virtual activities. These plat-forms made it possible for people almost everywhere to take online academic courses offered by top universities via open access to web and with unlimited participation. Thus, it came naturally to us to address the question what makes them so successful? The purpose of this paper is to report comparatively MOOC platforms in terms of features, based on the user’s implication and demands. First, we chose four relevant lifelong learning platforms and then we structured three main categories for the platforms' qualification, depending on which we built our theory regarding the comparison between them. Our analysis consists of three sets of criteria: business model, course design and popularity among online users. Starting from this perspective, we built a range of representative factors for which we highlighted the major aspects for each plat-form in our comparative research

  2. AUPress: A Comparison of an Open Access University Press with Traditional Presses

    Science.gov (United States)

    McGreal, Rory; Chen, Nian-Shing

    2011-01-01

    This study is a comparison of AUPress with three other traditional (non-open access) Canadian university presses. The analysis is based on the rankings that are correlated with book sales on Amazon.com and Amazon.ca. Statistical methods include the sampling of the sales ranking of randomly selected books from each press. The results of one-way…

  3. AUPress: A Comparison of an Open Access University Press with Traditional Presses

    Science.gov (United States)

    McGreal, Rory; Chen, Nian-Shing

    2011-01-01

    This study is a comparison of AUPress with three other traditional (non-open access) Canadian university presses. The analysis is based on the rankings that are correlated with book sales on Amazon.com and Amazon.ca. Statistical methods include the sampling of the sales ranking of randomly selected books from each press. The results of one-way…

  4. Comparative Analysis between Fuzzy and Traditional Analytical Hierarchy Process

    Directory of Open Access Journals (Sweden)

    Mulubrhan Freselam

    2014-07-01

    Full Text Available Analytic Hierarchy Process (AHP is one of the techniques commonly used for prioritizing different alternatives, by using complex criteria. In real applications, conventional AHP assumes the expert judgment as it is exact and use crisp number leading to inconsideration of the uncertainty that came from linguistic variable. Fuzzy logic deals with situations which are vague or unwell defined and gives a quantify value. In this study a comparison is made between traditional AHP and fuzzy AHP by taking a case of selecting an effective oil refinery. The selection is conducted using system effectiveness as a criterion. The two approaches have been compared on the same hierarchy structure and criteria set and the result show that in both case dual drum scheme (DDS has the highest priority but different value that is 0.51 and 0.36 for AHP and FAHP respectively which shows that if the expert opinion is certain AHP should be used if not FAHP should be preferred

  5. Open Innovation and the Erosion of the Traditional Information Systems Project's Boundaries

    Science.gov (United States)

    Elbanna, Amany

    This paper examines the notion of open innovation and its implication on information systems management. It investigates a project of an enterprise resource planning system implementation in an international organization to unravel the resemblance with the open innovation model. The study shows that the conceptualization of ERP project as an open innovation could reveal the complex architecture of today's organization from which the ERP project cannot be isolated. It argues that the traditional boundaries around IS projects are dissolving and the relationship between what used to be outside and what used to be inside the project is increasingly blurred. The study calls for a different perspective of project management that goes beyond single and multiple project management to scan the open space of innovation and actively look for partners, competitors, and collaborators.

  6. Comparative Study of the Effectiveness of Three Learning Environments: Hyper-Realistic Virtual Simulations, Traditional Schematic Simulations and Traditional Laboratory

    Science.gov (United States)

    Martinez, Guadalupe; Naranjo, Francisco L.; Perez, Angel L.; Suero, Maria Isabel; Pardo, Pedro J.

    2011-01-01

    This study compared the educational effects of computer simulations developed in a hyper-realistic virtual environment with the educational effects of either traditional schematic simulations or a traditional optics laboratory. The virtual environment was constructed on the basis of Java applets complemented with a photorealistic visual output.…

  7. Quantitative and Traditional Classifications of Bulgarian Dialects Compared

    NARCIS (Netherlands)

    Houtzagers, H.P.; Nerbonne, J.; Prokić, J.

    2010-01-01

    Dialect classification is a classical problem in traditional dialectology. In the course of the last few decades, several quantitative approaches have been sug-gested as solutions for this problem, one of which uses “Levenshtein distance” for measuring linguistic distances between dialects. In the p

  8. Comparative advantage between traditional and smart navigation systems

    Science.gov (United States)

    Shin, Jeongkyu; Kim, Pan-Jun; Kim, Seunghwan

    2013-03-01

    The smart navigation system that refers to real-time traffic data is believed to be superior to traditional navigation systems. To verify this belief, we created an agent-based traffic model and examined the effect of changing market share of the traditional shortest-travel-time algorithm based navigation and the smart navigation system. We tested our model on the grid and actual metropolitan road network structures. The result reveals that the traditional navigation system have better performance than the smart one as the market share of the smart navigation system exceeds a critical value, which is contrary to conventional expectation. We suggest that the superiority inversion between agent groups is strongly related to the traffic weight function form, and is general. We also found that the relationship of market share, traffic flow density and travel time is determined by the combination of congestion avoidance behavior of the smartly navigated agents and the inefficiency of shortest-travel-time based navigated agents. Our results can be interpreted with the minority game and extended to the diverse topics of opinion dynamics. This work was supported by the Original Technology Research Program for Brain Science through the National Research Foundation of Korea funded by the Ministry of Education, Science and Technology(No. 2010-0018847).

  9. Refining the DCT: Comparing Open Questionnaires and Dialogue Completion Tasks.

    Science.gov (United States)

    Bardovi-Harlig, Kathleen; Hartford, Beverly S.

    A study compared the influence of two forms of discourse completion test (DCT) on the elicitation of rejection of advice. An open questionnaire providing scenarios alone was compared with a classic dialogue completion task in which a conversational turn is provided. The tasks were given to 32 graduate students, 19 native and 13 non-native…

  10. Comparing alternative and traditional dissemination metrics in medical education.

    Science.gov (United States)

    Amath, Aysah; Ambacher, Kristin; Leddy, John J; Wood, Timothy J; Ramnanan, Christopher J

    2017-09-01

    The impact of academic scholarship has traditionally been measured using citation-based metrics. However, citations may not be the only measure of impact. In recent years, other platforms (e.g. Twitter) have provided new tools for promoting scholarship to both academic and non-academic audiences. Alternative metrics (altmetrics) can capture non-traditional dissemination data such as attention generated on social media platforms. The aims of this exploratory study were to characterise the relationships among altmetrics, access counts and citations in an international and pre-eminent medical education journal, and to clarify the roles of these metrics in assessing the impact of medical education academic scholarship. A database study was performed (September 2015) for all papers published in Medical Education in 2012 (n = 236) and 2013 (n = 246). Citation, altmetric and access (HTML views and PDF downloads) data were obtained from Scopus, the Altmetric Bookmarklet tool and the journal Medical Education, respectively. Pearson coefficients (r-values) between metrics of interest were then determined. Twitter and Mendeley (an academic bibliography tool) were the only altmetric-tracked platforms frequently (> 50%) utilised in the dissemination of articles. Altmetric scores (composite measures of all online attention) were driven by Twitter mentions. For short and full-length articles in 2012 and 2013, both access counts and citation counts were most strongly correlated with one another, as well as with Mendeley downloads. By comparison, Twitter metrics and altmetric scores demonstrated weak to moderate correlations with both access and citation counts. Whereas most altmetrics showed limited correlations with readership (access counts) and impact (citations), Mendeley downloads correlated strongly with both readership and impact indices for articles published in the journal Medical Education and may therefore have potential use that is complementary to that of citations in

  11. Comparative study of programmed labor and traditional management of labor

    Directory of Open Access Journals (Sweden)

    Nitin S. Kshirsagar

    2013-04-01

    Full Text Available Background: Prolongation of labor leads to dehydration, ketoacidosis, infection, fetal asphyxia. Programmed labor aims at reducing the duration of labor, labor pain and incidence of cesarean section with improved maternal and neonatal outcome. Aims and Objectives: 1To evaluate the effect of programmed labor on duration of labor. 2To assess efficacy of analgesics in reducing pain of labor. 3To find out maternal and neonatal complications. 4To study impact of programmed labor on LSCS rates. Methods: Prospective randomized study of primigravida in active labor (after 4 cm cervical dilatation for which 100 women were selected for programmed labor (cases and 100 women were selected for traditional management of labor (controls. Cases were subjected to interventions to improve uterine contractions (ARM, Dinoprostone tablets, and Oxytocin drip, to facilitate cervical dilatation (Inj. Drotaverine, to relieve labor pains (Inj. Pentazocine & Diazepam. All labors were monitored by partogram. Results: Programmed labor reduced duration of first and second stage of labor. There was faster cervical dilatation (1.8 cm/hour against 1.2 cm/hour. Majority of the patients had better pain relief. There was no impact on LSCS rates Conclusions: Programmed labor significantly reduced duration of labor with good pain relief without compromising maternal and fetal/neonatal safety. But it had no impact on LSCS rates. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 209-212

  12. COMPARATIVE FEASIBILITY ANALYSIS OF MODERN AND TRADITIONAL SYSTEM OF BROILER CHICKEN FARM BUSINESS

    Directory of Open Access Journals (Sweden)

    Firda Rachma Amalia

    2015-05-01

    Full Text Available Feasibility study is a study assessing a project to be undertaken in the future. This research aimed to analyze whether the broiler business by partnership pattern at Prospek Mitra Lestari (PML was feasible to be continued. This research analyzed two models of cage that is traditional cage (open with a scale of 10,000  and modern cage (close with a scale 14.500 and decided whether they were financially feasible or not. In addition, this research aimed to compare between traditional cage and modern cage with estimation for one year (six harvest times and to analyze which cage had better feasibility in order to provide recommendations or suggestions to the breeders or young breeders. Sensitivity analysis was based on current input and output data from breeder in 2012. The feasibility study of chicken broiler farm cage partnership with traditional and modern cage with the next ten year estimation showed that the modern cage was better than the traditional cage. It can be seen from the values of NPV, IRR, PP, B/C, GPM and ROI. Sensitivity analysis shows that traditional cage is more sensitive to price changes than modern cage. It is shown in the traditional cage with the capacity of 10,000 produces smaller values, indicating that is it is sensitive to cost increase by 2% and to selling price decline of chicken by 1,7%. The recommendations from this study include inputs to farmers in selecting a modern cage since it is more feasible than the traditional cage for long periods of time, while the traditional cage is more viable than the modern cage if the farmer wants a shorter investment timeKeywords: Feasibility studies, Broiler, modern and Traditional cageABSTRAKKelayakan merupakan studi  menilai proyek yang akan dikerjakan di masa mendatang. Penelitian ini bertujuan untuk menganalisisis apakah usaha ayam broiler dengan pola kemitraan pada Prospek Mitra Lestari (PML layak untuk diteruskan. Penelitian ini menganalisisis dua model kandang tradisional

  13. Tradition

    DEFF Research Database (Denmark)

    Otto, Ton

    2016-01-01

    “Tradition” and its adjective “traditional” are frequently used terms in sociological and anthropological descriptions to indicate cultural continuity with the past. More specifically, tradition refers to the process of handing down from one generation to the next and also to what is passed on...

  14. Comparative study of the effectiveness of three learning environments: Hyper-realistic virtual simulations, traditional schematic simulations and traditional laboratory

    Directory of Open Access Journals (Sweden)

    Maria Isabel Suero

    2011-10-01

    Full Text Available This study compared the educational effects of computer simulations developed in a hyper-realistic virtual environment with the educational effects of either traditional schematic simulations or a traditional optics laboratory. The virtual environment was constructed on the basis of Java applets complemented with a photorealistic visual output. This new virtual environment concept, which we call hyper-realistic, transcends basic schematic simulation; it provides the user with a more realistic perception of a physical phenomenon being simulated. We compared the learning achievements of three equivalent, homogeneous groups of undergraduates—an experimental group who used only the hyper-realistic virtual laboratory, a first control group who used a schematic simulation, and a second control group who used the traditional laboratory. The three groups received the same theoretical preparation and carried out equivalent practicals in their respective learning environments. The topic chosen for the experiment was optical aberrations. An analysis of variance applied to the data of the study demonstrated a statistically significant difference (p value <0.05 between the three groups. The learning achievements attained by the group using the hyper-realistic virtual environment were 6.1 percentage points higher than those for the group using the traditional schematic simulations and 9.5 percentage points higher than those for the group using the traditional laboratory.

  15. Survival through Openness – How Traditional Industry could avoid the Fate of Print Media

    Directory of Open Access Journals (Sweden)

    Tobias Redlich

    2015-02-01

    Full Text Available The purpose of this paper is to make a contribution to a theory of value co-creation by integrating a case observation and conceptual insights from literature that are concerned with co-creation phenomena. A value creation taxonomy is introduced as a reference model which is used to describe an ongoing paradigm shift from traditional industrial production towards Bottom-up economics. On this basis, a conceptual framework is derived for comparing how traditional value chain elements might be rearranged by organizations relying on value co-creation. The underlying research work also aims to apply the authors' framework in order to illustrate how completely new business models arise and how traditional (manufacturing companies could be enabled to make use of value co-creation patterns observed in the 36 cases under consideration. Each case is employing its own distinct approach to value creation.

  16. Quality Open Access market and other initiatives: a comparative analysis

    Directory of Open Access Journals (Sweden)

    Danielle van Gerestein

    2015-05-01

    Full Text Available Recently academic publishing has entered in a new era, namely that of open access publishing. This has resulted in the appearance of numerous new open access journals. Scholars who want to publish their work today have endless publishing possibilities to choose from, but who is able to tell them which journal is reliable? This used to be the job of librarians, but with approximately 17000 journals they are no longer able to keep up. For this reason several websites and services have started to gather information about open access journals in order to make an overview of reliable and unreliable journals. One of these services is called Quality Open Access Market (QOAM. In this article six other services (Directory of Open Access Journals, JournalReviewer, SciRev, Journalysis, Journalguide, PRE-val and Eigenfactor will be compared to QOAM in order to find out which service offers the best results. QOAM is taken as a starting point here because the research presented in this article was commissioned by them (namely: Saskia de Vries and Leo Waaijers in order to find out what value they can actually add.

  17. Test person operated 2-Alternative Forced Choice Audiometry compared to traditional audiometry

    DEFF Research Database (Denmark)

    Schmidt, Jesper Hvass; Brandt, Christian; Christensen-Dalsgaard, Jakob;

    as a comparison with traditional audiometry. A series of 30 persons (60 ears) have conducted traditional audiometry as well as self-operated 2AFC-audiometry. Test subjects are normal as well as moderately hearing impaired people. The different thresholds are compared.   Results: 2 AFC Audiometry is reliable...... and comparable to traditional audiometry. 2AFC audiometry tends to give thresholds 1-2 dB lower compared to traditional audiometry. In general standard deviations between the two test methods are below 4.5 dB for frequencies from (250-4000 Hz) and up to 6.7 dB for frequencies above 4000 Hz. Results from test......-retest studies of 2AFC audiometry are comparable to test-retest results known from traditional audiometry under standard clinical settings.   Conclusions 2 Alternative Forced Choice audiometry can be a reliable alternative to traditional audiometry especially under certain circumstances, where it can...

  18. Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion

    Directory of Open Access Journals (Sweden)

    Ledonio CGT

    2014-06-01

    Full Text Available Charles GT Ledonio,1 David W Polly Jr,1 Marc F Swiontkowski,1 John T Cummings Jr2 1Department of Orthopaedic Surgery, University of Minnesota, Twin Cities, MN, 2Community Neurosurgical Care, Indianapolis, IN, USA Background: The mainstay of sacroiliac joint disruption/degenerative sacroiliitis therapy has been nonoperative management. This nonoperative management often includes a regimen of physical therapy, chiropractic treatment, therapeutic injections, and possibly radiofrequency ablation at the discretion of the treating physician. When these clinical treatments fail, sacroiliac joint fusion has been recommended as the standard treatment. Open and minimally invasive (MIS surgical techniques are typical procedures. This study aims to compare the perioperative measures and Oswestry Disability Index (ODI outcomes associated with each of these techniques. Methods: A comparative retrospective chart review of patients with sacroiliac joint fusion and a minimum of 1 year of follow-up was performed. Perioperative measures and ODI scores were compared using the Fisher's exact test and two nonparametric tests, ie, the Mann–Whitney U test and the Wilcoxon signed-rank test. The results are presented as percent or median with range, as appropriate. Results: Forty-nine patients from two institutions underwent sacroiliac joint fusion between 2006 and 2012. Ten patients were excluded because of incomplete data, leaving 39 evaluable patients, of whom 22 underwent open and 17 underwent MIS sacroiliac joint fusion. The MIS group was significantly older (median age 66 [39–82] years than the open group (median age 51 [34–74] years. Surgical time and hospital stay were significantly shorter in the MIS group than in the open group. Preoperative ODI was significantly greater in the open group (median 64 [44–78] than in the MIS group (median 53 [14–84]. Postoperative improvement in ODI was statistically significant within and between groups, with MIS

  19. Bridging the gap: how traditional healers interact with their patients. A comparative study in Cameroon.

    NARCIS (Netherlands)

    Labhardt, N.D.; Aboa, S.M.; Manga, E.; Bensing, J.M.; Langewitz, W.

    2010-01-01

    Objective: To compare traditional healers (TH) and Cameroonian representatives of Western medicine (Western providers (WP)) in terms of patient characteristics and communication patterns during the consultation in rural Cameroon. Methods: A facility-based comparative study was conducted. Seven TH

  20. COMPARATIVE STUDY BETWEEN THREE COURTYARDS OF TRADITIONAL HOUSES IN ISLAMIC CAIRO

    Directory of Open Access Journals (Sweden)

    Yehia Hassan Wazeri

    2014-02-01

    Full Text Available Abstract Direct  solar radiation  is considered  the most  important  climatic  element,  which  has direct  and indirect influences on designing buildings and open spaces. In hot arid regions, like Cairo, the main aim is to reduce the heat load in summer, and to maximize it in winter. The aim of the present comparative study is to determine the shaded area and the quantity of direct solar radiation (on 21 June & 21 December fall on walls, floors and openings of three courtyards in traditional Islamic houses in old Cairo. For this purpose a network of three traditional courtyards houses has been selected in old Islamic Cairo. The first is Zaynab Khatun house (built 1468AD, the second is Gamal Al-Din Al-Dahaby (built 1637AD, and the third is Es-Sinnari house (built 1794AD. Key words: courtyards; traditional houses; Islamic Cairo.     Abstrak Radiasi  matahari  langsung  merupakan  elemen  iklim  yang  paling  penting  untuk  dipertimbangkan  dalam perancangan, baik yang memberikan pengaruh langsung maupun tidak langsung pada perancangan bangunan dan ruang terbuka. Di daerah kering dan panas, seperti halnya Cairo, beban panas di musim panas dikurangi dan dimaksimalkan di musim dingin. Tujuan dari penelitian yang menggunakan tiga studi banding ini adalah untuk menentukan daerah yang teduh dan melihat jumlah radiasi matahari langsung pada tanggal 21 Juni dan 21 Desember, yang mengenai  pada dinding, lantai dan bukaan  yang bersumber dari halaman rumah tradisional Islam di kota tua Kairo. Untuk itu, telah dipilih tiga rumah tradisional di Kairo yang memiliki halaman yaitu rumah Zaynab Khatun yang dibangun pada 1468AD, kedua rumah Gamal Al-Din Al-Dahaby yang dibangun pada 1637AD, dan yang ketiga adalah rumah Es-Sinnari yang dibangun pada 1794AD.   Kata kunci: halaman, rumah-rumah tradisional, Islam Kairo.

  1. Forensic Accounting and Auditing: Compared and Contrasted to Traditional Accounting and Auditing

    Science.gov (United States)

    Gray, Dahli

    2008-01-01

    Forensic versus traditional accounting and auditing are compared and contrasted. Evidence gathering is detailed. Forensic science and fraud symptoms are explained. Criminalists, expert testimony and corporate governance are presented.

  2. Comparative study of presurgical hand hygiene with hydroalcoholic solution versus traditional presurgical hand hygiene.

    Science.gov (United States)

    López Martín, M Beatriz; Erice Calvo-Sotelo, Alejo

    To compare presurgical hand hygiene with hydroalcoholic solution following the WHO protocol with traditional presurgical hand hygiene. Cultures of the hands of surgeons and surgical nurses were performed before and after presurgical hand hygiene and after removing gloves at the end of surgery. Cultures were done in 2different days: the first day after traditional presurgical hand hygiene, and the second day after presurgical hand hygiene with hydroalcoholic solution following the WHO protocol. The duration of the traditional hand hygiene was measured and compared with the duration (3min) of the WHO protocol. The cost of the products used in the traditional technique was compared with the cost of the hydroalcoholic solution used. The variability of the traditional technique was determined by observation. Following presurgical hand hygiene with hydroalcoholic solution, colony-forming units (CFU) were detected in 5 (7.3%) subjects, whereas after traditional presurgical hand hygiene CFU were detected in 14 subjects (20.5%) (p < 0.05). After glove removal, the numbers of CFU were similar. The time employed in hand hygiene with hydroalcoholic solution (3min) was inferior to the time employed in the traditional technique (p < 0.05), its cost was less than half, and there was no variability. Compared with other techniques, presurgical hand hygiene with hydroalcoholic solution significantly decreases CFU, has similar latency time, a lower cost, and saves time. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  3. Comparing Simulation Results with Traditional PRA Model on a Boiling Water Reactor Station Blackout Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Zhegang Ma; Diego Mandelli; Curtis Smith

    2011-07-01

    A previous study used RELAP and RAVEN to conduct a boiling water reactor station black-out (SBO) case study in a simulation based environment to show the capabilities of the risk-informed safety margin characterization methodology. This report compares the RELAP/RAVEN simulation results with traditional PRA model results. The RELAP/RAVEN simulation run results were reviewed for their input parameters and output results. The input parameters for each simulation run include various timing information such as diesel generator or offsite power recovery time, Safety Relief Valve stuck open time, High Pressure Core Injection or Reactor Core Isolation Cooling fail to run time, extended core cooling operation time, depressurization delay time, and firewater injection time. The output results include the maximum fuel clad temperature, the outcome, and the simulation end time. A traditional SBO PRA model in this report contains four event trees that are linked together with the transferring feature in SAPHIRE software. Unlike the usual Level 1 PRA quantification process in which only core damage sequences are quantified, this report quantifies all SBO sequences, whether they are core damage sequences or success (i.e., non core damage) sequences, in order to provide a full comparison with the simulation results. Three different approaches were used to solve event tree top events and quantify the SBO sequences: “W” process flag, default process flag without proper adjustment, and default process flag with adjustment to account for the success branch probabilities. Without post-processing, the first two approaches yield incorrect results with a total conditional probability greater than 1.0. The last approach accounts for the success branch probabilities and provides correct conditional sequence probabilities that are to be used for comparison. To better compare the results from the PRA model and the simulation runs, a simplified SBO event tree was developed with only four

  4. 28 Comparative Study of Open Mesh Repair and Desarda's No ...

    African Journals Online (AJOL)

    user

    2006-12-02

    Dec 2, 2006 ... East And Central African Journal of Surgery Volume 11 Number 2. ... new technique and the open mesh repair done in a district level general hospital set ... laparoscopic repairs or the patients given ..... Hernia repair (Open Vs.

  5. [Effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion and traditional open surgery in the treatment of lumbar spondylolisthesis].

    Science.gov (United States)

    Cui, G Y; Tian, W; He, D; Xing, Y G; Liu, B; Yuan, Q; Wang, Y Q; Sun, Y Q

    2017-07-01

    Objective: To compare the clinical effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open TLIF in the treatment of lumbar spondylolisthesis. Methods: A total of 41 patients with lumbar spondylolisthesis accepted surgical treatment in Department of Spinal Surgery of Beijing Jishuitan Hospital From July 2015 to April 2016 were retrospectively analyzed. There were 16 cases accepted robot-assisted minimally invasive TLIF and 25 accepted traditional open TLIF. The operation time, X-ray radiation exposure time, perioperative bleeding, drainage volume, time of hospitalization, time for pain relief, time for ambulatory recovery, visual analogue scale (VAS), Oswestry disability index (ODI) and complications were compared. T test and χ(2) were used to analyze data. Results: There were no significant difference in gender, age, numbers, degrees, pre-operative VAS and ODI in spondylolisthesis (all P>0.05). Compared with traditional open TLIF group, the robot-assisted minimally invasive TLIF group had less perioperative bleeding ((187.5±18.4) ml vs. (332.1±23.5) ml), less drainage volume ((103.1±15.6) ml vs. (261.3±19.8) ml), shorter hospitalization ((7.8±1.9) days vs. (10.0±1.6) days), shorter time for pain relief ((2.8±1.0) days vs. (5.2±1.1) days), shorter time for ambulatory recovery ((1.7±0.9) days vs. (2.9±1.3) days) and less VAS of the third day postoperatively (2.2±0.9 vs. 4.2±2.4) (t=2.762-16.738, all Probot-assisted minimally invasive TLIF group: (11.8 ± 2.8) mm vs. (7.5 ± 1.9) mm, traditional open TLIF group: (12.7 ± 2.5) mm vs. (7.9±2.0) mm), and so was the lumbar lordosis angle (robot-assisted minimally invasive TLIF group: (48.7±9.2)°vs. (39.6±7.9)°, traditional open TLIF group: (50.1±10.8)°vs. (41.4±8.8)°), the lordosis angle of the slippage segment (robot-assisted minimally invasive TLIF group: (18.7±5.6)°vs. (10.9±3.8)°, traditional open TLIF group: (17.6±6.1)°vs.(8.7±3.2)

  6. An Open Conversation with Traditional Birth Attendants in Rural Uganda: The Potential for Collaborative Care

    Directory of Open Access Journals (Sweden)

    Elizabeth D. Yuan

    2017-06-01

    Full Text Available Background: Imaging the World-Africa (ITWA is a registered non-governmental organization aimed at distributing low-cost ultrasound services at health centres in rural Uganda. Yet, studies demonstrate that the majority of mothers continue to deliver with unregulated traditional birth attendants (TBAs in their local villages. It has been suggested that the unregulated practices of TBAs has contributed to the high rate of maternal and fetal mortality. A greater understanding of the roles of TBAs in the management of pregnancy and delivery is needed. Purpose: The purpose of this report is to provide the international community with a greater understanding of TBA practices as well as an assessment of their willingness for future collaboration. Methods: Three TBAs from different nearby villages attended a meeting with ITWA in Kamuli District, Uganda. The meeting included an interview and an educational session. A test on the management principles of common obstetric complications was administered at the beginning and end of the meeting to assess baseline knowledge and the effect of the interaction. Results: The meeting with the TBAs provided valuable qualitative information about TBA clinical experience, the value of TBAs to the community and TBA understanding of ultrasound. On the pre-educational test, the TBAs had a limited understanding of pregnancy complications and conditions in which it would be safer for a mother to deliver at a hospital. After the educational session, the TBAs performed statistically significantly better on the post-test (p=0.03. Conclusion: The open conversation with the TBAs provided valuable information on the current role of TBAs in rural Uganda. Our experience with the TBAs demonstrates that TBAs are willing to engage with trained healthcare providers. Collaboration between TBAs and health centers in Uganda has the potential to bring to light previously unknown barriers and create solutions to better maternal and fetal

  7. Evaluating the Effectiveness of the Open-Access ChemWiki Resource as a Replacement for Traditional General Chemistry Textbooks

    Science.gov (United States)

    Allen, Gregory; Guzman-Alvarez, Alberto; Smith, Amy; Gamage, Alan; Molinaro, Marco; Larsen, Delmar S.

    2015-01-01

    Open educational resources (OERs) provide a potential alternative to costly textbooks and can allow content to be edited and adapted to a variety of classroom environments. At the University of California, Davis, the OER "ChemWiki" project, as part of the greater STEMWiki Hyperlibrary, was developed to supplant traditional post-secondary…

  8. Comparing lymphadenectomy during radical nephroureterectomy: open versus laparoscopic.

    Science.gov (United States)

    Busby, J Erik; Brown, Gordon A; Matin, Surena F

    2008-03-01

    Laparoscopic nephroureterectomy (LNU) is an accepted treatment for tumors of the ureter and renal pelvis, although the ability to perform a regional lymphadenectomy has been criticized. We compared the quality of lymphadenectomy with LNU with that involving open nephroureterectomy (ONU) to determine whether oncologic principles are maintained. We searched our institutional database for patients who had undergone ONU from 1990 to 2005. These were compared with a series of patients from January 2003 to April 2007 who underwent LNU. From each patient's medical records, we assessed the number of lymph nodes removed, the number of positive nodes removed, and the density of positive nodes. The differences between groups were analyzed using the Wilcoxon rank sum statistical test. We identified 106 patients who underwent ONU with lymphadenectomy and 28 who underwent LNU with lymphadenectomy. The median number of nodes removed, median number of positive nodes, and median density of positive nodes were, respectively, 3, 0, and 0 for the ONU group; and 6, 0, and 0, for the LNU group. There was a statistically significant difference between groups with respect to the number of nodes removed (P = 0.01) but not with respect to the number of positive nodes removed (P = 0.61) or the lymph node density (P = 0.42). Offsetting the benefits of laparoscopy could be a flawed oncologic technique. We have demonstrated that lymphadenectomy, which is a potentially important component of nephroureterectomy, can be performed as well during LNU as it is with ONU when a dedicated effort is made.

  9. Comparing the intraoperative complication rate of femtosecond laser-assisted cataract surgery to traditional phacoemulsification

    Institute of Scientific and Technical Information of China (English)

    Ming; Chen; Christian; Swinney; Mindy; Chen

    2015-01-01

    AIM: To compare the complication rate of femtosecond laser-assisted cataract surgery(FLACS) and traditional phacoemulsification for the first 18 mo of FLACS use at a private surgical center in Hawaii.METHODS: A retrospective chart review was conducted from January 2012 to June 2013. The first 273 consecutive eyes receiving FLACS and 553 eyes receiving traditional phacoemulsification were examined.All surgeries were performed at a single surgical center in Hawaii. The presence of intraoperative complications was used as the main outcome measure. Approval was obtained from the institutional review board of the University of Hawaii.RESULTS: The overall complication rate for FLACS was 1.8%, while that of the traditional procedure was5.8%(P <0.05). A majority of the surgeons(80%) had a lower complication rate while using FLACS.CONCLUSION: FLACS is comparable in safety, if not safer, than traditional cataract surgery when performed by qualified cataract surgeons on carefully selected patients.

  10. Comparing the intraoperative complication rate of femtosecond laser-assisted cataract surgery to traditional phacoemulsification

    Directory of Open Access Journals (Sweden)

    Ming Chen

    2015-02-01

    Full Text Available AIM: To compare the complication rate of femtosecond laser-assisted cataract surgery (FLACS and traditional phacoemulsification for the first 18mo of FLACS use at a private surgical center in Hawaii. METHODS: A retrospective chart review was conducted from January 2012 to June 2013. The first 273 consecutive eyes receiving FLACS and 553 eyes receiving traditional phacoemulsification were examined. All surgeries were performed at a single surgical center in Hawaii. The presence of intraoperative complications was used as the main outcome measure. Approval was obtained from the institutional review board of the University of Hawaii. RESULTS: The overall complication rate for FLACS was 1.8%, while that of the traditional procedure was 5.8% (PCONCLUSION: FLACS is comparable in safety, if not safer, than traditional cataract surgery when performed by qualified cataract surgeons on carefully selected patients.

  11. Multi-Stage Open Peer Review: Scientific Evaluation Integrating the Strengths of Traditional Peer Review with the Virtues of Transparency and Self-Regulation

    Science.gov (United States)

    Pöschl, Ulrich

    2012-01-01

    The traditional forms of scientific publishing and peer review do not live up to all demands of efficient communication and quality assurance in today’s highly diverse and rapidly evolving world of science. They need to be advanced and complemented by interactive and transparent forms of review, publication, and discussion that are open to the scientific community and to the public. The advantages of open access, public peer review, and interactive discussion can be efficiently and flexibly combined with the strengths of traditional scientific peer review. Since 2001 the benefits and viability of this approach are clearly demonstrated by the highly successful interactive open access journal Atmospheric Chemistry and Physics (ACP, www.atmos-chem-phys.net) and a growing number of sister journals launched and operated by the European Geosciences Union (EGU, www.egu.eu) and the open access publisher Copernicus (www.copernicus.org). The interactive open access journals are practicing an integrative multi-stage process of publication and peer review combined with interactive public discussion, which effectively resolves the dilemma between rapid scientific exchange and thorough quality assurance. Key features and achievements of this approach are: top quality and impact, efficient self-regulation and low rejection rates, high attractivity and rapid growth, low costs, and financial sustainability. In fact, ACP and the EGU interactive open access sister journals are by most if not all standards more successful than comparable scientific journals with traditional or alternative forms of peer review (editorial statistics, publication statistics, citation statistics, economic costs, and sustainability). The high efficiency and predictive validity of multi-stage open peer review have been confirmed in a series of dedicated studies by evaluation experts from the social sciences, and the same or similar concepts have recently also been adopted in other disciplines, including

  12. Multi-stage open peer review: scientific evaluation integrating the strengths of traditional peer review with the virtues of transparency and self-regulation.

    Science.gov (United States)

    Pöschl, Ulrich

    2012-01-01

    The traditional forms of scientific publishing and peer review do not live up to all demands of efficient communication and quality assurance in today's highly diverse and rapidly evolving world of science. They need to be advanced and complemented by interactive and transparent forms of review, publication, and discussion that are open to the scientific community and to the public. The advantages of open access, public peer review, and interactive discussion can be efficiently and flexibly combined with the strengths of traditional scientific peer review. Since 2001 the benefits and viability of this approach are clearly demonstrated by the highly successful interactive open access journal Atmospheric Chemistry and Physics (ACP, www.atmos-chem-phys.net) and a growing number of sister journals launched and operated by the European Geosciences Union (EGU, www.egu.eu) and the open access publisher Copernicus (www.copernicus.org). The interactive open access journals are practicing an integrative multi-stage process of publication and peer review combined with interactive public discussion, which effectively resolves the dilemma between rapid scientific exchange and thorough quality assurance. Key features and achievements of this approach are: top quality and impact, efficient self-regulation and low rejection rates, high attractivity and rapid growth, low costs, and financial sustainability. In fact, ACP and the EGU interactive open access sister journals are by most if not all standards more successful than comparable scientific journals with traditional or alternative forms of peer review (editorial statistics, publication statistics, citation statistics, economic costs, and sustainability). The high efficiency and predictive validity of multi-stage open peer review have been confirmed in a series of dedicated studies by evaluation experts from the social sciences, and the same or similar concepts have recently also been adopted in other disciplines, including the

  13. Blended Learning and Sense of Community: A Comparative Analysis with Traditional and Fully Online Graduate Courses

    Directory of Open Access Journals (Sweden)

    Fred Rovai and Hope Jordan

    2004-08-01

    Full Text Available Blended learning is a hybrid of classroom and online learning that includes some of the conveniences of online courses without the complete loss of face-to-face contact. The present study used a causal-comparative design to examine the relationship of sense of community between traditional classroom, blended, and fully online higher education learning environments. Evidence is provided to suggest that blended courses produce a stronger sense of community among students than either traditional or fully online courses.

  14. Mini-flank supra-12th rib incision for open partial nephrectomy for renal tumor with RENAL nephrometry score ≥10: an innovation of traditional open surgery.

    Science.gov (United States)

    Wang, Hang; Sun, Li-an; Wang, Yiwei; Xiang, Zhuoyi; Zhou, Lin; Guo, Jianming; Wang, Guomin

    2015-04-01

    The skill of supra-12th rib mini-flank approach for open partial nephrectomy (MI-OPN) provides an advanced operative method for renal tumor. Compared with laparoscopic and robotic surgery, it may be a feasible selection for the complex renal tumors. We describe our techniques and results of MI-OPN in complex renal tumors with high RENAL nephrometry score (RENAL nephrometry score ≥10). Fifty-five patients diagnosed with renal tumors between January 2009 and July 2013 were included in this study. Eligibility criteria comprised of patients with complex renal tumor (RENAL score ≥10) being candidates for partial nephrectomy (PN). All patients received MI-OPN and all surgeries were performed by a single urologist. The preoperative workup comprised of medical history, physical examination, and routine laboratory tests. Serum creatinine was recorded preoperatively and 2 to 3 months after operation. Operative time, ischemia time, blood loss, operative and postoperative complications, renal function, and pathology parameters were recorded. MI-OPN was successfully performed in all cases. Mean tumor size was 4.7 cm (range: 2.5-8.1). Mean warm ischemia time was 28.1 minutes (range: 21-39), mean operative time was 105 minutes (range: 70-150) and mean estimated blood loss was 68 mL (range: 10-400). Mean postoperative hospital stay was 6.5 days (range: 5-12). Postoperative complications were found in 3 patients (5.5%). The mean pre- and postoperative serum creatinine levels were 76.2 μmol/L (range: 47-132) and 87.1 μmol/L (range: 61-189) with significant difference (P = 0.004). The mean pre- and postoperative estimated glomerular filtration rate (eGFR) were 91.5 (range: 34-133) and 82.5 (range: 22-126.5), respectively with significant difference (P = 0.024). In an average follow-up of 19.9 months (range: 8-50), no local recurrence or systemic progression occurred. In conclusion, MI-OPN can combine the benefits of both minimal invasive and traditional open

  15. Bridging the gap: how traditional healers interact with their patients. A comparative study in Cameroon.

    NARCIS (Netherlands)

    Labhardt, N.D.; Aboa, S.M.; Manga, E.; Bensing, J.M.; Langewitz, W.

    2010-01-01

    Objective: To compare traditional healers (TH) and Cameroonian representatives of Western medicine (Western providers (WP)) in terms of patient characteristics and communication patterns during the consultation in rural Cameroon. Methods: A facility-based comparative study was conducted. Seven TH we

  16. Paid Open Access: A Comparative Study of Selected International Publishers

    Directory of Open Access Journals (Sweden)

    DIMPLE SHARMA

    2012-01-01

    Full Text Available Open Access as emerged as a global movement in the academic sphere providing freeonline access to scholarly literature. Generally author submits a manuscript to the open access journals and after the peer-reviewing and editorial process is over the article is published for free access and download. Some publishers have developed a model in which either the author(s or their parent organization has to pay the open access fee or article processing charges. This paper aims to provide an insight of selected international publishers who have adopted paid open access model. In the data analysis section the facts have been presented in tables and charts focusing on various aspects of paid open access. At the end of the paper some practical recommendations have been made for sustaining and removing the shortcomings of this model.

  17. Regulating traditional justice in South Africa: a comparative analysis of selected aspects of the traditional courts bill

    OpenAIRE

    Caiphas Brewsters Soyapi

    2014-01-01

    Traditional justice systems have been in place for a very long time in South Africa and in Africa in general. They are characterised by informal systems that are not beset by the normal technicalities prevalent in formal justice systems. In recent times South Africa has sought to do away with the Black Administration Act, which was the regulating legislation on traditional justice systems, by introducing the Traditional Courts Bill. Initially introduced in Parliament in 2008 and withdrawn for...

  18. Should Introductory Comparative ­Philosophy Courses Be Structured Around Topics or Traditions?

    Directory of Open Access Journals (Sweden)

    Jeremy Henkel

    2016-07-01

    Full Text Available Should introductory courses in comparative philosophy be organized around traditions or around topics? Will students be better served by considering Indian, Chinese, African, and Native American philosophies in depth and in sequence, or by exploring differing philosophical approaches to such topics as beauty, moral responsibility, and human nature? Each approach has reasons that recommend it, but each also brings with it serious limitations. In this essay I rehearse what I take to be the most salient arguments both for and against each approach. In the end, I conclude that, for introductory courses in comparative philosophy, an approach organized around traditions is preferable to one organized around topics.

  19. [Comparative research of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum].

    Science.gov (United States)

    Khitar'yan, A G; Glumov, E E; Veliev, K S

    2015-01-01

    The article made a comparative assessment of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum in lateral and spinal positions. The presented technique of hand-assisted laparoscopic colon and rectal surgery is simple. There are advantages in case of obesity presence (IMT more than 30 kg/m2), in significant shortening of the mesocolon and mesentery, high fixation of splenic flexure and intimate fixation of the spleen, in case of bad preparation of the bowels in partial intestinal obstruction or in case of emergency operation, big cancer size, expressed perifocal inflammation. A comparative analysis of dynamics of hormone stress content and metabolism (cortisol, adrenaline, thyrothrophic hormone) showed their expressed increase in blood during operation after traditional surgery. Less stressed reaction was noted after hand-assisted surgery, especially in overweight patients. An application of low invasive method allowed reduction of hemorrhage, pain syndrome, terms of patient's activation and restoration of intestinal motility after operation.

  20. Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients

    DEFF Research Database (Denmark)

    Shabanzadeh, Daniel M; Sørensen, Lars T

    2012-01-01

    : To compare surgical site infections rate in obese patients after laparoscopic surgery with open general abdominal surgery.......: To compare surgical site infections rate in obese patients after laparoscopic surgery with open general abdominal surgery....

  1. Reduced length of stay and convalescence in laparoscopic vs open sigmoid resection with traditional care

    DEFF Research Database (Denmark)

    Kaltoft, B; Gögenur, I; Rosenberg, J

    2011-01-01

    The effect of a laparoscopic technique without a multi-modal rehabilitation programme but with traditional postoperative care was studied in a blinded randomized trial regarding nursing time, hospital stay, pain, fatigue, need for sleep and return to normal daily activities.......The effect of a laparoscopic technique without a multi-modal rehabilitation programme but with traditional postoperative care was studied in a blinded randomized trial regarding nursing time, hospital stay, pain, fatigue, need for sleep and return to normal daily activities....

  2. Reduced length of stay and convalescence in laparoscopic vs open sigmoid resection with traditional care

    DEFF Research Database (Denmark)

    Kaltoft, B; Gögenur, I; Rosenberg, J

    2011-01-01

    The effect of a laparoscopic technique without a multi-modal rehabilitation programme but with traditional postoperative care was studied in a blinded randomized trial regarding nursing time, hospital stay, pain, fatigue, need for sleep and return to normal daily activities.......The effect of a laparoscopic technique without a multi-modal rehabilitation programme but with traditional postoperative care was studied in a blinded randomized trial regarding nursing time, hospital stay, pain, fatigue, need for sleep and return to normal daily activities....

  3. Comparing Traditional and Technological Methods for Studying English as a Second Language (ESL)

    Science.gov (United States)

    Manko, Barbara Ann

    2010-01-01

    While there are many options available for studying English as a second language (ESL), students and instructors may not be aware of which learning strategy would be most effective. To help them make informed choices about their education, this study compared traditional classroom methods with online technological methods for studying ESL at…

  4. Comparing General and Special Education Preservice Teachers' Test Performance Using Traditional and Anchored Instruction

    Science.gov (United States)

    Malone, D. Michael; Langone, John

    2005-01-01

    Data comparing the effects of traditional lectures and instruction paired with video anchors on test scores of general education and special education preservice teachers are presented. The sample in both the experimental and control groups included a mixture of preservice teachers including those beginning a general education early childhood…

  5. Thinking outside the Box: Psychological Needs of Art Students Compared with Traditional Students

    Science.gov (United States)

    Greason, D. Paige Bentley; Glaser, Tom; Mroz, Kenneth

    2015-01-01

    Very little information exists regarding the mental health needs of student artists. This study compared psychological symptoms and diagnoses of college students in 3 conservatories (n = 607) with those of college students in traditional colleges and universities (n = 87,105). The study found no difference in psychological symptoms except for…

  6. ChargeOut! : discounted cash flow compared with traditional machine-rate analysis

    Science.gov (United States)

    Ted Bilek

    2008-01-01

    ChargeOut!, a discounted cash-flow methodology in spreadsheet format for analyzing machine costs, is compared with traditional machine-rate methodologies. Four machine-rate models are compared and a common data set representative of logging skidders’ costs is used to illustrate the differences between ChargeOut! and the machine-rate methods. The study found that the...

  7. The 'French Fry' VAC technique: hybridisation of traditional open wound NPWT with closed incision NPWT.

    Science.gov (United States)

    Chopra, Karan; Tadisina, Kashyap K; Singh, Devinder P

    2016-04-01

    Surgical site occurrences (SSO), specifically surgical site infections represent a significant burden in the US health care system. It has been hypothesised that postoperative dressing can help drive down SSO. We describe the successful use of a novel technique combining both closed incision and open negative pressure wound therapy in the management of a high-risk wound associated with lymphoedema of obesity.

  8. Open space in human settlements: the lesson from the Islamic tradition.

    NARCIS (Netherlands)

    Germeraad, P.W.

    1990-01-01

    The pressure on the development of adequate open space systems in the Arab-Muslim countries in the Middle East is growing due to: massive migration to the cities, changes in the patterns of life and social networks, and an increasing growth in population. This process results in the development of n

  9. Posting Traditional Ecological Knowledge on Open Access Biodiversity Platforms: Implications for Learning Design

    Science.gov (United States)

    Funk, Johanna; Guthadjaka, Kathy; Kong, Gary

    2015-01-01

    BowerBird is an open platform biodiversity website (http://www.BowerBird.org.au) and a nationally funded project under management of the Atlas of Living Australia (ALA) and Museum Victoria. Members post sightings and information about local species of plants and animals, and record other features of ecosystems. Charles Darwin University's Northern…

  10. Individual Characteristics and Children's Performance in "Open" and "Traditional" Classroom Settings

    Science.gov (United States)

    Solomon, Daniel; Kendall, Arthur J.

    1976-01-01

    Findings suggest that class openness may have some effects independent of the initial entering characteristics of the child and that, at least with regard to some outcomes, the child's characteristics may help to determine the type of class from which he would derive the greatest benefit. (Author/MV)

  11. BUSINESS MODEL IN THE HOSPITALITY INDUSTRY, FROM TRADITIONAL TO OPEN INNOVATION

    Directory of Open Access Journals (Sweden)

    Mihaela DIACONU

    2017-07-01

    Full Text Available The paper highlights the importance of information and communication technology in valorising the behavior of the tourism consumer by including it in new business models.The business model is considered a form of innovation to gain value for all stakeholders in the hospitality industry. On the basis of the very rich specialty literature, the paper presents the particularities of the model of hospitality industry, both the traditional model and the innovative business model.

  12. COMPARATIVE ANALYSIS ON TRADITIONAL PROCUREMENT AND E-PROCUREMENT STRATEGY OF SUPPLY CHAIN

    Institute of Scientific and Technical Information of China (English)

    Guangshu CHANG; Jichao XU; Jianfeng YANG; Jinfeng HE; Li ZHANG

    2005-01-01

    With increasingly intense competition between enterprises, the realization of advanced supply chain management has become an exquisite premise for the survival of firms. Procurement management is an important means to reduce costs and to enhance the competitive advantage. By exploiting the single period newsvendor model, this paper analyses and compares the benefit mechanisms of e-procurement and traditional procurement to quantify the effect of the Internet on supply chain procurement management in a neutral e-market.

  13. Comparative Analysis Study of Open Source GIS in Malaysia

    Science.gov (United States)

    Rasid, Muhammad Zamir Abdul; Kamis, Naddia; Khuizham Abd Halim, Mohd

    2014-06-01

    Open source origin might appear like a major prospective change which is qualified to deliver in various industries and also competing means in developing countries. The leading purpose of this research study is to basically discover the degree of adopting Open Source Software (OSS) that is connected with Geographic Information System (GIS) application within Malaysia. It was derived based on inadequate awareness with regards to the origin ideas or even on account of techie deficiencies in the open origin instruments. This particular research has been carried out based on two significant stages; the first stage involved a survey questionnaire: to evaluate the awareness and acceptance level based on the comparison feedback regarding OSS and commercial GIS. This particular survey was conducted among three groups of candidates: government servant, university students and lecturers, as well as individual. The approaches of measuring awareness in this research were based on a comprehending signal plus a notion signal for each survey questions. These kinds of signs had been designed throughout the analysis in order to supply a measurable and also a descriptive signal to produce the final result. The second stage involved an interview session with a major organization that carries out available origin internet GIS; the Federal Department of Town and Country Planning Peninsular Malaysia (JPBD). The impact of this preliminary study was to understand the particular viewpoint of different groups of people on the available origin, and also their insufficient awareness with regards to origin ideas as well as likelihood may be significant root of adopting level connected with available origin options.

  14. Active learning on the ward: outcomes from a comparative trial with traditional methods.

    Science.gov (United States)

    Melo Prado, Hegla; Hannois Falbo, Gilliatt; Rodrigues Falbo, Ana; Natal Figueirôa, José

    2011-03-01

    Academic activity during internship is essentially practical and ward rounds are traditionally considered the cornerstone of clinical education. However, the efficacy and effectiveness of ward rounds for learning purposes have been under-investigated and it is necessary to assess alternative educational paradigms for this activity. This study aimed to compare the educational effectiveness of ward rounds conducted with two different learning methodologies. Student subjects were first tested on 30 true/false questions to assess their initial degree of knowledge on pneumonia and diarrhoea. Afterwards, they attended ward rounds conducted using an active and a traditional learning methodology. The participants were submitted to a second test 48hours later in order to assess knowledge acquisition and were asked to answer two questions about self-directed learning and their opinions on the two learning methodologies used. Seventy-two medical students taking part in a paediatric clinic rotation were enrolled. The active methodology proved to be more effective than the traditional methodology for the three outcomes considered: knowledge acquisition (33 students [45.8%] versus 21 students [29.2%]; p=0.03); self-directed learning (38 students [52.8%] versus 11 students [15.3%]; pactive methodology produced better results than the traditional methodology in a ward-based context. This study seems to be valuable in terms of the new evidence it demonstrates on learning methodologies in the context of the ward round. © Blackwell Publishing Ltd 2011.

  15. Regulating Traditional Justice in South Africa: a comparative analysis of selected aspects of the Traditional Courts Bill

    Directory of Open Access Journals (Sweden)

    Caiphas Brewsters Soyapi

    2014-11-01

    Full Text Available Traditional justice systems have been in place for a very long time in South Africa and in Africa in general. They are characterised by informal systems that are not beset by the normal technicalities prevalent in formal justice systems. In recent times South Africa has sought to do away with the Black Administration Act, which was the regulating legislation on traditional justice systems, by introducing the Traditional Courts Bill. Initially introduced in Parliament in 2008 and withdrawn for another tabling in 2012, the Bill has been met with much criticism. Instead of venturing on a clause by clause analysis of the provisions of the Bill this note considers selected aspects of it which are perceived to be significant and which have courted controversy. These are ascertainment, legal representation, jurisdiction, gender, and the hierarchy of courts. The essential arguments are that the Bill has not been properly aligned with the Traditional Leadership and Governance Framework Act 41 of 2003 (as amended in 2009 or the Constitution of the Republic of South Africa, 1996 and that the above issues have not been addressed adequately or are at times only vaguely addressed. The article also considers various provisions from other African countries with similar legislation and which also regulate on the same issues, for the purposes of identifying better ways of addressing the selected issues. In the final analysis, the recommendations are not that the South African legislature must transpose the provisions of other countries, but that the framers of the Bill must reconsider these issues along the lines in which they are addressed in the countries with which comparisons are drawn here. Without a reconsideration of the issues, the Bill will still be met with criticism even from those it is meant to regulate, and could potentially result in various constitutional challenges and litigations.

  16. Opening a M. Sc. in Electrical Engineering for non-traditional Students

    Directory of Open Access Journals (Sweden)

    Anja Lina Müller

    2012-06-01

    Full Text Available This paper will discuss why and how the University of Applied Sciences, Darmstadt/Germany will identify core competences of bachelor’s degrees in Electronic Engineering and develop specially tailored life-long learning programmes for non-traditional students. These programmes will enable highly qualified master craftsmen, solely educated to the level of master craftsmen, to successfully participate in the existing Master of Science in Electronic Engineering programme. Furthermore, this paper will present the initial results obtained from a pilot project group.

  17. COMPARATIVE STUDY OF LAPAROSCOPIC CLOSURE OPEN PEPTIC PERFORATION CLOSURE

    Directory of Open Access Journals (Sweden)

    Vivek

    2015-10-01

    Full Text Available Laparoscopic closure of perforated duodenal ulcer was first performed in the year 1990 . Due to its advantage of better view of the peritoneal cavity an opportunity for thorough lavage and avoidance of upper abdominal incision, with its related complication, especially in high – ri sk patients, this procedure has gained popularity all over the world. Approximately 10 - 20% of patients suffering from peptic ulcer develop perforation of stomach or duodenum in which, chemical peritonitis develop initially from gastric secretion and duoden al secretion the condition is life threatening. Early diagnosis and treatment is extremely important. Mortality will increase up if perforation exists more than 24 to 48 hours. Usually surgical intervention of simple closure with omental patch of the perforation is required. this study aims at evaluating efficacy , safety and outcome of laparoscopic surgery for perforated duodenal ulcer patients admitted during period Jan 2009 to Dec 2012 at tertiary hospital in north Karnataka A total of 61cases diagnosed as peritonitis secondary to duodenal ulcer perforation were involved in the study 30underwent open perforation closure and 31 cases underwent lap closure. Peptic ulcers are focal defects in the gastric or duodenal mucosa which extend into the sub mucosa or deeper. they may be acute or chronic and ultimately are caused by on imbalance between the action of peptic acid and mucosal defenses peptic ulcer remains a common outpatient diagnosis, but the number of elective operations for peptic ul cer disease have decreased dramatically over the past 30 decades due to the advent of H2 blockers However the incidence of emergency surgeries, and death rate associated with peptic ulcer are same

  18. Experimental tests on winter cereal: Sod seeding compared to minimum tillage and traditional plowing

    Directory of Open Access Journals (Sweden)

    Antoniotto Guidobono Cavalchini

    2013-09-01

    Full Text Available Compared to traditional plowing and minimum tillage, the sod seeding technique has been tested in order to evaluate the differences in energy consumption, labor and machinery requirement and CO2 emission reduction. The experiments were conducted on winter cereal seeding in a Po valley farm in October 2011. The tests were carried out as follows: wheat variety seeding, over corn and alfalfa crops, in large plots with three repetitions for each thesis. They included: sod seeding anticipated by round up weeding in the case of the plots over alfalfa; traditional plowing at 35 cm followed by rotary tillage and combined seeding (seeder plus rotary tiller; minimum tillage based on ripping at the same depth (35 cm and combined seeder ( seeder plus rotary tiller. The following farm operations - fertilizer, and other agrochemical distributionshave been the same in all the considered theses. The results, statistically significant (P<0.001 in terms of yields, highlighted slight differences: the best data in the case of the traditional plowing both in the case of wheat crop over corn and alfalfa (84.43 and 6.75 t/ha; slightly lower yields for the sod seeding (6.23 and 79.9 t/ha for corn and alfalfa respectively; lower in the case of minimum tillage (5.87; 79.77 t/ha in the two situations. Huge differences in energy and oil consumption have been recorded: in the case of succession to corn 61.47; 35.31; 4.27 kg oil/ha respectively for, traditional plowing, minimum tillage and sod seeding; in the case of alfalfa 61.2; 50.96; 5.14 kg oil/ha respectively for traditional plowing, minimum tillage and sod seeding. The innovative technique, highlighted huge energy saving with an oil consumption equal to 92% and 89% (P<0.001 of what happens in traditional plowing and minimum tillage. Large differences concern labor and machine productivity. These parameters together with oil consumption and machine size [power (kW and weight (t] lead to even greater differences in

  19. Sensory and Quality Evaluation of Traditional Compared with Power Ultrasound Processed Corn (Zea Mays) Tortilla Chips.

    Science.gov (United States)

    Janve, Bhaskar; Yang, Wade; Sims, Charles

    2015-06-01

    Power ultrasound reduces the traditional corn steeping time from 18 to 1.5 h during tortilla chips dough (masa) processing. This study sought to examine consumer (n = 99) acceptability and quality of tortilla chips made from the masa by traditional compared with ultrasonic methods. Overall appearance, flavor, and texture acceptability scores were evaluated using a 9-point hedonic scale. The baked chips (process intermediate) before and after frying (finished product) were analyzed using a texture analyzer and machine vision. The texture values were determined using the 3-point bend test using breaking force gradient (BFG), peak breaking force (PBF), and breaking distance (BD). The fracturing properties determined by the crisp fracture support rig using fracture force gradient (FFG), peak fracture force (PFF), and fracture distance (FD). The machine vision evaluated the total surface area, lightness (L), color difference (ΔE), Hue (°h), and Chroma (C*). The results were evaluated by analysis of variance and means were separated using Tukey's test. Machine vision values of L, °h, were higher (P BFG, BPD, PFF, and FD. Fried tortilla chips texture were higher significantly (P BFG and PFF for ultra-sonication than traditional processing. However, the instrumental differences were not detected in sensory analysis, concluding possibility of power ultrasound as potential tortilla chips processing aid.

  20. Dental students' opinions of preparation assessment with E4D compare software versus traditional methods.

    Science.gov (United States)

    Hamil, Lindsey M; Mennito, Anthony S; Renné, Walter G; Vuthiganon, Jompobe

    2014-10-01

    The aim of this study was to evaluate dental students' opinions regarding the utilization of a new grading software program for student self-assessment and a faculty-grading tool in a preclinical course. Using surface mapping technology, this program, called E4D Compare, yields a digital model of a student's preparation that is color-coded to show deficient areas. The program has now been used for two years at the James B. Edwards College of Dental Medicine at the Medical University of South Carolina, and the students previously assessed with E4D Compare have now entered into the dental clinics. For this study, students were asked to complete an anonymous survey for the investigators to evaluate students' attitudes and opinions on the effectiveness of this software in their preclinical courses to determine if this type of feedback helped them develop clinical skills. The survey also sought to collect students' opinions on the traditional objective criteria-based grading system. The survey was distributed to all members of the Classes of 2014 and 2015; it yielded a 59 percent response rate for the two classes, with a total of eighty-one students responding. Overall, the majority of students preferred the E4D Compare grading system over traditional hand-grading methods. The grading system provided instant, objective, and visual feedback that allowed students to easily see where their deficiencies were and encouraged them to work towards an ideal final product.

  1. A comparative analysis of traditional and online lab science transfer courses in the rural community college

    Science.gov (United States)

    Scott, Andrea

    Through distance learning, the community college system has moved beyond geographical boundaries to serve all students and provide educational opportunities at a distance to individuals previously out of reach of the college community. With the inception of the Mississippi Virtual Community College (MSVCC) in January 2000, Mississippi's public community colleges have experienced unprecedented growth in online enrollments and online course offerings to include the laboratory sciences; however, transfer of online lab science courses are problematic for individuals who wish to gain admittance to Medical, Dental, and Pharmacy schools in Mississippi. Currently online lab science courses are not accepted for transfer for students seeking admission to Mississippi Medical, Dental, or Pharmacy schools. The need for this study, the statement of the problem, and the purpose of the study address transfer issues related to the transfer of online lab science courses in Mississippi and the impact of such on the student and community college. The study also addresses existing doubts regarding online course delivery as a viable method of lab science delivery. The purpose of the study was to investigate differences between online instructional delivery as compared to traditional face-to-face delivery with the following research questions to: (1) Investigate the perception of quality of online courses as compared to traditional face-to-face courses. (2) Investigate the difference in student performance in online transfer lab science courses as compared to student performance in traditional face-to-face lab science courses. The results of this 13 semester study show significant differences in both perception of quality and student performance between online instructional delivery as compared to traditional face-to-face delivery. The findings demonstrate a need for Mississippi Dental, Medical, and Pharmacy schools to reexamine the articulation agreement between IHL and Community and

  2. Seventy-meter antenna performance predictions: GTD analysis compared with traditional ray-tracing methods

    Science.gov (United States)

    Schredder, J. M.

    1988-01-01

    A comparative analysis was performed, using both the Geometrical Theory of Diffraction (GTD) and traditional pathlength error analysis techniques, for predicting RF antenna gain performance and pointing corrections. The NASA/JPL 70 meter antenna with its shaped surface was analyzed for gravity loading over the range of elevation angles. Also analyzed were the effects of lateral and axial displacements of the subreflector. Significant differences were noted between the predictions of the two methods, in the effect of subreflector displacements, and in the optimal subreflector positions to focus a gravity-deformed main reflector. The results are of relevance to future design procedure.

  3. Comparing the efficacy of multimedia modules with traditional textbooks for learning introductory physics content

    CERN Document Server

    Stelzer, Timothy; Mestre, Jose; Brookes, David T

    2008-01-01

    A clinical study was performed comparing the efficacy of multimedia learning modules with traditional textbooks for the first few topics of a calculus based introductory electricity and magnetism course. Students were randomly assigned to three different groups experiencing different presentations of the material; one group received the multimedia learning module presentations and the other two received the presentations via written text. All students were then tested on their learning immediately following the presentations as well as two weeks later. The students receiving the multimedia learning modules performed significantly better than the students experiencing the text-based presentations on both tests.

  4. Fragmented habitats of traditional fruit orchards are important for dead wood-dependent beetles associated with open canopy deciduous woodlands.

    Science.gov (United States)

    Horak, Jakub

    2014-06-01

    The conservation of traditional fruit orchards might be considered to be a fashion, and many people might find it difficult to accept that these artificial habitats can be significant for overall biodiversity. The main aim of this study was to identify possible roles of traditional fruit orchards for dead wood-dependent (saproxylic) beetles. The study was performed in the Central European landscape in the Czech Republic, which was historically covered by lowland sparse deciduous woodlands. Window traps were used to catch saproxylic beetles in 25 traditional fruit orchards. The species richness, as one of the best indicators of biodiversity, was positively driven by very high canopy openness and the rising proportion of deciduous woodlands in the matrix of the surrounding landscape. Due to the disappearance of natural and semi-natural habitats (i.e., sparse deciduous woodlands) of saproxylic beetles, orchards might complement the functions of suitable habitat fragments as the last biotic islands in the matrix of the cultural Central European landscape.

  5. COMPARISON OF THE SHAKE WEIGHT® MODALITY EXERCISES WHEN COMPARED TO TRADITIONAL DUMBBELLS

    Directory of Open Access Journals (Sweden)

    Jordan M. Glenn

    2012-12-01

    Full Text Available Individuals are continuously looking for faster, more efficient methods with which to develop physical fitness. This has led to the development of products and programs marketed towards increasing physical fitness in minimal time. The Shake Weight® (SW has been advertised to increase muscular strength among other factors in less time than traditional weightlifting. The purpose of this study was to compare the electromyographic (EMG muscle activity of the SW to a traditional dumbbell (DB performing the same exercises. Twelve men (22.9 ± 1.6 years and 13 women (23.0 ± 1.9 years volunteered to participate in this study. Subjects performed the chest shake (CS, biceps shake (BS, and triceps shake (TS using the SW and DW. Maximal voluntary isometric contractions (MVIC were exhibited for all muscles. EMG activity was recorded for the pectoralis major (PM, triceps brachii (TB, biceps brachii (BB, anterior deltoid (AD, trapezius (TR, and rectus abdominus (RA and compared to detect differences between modalities. EMG activity for each muscle group was reported as a percentage of each subject's individual MVIC. A repeated measures ANOVA revealed no significant differences between the SW and DB modalities during each exercise for all muscles except the BB (p < 0.05. During the CS exercise muscle activity was significantly greater for DB in the BB muscle when compared to the SW mode (50.8 ± 28.9%; 35.8 ± 30.8%. The SW did not have any advantage over the DB for any exercise, nor for any muscle group. Further, no muscle group during any of the SW trials exhibited an MVIC over 60%, the level necessary to increase muscular strength

  6. A comparative study of the bacterial community in denitrifying and traditional enhanced biological phosphorus removal processes.

    Science.gov (United States)

    Lv, Xiao-Mei; Shao, Ming-Fei; Li, Chao-Lin; Li, Ji; Gao, Xin-Lei; Sun, Fei-Yun

    2014-09-17

    Denitrifying phosphorus removal is an attractive wastewater treatment process due to its reduced carbon source demand and sludge minimization potential. Two lab-scale sequencing batch reactors (SBRs) were operated in alternating anaerobic-anoxic (A-A) or anaerobic-oxic (A-O) conditions to achieve denitrifying enhanced biological phosphate removal (EBPR) and traditional EBPR. No significant differences were observed in phosphorus removal efficiencies between A-A SBR and A-O SBR, with phosphorus removal rates being 87.9% and 89.0% respectively. The community structures in denitrifying and traditional EBPR processes were evaluated by high-throughput sequencing of the PCR-amplified partial 16S rRNA genes from each sludge. The results obtained showed that the bacterial community was more diverse in A-O sludge than in A-A sludge. Taxonomy and β-diversity analyses indicated that a significant shift occurred in the dominant microbial community in A-A sludge compared with the seed sludge during the whole acclimation phase, while a slight fluctuation was observed in the abundance of the major taxonomies in A-O sludge. One Dechloromonas-related OTU outside the 4 known Candidatus "Accumulibacter" clades was detected as the main OTU in A-A sludge at the stationary operation, while Candidatus "Accumulibacter" dominated in A-O sludge.

  7. Comparative Estimation of Genetic Diversity in Population Studies using Molecular Sampling and Traditional Sampling Methods.

    Science.gov (United States)

    Saeb, Amr Tm; David, Satish Kumar

    2014-01-01

    Entomopathogenic nematodes (EPN) are efficient biological pest control agents. Population genetics studies on EPN are seldom known. Therefore, it is of interest to evaluate the significance of molecular sampling method (MSM) for accuracy, time needed, and cost effectiveness over traditional sampling method (TSM). The study was conducted at the Mohican Hills golf course at the state of Ohio where the EPN H. bacteriophora has been monitored for 18 years. The nematode population occupies an area of approximately 3700 m(2) with density range from 0.25-2 per gram soil. Genetic diversity of EPN was studied by molecular sampling method (MSM) and traditional sampling method (TSM) using the mitochondrial gene pcox1. The MSM picked 88% in compared to TSM with only 30% of sequenced cox 1 gene. All studied genetic polymorphism measures (sequence and haplotype) showed high levels of genetic diversity of MSM over TSM. MSM minimizes the chance of mitochondrial genes amplification from non target organisms (insect or other contaminating microorganisms). Moreover, it allows the sampling of more individuals with a reliable and credible representative sample size. Thus, we show that MSM supersedes TSM in labour intensity, time consumption and requirement of no special experience and efficiency.

  8. [A comparative study of pathological voice based on traditional acoustic characteristics and nonlinear features].

    Science.gov (United States)

    Gan, Deying; Hu, Weiping; Zhao, Bingxin

    2014-10-01

    By analyzing the mechanism of pronunciation, traditional acoustic parameters, including fundamental frequency, Mel frequency cepstral coefficients (MFCC), linear prediction cepstrum coefficient (LPCC), frequency perturbation, amplitude perturbation, and nonlinear characteristic parameters, including entropy (sample entropy, fuzzy entropy, multi-scale entropy), box-counting dimension, intercept and Hurst, are extracted as feature vectors for identification of pathological voice. Seventy-eight normal voice samples and 73 pathological voice samples for /a/, and 78 normal samples and 80 pathological samples for /i/ are recognized based on support vector machine (SVM). The results showed that compared with traditional acoustic parameters, nonlinear characteristic parameters could be well used to distinguish between healthy and pathological voices, and the recognition rates for /a/ were all higher than those for /i/ except for multi-scale entropy. That is why the /a/ sound data is used widely in related research at home and abroad for obtaining better identification of pathological voices. Adopting multi-scale entropy for /i/ could obtain higher recognition rate than /a/ between healthy and pathological samples, which may provide some useful inspiration for evaluating vocal compensatory function.

  9. Promoting dental hygiene to children: comparing traditional and interactive media following threat appeals.

    Science.gov (United States)

    Panic, Katarina; Cauberghe, Veroline; De Pelsmacker, Patrick

    2014-01-01

    Until now, social marketing campaigns mainly targeted children using traditional media. However, little is known about the effectiveness of computer games to communicate health-related information to children. This study compares the impact of an interactive game as a medium to provide health information and improve children's dietary habits to the impact of more traditional media. Using a 2 × 3 between-subject factorial design with 190 children (7-9 years old), this study investigates the effect of threat messages (weak vs. strong) concerning dental hygiene on behavioral outcome (snack choice), and how this effect is moderated by the type of medium used to communicate subsequent health information after the threat appeal (computer game, information brochure, narrative story). Results show a positive significant effect of perceived threat on children's adaptive behavior. However, this effect only remains significant when afterwards children are exposed to a narrative health-related story. When children play a game or read a brochure, they need to devote more attention to process this content, distracting them from the original threat message. In sum, when a threat message is followed by additional health information, the medium through which this information is presented influences the effectiveness of the preceding threat message.

  10. Comparing responses to horticultural-based and traditional activities in dementia care programs.

    Science.gov (United States)

    Jarrott, Shannon E; Gigliotti, Christina M

    2010-12-01

    Engaging persons with dementia in meaningful activities supports well-being; however, care staff are challenged to implement age- and ability-appropriate activities in a group setting. We compared a randomly assigned treatment group, who received horticultural therapy-based (HT-based) programming to a comparison group, who engaged in traditional activities (TA) programming, on engagement and affect. Horticultural therapy-based programming was implemented twice weekly at 4 treatment sites for 6 weeks, while regular TA were observed at comparison sites. Results revealed no differences between groups on affective domains. Levels of adaptive behavior differed between the groups, with the treatment group demonstrating higher levels of active, passive, and other engagement and the comparison group demonstrating higher levels of self-engagement. Our results highlight the value of HT-based programs and the importance of simultaneously capturing participants' affective and behavioral responses. Theoretical and practical considerations about the facilitation of and context in which the programming occurs are discussed.

  11. Comparative analysis of Japanese Just-in-Time Purchasing and Traditional Indian Purchasing System

    Directory of Open Access Journals (Sweden)

    Sultan Singh,

    2011-03-01

    Full Text Available Japanese Just-in –Time purchasing strategy is being recognized as a corner stone of the Japanese success story. Just-in –Time Purchasing has received an increasing amount of attention throughout the world due to its potential for quality improvement and cost saving. Today many reputed Indian industries have also switched to the Japanese JIT Purchasing concept to improve their product quality and productivity. This paper discusses the major activities of JIT Purchasing and provides a comparative analysis of differences between the JIT urchasing and traditional Indian purchasing systems. In this article the problems encountered in JIT Purchasing implementation and its benefits, the companies benefited in India and other countries are also discussed.

  12. Effects of A Thai Traditional Music Listening Program on Acute Pain Alleviation and Early Ambulation among Patients during the First 48 hours after Open Abdominal Surgery

    Directory of Open Access Journals (Sweden)

    Phanicha Phosida

    2016-09-01

    Full Text Available Background: To study the effects of listening to a Thai traditional music program on acute pain alleviation among patients during the first 48 hours after open abdominal surgery. Objective: A cross over research design in adult patients’ aged 18-60 years at Siriraj Hospital. Methods: The sample was selected by purposive sampling based on inclusion criteria and assigned into the following two groups by simple random sampling: the group receiving the Thai traditional music program (experimental group and the group receiving routine care (control group. This study employed a cross over design with 44 samples in a private surgical ward at Siriraj Hospital, Bangkok. Pain was assessed before and after the intervention. Data were collected by the following three sets of instruments: 1 the demographic and treatment background form; 2 the Thai Short - Form McGill Pain Questionnaire with the vital sign form and 3 the post abdominal surgery early ambulation form. Results: The patients in the experimental group had lower mean pain descriptor scores, mean present pain intensity scores and mean Visual Analog Scale scores after the Thai traditional music program than before the intervention at 48 hours after abdominal surgery with statistical significance (t = 14.11, t = 17.41 and t = 16.47 (p < .001, respectively. When compared between groups, the patients in the experimental group had lower mean pain descriptor scores, mean present pain intensity scores and mean Visual Analog Scale scores than the control group at 48 hours with statistical significance (F = 138.71, F = 170 and F = 298.97 (p < .001, respectively. Furthermore, on the first and second postoperative days as well as the sum of both days, the experimental group was also found to have better early ambulation mean scores than the control group with statistical significance (F = 10.67, p < .002, F = 41.36, p < .001, F = 44.47, p < .001, respectively. Conclusion: The findings suggest that a Thai

  13. Fricke dosimetry analysis by nuclear magnetic resonance: a comparative study with traditional methods

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Barbara D.L.; Araujo, Barbara C.R.; Sebastiao, Rita C.O., E-mail: ritacos@ufmg.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Instituto de Ciencias Exatas. Departamento de Quimica; Virtuoso, Luciano S. [Universidade Federal de Alfenas (UNIFAL), Alfenas, MG (Brazil). Instituto de Quimica; Meira-Belo, Luiz C. [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2013-07-01

    Dosimetric systems are chosen according to its particular characteristics, monitoring interval and dose detection threshold. This present work proposed comparative study between Fricke dosimeter traditional with the system using polyethylene oxide (PEO) polymer instead the animal gelatin, and Nuclear Magnetic Resonance spin echo experiments. The interaction between ferrous and ferric ions with hydrogen contained in the base polymer will be investigated through the proton relaxation time distribution, T2, and the PEO as well as having a low commercial value, has a cleaner matrix, which will provide a more informative spectra. The ultraviolet spectra were also analyzed to compare the results. The process of obtaining the microscopic property T2 from the macroscopic spin echo NMR experiments is a problem classified as an ill-conditioned inverse problem. Usually, robust techniques are required to solve this kind of problem and the Hopfield neural network was chosen in this work. The T2 showed a correlation with the applied dose. As the dose is increased, the polymer protons interact more strongly with ferric ion and consequently its relaxation time decreases. The T2 distribution curve modeling assumes a multi-exponential decay in the problem, which represents a more precise theory compared with a T2 average value determination. The neural network approach was numerically stable and robust with respect to deviations in the initial conditions or experimental noises in the echo spin data and a numeric analysis was also performed. The obtained results stated this methodology as a promising tool in dosimetric systems studies. (author)

  14. A New Measure of Traditional Values Across Cultures: China and Russia Compared

    Directory of Open Access Journals (Sweden)

    Robert J. Taormina

    2016-10-01

    Full Text Available A new measure of adherence to traditional values was created with the objective of facilitating research within and across cultures and nations. The measure was tested in China (N = 321 and Russia (N = 314 and factor analysis of the data revealed two subscales named Personal Traditional Values (10 items and Public Traditional Values (6 items. Empirical psychometric testing of the overall 16-item measure and the two subscales strongly supported the validity and reliability of all three measures. Means comparisons conducted to assess how well the measures could be used for cross-cultural comparisons revealed the Russians somewhat more than the Chinese living by traditional values overall, both nations about equal on living according to traditional values in their personal lives, and the Russians significantly more inclined to abide by traditional values in public. Also tested were several social and psychological variables as theoretical predictors of living by traditional values, and Life Satisfaction was tested as a possible correlate of living according to traditional values. Regression analyses on the combined data confirmed that Family Emotional Support, Conscientiousness, Collectivism, and Age were all significant positive predictors of living by traditional values. Additional regressions also found some unique predictors for each nation. These findings and the results of the parametric tests support the use of the new scales for measuring traditional values both within and across cultures.

  15. Comparing student achievement in the problem-based learning classroom and traditional teaching methods classroom

    Science.gov (United States)

    Dobbs, Vicki

    Significant numbers of students fail high school chemistry, preventing them from graduating. Starting in the 2013-2014 school year, 100% of the students must pass a science assessment for schools to meet Adequate Yearly Progress (AYP) in accordance to No Child Left Behind (NCLB). Failure to meet AYP results in sanctions, such as state management or closure of a school or replacing a school staff. The purpose of this study was to determine whether the teaching strategy, Problem Based Learning (PBL), will improve student achievement in high school chemistry to a greater degree than traditional teaching methods. PBL is a student-centered, inquiry-based teaching method based on the constructivist learning theory. The research question looked at whether there was a difference in student achievement between students a high school chemistry classroom using PBL and students in a classroom using traditional teaching methods as measured by scores on a 20-question quiz. The research study used a quasi-experimental pretest/posttest control group design. An independent samples t-test compared gains scores between the pretest and posttest. Analysis of quiz scores indicated that there was not a significant difference (t(171) = 1.001, p = .318) in student achievement between the teaching methods. Because there was not a significant difference, each teacher can decide which teaching method best suites the subject matter and the learning styles of the students. This study adds research based data to help teachers and schools choose one teaching method over another so that students may gain knowledge, develop problem-solving skills, and life-long learning skills that will bring about social change in the form of a higher quality of life for the students and community as a whole.

  16. Increased Gamma Brainwave Amplitude Compared to Control in Three Different Meditation Traditions.

    Science.gov (United States)

    Braboszcz, Claire; Cahn, B Rael; Levy, Jonathan; Fernandez, Manuel; Delorme, Arnaud

    2017-01-01

    Despite decades of research, effects of different types of meditation on electroencephalographic (EEG) activity are still being defined. We compared practitioners of three different meditation traditions (Vipassana, Himalayan Yoga and Isha Shoonya) with a control group during a meditative and instructed mind-wandering (IMW) block. All meditators showed higher parieto-occipital 60-110 Hz gamma amplitude than control subjects as a trait effect observed during meditation and when considering meditation and IMW periods together. Moreover, this gamma power was positively correlated with participants meditation experience. Independent component analysis was used to show that gamma activity did not originate in eye or muscle artifacts. In addition, we observed higher 7-11 Hz alpha activity in the Vipassana group compared to all the other groups during both meditation and instructed mind wandering and lower 10-11 Hz activity in the Himalayan yoga group during meditation only. We showed that meditation practice is correlated to changes in the EEG gamma frequency range that are common to a variety of meditation practices.

  17. Increased Gamma Brainwave Amplitude Compared to Control in Three Different Meditation Traditions

    Science.gov (United States)

    Cahn, B. Rael; Levy, Jonathan; Fernandez, Manuel; Delorme, Arnaud

    2017-01-01

    Despite decades of research, effects of different types of meditation on electroencephalographic (EEG) activity are still being defined. We compared practitioners of three different meditation traditions (Vipassana, Himalayan Yoga and Isha Shoonya) with a control group during a meditative and instructed mind-wandering (IMW) block. All meditators showed higher parieto-occipital 60–110 Hz gamma amplitude than control subjects as a trait effect observed during meditation and when considering meditation and IMW periods together. Moreover, this gamma power was positively correlated with participants meditation experience. Independent component analysis was used to show that gamma activity did not originate in eye or muscle artifacts. In addition, we observed higher 7–11 Hz alpha activity in the Vipassana group compared to all the other groups during both meditation and instructed mind wandering and lower 10–11 Hz activity in the Himalayan yoga group during meditation only. We showed that meditation practice is correlated to changes in the EEG gamma frequency range that are common to a variety of meditation practices. PMID:28118405

  18. A systematic review comparing open-book and closed-book examinations: Evaluating effects on development of critical thinking skills.

    Science.gov (United States)

    Johanns, Beth; Dinkens, Amber; Moore, Jill

    2017-08-19

    The advantages of using traditional closed-book examinations are closely compared to the advantages of using open-book examinations for the development of critical thinking skills in nursing students. The use of critical thinking skills is vital among nurses to assess patient needs and modify standard approaches to individualize care for better patient outcomes. The following areas are compared and contrasted for both closed-book and open-book examinations: examination preparation, rote memorization versus active learning, intellectual engagement, simulation of working environment, higher order thinking skills, anxiety reduction and student satisfaction. During investigation of closed-book examinations and open-book examinations, the use of collaborative testing was unveiled. Collaborative testing combines areas from both closed-book and open-book examinations. Based on the systematic review of literature, the recommendation is to use a mixed method of examination types throughout the course of the nursing program. Each type of examination helps develop different skill sets in the nursing student. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Comparing Cell Phone-Based and Traditional Lecture-Based Teaching Methods' Effects on Agricultural Students' Learning

    National Research Council Canada - National Science Library

    Abdolhamid Papzan; Adel Sulaimany

    2010-01-01

    ... research was conducted to examine the effect of teaching via cell phone on students learning in Khooshehaye Zarin agricultural school in Rawansar, Kermanshah province, and comparing it with traditional lecture method...

  20. Does Feedback Design Matter? A Neurofeedback Study Comparing Immersive Virtual Reality and Traditional Training Screens in Elderly

    Directory of Open Access Journals (Sweden)

    Silvia Erika Kober

    2017-09-01

    Full Text Available Neurofeedback (NF is a Brain-Computer Interface (BCI application, in which the brain activity is fed back to the user in real-time enabling voluntary brain control. In this context, the significance of the feedback design is mainly unexplored. Highly immersive feedback scenarios using virtual reality (VR technique are available. However, their effects on subjective user experience as well as on objective outcome measures remain open. In the present article, we discuss the general pros and cons of using VR as feedback modality in BCI applications. Furthermore, we report on the results of an empirical study, in which the effects of traditional two-dimensional and three-dimensional VR based feedback scenarios on NF training performance and user experience in healthy older individuals and neurologic patients were compared. In conclusion, we suggest indications and contraindications of immersive VR feedback designs in BCI applications. Our results show that findings in healthy individuals are not always transferable to patient populations having an impact on serious game and feedback design.

  1. The conical stent in coronary artery improves hemodynamics compared with the traditional cylindrical stent.

    Science.gov (United States)

    Yu, Yi; Zhou, Yujie; Ma, Qian; Jia, Shuo; Wu, Sijing; Sun, Yan; Liu, Xiaoli; Zhao, Yingxin; Liu, Yuyang; Shi, Dongmei

    2017-01-15

    This study sought to explore the efficacy of the conical stent implantation in the coronary artery by comparing the effects of cylindrical and conical stents on wall shear stress (WSS) and velocity of flow and fractional flow reserve (FFR). The traditional cylindrical stent currently used in the percutaneous coronary intervention (PCI) has a consistent diameter, which does not match the physiological change of the coronary artery. On the contrary, as a new patent, the conical stent with tapering lumen is consistent with the physiological change of vascular diameter. However, the effect of the conical stent implantation on the coronary hemodynamics remains unclear. The coronary artery, artery stenosis and two stent models were established by Solidworks software. All models were imported into the computational fluid dynamics (CFD) software ANSYS ICEM-CFD to establish the fluid model. After the boundary conditions were set, CFD analysis was proceeded to compare the effects of two stent implantation on the change of WSS, velocity of flow and FFR. Hemodynamic indexes including FFR, blood flow velocity distribution (BVD) and WSS were improved by either the cylindrical or the conical stent implantation. However, after the conical stent implantation, the change of FFR seemed to be slower and more homogenous; the blood flow velocity was more appropriate without any obvious blood stagnation and direction changes; the WSS after the conical stent implantation was uniform from the proximal to distal side of the stent. Compared with the cylindrical stent, the conical stent implantation in the coronary artery can make the changes of vascular hemodynamic more closer to the physiological condition, which can reduce the incidence of intra-stent restenosis and thrombosis, thus making it more suitable for PCI therapy. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Traditional Chinese Medicine and Constitutional Medicine in China, Japan and Korea: A Comparative Study.

    Science.gov (United States)

    Yu, Wenjun; Ma, Mingyue; Chen, Xuemei; Min, Jiayu; Li, Lingru; Zheng, Yanfei; Li, Yingshuai; Wang, Ji; Wang, Qi

    2017-01-01

    Traditional Chinese medicine (TCM), Japanese-Chinese medicine, and Korean Sasang constitutional medicine have common origins. However, the constitutional medicines of China, Japan, and Korea differ because of the influence of geographical culture, social environment, national practices, and other factors. This paper aimed to compare the constitutional medicines of China, Japan, and Korea in terms of theoretical origin, constitutional classification, constitution and pathogenesis, clinical applications and basic studies that were conducted. The constitutional theories of the three countries are all derived from the Canon of Internal Medicine or Treatise on Febrile and Miscellaneous Diseases of Ancient China. However, the three countries have different constitutional classifications and criteria. Medical sciences in the three countries focus on the clinical applications of constitutional theory. They all agree that different pathogenic laws that guide the treatment of diseases govern different constitutions; thus, patients with different constitutions are treated differently. The three countries also differ in terms of drug formulations and medication. Japanese medicine is prescribed only based on constitution. Korean medicine is based on treatment, in which drugs cannot be mixed. TCM synthesize the treatment model of constitution differentiation, disease differentiation and syndrome differentiation with the treatment thought of treating disease according to three categories of etiologic factors, which reflect the constitution as the characteristic of individual precision treatment. In conclusion, constitutional medicines of China, Japan, and Korea have the same theoretical origin, but differ in constitutional classification, clinical application of constitutional theory on the treatment of diseases, drug formulations and medication.

  3. Olympic weightlifting training causes different knee muscle-coactivation adaptations compared with traditional weight training.

    Science.gov (United States)

    Arabatzi, Fotini; Kellis, Eleftherios

    2012-08-01

    The purpose of this study was to compare the effects of an Olympic weightlifting (OL) and traditional weight (TW) training program on muscle coactivation around the knee joint during vertical jump tests. Twenty-six men were assigned randomly to 3 groups: the OL (n = 9), the TW (n = 9), and Control (C) groups (n = 8). The experimental groups trained 3 d · wk(-1) for 8 weeks. Electromyographic (EMG) activity from the rectus femoris and biceps femoris, sagittal kinematics, vertical stiffness, maximum height, and power were collected during the squat jump, countermovement jump (CMJ), and drop jump (DJ), before and after training. Knee muscle coactivation index (CI) was calculated for different phases of each jump by dividing the antagonist EMG activity by the agonist. Analysis of variance showed that the CI recorded during the preactivation and eccentric phases of all the jumps increased in both training groups. The OL group showed a higher stiffness and jump height adaptation than the TW group did (p knee, coupled with changes of leg stiffness, differ between the 2 programs. The OL program improves jump performance via a constant CI, whereas the TW training caused an increased CI, probably to enhance joint stability.

  4. Game-based versus traditional case-based learning: comparing effectiveness in stroke continuing medical education.

    Science.gov (United States)

    Telner, Deanna; Bujas-Bobanovic, Maja; Chan, David; Chester, Bob; Marlow, Bernard; Meuser, James; Rothman, Arthur; Harvey, Bart

    2010-09-01

    To evaluate family physicians' enjoyment of and knowledge gained from game-based learning, compared with traditional case-based learning, in a continuing medical education (CME) event on stroke prevention and management. An equivalence trial to determine if game-based learning was as effective as case-based learning in terms of attained knowledge levels. Game questions and small group cases were developed. Participants were randomized to either a game-based or a case-based group and took part in the event. Ontario provincial family medicine conference. Thirty-two family physicians and 3 senior family medicine residents attending the conference. Participation in either a game-based or a case-based CME learning group. Scores on 40-item immediate and 3-month posttests of knowledge and a satisfaction survey. Results from knowledge testing immediately after the event and 3 months later showed no significant difference in scoring between groups. Participants in the game-based group reported higher levels of satisfaction with the learning experience. Games provide a novel way of organizing CME events. They might provide more group interaction and discussion, as well as improve recruitment to CME events. They might also provide a forum for interdisciplinary CME. Using games in future CME events appears to be a promising approach to facilitate participant learning.

  5. Traditional knowledge of wild edible plants used in Palestine (Northern West Bank: A comparative study

    Directory of Open Access Journals (Sweden)

    Khlaif Rasha B

    2008-05-01

    Full Text Available Abstract Background A comparative food ethnobotanical study was carried out in fifteen local communities distributed in five districts in the Palestinian Authority, PA (northern West Bank, six of which were located in Nablus, two in Jenin, two in Salfit, three in Qalqilia, and two in Tulkarm. These are among the areas in the PA whose rural inhabitants primarily subsisted on agriculture and therefore still preserve the traditional knowledge on wild edible plants. Methods Data on the use of wild edible plants were collected for one-year period, through informed consent semi-structured interviews with 190 local informants. A semi-quantitative approach was used to document use diversity, and relative importance of each species. Results and discussion The study recorded 100 wild edible plant species, seventy six of which were mentioned by three informants and above and were distributed across 70 genera and 26 families. The most significant species include Majorana syriaca, Foeniculum vulgare, Malvasylvestris, Salvia fruticosa, Cyclamen persicum, Micromeria fruticosa, Arum palaestinum, Trigonella foenum-graecum, Gundelia tournefortii, and Matricaria aurea. All the ten species with the highest mean cultural importance values (mCI, were cited in all five areas. Moreover, most were important in every region. A common cultural background may explain these similarities. One taxon (Majoranasyriaca in particular was found to be among the most quoted species in almost all areas surveyed. CI values, as a measure of traditional botanical knowledge, for edible species in relatively remote and isolated areas (Qalqilia, and Salfit were generally higher than for the same species in other areas. This can be attributed to the fact that local knowledge of wild edible plants and plant gathering are more spread in remote or isolated areas. Conclusion Gathering, processing and consuming wild edible plants are still practiced in all the studied Palestinian areas. About 26

  6. Laparoscopic compared with open radical hysterectomy in obese women with early-stage cervical cancer.

    Science.gov (United States)

    Park, Jeong-Yeol; Kim, Dae-Yeon; Kim, Jong-Hyeok; Kim, Yong-Man; Kim, Young-Tak; Nam, Joo-Hyun

    2012-06-01

    To compare the surgical and oncological outcomes of laparoscopic radical hysterectomy and open radical hysterectomy in obese women with early-stage cervical cancer. The medical records of 166 patients with stage IA2-IIA2 cervical cancer and a body mass index of at least 30 who underwent laparoscopic radical hysterectomy (n=54) or open radical hysterectomy (n=112) at the Asan Medical Center between 1998 and 2011 were reviewed. None of the patients in the laparoscopic radical hysterectomy group required conversion to laparotomy. The resection margin was negative in 98.1% of the laparoscopic radical hysterectomy group and 98.2% of the open radical hysterectomy group (P=.976). No difference between the two groups was observed in terms of operating time, perioperative hemoglobin level change, transfusion requirement, or the number of retrieved lymph nodes. Compared with open radical hysterectomy, laparoscopic radical hysterectomy was associated with a significant reduction in the following: interval to return of bowel movements (2 days compared with 2.7 days, Plaparoscopic radical hysterectomy group and 85% for the open radical hysterectomy group (P=.682). The 5-year overall survival rate was 97% for the laparoscopic radical hysterectomy group and 90% for the open radical hysterectomy group (P=.220). Laparoscopic radical hysterectomy was a preferred alternative to open radical hysterectomy in the present cohort of obese women with early-stage cervical cancer because it is associated with a more favorable surgical outcome without compromising survival outcomes. II.

  7. Emotional reactions of different interface formats: Comparing digital and traditional board games

    Directory of Open Access Journals (Sweden)

    Yu-Min Fang

    2016-03-01

    Full Text Available Some games provide both traditional board games and digital versions at the same time in the market. Why the rise of virtual games has not forced traditional physical board games to disappear? Do traditional physical games evoke different emotional reactions and interpersonal relationships? This article explored the subjects’ preferences toward traditional and digital versions of the same game and investigated social interaction while playing games. Based on Norman’s three emotional design levels—visceral, behavioral, and reflective levels—this study examined players’ satisfaction degree. This study also applied Positive and Negative Affect Schedule to measure subjects’ emotional reactions. Monopoly and Jenga games were selected as stimuli. A total of 77 subjects received tests of three different interface formats (physical, desktop, and tablet and then filled out the questionnaire. The findings successfully evidenced the significant differences between digital and traditional board games. The statistical results indicated that satisfaction degrees of digital games declined in visceral, behavioral, and reflective levels. Traditional games not only evoked users’ stronger emotional reactions but also received higher preferences. Traditional games could improve interpersonal relationships as well.

  8. Improved Team Performance During Pediatric Resuscitations After Rapid Cycle Deliberate Practice Compared With Traditional Debriefing: A Pilot Study.

    Science.gov (United States)

    Lemke, Daniel S; Fielder, Elaine K; Hsu, Deborah C; Doughty, Cara B

    2016-10-06

    Simulation-based medical education (SBME) improves medical knowledge compared with no intervention. In traditional SBME, more time is spent debriefing than practicing skills. Rapid cycle deliberate practice (RCDP) simulation allows learners to practice skills repetitively, receive brief interspersed feedback, and has been shown to improve individual performance of resuscitation skills in simulation; it has not been compared with traditional simulation methods. The aim of the study was to compare traditional and RCDP SBME. Four pediatric resuscitation cases (3 for teaching and 1 for testing) were developed. For the RCDP arm, traditional cases were deconstructed into sequences of progressively difficult rounds. The last RCDP round served as the traditional arm scenario.Learners received 1 type of instruction on 2 separate days. Pretest and posttest performance during simulation were video recorded and scored using the Simulation Team Assessment Tool; satisfaction surveys were collected. Pretest team performance was similar in both groups. Simulation Team Assessment Tool score improvement for RCDP was 7.2% (95% confidence interval, 3.4% to 11%) and traditional was 0.8% (95% confidence interval, -11% to 13%). The difference in improvement of the human factors subscore was statistically significant; RCDP improved 10.2% and traditional improved 1.7% (P = 0.013). The RCDP technique was well received by learners but caused fatigue. This pilot study showed a trend toward greater improvement in team performance and significantly greater improvement for human factors with RCDP compared with traditional simulation. Future studies comparing RCDP with other methods are needed to identify best practices and applications of RCDP, including which learners and learning objectives are best suited to RCDP.

  9. Surgeon Experience and Medicare Expenditures for Laparoscopic Compared to Open Colectomy.

    Science.gov (United States)

    Sheetz, Kyle H; Ibrahim, Andrew M; Regenbogen, Scott E; Dimick, Justin B

    2017-05-25

    To quantify the extent to which payments for laparoscopic and open colectomy are influenced by a surgeon's experience with laparoscopy. Numerous studies suggest that healthcare costs for laparoscopic colectomy are lower than open surgery. None have assessed the importance of surgeon experience on the relative financial benefits of laparoscopy. We conducted a study of 182,852 national Medicare beneficiaries undergoing laparoscopic or open colectomy between 2010 and 2012. Using instrumental variable methods to account for selection bias, we compared Medicare payments for laparoscopic and open colectomy. We stratified our analysis by surgeons' annual experience with laparoscopic colectomy to determine the influence of provider experience on payments. In the fully adjusted analysis, average episode payments per patient were $2640 [95% confidence interval (CI) -$4091 to -$1189] lower with the laparoscopic approach versus open. Surgeons in the highest quartile of laparoscopic experience demonstrated an average payment savings of $5456 per patient (CI -$7918 to -$2994) in their laparoscopic versus open cases. Among surgeons in the lowest quartile of laparoscopic experience, there was, however, no difference between laparoscopic and open cases (difference: $954, 95% CI -$731 to $2639). Differences in payments were explained by differences in complications rates. Both groups had similar rates of complications for open procedures (least experience, 21%, most experience, 21%; P = 0.45), but differed significantly on rates of complications for laparoscopic cases (least experience, 28%, most experience, 15%; P experience. The laparoscopic approach does not reduce payments for patients whose surgeons have limited experience with the procedure.

  10. Multi-stage open peer review: scientific evaluation integrating the strengths of traditional peer review with the virtues of transparency and self-regulation

    Directory of Open Access Journals (Sweden)

    Ulrich ePöschl

    2012-07-01

    Full Text Available The traditional forms of scientific publishing and peer review do not live up to the demands of efficient communication and quality assurance in today’s highly diverse and rapidly evolving world of science. They need to be advanced and complemented by interactive and transparent forms of review, publication, and discussion that are open to the scientific community and to the public.The advantages of open access, public peer review and interactive discussion can be efficiently and flexibly combined with the strengths of traditional scientific peer review. Since 2001 the benefits and viability of this approach are clearly demonstrated by the highly successful interactive open access journal Atmo¬sphe¬ric Chemistry and Physics (ACP and a growing number of sister journals launched and operated by the European Geosciences Union (EGU and the open access publisher Copernicus.The interactive open access journals are practicing an integrative multi-stage process of publication and peer review combined with interactive public discussion, which effectively resolves the dilemma between rapid scientific exchange and thorough quality assurance. The high efficiency and predictive validity of multi-stage open peer review have been confirmed in a series of dedicated studies by evaluation experts from the social sciences, and the same or similar concepts have recently also been adopted in other disciplines, including the life sciences and economics. Multi-stage open peer review can be flexibly adjusted to the needs and peculiarities of different scientific communities. Due to the flexibility and compatibility with traditional structures of scientific publishing and peer review, the multi-stage open peer review concept enables efficient evolution in scientific communication and quality assurance. It has the potential for swift replacement of hidden peer review as the standard of scientific quality assurance, and it provides a basis for open evaluation in

  11. A Comparative Study on Power Point Presentation and Traditional Lecture Method in Material Understandability, Effectiveness and Attitude

    Science.gov (United States)

    Sewasew, Daniel; Mengestle, Missaye; Abate, Gebeyehu

    2015-01-01

    The aim of this study was to compare PPT and traditional lecture method in material understandability, effectiveness and attitude among university students. Comparative descriptive survey research design was employed to answer the research questions raised. Four hundred and twenty nine participants were selected randomly using stratified sampling…

  12. A Comparative Study on Power Point Presentation and Traditional Lecture Method in Material Understandability, Effectiveness and Attitude

    Science.gov (United States)

    Sewasew, Daniel; Mengestle, Missaye; Abate, Gebeyehu

    2015-01-01

    The aim of this study was to compare PPT and traditional lecture method in material understandability, effectiveness and attitude among university students. Comparative descriptive survey research design was employed to answer the research questions raised. Four hundred and twenty nine participants were selected randomly using stratified sampling…

  13. Tuition fees and funding – barriers for non-traditional students? First results from the international research project Opening Universities for Lifelong Learning (OPULL)

    DEFF Research Database (Denmark)

    Moissidis, Sonja; Schwarz, Jochen; Yndigegn, Carsten

    2011-01-01

    Project OPULL – Opening Universities for Lifelong Learning – is undertaking research into ways of opening up higher education to vocationally qualified and experienced target groups in four European countries. Open university models in Germany, Denmark, Finland and the United Kingdom are being...... phase of the project indicate that while the long-term effect of an increase in tuition fees for non-traditional students is not yet known, current evidence suggests that other factors such as the recognition of vocational and experiential learning will most likely have an impact on widening...

  14. Comparative research of plasma-assisted milling and traditional milling in synthesizing AlN

    Science.gov (United States)

    Wang, Sen; Wang, Wenchun; Liu, Zhijie; Yang, Dezheng

    2017-06-01

    In this paper, traditional milling and discharge plasma-assisted milling are employed to synthesize aluminum nitride (AlN) powder at nanometer scale by milling the mixture of aluminum and lithium hydroxide monohydrate. AlN powders can be generated in traditional milling and plasma-assisted milling in an hour milling time. Differential thermal analysis curves show that the reaction temperature of the powders treated by plasma-assisted milling is lower than that of traditional milling. These results indicate that plasma-assisted milling has higher efficiency in the synthesis of AlN, getting smaller crystallite size and activating powder. Moreover, an optical emission spectrum is employed to demonstrate the active species in plasma. The different formation process of AlN in the two-milling process, and the promotion effects of plasma in the milling process are discussed.

  15. Development and Validation of an Instrument to Assess the Implementation of Family-Centred Care in Traditional Open Bay Neonatal Intensive Care Units

    Science.gov (United States)

    Al-Motlaq, Mohammad A.; Abuidhail, Jamila; Salameh, Taghreed; Awwad, Wesam

    2017-01-01

    Objective: To develop an instrument to study family-centred care (FCC) in traditional open bay Neonatal Intensive Care Units (NICUs). Methods: The development process involved constructing instrument's items, establishing content validity by an expert panel and testing the instrument for validity and reliability with a convenience sample of 25…

  16. Initial experience with robotic retropubic urethropexy compared to open retropubic urethropexy.

    Science.gov (United States)

    Patel, Pooja R; Borahay, Mostafa A; Puentes, Audrey R; Rodriguez, Ana M; Delaisse, Jessica; Kilic, Gokhan S

    2013-01-01

    Study Objective. To compare the clinical outcomes of robotic retropubic urethropexy versus open retropubic urethropexy. Design. Retrospective case-control study (II-2). Setting. University Hospital. Patients. All patients who underwent robotic retropubic urethropexy from 1/1/12 to 6/1/12 by a single gynecologic surgeon were included in the case series. The control cases consisted of the last five consecutive open retropubic urethropexies performed by the same surgeon. Main Results. A total of 10 patients (5 robotic cases and 5 open cases) were included in this study. Both groups were similar with respect to age, BMI, and obstetrical history. Mean hospital stay length and mean EBL were overall less for robotic cases than for open cases (1.2 days versus 2.6 days; 169 mL versus 300 mL). One of the 5 patients who underwent the open approach and 2 of the 5 patients who underwent the robotic approach sustained a minor intraoperative complication. All but one patient from each group experienced resolution of incontinence after the procedure. Two of the patients who underwent the open approach had postoperative complications. Conclusions. Robotic retropubic urethropexy may be a feasible alternative to open retropubic urethropexy. A larger study is necessary to support our observations.

  17. Comparing Understanding of Programming Design Concepts Using Visual Basic and Traditional Basic.

    Science.gov (United States)

    Bishop-Clark, Cathy

    1998-01-01

    A study of 89 computer programming students in two instructional groups found that those using Visual Basic (VB) mastered programming design concepts as well as those using traditional BASIC. Concludes that VB is an excellent choice for a first programming course (high school or university) emphasizing sequence, selection, iteration, variables,…

  18. Comparing Traditional versus Alternative Sequencing of Instruction When Using Simulation Modeling

    Science.gov (United States)

    Bowen, Bradley; DeLuca, William

    2015-01-01

    Many engineering and technology education classrooms incorporate simulation modeling as part of curricula to teach engineering and STEM-based concepts. The traditional method of the learning process has students first learn the content from the classroom teacher and then may have the opportunity to apply the learned content through simulation…

  19. Life Cycle Assessment of Farmed Salmon, Comparing a Closed with an Open Sea Cage System

    OpenAIRE

    2014-01-01

    Ole Jonny Nyhus, Marine Technology, Norwegian University of Science and Technology.Abstract of Master's Thesis, levert 8. juni, 2014:Life Cycle Assessment of Farmed Salmon, Comparing a Closed with an Open Sea Cage System.The goal of this Master's Thesis is to do a Life Cycle Assessment (LCA) on a closed fish farm system and compare it to an open fish farm system, for so to make recommendations based on the results.Life Cycle Assessment is a method to calculate the environmental impa...

  20. Effect of video-assisted thoracoscopic surgery and traditional open surgery on the inflammatory cytokine and immune function in patients with non-small cell lung carcinoma

    Institute of Scientific and Technical Information of China (English)

    Bing Lv; Yongzhong Tao; Jing Wu; Bin Zhong; Fuchao Luo; Yang Liu; Zexue Zhang

    2016-01-01

    Objective:To explore the effect of video-assisted thoracoscopic surgery (VATS) and traditional open surgery (TOS) on the inflammatory cytokine and immune function in patients with non-small cell lung carcinoma.Methods: A total of 68 patients with non-small cell lung carcinoma were included in the study and divided into VATS group and TOS group according to different surgical methods with 34 cases in each group. The operation time, intraoperative amount of bleeding, incision length, and lymph node dissection number after operation in the two groups were compared. The levels of serum IL-6 and CRP after operation in the two groups were detected and compared. The immunological function status before and after operation in the two groups was analyzed.Results: The operation time and intraoperative amount of bleeding in VATS group were significantly reduced, and the incision length was significantly shortened when compared with TOS group. IgG, CD4+, and CD8+ levels, and CD4+/CD8+ after operation in the two groups were significantly reduced when compared with before treatment, and those in TOS group were significantly lower than those in VATS group. IL-6 and CRP levels 1d after operation in the two groups were significantly elevated when compared with before operation, and those in TOS group were significantly higher than those in VATS group. IL-6 and CRP levels 5d after operation in VATS group were not significantly different from those before operation, while those in TOS group were significantly elevated when compared with before operation.Conclusions:VATS in the treatment of non-small cell lung carcinoma has a significant efficacy, can significantly alleviate the inflammatory reaction, and is beneficial to protect the immunological function.

  1. Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity - A prospective comparative study.

    Science.gov (United States)

    Wester, Jens Ulrik; Hamborg-Petersen, Ellen; Herold, Niels; Hansen, Palle Bo; Froekjaer, Johnny

    2016-03-01

    Different techniques of proximal osteotomies have been introduced to correct severe hallux valgus. The open wedge osteotomy is a newly introduced method for proximal osteotomy. The aim of this prospective randomized study was to compare the radiological and clinical results after operation for severe hallux valgus, comparing the open wedge osteotomy to the crescentic osteotomy which is our traditional treatment. Forty-five patients with severe hallux valgus (hallux valgus angle >35̊, and intermetatarsal angle >15̊) were included in this study. The treatment was proximal open wedge osteotomy and fixation with plate (Hemax), group 1, or operation with proximal crescentic osteotomy and fixation with a 3mm cannulated screw, group 2. The mean age was 52 years (19-71). Forty-one females and four males were included. Clinical and radiological follow-ups were performed 4 and 12 months after the operation. In group 1 the hallux valgus angle decreased from 39.0̊ to 24.1̊ after 4 months and 27.9̊ after 12 months. In group 2 the angle decreased from 38.3̊ to 21.4̊ after 4 months and 27.0̊ after 12 months. The intermetatarsal angle in group 1 was 19.0̊ preoperatively, 11.6̊ after 4 months and 12.6̊ after 12 months. In group 2 the mean intermetatarsal angle was 18.9̊ preoperatively, 12.0̊ after 4 months and 12.6̊ after 12 months. The AOFAS score improved from 59.3 to 81.5 in group 1 and from 61.8 to 84.8 in group 2 respectively measured 12 months postoperatively. The relative length of the 1 metatarsal compared to 2 metatarsal bone was 0.88 and 0.87 preoperatively and 0.88 and 0.86 for group 1 and 2 respectively measured after 12 months. Crescentic osteotomy and open wedge osteotomy improve AOFAS score and VAS scores on patients operated with severe hallux valgus. No significant difference was found in the two groups looking at the postoperative improvement of HVA and IMA measured 4 and 12 months postoperatively. The postoperative VAS score and AOFAS score were

  2. Comparing the Matter and Interactions Curriculum with a Traditional Physics Curriculum: A Think Aloud Study

    CERN Document Server

    Bujak, Keith R; Caballero, Marcos D; Marr, M Jackson; Schatz, Michael F; Kohlmyer, Matthew A

    2010-01-01

    Physics curricula across the US fail to prepare students adequately to solve problems, especially novel problems. A new curriculum, Matter and Interactions (M&I), was designed to improve student learning by organizing concepts around fundamental principles. Despite this, students taught in traditional classes continue to outperform M&I students on force concept questions. This study aimed to determine the underlying issues related to the performance differential. Students from both courses solved questions from the Force Concept Inventory (FCI) while verbally describing their reasoning. Analysis of the transcripts revealed that M&I students failed to employ the fundamental principles, and traditional students used simple physics facts to help identify the correct answers. Neither of these methods would be sufficient for solving more complex problems.

  3. Self-regulated learning: why is it important compared to traditional learning in medical education?

    Science.gov (United States)

    Siddaiah-Subramanya, Manjunath; Nyandowe, Masimba; Zubair, Omar

    2017-01-01

    Self-regulated learning has played an increasingly significant role in medical education over the last one to two decades. Medical educators have endeavored to ensure that the students are equipped to face the challenges of continued growth of medical knowledge. Here we enquire and reflect on various aspects of self-regulated learning including its strengths and weaknesses. We investigate how it could be incorporated with traditional teaching to bring the best out of the students and what students think about it.

  4. Comparing the etiology and treatment of skin fissure in traditional and conventional medicine; a brief review

    Directory of Open Access Journals (Sweden)

    A. Jedkareh

    2016-01-01

    Full Text Available Dry skin is a common problem which affects wound healing, severity of other skin diseases and quality of life of people. One of its undesirable effects is fissure that is a cutaneous condition in which there is a linear loss of epidermis and dermis with sharply defined, nearly vertical walls. In the present study, we have investigated the etiology of the disease and its treatments in conventional medicine and Iranian Traditional Medicine (ITM. Two traditional medicine references, current scientific data bases and medicinal texts were explored with the selected keywords such as "sheqaq-e-poosti", "skin fissure" and "dry skin" to find the etiology and treatment of skin fissure. From the view point of both conventional medicine and ITM, dry skin is the cause of skin fissure and some causes of dry skin are similar. In conventional medicine, moisturizers are mainly used for treatment of dry skin; while in ITM some herbs, oils and other natural remedies have been used. A topical dosage form which was called "qeirooti", a mixture of wax and oil, was used to treat skin fissure in ITM. It comprised of oily ingredients that acted as occlusives and also some herbal components that directly improved dry skin (similar to moisturizers. Components efficacy of traditional dosage forms for treatment of dry skin lead us to study about formulation of “qeirooti” for treatment of dry skin.

  5. Food provisioning and stone handling tradition in Japanese macaques: a comparative study of ten troops.

    Science.gov (United States)

    Leca, Jean-Baptiste; Gunst, Noëlle; Huffman, Michael A

    2008-08-01

    By addressing the influence of food provisioning on stone handling (SH), a behavioral tradition in Japanese macaques, this study contributes to the ongoing debate in cultural primatology by asking whether human intervention influences the emergence or propagation of behavioral traditions. SH is a form of object play consisting of the manipulation of stones by performing various behavioral patterns. We tested the hypothesis that the frequency of food provisioning affects the daily performance, form, and context of occurrence of SH by influencing a troop's feeding-related activity budget. We used a standardized observation procedure to investigate SH in ten troops of Japanese macaques. In troops provisioned several times a day, SH was more frequent, longer, and more prevalent during provisioning than nonprovisioning periods. These effects of provisioning were not significant in troops provisioned less frequently. SH was more frequently integrated with food-related activities in troops supplied with food several times a day than in the other troops. Food provisioning may be a key factor in the innovation and transformation phases of the SH tradition in Japanese macaques.

  6. Comparative Kinetic Analysis of Closed-Ended and Open-Ended Porous Sensors

    Science.gov (United States)

    Zhao, Yiliang; Gaur, Girija; Mernaugh, Raymond L.; Laibinis, Paul E.; Weiss, Sharon M.

    2016-09-01

    Efficient mass transport through porous networks is essential for achieving rapid response times in sensing applications utilizing porous materials. In this work, we show that open-ended porous membranes can overcome diffusion challenges experienced by closed-ended porous materials in a microfluidic environment. A theoretical model including both transport and reaction kinetics is employed to study the influence of flow velocity, bulk analyte concentration, analyte diffusivity, and adsorption rate on the performance of open-ended and closed-ended porous sensors integrated with flow cells. The analysis shows that open-ended pores enable analyte flow through the pores and greatly reduce the response time and analyte consumption for detecting large molecules with slow diffusivities compared with closed-ended pores for which analytes largely flow over the pores. Experimental confirmation of the results was carried out with open- and closed-ended porous silicon (PSi) microcavities fabricated in flow-through and flow-over sensor configurations, respectively. The adsorption behavior of small analytes onto the inner surfaces of closed-ended and open-ended PSi membrane microcavities was similar. However, for large analytes, PSi membranes in a flow-through scheme showed significant improvement in response times due to more efficient convective transport of analytes. The experimental results and theoretical analysis provide quantitative estimates of the benefits offered by open-ended porous membranes for different analyte systems.

  7. Open Education and the Creative Economy: Global Perspectives and Comparative Analysis

    Science.gov (United States)

    Liu, Tze-Chang

    2011-01-01

    This dissertation is to deal the issues of open education, creative economies, higher education. It also compares the performances in these aspects among different countries. The conception of the "creative economy" develops within the context of "global neoliberalism" and "knowledge economy." These three notions are…

  8. Open and Anonymous Peer Review in a Digital Online Environment Compared in Academic Writing Context

    Science.gov (United States)

    Razi, Salim

    2016-01-01

    This study compares the impact of "open" and "anonymous" peer feedback as an adjunct to teacher-mediated feedback in a digital online environment utilising data gathered on an academic writing course at a Turkish university. Students were divided into two groups with similar writing proficiencies. Students peer reviewed papers…

  9. Traditional open-bay versus single-family room neonatal intensive care unit: a comparison of selected nutrition outcomes

    Directory of Open Access Journals (Sweden)

    Christina Erickson

    2011-03-01

    Full Text Available Christina Erickson1, Kendra Kattelmann1, Jessica Remington1, Cuirong Ren2, Carol C Helseth3, Dennis C Stevens31Department of Health and Nutritional Sciences, 2Department of Plant Science, South Dakota State University, Brookings, SD, USA; 3Sanford Children's Hospital, Sioux Falls, SD, USABackground: In contrast to the traditional open-bay–type design of the neonatal intensive care unit (tNICU, infants in developmentally appropriate NICU (dNICU are housed in individual rooms with greater control of light and noise. Previous reports have documented positive influence of the dNICU in cardiorespiratory status, physiologic stability, and weight gain of the infants. The objective of this study was to explore selected nutrition outcomes of infants in the dNICU versus tNICU.Method: A prospective cohort study was conducted on infants with birth weight of 1500 g or less cared for in dNICU (n = 42 or tNICU (n = 31. Differences between days to reach full parenteral nutrition, full enteral nutrition, or full bottling were determined using analysis of covariance controlling for gestational age, birth weight, and clinical risk index for babies (CRIB acuity score.Results: There were no differences between the two groups in days to reach full parenteral and bottle feeding. The infants in the dNICU took fewer days to reach full enteral nutrition (20.8 days, 95% confidence intervals [CI]: 17, 24.6 (dNICU vs 23.3 days, 95% CI: 17.1, 29.6 (tNICU, P = 0.04 than those in the tNICU.Conclusions: Although the two groups of infants only differed in the days to reach full enteral feeding, it is important to remember that the lack of difference may be clinically significant. Clinically, the infants in the dNICU were younger (gestational age and sicker (CRIB acuity score than the infants in the tNICU. Consequently, the results of this study support the change to dNICU, as the private room model provides a supportive environment for growth as evidenced by similar

  10. A blended design in acute care training: similar learning results, less training costs compared with a traditional format.

    Science.gov (United States)

    Dankbaar, Mary E W; Storm, Diana J; Teeuwen, Irene C; Schuit, Stephanie C E

    2014-09-01

    Introduction There is a demand for more attractive and efficient training programmes in postgraduate health care training. This retrospective study aims to show the effectiveness of a blended versus traditional face-to-face training design. For nurses in postgraduate Acute and Intensive Care training, the effectiveness of a blended course design was compared with a traditional design. Methods In a first pilot study 57 students took a traditional course (2-h lecture and 2-h workshop) and 46 students took a blended course (2-h lecture and 2-h online self-study material). Test results were compared for both groups. After positive results in the pilot study, the design was replicated for the complete programme in Acute and Intensive Care. Now 16 students followed the traditional programme (11 days face-to-face education) and 31 students did the blended programme (7 days face-to-face and 40 h online self-study). An evaluation was done after the pilot and course costs were calculated. Results Results show that the traditional and blended groups were similar regarding the main characteristics and did not differ in learning results for both the pilot and the complete programme. Student evaluations of both designs were positive; however, the blended group were more confident that they had achieved the learning objectives. Training costs were reduced substantially. Conclusion The blended training design offers an effective and attractive training solution, leading to a significant reduction in costs.

  11. Traditional Instruction versus Virtual Reality Simulation: A Comparative Study of Phlebotomy Training among Nursing Students in Kuwait

    Science.gov (United States)

    William, Abeer; Vidal, Victoria L.; John, Pamela

    2016-01-01

    This quasi-experimental study compared differences in phlebotomy performance on a live client, between a control group taught through the traditional method and an experimental group using virtual reality simulation. The study showed both groups had performed successfully, using the following metrics: number of reinsertions, pain factor, hematoma…

  12. Behind the Final Grade in Hybrid v. Traditional Courses: Comparing Student Performance by Assessment Type, Core Competency, and Course Objective

    Science.gov (United States)

    Bain, Lisa Z.

    2012-01-01

    There are many different delivery methods used by institutions of higher education. These include traditional, hybrid, and online course offerings. The comparisons of these typically use final grade as the measure of student performance. This research study looks behind the final grade and compares student performance by assessment type, core…

  13. Physical Activity and Sedentary Time among Young Children in Full-Day Kindergarten: Comparing Traditional and Balanced Day Schedules

    Science.gov (United States)

    Vanderloo, Leigh M.; Tucker, Patricia

    2017-01-01

    Objective: To compare physical activity and sedentary time among young children whose schools adhere to traditional (i.e. three outdoor playtimes = 70 minutes) versus balanced day (i.e. two outdoor playtimes = ~55 minutes) schedules in Ontario full-day kindergarten classrooms. Design: The project was part of a larger, 2-year cross-sectional study.…

  14. Comparing the Principle-Based SBH Maieutic Method to Traditional Case Study Methods of Teaching Media Ethics

    Science.gov (United States)

    Grant, Thomas A.

    2012-01-01

    This quasi-experimental study at a Northwest university compared two methods of teaching media ethics, a class taught with the principle-based SBH Maieutic Method (n = 25) and a class taught with a traditional case study method (n = 27), with a control group (n = 21) that received no ethics training. Following a 16-week intervention, a one-way…

  15. Physical Activity and Sedentary Time among Young Children in Full-Day Kindergarten: Comparing Traditional and Balanced Day Schedules

    Science.gov (United States)

    Vanderloo, Leigh M.; Tucker, Patricia

    2017-01-01

    Objective: To compare physical activity and sedentary time among young children whose schools adhere to traditional (i.e. three outdoor playtimes = 70 minutes) versus balanced day (i.e. two outdoor playtimes = ~55 minutes) schedules in Ontario full-day kindergarten classrooms. Design: The project was part of a larger, 2-year cross-sectional study.…

  16. Doing the Traditional Media Sidestep: Comparing the Effects of the Internet and Other Nontraditional Media with Traditional Media in the 1996 Presidential Campaign.

    Science.gov (United States)

    Johnson, Thomas J.; Braima, Mahmoud A. M.; Sothirajah, Jayanthi

    1999-01-01

    Contributes to scholarship on political communication by examining the extent to which heavy users of the Internet and other non-traditional media differ from heavy users of traditional media in their knowledge of issue stances of Bill Clinton and Bob Dole. Finds that non-traditional media had little influence on political knowledge; and few…

  17. COMPARATIVE STUDY BETWEEN TRADITIONAL AND ENTERPRISE RISK MANAGEMENT -A THEORETICAL APPROACH

    Directory of Open Access Journals (Sweden)

    Cican Simona-Iulia

    2014-07-01

    Full Text Available The complexity, volatility and unpredictability of the current economic environment are a daily reminder that organizations face many risks. The traditional approach, according to which risk is a necessary evil which must be removed, is no longer sufficient and that is why companies nowadays are forced to spend significant resources to manage risks. Risk transparency is what one looks for; therefore, identification and management of risks within an organization become increasingly necessary for success and longevity. Risk approach has a major role in a company’s ability to avoid, reduce and turn risks into opportunities. Enterprise risk management is a new concept that revolutionizes the traditional approach and summarizes risk management in an integrated, comprehensive and strategic system. Studies use several synonyms for enterprise risk management such as integrated risk management, holistic risk management, global risk management and strategic risk management. Enterprise risk management implements at the end of the last century a new way to deal with risks: the holistic approach. This risks approach – i.e. interaction of several types of risks which become increasingly threatening and varied and may cause more damage than individual risk – brings forward the need of risk management and raises issues at the highest level of company management. For a proper view on company risks, each individual risk and the possibility of risk interaction must be understood. This is essential to establish a risk classification according to their impact on the company. Traditional approach on risk management, as a management function, is limited to only threats and losses, so relatively few organizations see risks as potential earning-generated opportunities. However, risk management process is not radically changed. Enterprise risk management is an improved version of the traditional risk management, created by expanding its scope. The new risk

  18. An innovative process for treatment of municipal wastewater with superior charcteristics compared to traditional techologies

    DEFF Research Database (Denmark)

    Schmidt, Jens Ejbye; Fitsios, E.; Angelidaki, Irini

    2002-01-01

    . For nitrogen removal, the anammox process and an innovative physico-chemical method, will be described. These separation technologies have showed promising prospects for cost effective removal of ammonia. For phosphorus removal, biological process will be used. On-line volatile fatty acids (VFA) monitoring...... and control will ensure optimum utilization of VFA's for P removal and biogas production. Thermal hydrolysis for treatment of residual sludge will be used for further decreasing the amount of excess sludge. Finally, socio-economic evaluation of the process relative to the traditional treatment concepts...

  19. Comparing intellectual and graphical complexities of traditional and image-derived landuse maps

    Institute of Scientific and Technical Information of China (English)

    STEIN; Alfred

    2010-01-01

    Remotely sensed images have become a powerful source for landuse mapping.So far,no quantitative comparison and evaluation exist on the differences between an image-derived landuse map and a traditional landuse map.The comparison and evaluation may indicate the possibility for the replacement of a traditional landuse map by an image-derived map.Map complexity is widely used to describe cartographic representations and map effectiveness from intellectual aspect and graphical aspect.This paper quantifies intellectual and graphical map complexities to explore the differences between these two kinds of maps.Intellectual complexity concerns the meaning or significations contained on a map.Graphical complexity concerns spatial characteristics of the graphical content on a map.Results show that the high graphical complexity of the image-derived landuse map is not harmonized with its low intellectual complexity.The intention of this paper is to encourage realistic cognition of the accuracy and problems existing in image-derived landuse maps.

  20. Traditional Therapies Used to Manage Diabetes and Related Complications in Mauritius: A Comparative Ethnoreligious Study

    Science.gov (United States)

    Mahomoodally, M. Fawzi; Mootoosamy, A.; Wambugu, S.

    2016-01-01

    Religious communities from Mauritius still rely on traditional therapies (TT) for primary healthcare. Nonetheless, there is still a dearth of scientific information on TT used by the different religious groups to manage diabetes and related complications (DRC). This study aimed to gather ethnomedicinal knowledge on TT used by the different religious groups against DRC. Diabetic patients (n = 95) and traditional healers (n = 5) were interviewed. Fifty-two plant species belonging to 33 families and 26 polyherbal formulations were documented to manage DRC. The most reported DRC was hypertension (n = 36). Leaves (45.2%) and juice (36%) were the most cited mode of preparation of herbal recipes. Plants which scored high relative frequency of citation were Citrus aurantifolia (0.55) and Morinda citrifolia (0.54). The cultural importance index showed that Ocimum tenuiflorum, Cardiospermum halicacabum, Camellia sinensis, and Ophiopogon japonicas were the most culturally important plants among Hindu, Muslim, Christian, and Buddhist community, respectively. Hindu and Muslim community showed the highest similarity of medicinal plants usage (Jaccard index = 95.8). Seven animal species distributed over 4 classes were recorded for the management of DRC. Plants and animals recorded as TT should be submitted to scientific studies to confirm safety and efficacy in clinical practice and to identify pharmacologically active metabolites. PMID:27200100

  1. Traditional Therapies Used to Manage Diabetes and Related Complications in Mauritius: A Comparative Ethnoreligious Study

    Directory of Open Access Journals (Sweden)

    M. Fawzi Mahomoodally

    2016-01-01

    Full Text Available Religious communities from Mauritius still rely on traditional therapies (TT for primary healthcare. Nonetheless, there is still a dearth of scientific information on TT used by the different religious groups to manage diabetes and related complications (DRC. This study aimed to gather ethnomedicinal knowledge on TT used by the different religious groups against DRC. Diabetic patients (n=95 and traditional healers (n=5 were interviewed. Fifty-two plant species belonging to 33 families and 26 polyherbal formulations were documented to manage DRC. The most reported DRC was hypertension (n=36. Leaves (45.2% and juice (36% were the most cited mode of preparation of herbal recipes. Plants which scored high relative frequency of citation were Citrus aurantifolia (0.55 and Morinda citrifolia (0.54. The cultural importance index showed that Ocimum tenuiflorum, Cardiospermum halicacabum, Camellia sinensis, and Ophiopogon japonicas were the most culturally important plants among Hindu, Muslim, Christian, and Buddhist community, respectively. Hindu and Muslim community showed the highest similarity of medicinal plants usage (Jaccard index = 95.8. Seven animal species distributed over 4 classes were recorded for the management of DRC. Plants and animals recorded as TT should be submitted to scientific studies to confirm safety and efficacy in clinical practice and to identify pharmacologically active metabolites.

  2. Impact of weighted composite compared to traditional composite endpoints for the design of randomized controlled trials.

    Science.gov (United States)

    Bakal, Jeffrey A; Westerhout, Cynthia M; Armstrong, Paul W

    2015-12-01

    Composite endpoints are commonly used in cardiovascular clinical trials. When using a composite endpoint a subject is considered to have an event when the first component endpoint has occurred. The use of composite endpoints offers the ability to incorporate several clinically important endpoint events thereby augmenting the event rate and increasing statistical power for a given sample size. One assumption of the composite is that all component events are of equal clinical importance. This assumption is rarely achieved given the diversity of component endpoints included. One means of adjusting for this diversity is to adjust the outcomes using severity weights determined a priori. The use of a weighted endpoint also allows for the incorporation of multiple endpoints per patient. Although weighting the outcomes lowers the effective number of events, it offers additional information that reduces the variance of the estimate. We created a series of simulation studies to examine the effect on power as the individual components of a typical composite were changed. In one study, we noted that the weighted composite was able to offer discriminative power when the component outcomes were altered, while the traditional method was not. In the other study, we noted that the weighted composite offered a similar level of power to the traditional composite when the change was driven by the more severe endpoints.

  3. Racial Discipline Disproportionality in Montessori and Traditional Public Schools: A Comparative Study Using the Relative Rate Index

    Directory of Open Access Journals (Sweden)

    Katie E. Brown

    2015-11-01

    Full Text Available Research from the past 40 years indicates that African American students are subjected to exclusionary discipline, including suspension and expulsion, at rates two to three times higher than their White peers (Children’s Defense Fund, 1975; Skiba, Michael, Nardo, & Peterson, 2002. Although this phenomenon has been studied extensively in traditional public schools, rates of racially disproportionate discipline in public Montessori schools have not been examined. The purpose of this study is to examine racial discipline disproportionality in Montessori public elementary schools as compared to traditional elementary schools. The Relative Rate Index (RRI is used as a measure of racially disproportionate use of out-of-school suspensions (Tobin & Vincent, 2011. Suspension data from the Office of Civil Rights Data Collection was used to generate RRIs for Montessori and traditional elementary schools in a large urban district in the Southeast. While statistically significant levels of racial discipline disproportionality are found in both the Montessori and traditional schools, the effect is substantially less pronounced in Montessori settings. These findings suggest that Montessori schools are not immune to racially disproportionate discipline and should work to incorporate more culturally responsive classroom management techniques. Conversely, the lower levels of racially disproportionate discipline in the Montessori schools suggests that further study of discipline in Montessori environments may provide lessons for traditional schools to promote equitable discipline.

  4. Comparing and Contrasting Traditional Membrane Bioreactor Models with Novel Ones Based on Time Series Analysis

    Directory of Open Access Journals (Sweden)

    Parneet Paul

    2013-02-01

    Full Text Available The computer modelling and simulation of wastewater treatment plant and their specific technologies, such as membrane bioreactors (MBRs, are becoming increasingly useful to consultant engineers when designing, upgrading, retrofitting, operating and controlling these plant. This research uses traditional phenomenological mechanistic models based on MBR filtration and biochemical processes to measure the effectiveness of alternative and novel time series models based upon input–output system identification methods. Both model types are calibrated and validated using similar plant layouts and data sets derived for this purpose. Results prove that although both approaches have their advantages, they also have specific disadvantages as well. In conclusion, the MBR plant designer and/or operator who wishes to use good quality, calibrated models to gain a better understanding of their process, should carefully consider which model type is selected based upon on what their initial modelling objectives are. Each situation usually proves unique.

  5. An innovative process for treatment of municipal wastewater with superior charcteristics compared to traditional techologies

    DEFF Research Database (Denmark)

    Schmidt, Jens Ejbye; Fitsios, E.; Angelidaki, Irini

    2002-01-01

    . For nitrogen removal, the anammox process and an innovative physico-chemical method, will be described. These separation technologies have showed promising prospects for cost effective removal of ammonia. For phosphorus removal, biological process will be used. On-line volatile fatty acids (VFA) monitoring......An innovative treatment process for municipal sewage, which results in low sludge production, low energy consumption, high COD removal and high energy and nutrients recovery, is described. The organic matter will primarly be removed through anaerobic degradation using high-flow reactors...... and control will ensure optimum utilization of VFA's for P removal and biogas production. Thermal hydrolysis for treatment of residual sludge will be used for further decreasing the amount of excess sludge. Finally, socio-economic evaluation of the process relative to the traditional treatment concepts...

  6. Who Are the Open Learners? A Comparative Study Profiling Non-Formal Users of Open Educational Resources

    Science.gov (United States)

    Farrow, Robert; de los Arcos, Beatriz; Pitt, Rebecca; Weller, Martin

    2015-01-01

    Open educational resources (OER) have been identified as having the potential to extend opportunities for learning to non-formal learners. However, little research has been conducted into the impact of OER on non-formal learners. This paper presents the results of a systematic survey of more than 3,000 users of open educational resources (OER).…

  7. A comparative study of open technique and Z-plasty in management of pilonidal sinus

    Directory of Open Access Journals (Sweden)

    Siddhartha Priyadarshi

    2014-01-01

    Full Text Available Introduction: Pilonidal sinus is one of the common problems encountered in general surgical practices and the management of this disease is variable, contentious and problematic. Principles of treatment require eradication of the sinus tract; complete healing and prevention of recurrence. Although several surgical techniques have been described over the years, the management remains controversial. Aims and Objectives: The aim of this study was to compare the two techniques of the open method and Z-plasty in the management of pilonidal sinus, in terms of incidence of post-operative pain, total hospital stay, total recovery time, complications and recurrence rate. Materials and Methods: This is a prospective comparative study which was conducted in the surgical department of a teaching hospital. A total of 50 cases were included in this study. Of these, 25 cases were operated by the open technique and 25 by excision and Z-plasty. Observation and Result: The mean age at presentation was 29.44 years. Male genders followed by age between 20 and 30 years were the most common predisposing factors. The mean body mass index, early and late post-operative complications were comparable between the two groups. Mean hospital stay and total recovery time was significantly more in open technique group compared with Z-plasty group. Visual analog score was also significantly more in open technique group when compared with Z-plasty group. Conclusion: Excision with Z-plasty was better technique in terms of lesser hospital stay, lesser recovery time, less post-operative pain.

  8. Comparing minimally invasive and open transforaminal lumbar interbody fusion for treatment of degenerative lumbar disease: a meta-analysis

    Institute of Scientific and Technical Information of China (English)

    SUN Zhi-jian; LI Wen-jing; ZHAO Yu; QIU Gui-xing

    2013-01-01

    Background Transforaminal lumbar interbody fusion (TLIF) through a minimally invasive approach (mTLIF) was introduced to reduce soft tissue injury and speed recovery.Studies with small numbers of patients have been carried out,comparing mTLIF with traditional open TLIF (oTLIF),but inconsistent outcomes were reported.Methods We conducted a meta-analysis to evaluate the effectiveness of mTLIF and oTLIF in the treatment of degenerative lumbar disease.We searched PubMed,Embase and Cochrane Database of Systematic Reviews in March 2013 for studies directly comparing mTLIF and oTLIF.Patient characteristics,interventions,surgical-related messages,early recovery parameters,long-term clinical outcomes,and complications were extracted and relevant results were pooled.Results Twelve cohort studies with a total of 830 patients were identified.No significant difference regarding average operating time was observed when comparing mTLIF group with oTLIF group (-0.35 minute,95% confidence interval (C/):-20.82 to 20.13 minutes).Intraoperative blood loss (-232.91 ml,95% CI:-322.48 to-143.33 ml) and postoperative drainage (-111.24.ml,95% CI:-177.43 to-45.05 ml) were significantly lower in the mTLIF group.A shorter hospital stay by about two days was observed in patients who underwent mTLIF (-2.11 days,95% CI:-2.76 to-1.45 days).With regard to long-term clinical outcomes,no significant difference in visual analog scale score (-0.25,95% CI:-0.63 to 0.13) was observed; however,there was a slight improvement in Oswestry Disability Index (-1.42,95% CI:-2.79 to-0.04) during a minimum of 1-year follow-up between the two groups.The incidence of complications did not differ significantly between the procedures (RR=1.06,95% CI:0.7 to 1.59).Reoperation was more common in patients in mTLIF group than in oTLIF group (5% vs.2.9%),but this difference was not significant (RR=1.62,95% CI:0.75 to 3.51).Conclusion Current evidence suggests that,compared with traditional open surgery

  9. A COMPARATIVE STUDY BETWEEN OPEN CHOLECYSTECTOMY AND LAPAROSCOPIC CHOLECYSTECTOMY IN RURAL MEDICAL COLLEGE SET UP

    Directory of Open Access Journals (Sweden)

    Sinha

    2014-12-01

    Full Text Available laparoscopic cholecystectomy has established itself as the gold standard for cholecystectomy replacing decades old open cholecystectomy. This study compared open cholecystectomy and lap chole in a medical college in rural setup and consisted of 40 patients with a diagnosis of gall stone disease, that underwent Cholecystectomy at M V J Medical College and Research Hospital from Nov 2011 T0 Oct 2013 to compare the advantages and disadvantages of both the methods. Patients with cholelithiasis proven by USG with at least one attack of upper abdominal pain were included in the study. Patients with CBD stones and aged above 70 yrs were excluded from the study. The main advantages of LC were the reduced post-operative pain with less duration of analgesic intake, more rapid recovery and reduced hospital stay

  10. Endoscopic-Laparoscopic Cholecystolithotomy in Treatment of Cholecystolithiasis Compared With Traditional Laparoscopic Cholecystectomy.

    Science.gov (United States)

    Zhang, Yang; Peng, Jian; Li, Xiaoli; Liao, Mingmei

    2016-10-01

    The study aimed to compare the application values of endoscopic-laparoscopic cholecystolithotomy (ELC) and laparoscopic cholecystectomy (LC) for patients with cholecystolithiasis. It did a retrospective analysis of 107 patients with cholecystolithiasis who underwent ELC and 144 patients with cholecystolithiasis who underwent LC. There is no significant difference in operating time and expenses when comparing ELC with LC (P>0.05). ELC showed significantly less blood loss during operation compared with LC (PLC (PLC. The contractile function of gallbladder was close to normal (Pthickness of gallbladder wall significantly decreased (PLC.

  11. Comparative Analysis of the Thermal Insulation of Traditional and Newly Designed Protective Clothing for Foundry Workers

    Directory of Open Access Journals (Sweden)

    Iwona Frydrych

    2016-09-01

    Full Text Available An objective of the undertaken research was checking the applicability of aluminized basalt fabrics for the production of clothing for foundry workers. The results of flammability, the resistance to contact, convective and radiation heat, as well as the resistance to big molten metal splashes confirmed the thesis of applicability of the packages with the use of aluminized basalt fabric content for the assumed purpose; therefore, such protective clothing was produced. Thermal comfort of foundry workers is very important and related to many factors, i.e., the structure of the protective clothing package, the number of layers, their thickness, the distance between the body and appropriate underwear. In the paper, a comparison of the results of thermal insulation measurement of two kinds of protective clothing is presented: the traditional one made of aluminized glass fabrics and the new one made of aluminized basalt fabrics. Measurements of clothing thermal insulation were conducted using a thermal manikin dressed in the protective clothing and three kinds of underwear products covering the upper and lower part of the manikin.

  12. A Comparative Study on Cancer Prevention Principles Between Iranian Traditional Medicine and Classic Medicine.

    Science.gov (United States)

    Zeinalian, Mehrdad; Eshaghi, Mehdi; Sharbafchi, Mohammad Reza; Naji, Homayoun; Marandi, Sayed Mohammad Masoud; Asgary, Sedigheh

    2016-01-01

    Cancer is one of the three main causes of mortality in most human communities whose prevalence is being increased. A significant part of health budget in all countries has been allocated to treat the cancer, which is incurable in many cases. It has led the global health attitude to cancer prevention. Many cancer-related risk factors have been identified for which preventive recommendations have been offered by international organizations such as World Health Organization. Some of the most important of these risk factors are smoking and alcohol consumption, hypercaloric and low-fiber diet, obesity, inactivity, environmental and industrial pollution, some viral infections, and hereditary factors. Exact reviewing of Iranian-Islamic traditional medicine (IITM) resources determines that preventive rules, which named as six essential rules (Sitteh-e-Zarurieah) are abundantly found, including all identified cancer-related risk factors. These preventive rules are: Air (Hava), body movement and repose, sleep and wakefulness, food and drink, evacuation and retention, and mental movement and repose (A'raz-e-Nafsani). The associated risk factors in classic medicine are: Smoking and air pollution, sedentary life, sleep disturbance, improper nutrition and alcohol, chronic constipation, and psychoneurotic stresses. Moreover, these rules are comprehensive enough to include many of the other harmful health-related factors whose roles have been confirmed in the occurrence of different diseases, except cancer. Apparently, cancer prevention in Iran would be more successful if the sextet necessary rules of IITM are promoted among the populations and health policy makers.

  13. A comparative study on cancer prevention principles between Iranian traditional medicine and classic medicine

    Directory of Open Access Journals (Sweden)

    Mehrdad Zeinalian

    2016-01-01

    Full Text Available Cancer is one of the three main causes of mortality in most human communities whose prevalence is being increased. A significant part of health budget in all countries has been allocated to treat the cancer, which is incurable in many cases. It has led the global health attitude to cancer prevention. Many cancer-related risk factors have been identified for which preventive recommendations have been offered by international organizations such as World Health Organization. Some of the most important of these risk factors are smoking and alcohol consumption, hypercaloric and low-fiber diet, obesity, inactivity, environmental and industrial pollution, some viral infections, and hereditary factors. Exact reviewing of Iranian-Islamic traditional medicine (IITM resources determines that preventive rules, which named as six essential rules (Sitteh-e-Zarurieah are abundantly found, including all identified cancer-related risk factors. These preventive rules are: Air (Hava, body movement and repose, sleep and wakefulness, food and drink, evacuation and retention, and mental movement and repose (A′raz-e-Nafsani. The associated risk factors in classic medicine are: Smoking and air pollution, sedentary life, sleep disturbance, improper nutrition and alcohol, chronic constipation, and psychoneurotic stresses. Moreover, these rules are comprehensive enough to include many of the other harmful health-related factors whose roles have been confirmed in the occurrence of different diseases, except cancer. Apparently, cancer prevention in Iran would be more successful if the sextet necessary rules of IITM are promoted among the populations and health policy makers.

  14. Comparing traditional measures of academic success with emotional intelligence scores in nursing students

    Directory of Open Access Journals (Sweden)

    Michelle H Cheshire

    2015-01-01

    Full Text Available Objective: Emotional intelligence (EI is the ability to perceive emotions, to access and generate emotions so as to assist thought, to understand emotions and emotional knowledge and to reflectively regulate emotions so as to promote emotional and intellectual growth. EI is increasingly discussed in healthcare as having a potential role in nursing. The purpose of this descriptive study was to examine the causal relationship between EI scores and the traditional academic admission criteria (GPA and evaluation methods of a baccalaureate nursing program. Methods: The sample included second semester upper division nursing students (n = 85. EI was measured using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT. Results: The results of the statistical analysis (MANOVA, ANOVA and Pearson correlational coefficient found no significant relationships or correlations with the current methods of evaluation for admission to nursing school or the evaluation methods used once students are in the nursing program. Conclusions: These results imply that assessing a nursing student′s EI is measuring a different type of intelligence than that represented by academic achievement. Based on the findings of this study and the current state of nursing education, EI abilities should be included as part of the admission criteria for nursing programs.

  15. COMPARATIVE ANALYSIS BETWEEN THE TRADITIONAL MODEL OF CORPORATE GOVERNANCE AND ISLAMIC MODEL

    Directory of Open Access Journals (Sweden)

    DAN ROXANA LOREDANA

    2016-08-01

    Full Text Available Corporate governance represents a set of processes and policies by which a company is administered, controlled and directed to achieve the predetermined management objectives settled by the shareholders. The most important benefits of the corporate governance to the organisations are related to business success, investor confidence and minimisation of wastage. For business, the improved controls and decision-making will aid corporate success as well as growth in revenues and profits. For the investor confidence, corporate governance will mean that investors are more likely to trust that the company is being well run. This will not only make it easier and cheaper for the company to raise finance, but also has a positive effect on the share price. When we talk about the minimisation of wastage we relate to the strong corporate governance that should help to minimise waste within the organisation, as well as the corruption, risks and mismanagement. Thus, in our research, we are trying to determine the common elements, and also, the differences that have occured between two well known models of corporate governance, the traditional Anglo – Saxon model and also, the Islamic model of corporate governance.

  16. Polymorphous Narrative of Gothic Tradition in Linguistic Perspective: Comparing Fiction and Opera Libretto

    Directory of Open Access Journals (Sweden)

    Zoia Ihina

    2015-06-01

    Full Text Available This article is dedicated to revealing linguistic means that realise the event in the gothic narrative – H. James's novella "The Turn of the Screw" and the opera libretto of the same name. The event is treated as a situational change of states and presupposes that the real and the unknown should meet. This meeting runs through the whole narrative. The event is ideal and abstract; it shows itself in concrete manifestations – incidents. Discerning the event is possible by analysing linguistic signals of its manifestations – traces. In both the novella and libretto (though varying in structural peculiarities of the event the most vivid and noticeable trace is expressed by such a neutral word as bad; every appearance of this word in both texts "turns the screw" tighter; it is a common keyword sustaining the original story flavour. As a linguistic sign the word bad is analysed from perspectives of different characters. Keywords: narrative, Gothic tradition, event, trace, refracting point, transubstantiation space

  17. Comparative assessment of physical and cognitive ergonomics associated with robotic and traditional laparoscopic surgeries.

    Science.gov (United States)

    Lee, Gyusung I; Lee, Mija R; Clanton, Tameka; Clanton, Tamera; Sutton, Erica; Park, Adrian E; Marohn, Michael R

    2014-02-01

    We conducted this study to investigate how physical and cognitive ergonomic workloads would differ between robotic and laparoscopic surgeries and whether any ergonomic differences would be related to surgeons' robotic surgery skill level. Our hypothesis is that the unique features in robotic surgery will demonstrate skill-related results both in substantially less physical and cognitive workload and uncompromised task performance. Thirteen MIS surgeons were recruited for this institutional review board-approved study and divided into three groups based on their robotic surgery experiences: laparoscopy experts with no robotic experience, novices with no or little robotic experience, and robotic experts. Each participant performed six surgical training tasks using traditional laparoscopy and robotic surgery. Physical workload was assessed by using surface electromyography from eight muscles (biceps, triceps, deltoid, trapezius, flexor carpi ulnaris, extensor digitorum, thenar compartment, and erector spinae). Mental workload assessment was conducted using the NASA-TLX. The cumulative muscular workload (CMW) from the biceps and the flexor carpi ulnaris with robotic surgery was significantly lower than with laparoscopy (p  0.05). Robotic surgery experts and novices had significantly higher performance scores with robotic surgery than with laparoscopy (p cognitive ergonomics with robotic surgery were significantly less challenging. Additionally, several ergonomic components were skill-related. Robotic experts could benefit the most from the ergonomic advantages in robotic surgery. These results emphasize the need for well-structured training and well-defined ergonomics guidelines to maximize the benefits utilizing the robotic surgery.

  18. Access to the parapharyngeal space: an anatomical study comparing the endoscopic and open approaches.

    Science.gov (United States)

    Van Rompaey, Jason; Suruliraj, Anand; Carrau, Ricardo; Panizza, Benedict; Solares, C Arturo

    2013-10-01

    A subtemporal preauricular approach to the infratemporal fossa and parapharyngeal space has been the traditional path to tumors of this region. The morbidity associated with this procedure has lead to the pursuit of less invasive techniques. Endoscopic access using a minimally invasive transmaxillary/transpterygoid approach potentially may obviate the drawbacks associated with open surgery. The anatomy of the parapharyngeal space is complex and critical; therefore, a comparison of the anatomy exposed by these different approaches could aid in the decision making toward a minimally invasive surgical corridor. Technical Note. The parapharyngeal space was accessed endonasally by removal of the medial and posterior walls of the maxillary sinus. To allow better visualization and increased triangulation of a bimanual dissection technique, a sublabial canine fossa antrostomy was created. The medial and lateral pterygoid plates were removed. Further lateral dissection exposed the relevant anatomy of the parapharyngeal space. A subtemporal preauricular infratemporal approach was also completed. The endoscopic approach provided sufficient access to the superior portion of the parapharyngeal space. The open approach also provided adequate access; however, it required a larger surgical window, causing greater injury. A significant advantage of the subtemporal approach is the improved access to the petrous portion of the internal carotid artery. Conversely, the endonasal approach provided improved access to the anterior and medial portions of the superior parapharyngeal space. Endoscopic endonasal access utilizing a transmaxillary/transpterygoid approach provides a sufficient surgical window for tumor extirpation. Utilization of this approach obviates some of the morbidity associated with an open procedure. 5. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  19. Endoscopic-Laparoscopic Cholecystolithotomy in Treatment of Cholecystolithiasis Compared With Traditional Laparoscopic Cholecystectomy

    OpenAIRE

    Zhang, Yang; Peng, Jian; Li, Xiaoli; Liao, Mingmei

    2016-01-01

    The study aimed to compare the application values of endoscopic-laparoscopic cholecystolithotomy (ELC) and laparoscopic cholecystectomy (LC) for patients with cholecystolithiasis. It did a retrospective analysis of 107 patients with cholecystolithiasis who underwent ELC and 144 patients with cholecystolithiasis who underwent LC. There is no significant difference in operating time and expenses when comparing ELC with LC (P>0.05). ELC showed significantly less blood loss during operation compa...

  20. Comparing the Experience of Mature-Aged and Traditional Medical Students in the Clinical Setting: A Qualitative Approach

    OpenAIRE

    Jurjus, RA; Butera, G; ABDELNABI, M; Krapf, JM

    2017-01-01

    Background: Although the mean age of first year medical students is 24, an increasing number of “mature-aged” students, defined as over age 30, are entering medical school in the United States. Few studies have employed qualitative methodology to determine the experience of mature-aged medical students, especially in the clinical setting. Purpose: The purpose of this study was to employ a qualitative design to compare the experience of mature-aged and traditional medical students on clinic...

  1. Massive Open Online Courses (MOOCs: A Comparative Analysis of the Main Platforms

    Directory of Open Access Journals (Sweden)

    Lidia Mihaela FUNIERU

    2016-01-01

    Full Text Available Massive open online courses have been recently introduced as a modern learning method mainly due to the great progress made in the fields of Information Technology and, moreover, the ever increasing number of technologies supported by the Internet. The rapidly growing diversity of MOOC providers and the popularity of this fast emerging learning option influenced this analysis to compare the main characteristics of the most popular MOOC platforms at this time, Coursera and edX. The platforms have been compared from both a technical and a user perspective and each detailed feature was graded based on its strengths and weaknesses.

  2. Endoscopic component separation for ventral hernia causes fewer wound complications compared to open components separation

    DEFF Research Database (Denmark)

    Jensen, Kristian K; Henriksen, Nadia A; Jorgensen, Lars N

    2014-01-01

    BACKGROUND: Open component separation (OCS) for tension-free approximation of fascial borders is increasingly used for repair of large midline ventral hernias. Recent studies suggested lower complication rates following a modified version of this technique with an endoscopic approach (ECS). The aim...... of this meta-analysis was to compare the outcomes after ECS and OCS. METHODS: A literature search was performed in PubMed and Embase in order to identify studies comparing ECS and OCS as a supplementary procedure for surgical repair of ventral hernia. The included studies were independently assessed using...

  3. Comparative Analysis of Music Recordings from Western and Non-Western traditions by Automatic Tonal Feature Extraction

    Directory of Open Access Journals (Sweden)

    Emilia Gómez

    2008-09-01

    Full Text Available The automatic analysis of large musical corpora by means of computational models overcomes some limitations of manual analysis, and the unavailability of scores for most existing music makes necessary to work with audio recordings. Until now, research on this area has focused on music from the Western tradition. Nevertheless, we might ask if the available methods are suitable when analyzing music from other cultures. We present an empirical approach to the comparative analysis of audio recordings, focusing on tonal features and data mining techniques. Tonal features are related to the pitch class distribution, pitch range and employed scale, gamut and tuning system. We provide our initial but promising results obtained when trying to automatically distinguish music from Western and non- Western traditions; we analyze which descriptors are most relevant and study their distribution over 1500 pieces from different traditions and styles. As a result, some feature distributions differ for Western and non-Western music, and the obtained classification accuracy is higher than 80% for different classification algorithms and an independent test set. These results show that automatic description of audio signals together with data mining techniques provide means to characterize huge music collections from different traditions and complement musicological manual analyses.

  4. Comparing Two Forms of Dynamic Assessment and Traditional Assessment of Preschool Phonological Awareness

    Science.gov (United States)

    Kantor, Patricia Thatcher; Wagner, Richard K.; Torgesen, Joseph K.; Rashotte, Carol A.

    2011-01-01

    The goal of the current study was to compare two forms of dynamic assessment and standard assessment of preschool children's phonological awareness. The first form of dynamic assessment was a form of scaffolding in which item formats were modified in response to an error so as to make the task easier or more explicit. The second form of dynamic…

  5. Rethinking Critical Mathematics: A Comparative Analysis of Critical, Reform, and Traditional Geometry Instructional Texts

    Science.gov (United States)

    Brantlinger, Andrew

    2011-01-01

    This paper presents findings from a comparative analysis of three similar secondary geometry texts, one critical unit, one standards-based reform unit, and one specialist chapter. I developed the critical unit as I took the tenets of critical mathematics (CM) and substantiated them in printed curricular materials in which to teach as part of a…

  6. Higher sensitivity of capillary electrophoresis in detecting hemoglobin A2'compared to traditional gel electrophoresis.

    Science.gov (United States)

    Oleske, Deanna Alicia; Huang, Richard Sheng Poe; Dasgupta, Amitava; Nguyen, Andy; Wahed, Amer

    2014-01-01

    HbA2' (also called Hb B2) is the most common delta-globin chain defect and is reported to occur in 1-2% of the African American population. The major clinical significance of HbA2' is that the failure to detect it might lead to an underestimation of the total HbA2, leading to failure to diagnose β-thalassemia minor. In order to diagnose β-thalassemia minor, both HbA2 and HbA2' levels must be combined.Hb A2' accounts for a small percentage (1-2%) of the total hemoglobin in heterozygotes. It is difficult to detect this small amount by traditional gel electrophoresis. Using HPLC Hb A2' is easily detected as it produces a minor peak in the S window. Other conditions which might interfere with detection of HbA2' by HPLC include Hb S trait or Hb SS disease (Hb A2' hidden in the S peak), transfused Hb SS (Hb S peak may be very small), Hb C trait or Hb CC disease (glycosylated Hb C elutes in the S window), and Hb G (Hb G2 elutes in the S window). All of the above conditions, including Hb A2', occur most commonly in the same ethnic group (African American). We reviewed 654 consecutive cases over a period of three months for the presence of Hb A2' in our laboratory where capillary electrophoresis is used as the primary diagnostic tool. We detected seven cases (1.07 %) of HbA2'. In contrast, we did not detect any HbA2' using conventional gel electrophoresis in the last one year (2,580 cases). Although in none of the seven cases the sum of Hb A2 and Hb A2' exceeded 3.5%, we believe that capillary electrophoresis allows for a better detection of Hb A2' than gel electrophoresis and HPLC. © 2014 by the Association of Clinical Scientists, Inc.

  7. Comparative Study on Acoustic Behavior Between Light Multi-layered and Traditional Façades

    Directory of Open Access Journals (Sweden)

    Ruiz, L.

    2012-09-01

    Full Text Available Light multi-layered facade systems in general have been acoustically little studied. The data available suggests they do not usually fulfil the sound insulation values required in the Technical Building Code (CTE in particularly in noisy environments. Therefore the main objectives of this study, is to obtain light multi-layered façade systems with a high degree of acoustic insulation that can be used in noisy environments. While in turn showing excellent thermal characteristics, without neglecting important aspects such as the sustainability of materials, industrialization, costs, among others. This article will explain the process that has been followed to carry out an investigation on the acoustic behaviour of light multi-layered facades. For this purpose acoustic behaviour and sound intensimetry measurement methods have been used. After obtaining these results, a comparison between light multi-layered and traditional facades was made.Los sistemas de fachadas multicapas ligeras acústicamente, en general han sido poco estudiados. Los primeros datos que se tienen es que no suelen alcanzar los valores de aislamiento acústico requeridos en el Código Técnico de la Edificación (CTE en entornos especialmente ruidosos. Los objetivos principales de esta investigación son obtener fachadas multicapas ligeras con un alto grado de aislamiento acústico, que puedan ser empleados en entornos ruidosos. Al mismo tiempo que presenten excelentes características térmicas, sin descuidar aspectos tan importantes como la sostenibilidad, industrialización, costes, etc. En este artículo se explicará el proceso que se ha llevado a cabo para realizar una investigación relacionada con el comportamiento acústico de fachadas multicapas ligeras. Para ello se han empleado los métodos de medida del comportamiento acústico a ruido aéreo e intensimetría sonora. Una vez obtenidos estos resultados se realiza una comparativa entre las fachadas multicapas ligeras

  8. Comparative study of laparoscopic vs open gastrectomy in gastric cancer management

    Institute of Scientific and Technical Information of China (English)

    Giuseppe S Sica; Edoardo Iaculli; Livia Biancone; Sara Di Carlo; Rosa Scaramuzzo; Cristina Fiorani; Paolo Gentileschi; Achille L Gaspari

    2011-01-01

    AIM: To compare long-term results of gastric cancer patients undergoing laparoscopic and open gastrectomy in a single unit.METHODS: From February 2000 to September 2004, all patients with adenocarcinoma of the stomach were assessed to entry in this longitudinal prospective non-randomized trial. Primary endpoint was cancer-related survival and secondary endpoints were overall survival, evaluation of surgical complications and mortality.RESULTS: Fifty-eight patients were enrolled. Forty-seven patients were followed-up (range 11-103, median 38 mo). Four patients were lost at follow up. Twenty-two patients underwent a laparoscopic gastric surgery (LGS) and 25 had a standard open procedure (OGS). No statistical difference was found between the two groups in terms of 5 years cancer-related mortality rate (50% vs 52%, P = 1), and 5 years overall mortality rate (54.5% vs 56%, P = 1). Accordingly, cancer-related and overall survival probability by Kaplan-Meier method showed comparable results (P = 0.81 and P = 0.83, respectively). We found no differences in surgical complications in the 2 groups. There was no conversion to open surgery in this series.CONCLUSION: LGS is as effective as OGS in the management of advanced gastric cancer. However LGS cannot be recommended routinely over OGS for the treatment of advanced gastric cancer.

  9. Human capital gains associated with robotic assisted laparoscopic pyeloplasty in children compared to open pyeloplasty.

    Science.gov (United States)

    Behan, James W; Kim, Steve S; Dorey, Frederick; De Filippo, Roger E; Chang, Andy Y; Hardy, Brian E; Koh, Chester J

    2011-10-01

    Robotic assisted laparoscopic pyeloplasty is an emerging, minimally invasive alternative to open pyeloplasty in children for ureteropelvic junction obstruction. The procedure is associated with smaller incisions and shorter hospital stays. To our knowledge previous outcome analyses have not included human capital calculations, especially regarding loss of parental workdays. We compared perioperative factors in patients who underwent robotic assisted laparoscopic and open pyeloplasty at a single institution, especially in regard to human capital changes, in an institutional cost analysis. A total of 44 patients 2 years old or older from a single institution underwent robotic assisted (37) or open (7) pyeloplasty from 2008 to 2010. We retrospectively reviewed the charts to collect demographic and perioperative data. The human capital approach was used to calculate parental productivity losses. Patients who underwent robotic assisted laparoscopic pyeloplasty had a significantly shorter average hospital length of stay (1.6 vs 2.8 days, p human capital gains, eg decreased lost parental wages, and lower hospitalization expenses. Future comparative outcome analyses in children should include financial factors such as human capital loss, which can be especially important for families with young children. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  10. Comparative study of laparoscopic vs open gastrectomy in gastric cancer management

    Science.gov (United States)

    Sica, Giuseppe S; Iaculli, Edoardo; Biancone, Livia; Carlo, Sara Di; Scaramuzzo, Rosa; Fiorani, Cristina; Gentileschi, Paolo; Gaspari, Achille L

    2011-01-01

    AIM: To compare long-term results of gastric cancer patients undergoing laparoscopic and open gastrectomy in a single unit. METHODS: From February 2000 to September 2004, all patients with adenocarcinoma of the stomach were assessed to entry in this longitudinal prospective non-randomized trial. Primary endpoint was cancer-related survival and secondary endpoints were overall survival, evaluation of surgical complications and mortality. RESULTS: Fifty-eight patients were enrolled. Forty-seven patients were followed-up (range 11-103, median 38 mo). Four patients were lost at follow up. Twenty-two patients underwent a laparoscopic gastric surgery (LGS) and 25 had a standard open procedure (OGS). No statistical difference was found between the two groups in terms of 5 years cancer-related mortality rate (50% vs 52%, P = 1), and 5 years overall mortality rate (54.5% vs 56%, P = 1). Accordingly, cancer-related and overall survival probability by Kaplan-Meier method showed comparable results (P = 0.81 and P = 0.83, respectively). We found no differences in surgical complications in the 2 groups. There was no conversion to open surgery in this series. CONCLUSION: LGS is as effective as OGS in the management of advanced gastric cancer. However LGS cannot be recommended routinely over OGS for the treatment of advanced gastric cancer. PMID:22147966

  11. Functional outcomes after open versus arthroscopic Latarjet procedure: A prospective comparative study.

    Science.gov (United States)

    Nourissat, G; Neyton, L; Metais, P; Clavert, P; Villain, B; Haeni, D; Walch, G; Lafosse, L

    2016-12-01

    The Latarjet procedure provides effective stabilization of chronically unstable shoulders. Since this procedure is mainly performed in a young athletic population, the functional impact is significant. Published data does not shed light on the time needed to recover work-related or sports-related function. Performing this procedure arthroscopically may improve functional recovery. This led us to carry out a prospective, multicenter study to compare the functional recovery after arthroscopic versus open Latarjet procedure. Between June and November 2014, 184 patients were included in a prospective multicenter study: 85 in the open group and 99 in the arthroscopy group. The patients were evaluated preoperatively with the WOSI score. The early postoperative pain was evaluated on D3, D7 and D30. The WOSI score was determined postoperatively at 1, 3, 6 and 12 months of follow-up. The functional scores of the shoulder in both cohorts were identical overall preoperatively. In the immediate postoperative period, the arthroscopy group had statistically lower pain levels on D3 and D7. The postoperative WOSI was improved in both groups at 3 months, then continued to improve until it reached a plateau at 1 year. The WOSI score was better in the arthroscopy group at 3 months, but better in the open group at 6 months. This study found that a Latarjet procedure performed arthroscopically generates less immediately postoperative pain than when it is performed as an open procedure. The Latarjet procedure (whether open or arthroscopic) improves shoulder function, with normal function returning after 1 year. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  12. Relations and effects of transformational leadership: a comparative analysis with traditional leadership styles.

    Science.gov (United States)

    Molero, Fernando; Cuadrado, Isabel; Navas, Marisol; Morales, J Francisco

    2007-11-01

    This study has two main goals: (a) to compare the relationship between transformational leadership and other important leadership styles (i.e., democratic versus autocratic or relations- and task-oriented leadership) and (b) to compare the effects of transformational leadership and the other styles on some important organizational outcomes such as employees' satisfaction and performance. For this purpose, a sample of 147 participants, working in 35 various work-teams, was used. Results show high correlations between transformational leadership, relations-oriented, democratic, and task-oriented leadership. On the other hand, according to the literature, transformational leadership, especially high levels, significantly increases the percentage of variance accounted for by other leadership styles in relevant organizational outcome variables (subordinates' performance, satisfaction and extra effort).

  13. Comparative quantification of Campylobacter jejuni from environmental samples using traditional and molecular biological techniques.

    Science.gov (United States)

    Rothrock, Michael J; Cook, Kimberly L; Bolster, Carl H

    2009-06-01

    Campylobacter jejuni is one of the most common causes of gastroenteritis in the world. Given the potential risks to human, animal, and environmental health, the development and optimization of methods to quantify this important pathogen in environmental samples is essential. Two of the most commonly used methods for quantifying C. jejuni are selective plate counting and quantitative real-time PCR (qPCR). Unfortunately, little comparative research has been performed to evaluate the accuracy of these methods for quantification of C. jejuni in aqueous and solid matricies. In this study, the limit of detection and the level of resolution obtained using these 2 methods was evaluated for C. jejuni and compared with that of the common indicator organism Escherichia coli. The use of selective plate count media for quantification of C. jejuni resulted in a 0.7-1.2 log underestimation of cell concentrations, compared with qPCR in both water and column leachate samples, whereas E. coli concentrations were found to be similar with either technique. For C. jejuni, only the qPCR assay accurately measured 2-fold changes in cell concentrations in water samples, whereas concentrations of E. coli were accurately measured regardless of method. Based on these data, qPCR assays were found to be more accurate than selective plate counts for quantification of C. jejuni from environmental samples.

  14. Outcomes of shipped live donor kidney transplants compared with traditional living donor kidney transplants.

    Science.gov (United States)

    Treat, Eric G; Miller, Eric T; Kwan, Lorna; Connor, Sarah E; Maliski, Sally L; Hicks, Elisabeth M; Williams, Kristen C; Whitted, Lauren A; Gritsch, Hans A; McGuire, Suzanne M; Mone, Thomas D; Veale, Jeffrey L

    2014-11-01

    The disparity between kidney transplant candidates and donors necessitates innovations to increase organ availability. Transporting kidneys allows for living donors and recipients to undergo surgery with a familiar transplant team, city, friends, and family. The effect of shipping kidneys and prolonged cold ischemia time (CIT) with living donor transplantation outcomes is not clearly known. This retrospective matched (age, gender, race, and year of procedure) cohort study compared allograft outcomes for shipped live donor kidney transplants and nonshipped living donor kidney transplants. Fifty-seven shipped live donor kidneys were transplanted from 31 institutions in 26 cities. The mean shipping distance was 1634 miles (range 123-2811) with mean CIT of 12.1 ± 2.8 h. The incidence of delayed graft function in the shipped cohort was 1.8% (1/57) compared to 0% (0/57) in the nonshipped cohort. The 1-year allograft survival was 98% in both cohorts. There were no significant differences between the mean serum creatinine values or the rates of serum creatinine decline in the immediate postoperative period even after adjusted for gender and differences in recipient and donor BMI. Despite prolonged CITs, outcomes for shipped live donor kidney transplants were similar when compared to matched nonshipped living donor kidney transplants.

  15. Systematic Review to Compare Serious Game and Traditional Learning to Engage Children doClean and Healthy Lifestyle

    Directory of Open Access Journals (Sweden)

    Sri Wulan Purwaningrum

    2017-04-01

    Full Text Available Life style plays an important role in bio-psychological health. There is an interlock relationship between health problems and life style. In other words, life style is one of the most important influential factors on individual‟s health and illness. In Indonesia, regulated about lifestyle has been regulated by The Minister of National Development Planning (MNDP. From MNDP‟s report we know that nowadays children not live clean and healthy lifestyle correctly. Our aim in this article is to compare traditional learning and serious game to engage children do clean and healthy lifestyle. Our serious game is concern to help children get visualization about hand washing habit; how important to consume vegetable and fruit; drink adequate quantities of water that are free from contaminants. Our game was name “My Lifestyle” and bring on serious game concept. In an anonymous survey 33 students from the first year and 35 students from the second year of DukuhKupang Elementary School in Indonesia were involved. They were counterbalanced and randomly assigned to one of two conditions:a Children at the experimental group who played My Lifestyle game first and then the traditional learning method; b Children at the traditional learning group who listen explanation about healthy lifestyle first and then played My Lifestyle game. The results show that there is a significant difference between the two groups in learning the concepts of addition and subtraction ( < 0.05, and the experimental group has a higher mean score than the traditional learninggroup. Moreover, the results indicate that there a significant difference between the two groups in retention of the concepts of addition and subtraction ( < 0.05, with the experimental group scoring higher than the traditional learninggroup.

  16. Comparing Cell Phone-Based and Traditional Lecture-Based Teaching Methods' Effects on Agricultural Students' Learning

    Directory of Open Access Journals (Sweden)

    Abdolhamid Papzan

    2010-10-01

    Full Text Available Regarding the increased speed of creating new knowledge and the development of communication technologies, like cell phone, which makes it possible the access to various unlimited resources and data in an unlimited time and place, and regarding many positive aspects of applying it in schools and the necessity of adjusting with changes and the correct use of this new technology, the present research was conducted to examine the effect of teaching via cell phone on students learning in Khooshehaye Zarin agricultural school in Rawansar, Kermanshah province, and comparing it with traditional lecture method. In a semi-experimental research method, 30 male students were selected through random sampling method as the research sample, divided into two paired groups, 15 for experimental group and 15 for control group, based on age, educational status, previous grade point average and family economical status. Data collection tool was a 10 item test based on behavioral objectives. The experimental group was taught in two sessions of two hours through cell phone, and the control group was taught the same topic through traditional lecture method in exactly the same amount of time. Post–test was performed on two groups through the above-mentioned 10 item test and the results were analyzed through t test method. The results showed that teaching via cell phone has more effects on students learning compared with traditional lecture method.

  17. Comparative analysis of open and robotic transversus abdominis release for ventral hernia repair.

    Science.gov (United States)

    Bittner, James G; Alrefai, Sameer; Vy, Michelle; Mabe, Micah; Del Prado, Paul A R; Clingempeel, Natasha L

    2017-07-20

    Transversus abdominis release (TAR) is a safe, effective strategy to repair complex ventral incisional hernia (VIH); however, open TAR (o-TAR) often necessitates prolonged hospitalization. Robot-assisted TAR (r-TAR) may benefit short-term outcomes and shorten convalescence. This study compares 90-day outcomes of o-TAR and r-TAR for VIH repair. A single-center, retrospective review of patients who underwent o-TAR or r-TAR for VIH from 2015 to 2016 was conducted. Patient and hernia characteristics, operative data, and 90-day outcomes were compared. The primary outcome was hospital length of stay, and secondary metrics were morbidity, surgical site events, and readmission. Overall, 102 patients were identified (76 o-TAR and 26 r-TAR). Patients were comparable regarding age, gender, body mass index, and the presence of co-morbidities. Diabetes was more common in the open group (22.3 vs. 0%, P = 0.01). Most VIH defects were midline (89.5 vs. 83%, P = 0.47) and recurrent (52.6 vs. 58.3%, P = 0.65). Hernia characteristics were similar regarding mean defect size (260 ± 209 vs. 235 ± 107 cm(2), P = 0.55), mesh removal, and type/size mesh implanted. Average operative time was longer in the r-TAR cohort (287 ± 121 vs. 365 ± 78 min, P VIH offers the short-term benefits of low morbidity and decreased hospital length of stay compared to open TAR.

  18. Comparative Effectiveness of Cancer Control and Survival after Robot-Assisted versus Open Radical Prostatectomy.

    Science.gov (United States)

    Hu, Jim C; O'Malley, Padraic; Chughtai, Bilal; Isaacs, Abby; Mao, Jialin; Wright, Jason D; Hershman, Dawn; Sedrakyan, Art

    2017-01-01

    Robot-assisted surgery has been rapidly adopted in the U.S. for prostate cancer. Its adoption has been driven by market forces and patient preference, and debate continues regarding whether it offers improved outcomes to justify the higher cost relative to open surgery. We examined the comparative effectiveness of robot-assisted vs open radical prostatectomy in cancer control and survival in a nationally representative population. This population based observational cohort study of patients with prostate cancer undergoing robot-assisted radical prostatectomy and open radical prostatectomy during 2003 to 2012 used data captured in the SEER (Surveillance, Epidemiology, and End Results)-Medicare linked database. Propensity score matching and time to event analysis were used to compare all cause mortality, prostate cancer specific mortality and use of additional treatment after surgery. A total of 6,430 robot-assisted radical prostatectomies and 9,161 open radical prostatectomies performed during 2003 to 2012 were identified. The use of robot-assisted radical prostatectomy increased from 13.6% in 2003 to 2004 to 72.6% in 2011 to 2012. After a median followup of 6.5 years (IQR 5.2-7.9) robot-assisted radical prostatectomy was associated with an equivalent risk of all cause mortality (HR 0.85, 0.72-1.01) and similar cancer specific mortality (HR 0.85, 0.50-1.43) vs open radical prostatectomy. Robot-assisted radical prostatectomy was also associated with less use of additional treatment (HR 0.78, 0.70-0.86). Robot-assisted radical prostatectomy has comparable intermediate cancer control as evidenced by less use of additional postoperative cancer therapies and equivalent cancer specific and overall survival. Longer term followup is needed to assess for differences in prostate cancer specific survival, which was similar during intermediate followup. Our findings have significant quality and cost implications, and provide reassurance regarding the adoption of more

  19. Students' Perceptions of Teaching in Context-based and Traditional Chemistry Classrooms: Comparing content, learning activities, and interpersonal perspectives

    Science.gov (United States)

    Overman, Michelle; Vermunt, Jan D.; Meijer, Paulien C.; Bulte, Astrid M. W.; Brekelmans, Mieke

    2014-07-01

    Context-based curriculum reforms in chemistry education are thought to bring greater diversity to the ways in which chemistry teachers organize their teaching. First and foremost, students are expected to perceive this diversity. However, empirical research on how students perceive their teacher's teaching in context-based chemistry classrooms, and whether this teaching differs from traditional chemistry lessons, is scarce. This study aims to develop our understanding of what teaching looks like, according to students, in context-based chemistry classrooms compared with traditional chemistry classrooms. As such, it might also provide a better understanding of whether teachers implement and attain the intentions of curriculum developers. To study teacher behaviour we used three theoretical perspectives deemed to be important for student learning: a content perspective, a learning activities perspective, and an interpersonal perspective. Data were collected from 480 students in 24 secondary chemistry classes in the Netherlands. Our findings suggest that, according to the students, the changes in teaching in context-based chemistry classrooms imply a lessening of the emphasis on fundamental chemistry and the use of a teacher-centred approach, compared with traditional chemistry classrooms. However, teachers in context-based chemistry classrooms seem not to display more 'context-based' teaching behaviour, such as emphasizing the relation between chemistry, technology, and society and using a student-centred approach. Furthermore, students in context-based chemistry classrooms perceive their teachers as having less interpersonal control and showing less affiliation than teachers in traditional chemistry classrooms. Our findings should be interpreted in the context of former and daily experiences of both teachers and students. As only chemistry is reformed in the schools in which context-based chemistry is implemented, it is challenging for both students and teachers to

  20. ISS mapped from ICD-9-CM by a novel freeware versus traditional coding: a comparative study.

    Science.gov (United States)

    Di Bartolomeo, Stefano; Tillati, Silvia; Valent, Francesca; Zanier, Loris; Barbone, Fabio

    2010-03-31

    Injury severity measures are based either on the Abbreviated Injury Scale (AIS) or the International Classification of diseases (ICD). The latter is more convenient because routinely collected by clinicians for administrative reasons. To exploit this advantage, a proprietary program that maps ICD-9-CM into AIS codes has been used for many years. Recently, a program called ICDPIC trauma and developed in the USA has become available free of charge for registered STATA users. We compared the ICDPIC calculated Injury Severity Score (ISS) with the one from direct, prospective AIS coding by expert trauma registrars (dAIS). The administrative records of the 289 major trauma cases admitted to the hospital of Udine-Italy from 1 July 2004 to 30 June 2005 and enrolled in the Italian Trauma Registry were retrieved and ICDPIC-ISS was calculated. The agreement between ICDPIC-ISS and dAIS-ISS was assessed by Cohen's Kappa and Bland-Altman charts. We then plotted the differences between the 2 scores against the ratio between the number of traumatic ICD-9-CM codes and the number of dAIS codes for each patient (DIARATIO). We also compared the absolute differences in ISS among 3 groups identified by DIARATIO. The discriminative power for survival of both scores was finally calculated by ROC curves. The scores matched in 33/272 patients (12.1%, k 0.07) and, when categorized, in 80/272 (22.4%, k 0.09). The Bland-Altman average difference was 6.36 (limits: minus 22.0 to plus 34.7). ICDPIC-ISS of 75 was particularly unreliable. The differences increased (p ISS was lower (0.63 vs. 0.76, p = 0.02). Despite its great potential convenience, ICPIC-ISS agreed poorly with its conventionally calculated counterpart. Its discriminative power for survival was also significantly lower. Incomplete ICD-9-CM coding was a main cause of these findings. Because this quality of coding is standard in Italy and probably in other European countries, its effects on the performances of other trauma scores based

  1. Characterization of kink actuators as compared to traditional chevron shaped Bent-Beam electrothermal actuators

    KAUST Repository

    Rawashdeh, E.

    2012-07-06

    This paper compares the design and performance of kink actuators, a modified version of the bent-beam thermal actuator, to the standard chevron-shaped designs. A variety of kink and chevron actuator designs were fabricated from polysilicon. While the actuators were electrically probed, these designs were tested using a probe station connected to a National Instruments (NI) controller that uses LabVIEW to extract the displacement results via image processing. The displacement results were then used to validate the thermal-electric-structural simulations produced by COMSOL. These results, in turn, were used to extract the stiffness for both actuator types. The data extracted show that chevron actuators can have larger stiffness values with increasing offsets, but at the cost of lower amplification factors. In contrast, kink actuators showed a constant stiffness value equivalent to the chevron actuator with the highest amplification factor. The kink actuator also had larger amplification factors than chevrons at all designs tested. Therefore, kink actuators are capable of longer throws at lower power levels than the standard chevron designs.

  2. A comparative study of linear measurements of facial skeleton using computed tomography and traditional cephalometry

    Directory of Open Access Journals (Sweden)

    Naveen Rayapudi

    2013-01-01

    Full Text Available Background: Radiographic imaging is an important adjunct in the assessment of skeletal and dental relationships for the orthodontic patient. Imaging is one of the most ubiquitous tools used by orthodontists to measure and record the size and form of craniofacial structures. Materials and Methods: The objectives of the study were to compare the measurements from human skulls and their images from cephalometric radiographs and computed tomography (CT scanograms in order to gauge the potential use of CT in routine clinical practice. Based on the specific criteria including stable occlusion and condyles fitting stably in glenoid fossa, 15 dry human skulls were selected. Lateral, posteroanterior cephalograms, and CT scout views were taken of each skull by standardized methods. Linear measurements were made on all three records. Intraclass correlation coefficients, Pearson′s correlation coefficient and regression constant were calculated to assess the records. Results: The linear measurements of the cephalometric record are greater than CT measurements on scout images. In vertical plane, the CT projections are more coinciding with the direct skull measurements. In sagittal and transverse planes, the cephalometric measurements were more correlating with the direct skull measurements. Conclusions: The cephalograms and CT scanograms differed in accuracy of linear measurements, because of variation in the location and size of an object, within the imaged 3D structure of both records.

  3. Comparing the LibraryThing, OCLC, and Open Library ISBN APIs

    Directory of Open Access Journals (Sweden)

    David Fiander

    2013-07-01

    Full Text Available LibraryThing, OCLC, and the Open Library project all provide ISBN services that take an ISBN and return information about related works for that ISBN. This article compares the license terms, quality of the data returned, documentation available, and details of the APIs for the three products. The article focuses on ease of use for developers, restrictions on types of use (and assumptions about types of use built into the license or terms of use, and cost of the services.

  4. Comparative Study on Innovation Incentives for Commercial Open Source Software under Different Licenses

    Directory of Open Access Journals (Sweden)

    Mingqing Xing

    2013-02-01

    Full Text Available This study compares technological innovation incentives for commercial open source software under two typical licenses (the GNU General Public License and the Berkeley Software Distribution License, i.e., GPL and BSD. In the case of private optimum, the incentive towards software features (resp. usability innovation is always higher (resp. lower under BSD than under GPL. Contrast to the private optimum, the social planner expects more investment in software feature under both BSD and GPL, but less (resp. equivalent investment in software usability under BSD (resp. GPL.

  5. PROSPECTIVE AND COMPARATIVE STUDY ON FUNCTIONAL OUTCOMES AFTER OPEN AND ARTHROSCOPIC REPAIR OF ROTATOR CUFF TEARS

    Science.gov (United States)

    de Castro Veado, Marco Antônio; Castilho, Rodrigo Simões; Maia, Philipe Eduardo Carvalho; Rodrigues, Alessandro Ulhôa

    2015-01-01

    Objective: To prospectively assess the surgical results from patients undergoing repairs to rotator cuff injuries via open and arthroscopic procedures, with regard to functional and clinical features, and by means of ultrasound examinations, and to compare occurrences of renewed tearing. Methods: Sixty patients underwent operations performed by the same surgeon (29 via open surgery and 31 via arthroscopy), to repair complete rotator cuff tears. The procedures were performed at Hospital Governor Israel Pinheiro (HGIP) and Mater Dei Hospital in Belo Horizonte, Minas Gerais, between August 2007 and February 2009. The patients were assessed functionally by means of the UCLA score before and after the operation, and magnetic resonance imaging was done before the operation. All the patients were reassessed at least 12 months after the operation, and an ultrasound examination was also performed at this time. Results: Out of the 29 patients who underwent open surgery, 27 (93.1%) presented good or excellent results, with a mean UCLA score of 32 after the operation. Their mean follow-up was 14 months. Three patients presented renewed tearing on ultrasound, of whom one remained asymptomatic. Out of the 31 patients who underwent arthroscopic procedures, 29 (93.5%) presented good or excellent results, with a mean UCLA score of 33 after the operation. Their mean follow-up was 19 months. Two patients presented renewed tearing, of whom one remained asymptomatic and one evolved with loosening of an anchor, with an unsatisfactory result. Conclusion: The repairs on rotator cuff injuries presented good results by means of both open surgery and arthroscopy, with similar functional results in the two groups and similar rates of renewed tearing. PMID:27027052

  6. Comparative efficacy of three suction traps for collecting phlebotomine sand flies (Diptera: Psychodidae) in open habitats.

    Science.gov (United States)

    Faiman, Roy; Cuño, Ruben; Warburg, Alon

    2009-06-01

    The efficacy of three suction traps for trapping phlebotomine sand flies (Diptera: Psychodidae) was compared. Traps were baited with Co(2) and used without any light source. CO(2)-baited CDC traps were evaluated either in their standard downdraft orientation or inverted (iCDC traps). Mosquito Magnet-X (MMX) counterflow geometry traps were tested in the updraft orientation only. Both updraft traps (iCDC and MMX) were deployed with their opening ∼10 cm from the ground while the opening of the downdraft (CDC) trap was ∼40 cm above ground. Comparisons were conducted in two arid locations where different sand fly species prevail. In the Jordan Valley, 3,367 sand flies were caught, 2,370 of which were females. The predominant species was Phlebotomus (Phlebotomus) papatasi, Scopoli 1786 (>99%). The updraft-type traps iCDC and MMX caught an average of 118 and 67.1 sand flies per trap night, respectively. The CDC trap caught 32.9 sand flies on average per night, significantly less than the iCDC traps. In the Judean desert, traps were arranged in a 3 × 3 Latin square design. A total of 565 sand flies were caught, 345 of which were females. The predominant species was P. (Paraphlebotomus) sergenti Parrot 1917 (87%). The updraft traps iCDC and MMX caught an average of 25.6 and 17.9 sand flies per trap per night, respectively. The CDC trap caught 7.8 sand flies on average per night, significantly less than the iCDC traps. The female to male ratio was 1.7 on average for all trap types. In conclusion, updraft traps deployed with their opening close to the ground are clearly more effective for trapping sand flies than downdraft CDC traps in open habitats.

  7. Comparing the Efficacy of Reform-Based and Traditional/Verification Curricula to Support Student Learning about Space Science

    Science.gov (United States)

    Granger, E. M.; Bevis, T. H.; Saka, Y.; Southerland, S. A.

    2010-08-01

    This research explores the relationship between reform-based curriculum and the development of students' knowledge of and attitudes toward space science. Using a randomized cluster design, the effectiveness of Great Exploration in Math and Science (GEMS) Space Science Curriculum Sequence was compared with the effectiveness of more traditional curriculum in supporting 4th and 5th grade students' learning of and attitudes toward space science. GEMS employed an inductive approach to content (learning cycle), explicit use of evidence, and attention to scientific inquiry. The comparison group experienced traditional, verification means of teaching. Randomization occurred at the level of the teacher assignment to treatment group (not at the student level). Students in the classrooms in which GEMS was employed demonstrated a statistically significant increase in content knowledge and attitudes toward space science: Students in classrooms in which the traditional curriculum was employed did not show these increases. The GEMS effect on student achievement was greater for students in classrooms in which the teacher experienced a greater increase in content knowledge.

  8. Analysis Of Medicare Advantage HMOs compared with traditional Medicare shows lower use of many services during 2003-09.

    Science.gov (United States)

    Landon, Bruce E; Zaslavsky, Alan M; Saunders, Robert C; Pawlson, L Gregory; Newhouse, Joseph P; Ayanian, John Z

    2012-12-01

    Enrollment in Medicare Advantage, the managed care program for Medicare beneficiaries, has grown rapidly, from 4.6 million enrollees in 2003 to 12.8 million by 2012, or 27 percent of all current Medicare beneficiaries. We analyzed utilization patterns of enrollees in Medicare Advantage health maintenance organization (HMO) plans compared to matched samples of people in traditional Medicare during 2003-09, to ascertain whether the HMO enrollees demonstrated different levels of use of services, which can be a hallmark of more integrated care. We found that utilization rates in some major categories, including emergency departments and ambulatory surgery or procedures, generally were 20-30 percent lower in Medicare Advantage HMOs in all years. Medicare Advantage HMO enrollees initially had lower rates of ambulatory visits and hospitalizations, although these rates converged by 2008; they also received about 10 percent fewer hip or knee replacements. In contrast, HMO enrollees underwent more coronary bypass surgery than patients in traditional Medicare. These findings suggest that overall, Medicare Advantage HMO enrollees might use fewer services and be experiencing more appropriate use of services than enrollees in traditional Medicare.

  9. Comparative genomic analysis of Saccharomyces cerevisiae yeasts isolated from fermentations of traditional beverages unveils different adaptive strategies.

    Science.gov (United States)

    Ibáñez, Clara; Pérez-Torrado, Roberto; Chiva, Rosana; Guillamón, José Manuel; Barrio, Eladio; Querol, Amparo

    2014-02-03

    Saccharomyces cerevisiae strains are the main responsible of most traditional alcohol fermentation processes performed around the world. The characteristics of the diverse traditional fermentations are very different according to their sugar composition, temperature, pH or nitrogen sources. During the adaptation of yeasts to these new environments provided by human activity, their different compositions likely imposed selective pressures that shaped the S. cerevisiae genome. In the present work we performed a comparative genomic hybridization analysis to explore the genome constitution of six S. cerevisiae strains isolated from different traditional fermentations (masato, mescal, cachaça, sake, wine, and sherry wine) and one natural strain. Our results indicate that gene copy numbers (GCN) are very variable among strains, and most of them were observed in subtelomeric and intrachromosomal gene families involved in metabolic functions related to cellular homeostasis, cell-to-cell interactions, and transport of solutes such as ions, sugars and metals. In many cases, these genes are not essential but they can play an important role in the adaptation to new environmental conditions. However, the most interesting result is the association observed between GCN changes in genes involved in the nitrogen metabolism and the availability of nitrogen sources in the different traditional fermentation processes. This is clearly illustrated by the differences in copy numbers not only in gene PUT1, the main player in the assimilation of proline as a nitrogen source, but also in CAR2, involved in arginine catabolism. Strains isolated from fermentations where proline is more abundant contain a higher number of PUT1 copies and are more efficient in assimilating this amino acid as a nitrogen source. A strain isolated from sugarcane juice fermentations, in which arginine is a rare amino acid, contains less copies of CAR2 and showed low efficiency in arginine assimilation. These

  10. Free/Open source integrated library management systems: comparative analysis of Koha, PHPMyLibrary and OpenBiblio

    OpenAIRE

    Vimal Kumar, V.

    2005-01-01

    Integrated library management systems can cut costs and enhance the efficiency of library services and therefore are absolutely necessary for the management of house keeping operations. But small and medium- size libraries face a difficult situation due to the high cost of commercial library management systems, foreign or Indian, available in the market. Naturally libraries without much financial resources need a cost effective way to automate their services. Free/Open source software was ...

  11. Free/Open source integrated library management systems: comparative analysis of Koha, PHPMyLibrary and OpenBiblio

    OpenAIRE

    Vimal Kumar, V.

    2005-01-01

    Integrated library management systems can cut costs and enhance the efficiency of library services and therefore are absolutely necessary for the management of house keeping operations. But small and medium- size libraries face a difficult situation due to the high cost of commercial library management systems, foreign or Indian, available in the market. Naturally libraries without much financial resources need a cost effective way to automate their services. Free/Open source software was ...

  12. Dentoalveolar comparative study between removable and fixed cribs, associated to chincup, in anterior open bite treatment

    Directory of Open Access Journals (Sweden)

    Fernando César Torres

    2012-10-01

    Full Text Available OBJECTIVE: The aim of this prospective study was to compare the dentoalveolar effects produced by two types of palatal crib, removable (Rpc+C and fixed (Fpc+C, combined with chincup in growing patients with anterior open bite. MATERIAL AND METHODS: each group comprised 30 patients, in the mixed dentition phase, with similar cephalometric characteristics and skeletal ages. Group 1 (Rpc+C presented initial mean age of 8.3 years and mean anterior open bite of 4.0 mm. Group 2 (Fpc+C presented initial mean age of 8.54 years and mean anterior open bite of 4.3 mm. The evaluation period comprised 12 months between initial (T1 and second lateral radiograph (T2. The T2-T1 changes were compared cephalometrically in the 2 groups using the non-paired t-test. RESULTS: Vertical changes in the posterior dentoalveolar region were similar between the groups (about 1 mm and no significant differences were found in molar mesialization. The Fpc+C group had in average 1.6 mm more improvement of the overbite as a result of greater maxillary incisor extrusion (1.3 mm. Patients in this group also presented less lingual tipping of maxillary incisors and more mandibular incisors uprighting. CONCLUSIONS: The Fpc+C combination was more efficient in the correction of the negative overbite mainly due to greater extrusion of the maxillary incisors. However, the Rpc+C appliance promoted better upper and lower incisor inclination, resulting in a more adequate overjet.

  13. Cost-utility analysis comparing laparoscopic vs open aortobifemoral bypass surgery

    Directory of Open Access Journals (Sweden)

    Krog AH

    2017-06-01

    .001 in favor of laparoscopic aortobifemoral bypass. The total cost of surgery, equipment and hospital stay after laparoscopic surgery (9,953 € was less than open surgery (17,260 €, (p=0.001. Conclusion: Laparoscopic aortobifemoral bypass seems to be cost-effective compared with open surgery, due to an increase in QALYs and lower procedure-related costs. Keywords: laparoscopy, aortobifemoral bypass, cost-utility, quality-adjusted life years, QALYs, EQ-5D, health-related quality of life, HRQoL, cost-effectiveness

  14. Operative stress response and energy metabolism after laparoscopic cholecystectomy compared to open surgery

    Institute of Scientific and Technical Information of China (English)

    Kai Luo; Jie-Shou Li; Ling-Tang Li; Kei-Hui Wang; Jing-Mei Shun

    2003-01-01

    AIM: To determine the least invasive surgical procedure by comparing the levels of operative stress hormones, responsereactive protein (CRP) and rest energy expenditure (REE)after laparoscopic (LC) and open cholecystectomy (OC).METHODS: Twenty-six consecutive patients with noncomplicated gallstones were randomized for LC (14) and OC (12). Plasma concentrations of somatotropin, insulin, cortisol and CRP were measured. The levels of REE were determined.RESULTS: In the third postoperative day, the insulin levels were lower compared to that before operation (P<0.05).Tn the first postoperative day, the levels of somatotropin and cortisol were higher in OC than those in LC. After operation the parameters of somatotropin, CRP and cortisol increased, compared to those in the preoperative period in the all patients (P<0.05). In the all-postoperative days,the CRP level was higher in OC than that in LC (7.46±0.02;7.38±0.01, P<0.05). After operation the REE level all increased in OC and LC (P<0.05). In the all-postoperative days, the REE level was higher in OC than that in LC (1438.5±A18.5;1222.3±L80.8, P<0.05).CONCLUSION: LC results in less prominent stress response and smaller metabolic interference compared to open surgery. These advantages are beneficial to the restoration of stress hormones, the nitrogen balance, and the energy metabolism. However, LC can also induce acidemia and pulmonary hypoperfusion because of the penumoperitonium it uses during surgery.

  15. Do vertebral derotation techniques offer better outcomes compared to traditional methods in the surgical treatment of adolescent idiopathic scoliosis?

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    Rushton, Paul R P; Grevitt, Michael P

    2014-06-01

    In recent years, authors have described novel derotation techniques for surgery in adolescent idiopathic scoliosis. These methods include direct vertebral body derotation (DVD) and vertebral coplanar alignment (VCA). By improved derotation it is hoped that there is further reduction in rib hump prominence and corresponding improvement in patients' quality of life. This paper aims to evaluate studies reporting outcomes from DVD and VCA techniques to assess if these methods lead to superior radiographic vertebral derotation, rib hump correction on surface measurements or patient-reported outcomes compared to traditional derotation manoeuvres using similar instrumentation. Literature review. Fifteen reports were identified. Most comparative studies represent class three or four data. DVD and VCA techniques have been shown to reduce apical vertebral rotation by 37-63 %. Few studies compare DVD/VCA techniques with traditional methods. Most DVD/VCA reports with pedicle screw instrumentation have reported superior radiographic derotation on CT compared with conventional techniques. Despite this the majority of studies have found similar corrections of rib hump measurements between DVD/VCA techniques and cantilever or global derotation methods. There is no evidence that DVD/VCA techniques allow greater correction of significant rib hump deformity without an adjuvant thoracoplasty. No studies to date have used patient-reported outcomes prospectively or demonstrated clinically meaningful differences retrospectively between DVD/VCA and conventional techniques. There is little evidence to recommend the widespread adoption of DVD/VCA techniques. Whilst there is some weak evidence to suggest that novel techniques may improve radiographic measures, there is little to suggest that they offer patients improved correction of clinical rib hump or quality of life compared to established techniques. Further well-designed prospective studies are needed in this area.

  16. Laparoscopic hepatectomy versus open hepatectomy for colorectal cancer liver metastases: comparative study with propensity score matching

    Science.gov (United States)

    Untereiner, Xavier; Cagniet, Audrey; Memeo, Riccardo; Tzedakis, Stylianos; Piardi, Tullio; Severac, François; Mutter, Didier; Kianmanesh, Reza; Marescaux, Jacques; Sommacale, Daniele

    2016-01-01

    Background The objective of this study was to compare the results of laparoscopic hepatectomy with those of open hepatectomy for colorectal cancer liver metastases (CCLM) using a propensity score matching (PSM) in two university hospital settings. Methods A patient in the laparoscopic approach (LA) surgery group was randomly matched with another patient in the open approach (OA) group using a 1:1 allocated ratio with the nearest estimated propensity score. No patients of the LA group were excluded for the matching. Matching criteria included age, gender, body mass index (BMI), American society anesthesiologists score, potential co-morbidities, hepatopathies, synchronous or metachronous lesions, size and number of CCLM, preoperative chemotherapy, minor or major liver resections. Intraoperative, postoperative data, and survival were compared in both groups. Results From January 2012 to January 2015, a total of 242 hepatectomies were consecutively performed, of which 119 for CCLM, namely 101 in the OA group (84.9%) and 18 in the LA group (15.1%). The conversion rate was 5.6% (n=1). The mortality rate was 1% in the OA group and 0% in the LA group. Prior to PSM, there was a statistically significant difference favorable to the LA group regarding operative time, blood loss, length of hospital stay and the rate of medical complications. After PSM, there was no difference regarding operative time or length of hospital stay. However, there was a trend towards less blood loss (P=0.066) and fewer medical complications (44.4% vs.16.7%, P=0.07). The R0 resection rate was 94.4% (n=17) in the two groups. In addition, there was no difference regarding overall survival (P=0.358) and recurrence-free survival [HR =0.99 (0.1–12.7); P=0.99]. Conclusions Laparoscopic liver resections for CCLM seem to yield short- and long-term results, which are similar to open hepatectomies, and could well be considered an alternative to open surgery and become the gold standard in carefully selected

  17. Disaster Response Team FAST Skills Training with a Portable Ultrasound Simulator Compared to Traditional Training: Pilot Study

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    Paddock, Michael T.

    2015-03-01

    Full Text Available Introduction: Pre-hospital focused assessment with sonography in trauma (FAST has been effectively used to improve patient care in multiple mass casualty events throughout the world. Although requisite FAST knowledge may now be learned remotely by disaster response team members, traditional live instructor and model hands-on FAST skills training remains logistically challenging. The objective of this pilot study was to compare the effectiveness of a novel portable ultrasound (US simulator with traditional FAST skills training for a deployed mixed provider disaster response team. Methods: We randomized participants into one of three training groups stratified by provider role: Group A. Traditional Skills Training, Group B. US Simulator Skills Training, and Group C. Traditional Skills Training Plus US Simulator Skills Training. After skills training, we measured participants’ FAST image acquisition and interpretation skills using a standardized direct observation tool (SDOT with healthy models and review of FAST patient images. Pre- and post-course US and FAST knowledge were also assessed using a previously validated multiple-choice evaluation. We used the ANOVA procedure to determine the statistical significance of differences between the means of each group’s skills scores. Paired sample t-tests were used to determine the statistical significance of pre- and post-course mean knowledge scores within groups. Results: We enrolled 36 participants, 12 randomized to each training group. Randomization resulted in similar distribution of participants between training groups with respect to provider role, age, sex, and prior US training. For the FAST SDOT image acquisition and interpretation mean skills scores, there was no statistically significant difference between training groups. For US and FAST mean knowledge scores, there was a statistically significant improvement between pre- and post-course scores within each group, but again there was not

  18. Modified Right Heart Contrast Echocardiography Versus Traditional Method in Diagnosis of Right-to-Left Shunt: A Comparative Study

    Science.gov (United States)

    Wang, Yi; Zeng, Jie; Yin, Lixue; Zhang, Mei; Hou, Dailun

    2016-01-01

    Summary Background The purpose of this study was to evaluate the reliability, effectiveness, and safety of modified right heart contrast transthoracic echocardiography (cTTE) in comparison with the traditional method. Material/Methods We performed a modified right heart cTTE using saline mixed with a small sample of patient’s own blood. Samples were agitated with varying intensity. This study protocol involved microscopic analysis and patient evaluation. 1. Microscopic analysis: After two contrast samples had been agitated 10 or 20 times, they underwent a comparison of bubble size, bubble number, and red blood cell morphology. 2. Patient analysis: 40 patients with suspected RLS (right- to-left shunt) were enrolled. All patients underwent right heart contrast echocardiography. Oxygen saturation, transit time and duration, presence of RLS, change in indirect bilirubin and urobilinogen concentrations were compared afterward. Results Modified method generated more bubbles (Pbubble size were not significant (P>0.05). Twenty-four patients were diagnosed with RLS (60%) using the modified method compared to 16 patients (40%) with the traditional method. The transit time of ASb20 group was the shortest (P<0.05). However, the duration time in this group was much longer (P<0.05). Also, in semi-quantitative analysis mean rank of RLS was higher after injecting the modified contrast agent agitated 20 times (P<0.05). Conclusions Modified right heart contrast echocardiography is a reliable, effective and safe method of detecting cardiovascular RLS. PMID:27668027

  19. A Small Randomized Controlled Pilot Trial Comparing Mobile and Traditional Pain Coping Skills Training Protocols for Cancer Patients with Pain

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    Tamara J. Somers

    2016-01-01

    Full Text Available Psychosocial pain management interventions are efficacious for cancer pain but are underutilized. Recent advances in mobile health (mHealth technologies provide new opportunities to decrease barriers to access psychosocial pain management interventions. The objective of this study was to gain information about the accessibility and efficacy of mobile pain coping skills training (mPCST intervention delivered to cancer patients with pain compared to traditional in-person pain coping skills training intervention. This study randomly assigned participants (N=30 to receive either mobile health pain coping skills training intervention delivered via Skype or traditional pain coping skills training delivered face-to-face (PCST-trad. This pilot trial suggests that mPCST is feasible, presents low burden to patients, may lead to high patient engagement, and appears to be acceptable to patients. Cancer patients with pain in the mPCST group reported decreases in pain severity and physical symptoms as well as increases in self-efficacy for pain management that were comparable to changes in the PCST-trad group (p’s < 0.05. These findings suggest that mPCST, which is a highly accessible intervention, may provide benefits similar to an in-person intervention and shows promise for being feasible, acceptable, and engaging to cancer patients with pain.

  20. The Old and New Comparative Theologies: Discourses on Religion, the Theology of Religions, Orientalism and the Boundaries of Traditions

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    Paul Hedges

    2012-12-01

    Full Text Available This paper disputes that a strong contrast can be drawn between the Old Comparative Theology and the New Comparative Theology, looking particularly at the arguments of Hugh Nicholson as well as drawing on Francis Clooney. It disputes a simplistic and monolithic dismissal of the Old Comparative Theology as guilty of ‘Orientalism’, and seeks to show that in figures like Rowland Williams, as well as F. D. Maurice that the discipline was important in breaking down boundaries between traditions. Building on this, an argument is made that the New Comparative Theology should be seen as part of a lineage of progression and understanding that links it with the Old Comparative Theology and the Theology of Religions, and that any attempt to see these as different, or contrasting, discourses is based upon a distorted or partial historical understanding. In this the work of Tomoko Masuzawa is also assessed, and issues surrounding the terms ‘religion’ and ‘world religion’ are discussed. It is also suggested that the weight of history may be a factor as to why the New Comparative Theology came to prominence in the USA rather than in Europe, or at least the UK.

  1. Behavioral Attitudes and Preferences in Cooking Practices with Traditional Open-Fire Stoves in Peru, Nepal, and Kenya: Implications for Improved Cookstove Interventions

    Directory of Open Access Journals (Sweden)

    Evelyn L. Rhodes

    2014-10-01

    Full Text Available Global efforts are underway to develop and promote improved cookstoves which may reduce the negative health and environmental effects of burning solid fuels on health and the environment. Behavioral studies have considered cookstove user practices, needs and preferences in the design and implementation of cookstove projects; however, these studies have not examined the implications of the traditional stove use and design across multiple resource-poor settings in the implementation and promotion of improved cookstove projects that utilize a single, standardized stove design. We conducted in-depth interviews and direct observations of meal preparation and traditional, open-fire stove use of 137 women aged 20–49 years in Kenya, Peru and Nepal prior in the four-month period preceding installation of an improved cookstove as part of a field intervention trial. Despite general similarities in cooking practices across sites, we identified locally distinct practices and norms regarding traditional stove use and desired stove improvements. Traditional stoves are designed to accommodate specific cooking styles, types of fuel, and available resources for maintenance and renovation. The tailored stoves allow users to cook and repair their stoves easily. Women in each setting expressed their desire for a new stove, but they articulated distinct specific alterations that would meet their needs and preferences. Improved cookstove designs need to consider the diversity of values and needs held by potential users, presenting a significant challenge in identifying a “one size fits all” improved cookstove design. Our data show that a single stove design for use with locally available biomass fuels will not meet the cooking demands and resources available across the three sites. Moreover, locally produced or adapted improved cookstoves may be needed to meet the cooking needs of diverse populations while addressing health and environmental concerns of

  2. Clinical evaluation of the centrifugal pump in open heart surgery: a comparative study of different pumps.

    Science.gov (United States)

    Takarabe, K; Yoshikai, M; Murayama, J; Hamada, M; Ito, T

    1997-07-01

    The centrifugal pump is now widely used in open heart surgery for its clinical benefits related to the blood elements and the coagulation system. The purpose of this study was to compare the clinical performances of and the outcomes offered by 4 types of centrifugal pumps. For each pump, we investigated the effects on the blood elements, coagulation system, complements, and immunoglobulins during open heart surgery. Four types of centrifugal pumps were used: the HPM-15 (Nikkiso Co.), the Capiox (Terumo Co.), the Lifestream (St. Jude Medical Co.), and the BP-80 (Medtronic, BioMedicus Co.). The platelet count, lactate dehydrogenase (LDH), antithrombin III (AT III), thrombin-antithrombin complex (TAT), complements (C3, C4, and CH50), and immunoglobulins (IgG, IgA, and IgM) were measured before and after cardiopulmonary bypass (CPB). The platelet count was decreased more significantly by the HPM-15 than by any of the other pumps. The other parameters showed no difference among the 4 pumps. In clinical use, each of the 4 types of centrifugal pumps was safe.

  3. Developing the urban blue: Comparative health responses to blue and green urban open spaces in Germany.

    Science.gov (United States)

    Völker, Sebastian; Kistemann, Thomas

    2015-09-01

    Recently, new perspectives upon healthy urban open spaces propose that open spaces can be regarded as urban green or blue spaces. However, there has so far been very little research into blue environments and their benefits for mental well-being. Our article focuses on the effects of water in cities, "urban blue" (as compared to "urban green"), on human health and well-being. To assess the mental well-being of visitors, we conducted qualitative semi-standardised interviews (n=113), asking which differences in well-being occur when visiting urban green and blue spaces in high-density areas of the inner city in Dusseldorf and Cologne, Germany. Although we found many similarities, some health-enhancing effects for users turned out to be prominent for urban blue in the four conceptual therapeutic landscape dimensions: experienced, symbolic, social and activity space. These effects include enhanced contemplation, emotional bonding, participation, and physical activity. The results suggest that urban blue as a health-promoting factor needs more detailed and accurate determination and examination of its general and local health-enhancing effects.

  4. Comparative analysis of traditional and modern apricot breeding programs: A case of study with Spanish and Tunisian apricot breeding germplasm

    Energy Technology Data Exchange (ETDEWEB)

    Batnini, M.A.; Krichen, L.; Bourguiba, H.; Trifi-Farah, N.; Ruiz, D.; Martínez-Gómez, P.; Rubio, M.

    2016-11-01

    Traditional plant breeding is based on the observation of variation and the selection of the best phenotypes, whereas modern breeding is characterised by the use of controlled mating and the selection of descendants using molecular markers. In this work, a comparative analysis of genetic diversity in a traditional (Tunisian) and a modern (Spanish) apricot breeding programme was performed at the phenotypic and molecular level using simple sequence repeat (SSR) markers. Seven phenotypic traits were evaluated in 42 Tunisian apricot accessions and 30 genotypes from the Spanish apricot programme. In addition, 20 SSR markers previously described as linked to specific phenotypic traits were assayed. Results showed that modern breeding using controlled crosses increases the size of the fruit. The fruit weight average observed in the Tunisian cultivars was of 20.15 g. In the case of traditional Spanish cultivars the average weight was 47.12 g, whereas the average weight of the other progenitors from France, USA and South Africa was 72.85 g. Finally, in the new releases from the CEBAS-CSIC breeding programme, the average weight was 72.82 g. In addition, modern bred cultivars incorporate desirable traits such as self-compatibility and firmness. Cluster and structural analysis based on SSR data clearly differentiates the genotypes according to their geographic origin and pedigree. Finally, results showed an association between some alleles of PaCITA7 and UDP96003 SSR markers with apricot fruit weight, one allele of UDAp407 marker with fruit firmness and one allele of UDP98406 marker with fruit ripening. (Author)

  5. Comparative analysis of colorimetric staining in skin using open-source software

    Science.gov (United States)

    Billings, Paul C; Sanzari, Jenine K.; Kennedy, Ann R.; Cengel, Keith A.; Seykora, John T.

    2015-01-01

    Colorimetric staining techniques such as immunohistochemistry (IHC), immunofluorescence (IF) and histochemistry (HC) provide useful information regarding the localization and relative amount of a molecule/substance in skin. We have developed a novel, straightforward method to assess colorimetric staining by combining features from two open-source software programs. As a proof of principle, we demonstrate the utility of this approach by analyzing changes in skin melanin deposition during the radiation-induced tanning response of Yucatan mini-pigs. This method includes a visualization step to validate the accuracy of color selection before quantitation to ensure accuracy. The data show that this method is robust and will provide a means to obtain accurate comparative analyses of staining in IHC/IF/HC samples. PMID:25393687

  6. Comparative analysis of colorimetric staining in skin using open-source software.

    Science.gov (United States)

    Billings, Paul C; Sanzari, Jenine K; Kennedy, Ann R; Cengel, Keith A; Seykora, John T

    2015-02-01

    Colorimetric staining techniques such as immunohistochemistry (IHC), immunofluorescence (IF) and histochemistry (HC) provide useful information regarding the localization and relative amount of a molecule/substance in skin. We have developed a novel, straightforward method to assess colorimetric staining by combining features from two open-source software programs. As a proof of principle, we demonstrate the utility of this approach by analysing changes in skin melanin deposition during the radiation-induced tanning response of Yucatan mini-pigs. This method includes a visualization step to validate the accuracy of colour selection before quantitation to ensure accuracy. The data show that this method is robust and will provide a means to obtain accurate comparative analyses of staining in IHC/IF/HC samples.

  7. [Comparative characteristics of the open and endovascular methods of treatment for carotid artery stenoses].

    Science.gov (United States)

    Krotovskiĭ, G S; Uchkin, I G; Shugushev, Z Kh; Zudin, A M; Kagdasarian, A G

    2010-01-01

    The article is dedicated to the problem concerning treatment for stenoses of the extracranial portions of carotid arteries. From March 2004 to November 2009 at the Department of Vascular Surgery No 2 of the N. A. Semashko Central Clinical Hospital No 2 we treated a total of 364 patients presenting with stenotic lesions of the extracranial portion of the carotid arteries. Of these, 176 patients underwent revascularization of the carotid basin: 120 patients endured open carotid endarterectomy (CEAE), 56 patients sustained carotid angioplasty and stenting (CAS), with a total of 128 CEAE and 67 CAS interventions performed. The following conclusion was made: with high skill of surgeons and broad experience in carrying out revascularization of the carotid basin, the CEAE and CAS procedures possess comparable efficacy and safety with CEAE possessing reliable advantage in terms of the parameters of the patient's quality of life.

  8. Comparative studies on Indian traditional nanomedicine Yashadha Bhasma and zinc oxide nanoparticles for anti-diabetic activity

    Science.gov (United States)

    Durgalakshmi, D.; Ajay Rakkesh, R.; Bhargavi Ram, T.; Balakumar, S.

    2017-07-01

    Diabetes mellitus is the most common endocrine disorder due to carbohydrate metabolism. Also, zinc and its supplements have been used in Indian traditional medicines for treating urinary tract infections. In this work, an attempt has been made to compare the properties of ‘Yashadha Bhasma’ a traditional ayurvedic ZnO supplement for diabetic treatment with the laboratory-synthesized ZnO nanoparticles. The nano-sized ZnO particles are synthesized using co-precipitation method and calcined at 400 °C for further purification. Confirmation of ZnO and presence of Ca and K elements additional to Zn in Yashadha Bhasma is confirmed from XPS. The morphology of ZnO is found to be spherical with average diameter of 15 nm. TEM results show that ZnO rods of Yashadha Bhasma are porous and non-uniform. Glucose degradation studies revealed good performance with ZnO nanoparticles with 80% degradation occurring within 15 min itself. Antibacterial studies also performed well establishing efficacy of ZnO nanoparticles against both gram-positive and gram-negative bacterial strains, thereby establishing suitable material for treating diabetes mellitus and also curing bacterial wound infections arising due to diabetes mellitus.

  9. Exporting simulation technology to the Philippines: a comparative study of traditional versus simulation methods for teaching intravenous cannulation.

    Science.gov (United States)

    Sotto, Juan Alejandro R; Ayuste, Eduardo C; Bowyer, Mark W; Almonte, Josefina R; Dofitas, Rodney B; Lapitan, Marie C M; Pimentel, Elisabeth A; Ritter, E Matthew; Wherry, David C

    2009-01-01

    This study examines effectiveness of a donated Laerdal Virtual I.V. simulator when compared with traditional methods of teaching intravenous (IV) cannulation to third year medical students in the Philippines. Forty novice Filipino medical students viewed an instructional video on how to start intravenous lines and were then randomly divided into two groups of twenty. The "Traditional" group observed an IV insertion on an actual patient performed by an experienced practitioner, and then subsequently performed an IV on an actual patient which was videotaped. The "Simulation" group practiced the Virtual I.V. simulator until they successfully completed level three using the "doctor" setting. These students then performed an IV on an actual patient which was videotaped. The videotapes for both groups were reviewed by two pre-trained (Inter-rater reliability of > or =0.84) observers who were blinded to the group using a previously validated checklist for IV insertion. Students trained on the Virtual I.V. showed significantly greater success in successfully starting an IV on an actual patient (40% VS. 15%, p<0.05), decreased constrictive band time (p<.05), increased raw score on the check list (p<.03), and decreased overall time to start an IV (p<.05). The technology was well received but wider application in the non western world is limited by lack of in country company support and the relative expense.

  10. Traditional knowledge of wild edible plants used in the northwest of the Iberian Peninsula (Spain and Portugal): a comparative study.

    Science.gov (United States)

    Pardo-de-Santayana, Manuel; Tardío, Javier; Blanco, Emilio; Carvalho, Ana Maria; Lastra, Juan José; San Miguel, Elia; Morales, Ramón

    2007-06-07

    We compare traditional knowledge and use of wild edible plants in six rural regions of the northwest of the Iberian Peninsula as follows: Campoo, Picos de Europa, Piloña, Sanabria and Caurel in Spain and Parque Natural de Montesinho in Portugal. Data on the use of 97 species were collected through informed consent semi-structured interviews with local informants. A semi-quantitative approach was used to document the relative importance of each species and to indicate differences in selection criteria for consuming wild food species in the regions studied. The most significant species include many wild berries and nuts (e.g. Castanea sativa, Rubus ulmifolius, Fragaria vesca) and the most popular species in each food-category (e.g. fruits or herbs used to prepare liqueurs such as Prunus spinosa, vegetables such as Rumex acetosa, condiments such as Origanum vulgare, or plants used to prepare herbal teas such as Chamaemelum nobile). The most important species in the study area as a whole are consumed at five or all six of the survey sites. Social, economic and cultural factors, such as poor communications, fads and direct contact with nature in everyday life should be taken into account in determining why some wild foods and traditional vegetables have been consumed, but others not. They may be even more important than biological factors such as richness and abundance of wild edible flora. Although most are no longer consumed, demand is growing for those regarded as local specialties that reflect regional identity.

  11. Comparing the Microsoft Kinect to a traditional mouse for adjusting the viewed tissue densities of three-dimensional anatomical structures

    Science.gov (United States)

    Juhnke, Bethany; Berron, Monica; Philip, Adriana; Williams, Jordan; Holub, Joseph; Winer, Eliot

    2013-03-01

    Advancements in medical image visualization in recent years have enabled three-dimensional (3D) medical images to be volume-rendered from magnetic resonance imaging (MRI) and computed tomography (CT) scans. Medical data is crucial for patient diagnosis and medical education, and analyzing these three-dimensional models rather than two-dimensional (2D) slices would enable more efficient analysis by surgeons and physicians, especially non-radiologists. An interaction device that is intuitive, robust, and easily learned is necessary to integrate 3D modeling software into the medical community. The keyboard and mouse configuration does not readily manipulate 3D models because these traditional interface devices function within two degrees of freedom, not the six degrees of freedom presented in three dimensions. Using a familiar, commercial-off-the-shelf (COTS) device for interaction would minimize training time and enable maximum usability with 3D medical images. Multiple techniques are available to manipulate 3D medical images and provide doctors more innovative ways of visualizing patient data. One such example is windowing. Windowing is used to adjust the viewed tissue density of digital medical data. A software platform available at the Virtual Reality Applications Center (VRAC), named Isis, was used to visualize and interact with the 3D representations of medical data. In this paper, we present the methodology and results of a user study that examined the usability of windowing 3D medical imaging using a Kinect™ device compared to a traditional mouse.

  12. Comparative Study between Traditional and Heuristic Approach on Close-degree Concept Lattice for better Attribute Reduction

    Directory of Open Access Journals (Sweden)

    Mr. Ravindra k. Gupta

    2012-03-01

    Full Text Available Concept lattice is a new mathematical tool for data analysis and knowledge processing. There is an increasing interest on application of concept lattices in the different information systems. The concept lattice may be used for representation of the concept generalization structure generated from the underlying data set. Attribute reduction is very important in the theory of concept lattice because it can make the discovery of implicit knowledge in data easier and the representation simpler. The paper presents a modified lattice building algorithm where the generated concept nodes may contain not only the attributes of the children nodes but some other generalized attributes, too. The generalization structure of the attributes is called attribute lattice. In this approach we find concept lattice, Attribute Concept lattice and, Formal Concept Lattice based on all the deduction we find the Heuristic Result which provide better attribute reduction. We also discuss a comparative study between the traditional and the new heuristic approach.

  13. Comparative Study Between the Two Experimental Design Approaches Taguchi and Traditional in Presence of Control by Control Interactions

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    Arias-Nava Elías Heriberto

    2015-03-01

    Full Text Available Design of experiments plays an important role in the field of creating and innovating process and products directly in manufacturing and improving areas. There are several areas into designs of experiments; robust design is one of them. Robust parameter design is a principle that emphasize in products creation through a correct selection of values called “control” which make a product robust to the variability by the noise introducing by another factors known as “noise” factors. This article aims for a comparative study between two well-known robust design methodologies, making a special emphasis in the control by control interaction effects over optimal operating conditions. The results showed that Taguchi´s crossed arrays are unable to estimate all significant terms in a model. The optimizations result concludes that the Taguchi´s approach is less efficient than the traditional approach in both; maximization and minimization.

  14. Comparison of clinical outcomes and postoperative recovery between two open heart surgeries:minimally invasive right subaxillary vertical thoracomy and traditional median sternotomy

    Institute of Scientific and Technical Information of China (English)

    Chuan-Xian Hu; Juan Tan; Sheng Chen; Hui Ding; Zhi-Wei Xu

    2014-01-01

    Objective:To compare the clinical outcomes of minimally invasive right subaxillary vertical thoracotomy and traditional median sternotomy through right atrium in treatment of common congenital heart diseases.Methods:Clinical data of59 cases of common congenital heart diseases treated with minimally invasive right axillary vertical thoracotomy fromMay,2011 to February,2013 and77 cases of same diseases withtraditional median sternotomy in the past three years were retrospectively analyzed, including atrial septal defect, membranous ventricular septal defect and partial endocardial cushion defect.The results were compared from the two groups, including the time for operation and cardiopulmonary bypass, amount of blood transfusion, postoperative drainage, ventilation time, hospital stay, and prognosis.Results:No severe complications happened in both groups, like deaths or secondary surgery caused by bleeding.No significant differences were inCPB time and postoperative ventilator time between groups(P>0.05), while for all of the operative time, the length of incision, postoperative drainage and hospital stay, minimally invasive right axillary vertical thoracotomy was superior to median sternotomy, with statistically significant differences(P<0.05).In six-month followup after operation, no complications of residual deformity and pericardial effusion were found in both groups by doing echocardiography, but mild pectus carinatum was found in8 patients in the traditional median sternotomy group(traditional group), whereas patients in another group were well recovered. Conclusions:Minimally invasive right subaxillary vertical thoracotomy for common congenital heart diseases is as safe as traditional median sternotomy, without the increasing incidence of postoperative complications.Additionally, compared with traditional median sternotomy, minimally invasive right subaxillary vertical thoracotomy is better in the aspects of hidden incision, appearance, and postoperative

  15. DIAGNOSTIC CARDIAC CATHETERIZATION USING THE MEDRAD AVANTA FLUID MANAGEMENT SYSTEM AS COMPARED TO THE TRADITIONAL MANUAL INJECTION METHOD

    Energy Technology Data Exchange (ETDEWEB)

    Winniford, Michael D

    2013-02-08

    Nearly 4 million patient procedures performed annually in US cardiac catheterization laboratories utilize contrast media to achieve vessel opacification. The amount of contrast media used is variable and depends on the complexity of the procedure, the method of contrast delivery as well as the skill-level of the operator. Since the total amount of contrast used for each procedure can have both patient safety and economic implications, it is essential for cardiologists to have the ability to control contrast delivery such that optimal angiographic image quality is achieved using the least amount of contrast. Although the complication rate associated with cardiac catheterization remains low, the most common serious complication, contrast-induced nephropathy (CIN), is associated with poor prognosis and a high mortality rate. Numerous interventional strategies for preventing and reducing the severity of CIN have demonstrated varying degrees of clinical benefit, but none has been shown to reliably prevent this serious complication. To date, the most effective approach for reducing the risk of CIN is to properly hydrate the patient and to minimize the amount of contrast media administered. Automated injection systems are intended for use in virtually all cardiac catheterization procedures and have numerous features which can provide potential advantages over traditional methods. With automated injection technology the operator is able to control and precisely monitor contrast delivery. Additionally, the MEDRAD Avanta Fluid Management Injection System utilizes a sterile contrast reservoir which eliminates the need to discard unused contrast in individual opened containers following each procedure. Considering that an average of 50% of opened contrast media is wasted using manual injection methods, this savings can provide a substantial economic benefit. Automated systems also facilitate the use of smaller (5 French) catheter sizes. Precise flow control and the use of

  16. Intra-Articular Hyaluronic Acid Compared to Traditional Conservative Treatment in Dogs with Osteoarthritis Associated with Hip Dysplasia

    Science.gov (United States)

    Carapeba, Gabriel O. L.; Cavaleti, Poliana; Brinholi, Rejane B.

    2016-01-01

    The purpose of this study was to compare the efficacy of the intra-articular (IA) hyaluronic acid injection to traditional conservative treatment (TCT) in dogs with osteoarthritis (OA) induced by hip dysplasia. Sixteen dogs were distributed into two groups: Hyal: IA injection of hyaluronic acid (5–10 mg), and Control: IA injection with saline solution (0.5–1.0 mL) in combination with a TCT using an oral nutraceutical (750–1000 mg every 12 h for 90 days) and carprofen (2.2 mg/kg every 12 h for 15 days). All dogs were assessed by a veterinarian on five occasions and the owner completed an assessment form (HCPI and CPBI) at the same time. The data were analyzed using unpaired t test, ANOVA, and Tukey's test (P < 0.05). Compared with baseline, lower scores were observed in both groups over the 90 days in the veterinarian evaluation, HCPI, and CPBI (P < 0.001). The Hyal group exhibited lower scores from 15 to 90 and 60 to 90 days, in the CBPI and in the veterinarian evaluation, respectively, compared to the Control group. Both treatments reduced the clinical signs associated with hip OA. However, more significant results were achieved with intra-articular hyaluronic acid injection. PMID:27847523

  17. Generation of Chimeric "ABS Nanohemostat" Complex and Comparing Its Histomorphological In Vivo Effects to the Traditional Ankaferd Hemostat in Controlled Experimental Partial Nephrectomy Model.

    Science.gov (United States)

    Huri, Emre; Beyazit, Yavuz; Mammadov, Rashad; Toksoz, Sila; Tekinay, Ayse B; Guler, Mustafa O; Ustun, Huseyin; Kekilli, Murat; Dadali, Mumtaz; Celik, Tugrul; Astarci, Müzeyyen; Haznedaroglu, Ibrahim C

    2013-01-01

    Purpose. Using the classical Ankaferd Blood Stopper (ABS) solution to create active hemostasis during partial nephrectomy (PN) may not be so effective due to insufficient contact surface between the ABS hemostatic liquid agent and the bleeding area. In order to broaden the contact surface, we generated a chimeric hemostatic agent, ABS nanohemostat, via combining a self-assembling peptide amphiphile molecule with the traditional Ankaferd hemostat. Materials and Methods. In order to generate ABS nanohemostat, a positively charged Peptide Amphiphile (PA) molecule was synthesized by using solid phase peptide synthesis. For animal experiments, 24 Wistar rats were divided into the following 4 groups: Group 1: control; Group 2: conventional PN with only 0.5 ml Ankaferd hemostat; Group 3: conventional PN with ABS + peptide gel; Group 4: conventional PN with only 0.5 ml peptide solution. Results. Mean warm ischemia times (WITs) were 232.8  ±  56.3, 65.6 ± 11.4, 75.5 ± 17.2, and 58.1 ± 17.6 seconds in Group 1 to Group 4, respectively. Fibrosis was not different among the groups, while inflammation was detected to be significantly different in G3 and G4. Conclusions. ABS nanohemostat has comparable hemostatic efficacy to the traditional Ankaferd hemostat in the partial nephrectomy experimental model. Elucidation of the cellular and tissue effects of this chimeric compound may establish a catalytic spark and open new avenues for novel experimental and clinical studies in the battlefield of hemostasis.

  18. Development of fetal yawn compared with non-yawn mouth openings from 24-36 weeks gestation.

    Directory of Open Access Journals (Sweden)

    Nadja Reissland

    Full Text Available BACKGROUND: Although some research suggests that fetuses yawn, others disagree arguing that is it simple mouth opening. Furthermore there is no developmental account of fetal yawning compared with simple mouth opening. The aim of the present study was to establish in a repeated measures design the development of fetal yawning compared with simple mouth opening. METHODOLOGY/FINDINGS: Video recordings were made of the fetal face and upper torso visualized by means of 4D full frontal or facial profile ultrasound recordings. Fifteen healthy fetuses were scanned four times at 24, 28, 32 and 36 weeks gestation. Yawning was distinguished from non-yawning in terms of the length of time it took to reach the apex of the mouth stretch, with yawns being defined as more than 50% of the total time observed. To assess changes in frequency, a Poisson mixed effects model was fitted to the count of number of yawn and simple mouth opening events with age and gender as fixed effects, and person as a random effect. For both yawns and simple mouth openings a smooth varying age effect was significant. The number of yawns observed declined with age from 28 weeks gestation, whereas simple mouth openings were less frequent and the decline was observed from 24 weeks. Gender was not significant either for yawn and simple mouth openings. CONCLUSIONS/SIGNIFICANCE: Yawning can be reliably distinguished from other forms of mouth opening with the potential of using yawning as an index of fetal healthy development.

  19. The comparative analysis of rocks’ resistance to forward-slanting disc cutters and traditionally installed disc cutters

    Institute of Scientific and Technical Information of China (English)

    Zhao-Huang Zhang; Sun Fei; Meng Liang

    2016-01-01

    At present, disc cutters of a full face rock tun-nel boring machine are mostly mounted in the traditional way. Practical use in engineering projects reveals that this installation method not only heavily affects the operation life of disc cutters, but also increases the energy consump-tion of a full face rock tunnel boring machine. To straighten out this issue, therefore, a rock-breaking model is devel-oped for disc cutters’ movement after the research on the rock breaking of forward-slanting disc cutters. Equations of its displacement are established based on the analysis of velocity vector of a disc cutter’s rock-breaking point. The functional relations then are brought forward between the displacement parameters of a rock-breaking point and its coordinate through the analysis of micro displacement of a rock-breaking point. Thus, the geometric equations of rock deformation are derived for the forward-slanting installation of disc cutters. With a linear relationship remaining between the acting force and its deformation either before or after the leap breaking, the constitutive relation of rock deformation can be expressed in the form of generalized Hooke law, hence the comparative analysis of the variation in the resistance of rock to the disc cutters mounted in the forward-slanting way with that in the traditional way. It is discovered that with the same penetration, strain of the rock in contact with forward-slanting disc cutters is apparently on the decline, in other words, the resistance of rock to disc cutters is reduced. Thus wear of disc cutters resulted from friction is lowered and energy consumption is correspondingly decreased. It will be useful for the development of installation and design theory of disc cutters, and significant for the breakthrough in the design of full face rock tunnel boring machine.

  20. Traditional knowledge of wild edible plants used in the northwest of the Iberian Peninsula (Spain and Portugal: a comparative study

    Directory of Open Access Journals (Sweden)

    Lastra Juan

    2007-06-01

    Full Text Available Abstract Background We compare traditional knowledge and use of wild edible plants in six rural regions of the northwest of the Iberian Peninsula as follows: Campoo, Picos de Europa, Piloña, Sanabria and Caurel in Spain and Parque Natural de Montesinho in Portugal. Methods Data on the use of 97 species were collected through informed consent semi-structured interviews with local informants. A semi-quantitative approach was used to document the relative importance of each species and to indicate differences in selection criteria for consuming wild food species in the regions studied. Results and discussion The most significant species include many wild berries and nuts (e.g. Castanea sativa, Rubus ulmifolius, Fragaria vesca and the most popular species in each food-category (e.g. fruits or herbs used to prepare liqueurs such as Prunus spinosa, vegetables such as Rumex acetosa, condiments such as Origanum vulgare, or plants used to prepare herbal teas such as Chamaemelum nobile. The most important species in the study area as a whole are consumed at five or all six of the survey sites. Conclusion Social, economic and cultural factors, such as poor communications, fads and direct contact with nature in everyday life should be taken into account in determining why some wild foods and traditional vegetables have been consumed, but others not. They may be even more important than biological factors such as richness and abundance of wild edible flora. Although most are no longer consumed, demand is growing for those regarded as local specialties that reflect regional identity.

  1. Traditional knowledge of wild edible plants used in the northwest of the Iberian Peninsula (Spain and Portugal): a comparative study

    Science.gov (United States)

    Pardo-de-Santayana, Manuel; Tardío, Javier; Blanco, Emilio; Carvalho, Ana Maria; Lastra, Juan José; San Miguel, Elia; Morales, Ramón

    2007-01-01

    Background We compare traditional knowledge and use of wild edible plants in six rural regions of the northwest of the Iberian Peninsula as follows: Campoo, Picos de Europa, Piloña, Sanabria and Caurel in Spain and Parque Natural de Montesinho in Portugal. Methods Data on the use of 97 species were collected through informed consent semi-structured interviews with local informants. A semi-quantitative approach was used to document the relative importance of each species and to indicate differences in selection criteria for consuming wild food species in the regions studied. Results and discussion The most significant species include many wild berries and nuts (e.g. Castanea sativa, Rubus ulmifolius, Fragaria vesca) and the most popular species in each food-category (e.g. fruits or herbs used to prepare liqueurs such as Prunus spinosa, vegetables such as Rumex acetosa, condiments such as Origanum vulgare, or plants used to prepare herbal teas such as Chamaemelum nobile). The most important species in the study area as a whole are consumed at five or all six of the survey sites. Conclusion Social, economic and cultural factors, such as poor communications, fads and direct contact with nature in everyday life should be taken into account in determining why some wild foods and traditional vegetables have been consumed, but others not. They may be even more important than biological factors such as richness and abundance of wild edible flora. Although most are no longer consumed, demand is growing for those regarded as local specialties that reflect regional identity. PMID:17555572

  2. Comparing and Reconciling Traditional Field and Photogeologic Mapping Techniques: Lessons from the San Francisco Volcanic Field, Arizona

    Science.gov (United States)

    Skinner, J. A., Jr.; Eppler, D. B.; Bleacher, J. E.; Evans, C. A.; Feng, W.; Gruener, J.; Hurwitz, D. M.; Janoiko, B.; Whitson, P.

    2014-01-01

    Cartographic products and - specifically - geologic maps provide critical assistance for establishing physical and temporal frameworks of planetary surfaces. The technical methods that result in the creation of geologic maps vary depending on how observations are made as well as the overall intent of the final products [1-3]. These methods tend to follow a common linear work flow, including the identification and delineation of spatially and temporally discrete materials (units), the documentation of their primary (emplacement) and secondary (erosional) characteristics, analysis of the relative and absolute age relationships between these materials, and the collation of observations and interpretations into an objective map product. The "objectivity" of a map is critical cross comparison with overlapping maps and topical studies as well as its relevance to scientific posterity. However, the "accuracy" and "correctness" of a geologic map is very subject to debate. This can be evidenced by comparison of existing geologic maps at various scales, particularly those compiled through field- and remote-based mapped efforts. Our study focuses on comparing the fidelity of (1) "Apollo-style" geologic investigations, where typically non-geologist crew members follow static traverse routes established through pre-mission planning, and (2) "traditional" field-based investigations, where geologists are given free rein to observe without preplanned routes. This abstract summarizes the regional geology wherein our study was conducted, presents the geologic map created from traditional field mapping techniques, and offers basic insights into how geologic maps created from different tactics can be reconciled in support of exploratory missions. Additional abstracts [4-6] from this study discuss various exploration and science results of these efforts.

  3. Comparative study between original and traditional method in establishing a chronic sinus node damage model in rabbit.

    Science.gov (United States)

    Liu, Ru-xiu; Wang, Yan-li; Li, Hui-bo; Wang, Ni-na; Bao, Mei-jing; Xu, Li-ya

    2012-12-01

    Sick Sinus Syndrome is a common and refractory arrhythmia, needing further study in which setting up a credible sinus node damage model is important. To explore the feasibility and superiority of an original formaldehyde pinpoint pressing permeation (FPPP) method for building a chronic sinus node damage (CSND) model, 5 rabbits were chosen from 35 as a sham-operation group, and the remaining were randomly divided into two groups: the formaldehyde wet compressing (FWC) group, in which models were established by applying a cotton bud dipped in 20% formaldehyde onto the sinus node (SN) area, and the FPPP group, in which models were established by injecting formaldehyde into the SN area through a self-made pinpointing and injecting electrode. We found that in both groups, the HR at 2 h, 24 h, 1 wk, and 2 wk after modeling decreased compared with premodeling; sinoatrial conduction time, sinus node recovery time, and corrected sinus node recovery time were prolonged compared with premodeling. The indexes mentioned shortened by 2 wk after modeling compared with 2 h in the FWC group, whereas they were stable after modeling in the FPPP group. The modeling achievement ratio in the FPPP group was higher and the death rate was lower. Under light microscope, paraffin sections of the SN tissue and cells showed severe injury in both groups. The results indicate that the CSND models in rabbits can be successfully established by the FPPP method, with higher achievement ratio, lower death rate, better stabilization effect, and less damaging comparing with the traditional method.

  4. Comparing the Environmental Impacts of Alkali Activated Mortar and Traditional Portland Cement Mortar using Life Cycle Assessment

    Science.gov (United States)

    Matheu, P. S.; Ellis, K.; Varela, B.

    2015-11-01

    Since the year 1908 there has been research into the use alkali activated materials (AAM) in order to develop cementitious materials with similar properties to Ordinary Portland Cement. AAMs are considered green materials since their production and synthesis is not energy intensive. Even though AAMs have a high compressive strength, the average cost of production among other issues limits its feasibility. Previous research by the authors yielded a low cost AAM that uses mine tailings, wollastonite and ground granulated blast furnace slag (GGBFS). This mortar has an average compressive strength of 50MPa after 28 days of curing. In this paper the software SimaPro was used to create a product base cradle to gate Life Cycle Assessment (LCA). This compared the environmental impact of the AAM mortar to an Ordinary Portland Cement mortar (PCHM) with similar compressive strength. The main motivation for this research is the environmental impact of producing Ordinary Portland Cement as compared to alkali activated slag materials. The results of this LCA show that the Alkali Activated Material has a lower environmental impact than traditional Portland cement hydraulic mortar, in 10 out of 12 categories including Global Warming Potential, Ecotoxicity, and Smog. Areas of improvement and possible future work were also discovered with this analysis.

  5. No change in complication rate using spring-loaded gun compared to traditional percutaneous renal allograft biopsy techniques.

    Science.gov (United States)

    Kovalik, E C; Schwab, S J; Gunnells, J C; Bowie, D; Smith, S R

    1996-06-01

    The previous methods to biopsy renal allografts at our institution involved the use of the Franklin-Silverman or Tru-Cut needles. Unfortunately they had a significant rate of post biopsy bleeding secondary to deep penetration when excess force was used to penetrate a tough transplant capsule. Although spring loaded biopsy devices have been widely used for native kidney biopsies over the past three years, the complication rate for renal allograft biopsies has not been sufficiently evaluated. We describe our experience using a disposable spring loaded biopsy device on transplanted renal grafts. Fifty-four biopsies were performed with the device, all under ultrasound guidance. The ASAP automatic biopsy system by Medi-tech was used comprising of a spring loaded gun with a 15 cm long 15 GA needle echogenic tip and 17 mm specimen notch. All patients were ultrasounded immediately post biopsy to look for hematomas. Compared to 55 previous biopsies performed using Tru-Cut needles, we conclude that the ASAP automated biopsy system proved equally effective in obtaining adequate tissue for diagnosis with fewer post-biopsy hematomas compared to traditional biopsy methods.

  6. Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests.

    Science.gov (United States)

    Shamsi, Mohammad Bagher; Sarrafzadeh, Javad; Jamshidi, Aliashraf

    2015-02-01

    It is a matter of controversy whether core stability exercise is preferred to other types of exercise for chronic low back pain. Lumbopelvic stability is an important element in low back pain. No study was found using lumbopelvic stability tests in comparing core stability and other exercises. The single leg squat, dip test, and runner pose test appear to be suitable as tests for lumbopelvic stability. The aim of this study was to compare "core stability" and "traditional trunk exercise" using these tests and also the Oswestry disability questionnaire and pain intensity. Twenty-nine non-specific chronic low back pain subjects were alternately allocated in one of the two exercise groups. For both groups, a 16-sessions exercise program was provided. Before and after training: (1) video was recorded while subjects performed the tests; (2) Oswestry disability questionnaire was completed; and (3) pain intensity was measured by visual analogue scale. The test videos were scored by three physiotherapists. Statistical analysis revealed a significant improvement in stability test scores (p = 0.020 and p = 0.041) and reduction in disability (p stability or equal effectiveness of TTE and CSE on improving LPS. The non-significant differences may also be attributable to the lack of sensitivity of our tests to assess stability change in two groups after training given the relatively small sample size.

  7. Traditional Chinese medicine practitioners in New Zealand: differences associated with being a practitioner in New Zealand compared to China.

    Science.gov (United States)

    Patel, Asmita; Toossi, Vahideh

    2016-10-28

    While New Zealand has experienced an increase in the use of traditional Chinese medicine (TCM) based acupuncture, very little is known about the practitioners who provide this type of treatment modality. Therefore, this study was designed to identify differences associated with being a TCM practitioner in New Zealand compared to China. Ten Auckland-based TCM practitioners were individually interviewed. The interview schedule comprised of questions that were designed to identify any potential differences in practising TCM in New Zealand compared to China. Data were analysed using an inductive thematic approach. The main differences in practising between the two countries were related to the role and authority that a TCM practitioner had. This in turn resulted in differences between the conditions that were treated in these two countries. Differences in patient demography were also identified between the two countries. TCM is used as a form of alternative healthcare treatment in New Zealand for non-Chinese individuals. Acupuncture is the most utilised form of TCM treatment in New Zealand, and is predominantly used for pain management purposes. TCM treatment has been utilised by individuals from a number of different ethnic groups, reflecting the ethnic diversity of the New Zealand population.

  8. What drives FDI from non-traditional sources? A comparative analysis of the determinants of bilateral FDI flows

    OpenAIRE

    2013-01-01

    Non-traditional source countries of FDI play an increasingly important role, notably in developing host countries. This raises the question of whether the determinants of FDI differ systematically between traditional and non-traditional source countries. We perform Logit and Poisson Pseudo Maximum Likelihood estimations drawing on UNCTAD's database on bilateral FDI flows, including various emerging and developing countries as sources of FDI outflows. We find that economic geography variables ...

  9. What drives FDI from non-traditional sources? A comparative analysis of the determinants of bilateral FDI flows

    OpenAIRE

    Sosa Andrés, Maximiliano; Nunnenkamp, Peter; Busse, Matthias

    2012-01-01

    Non-traditional source countries of FDI play an increasingly important role, notably in developing host countries. This raises the question of whether the determinants of FDI differ systematically between traditional and non-traditional source countries. We perform Logit and Poisson Pseudo Maximum Likelihood estimations drawing on UNCTAD's database on bilateral FDI flows, including various emerging and developing countries as sources of FDI outflows. We find that economic geography variables ...

  10. Sentiment Analysis on Movie Reviews: A Comparative Study of Machine Learning Algorithms and Open Source Technologies

    Directory of Open Access Journals (Sweden)

    B. Narendra

    2016-08-01

    Full Text Available Social Networks such as Facebook, Twitter, Linked In etc… are rich in opinion data and thus Sentiment Analysis has gained a great attention due to the abundance of this ever growing opinion data. In this research paper our target set is movie reviews. There are diverge range of mechanisms to express their data which may be either subjective, objective or a mixture of both. Besides the data collected from World Wide Web consists of lot of noisy data. It is very much true that we are going to apply some pre-processing techniques and compare the accuracy using Machine Learning algorithm Naïve Bayes Classifier. With ever growing demand to mine the Big Data the open source software technologies such as Hadoop using map reducing paradigm has gained a lot of pragmatic importance. This paper illustrates a comparitive study of sentiment analysis of movie reviews using Naïve Bayes Classifier and Apache Hadoop in order to calculate the performance of the algorithms and show that Map Reduce paradigm of Apache Hadoop performed better than Naïve Bayes Classifier.

  11. Comparing Ksharasutra (Ayurvedic Seton) and open fistulotomy in the management of fistula-in-ano.

    Science.gov (United States)

    Dutta, Gouranga; Bain, Jayanta; Ray, Ajay Kumar; Dey, Soumedhik; Das, Nandini; Das, Biswanath

    2015-01-01

    Most commonly practiced surgical "lay open" technique to treat fistula-in-ano (a common anorectal pathology) has high rate of recurrence and anal incontinence. Alternatively, a nonsurgical cost efficient treatment with Ksharasutra (cotton Seton coated with Ayurvedic medicines) has minimal complications. In our study, we have tried to compare these two techniques. A prospective randomized control study was designed involving patients referred to the Department of General Surgery in RG Kar Medical College, Kolkata, India, from January 2010 to September 2011. Among 50 patients, 26 were in Ksharasutra and 24 were in fistulotomy group. 86% patients were male and 54% of the patients were in the fourth decade. About 74% fistulas are inter-sphincteric and 26% were of trans-sphincteric variety. Severe postoperative pain was more (7.7% vs. 25%) in fistulotomy group, while wound discharge was more associated with Ksharasutra group (15.3% vs. 8.3%). Wound scarring, bleeding, and infection rate were similar in both groups. Ksharasutra group took more time to heal (mean: 53 vs. 35.7 days, P = 0.002) despite reduced disruption to their routine work (2.7 vs. 15.5 days work off, P fistulotomy and it was significantly cost effective (Rupees 166 vs. 464). Treatment of fistula-in-ano with Ksharasutra is a simple with low complications and minimal cost.

  12. Clinical use of centrifugal pumps and the roller pump in open heart surgery: a comparative evaluation.

    Science.gov (United States)

    Yoshikai, M; Hamada, M; Takarabe, K; Okazaki, Y; Ito, T

    1996-06-01

    Centrifugal pumps have been used widely as the main pump in open heart surgery to reduce damage to blood elements and to reduce the activation of the coagulation system. The purpose of this study was the evaluation and comparison of the effects of two types of centrifugal pumps and of one type of roller pump on blood elements, the coagulation system, complements, and immunoglobulins. Two types of centrifugal pumps (Lifestream; St. Jude Medical, Chelmsford, Massachusetts; and BP-80: Medtronic, BioMedicus, Inc., Eden Prairie, Minnesota, U.S.A.) and one roller pump (Mera Co.) were used separately as the main pump for cardiopulmonary bypass (CPB) in 29 patients. Platelet counts, lactate dehydrogenase, antithrombin III, thrombin-antithrombin complex (TAT), complements (C3, C4, and CH50) and immunoglobulins G, A, and M values were measured before and after CPB and compared. Values, except those for TAT, showed no significant difference among the three groups. The TAT values increased less in each of the centrifugal pump groups than in the roller pump group. This finding suggests that thrombin synthesis might be suppressed by the use of a centrifugal pump.

  13. Homoeopathic management of Schizophrenia: A prospective, non-comparative, open-label observational study

    Directory of Open Access Journals (Sweden)

    Praveen Oberai

    2016-01-01

    Full Text Available Objectives: To evaluate the usefulness of homoeopathic intervention in Schizophrenia, in untreated cases and antipsychotic treatment resistant cases, to verify indications of medicines, and to assess relapse, if any. Materials and Methods: A prospective, non-comparative, open-label observational study was carried out from October 2005-September 2010 by CCRH at Central Research Institute (H, Kottayam, Kerala, India. Patients between 20 and 60 years of age, presenting with symptoms of Schizophrenia were screened for inclusion and exclusion criteria. The patients who were on antipsychotic drugs were allowed to continue the same along with homoeopathic medicine, the dose of antipsychotics was monitored by the Psychiatrist. The symptoms of each patient were repertorized, and medicine was initially prescribed in 30C potency after consulting Materia Medica. Patients were followed up for 12 months. Outcome of treatment was assessed with Brief Psychiatric Rating Scales (BPRS. Analysis was done using Statistical Package for the Social Sciences  SPSS Version 20.0. Results: Out of 188 enrolled patients, 17 cases did not complete the baseline information. Total 171 patients were analysed as per modified Intention to Treat Principle. Significant difference (P = 0.0001, P < 0.05 in the mean scores of BPRS, using paired t test was observed at end of the study. Sulphur, Lycopodium, Natrum muriaticum, Pulsatilla and Phosphorus were found to be the most useful medicines in treating schizophrenic patients. Conclusion: The study reflects the positive role of homoeopathic medicines in the management of patients suffering from schizophrenia as measured by BPRS.

  14. Study Behavior in the Closed-Book and the Open-Book Examination: A Comparative Analysis.

    Science.gov (United States)

    Theophilides, Christos; Koutselini, Mary

    2000-01-01

    Investigated the study behavior used by students facing an open-book or closed-book examination. Results for 201 college students in Cyprus indicate that students preparing for a closed-book examination tended to postpone study at the end of the semester, focus on assigned texts, and memorize information. Students preparing for open-book tests…

  15. Open Science Strategies in Research Policies: A Comparative Exploration of Canada, the US and the UK

    Science.gov (United States)

    Lasthiotakis, Helen; Kretz, Andrew; Sá, Creso

    2015-01-01

    Several movements have emerged related to the general idea of promoting "openness" in science. Research councils are key institutions in bringing about changes proposed by these movements, as sponsors and facilitators of research. In this paper we identify the approaches used in Canada, the US and the UK to advance open science, as a…

  16. Laparoendoscopic single-site retroperitoneoscopic adrenalectomy compared with conventional laparoscopy and open surgery

    Directory of Open Access Journals (Sweden)

    Szu-Han Chen

    2017-03-01

    Conclusion: The standard approach to adrenalectomy recently improved from open to laparoscopic surgery, transperitoneal to retroperitoneal access, and multiple ports to a single port. Here we found that laparoscopic surgery had better intra- and postoperative outcomes than open surgery. Furthermore, patients treated with LESS-RA required less postoperative recovery time and less analgesic use than those treated with CRA.

  17. Comparing Open and Guided Inquiry Activities in an Informal Physics Program To Promote Agency, Communication, and Reasoning

    Science.gov (United States)

    Wulf, Rosemary Philomena

    In this thesis, we investigate an informal after-school science program. We examine two inquiry curricula used in this program; one more guided and the other more open. We have developed new methods to analyze middle school children's scientific notebooks, and we measure how the children exhibit agency, how the children communicate, and the mechanistic reasoning children use. We compare the two curricula and find that the children exhibit more agency in the open curriculum, write and draw more in the open curriculum, demonstrate a wide variety of scientific communication, and use more varied types of mechanistic reasoning in the open curriculum. These aspects can be linked to science identity, and we conclude that the more open curriculum supports the development of positive science identity.

  18. Comparative study of minimally invasive versus open esophagectomy for esophageal cancer in a single cancer center

    Institute of Scientific and Technical Information of China (English)

    Mu Juwei; Yuan Zuyang; Zhang Baihua; Li Ning; Lyu Fang; Mao Yousheng; Xue Qi

    2014-01-01

    Background In order to minimize the injury reaction during the surgery and reduce the morbidity rate,hence reducing the mortality rate of esophagectomy,minimally invasive esophagectomy (MIE) was introduced.The aim of this study was to compare the postoperative outcomes in patients with esophageal squamous cell carcinoma undergoing minimally invasive or open esophagectomy (OE).Methods The medical records of 176 consecutive patients,who underwent minimally invasive esophagectomy (MIE) between January 2009 and August 2013 in Cancer Institute & Hospital,Chinese Academy of Medical Sciences,were retrospectively reviewed.In the same period,142 patients who underwent OE,either Ivor Lewis or McKeown approach,were selected randomly as controls.The clinical variables of paired groups were compared,including age,sex,Charlson score,tumor location,duration of surgery,number of harvested lymph nodes,morbidity rate,the rate of leak,pulmonary morbidity rate,mortality rate,and hospital length of stay (LOS).Results The number of harvested lymph nodes was not significantly different between MIE group and OE group (median 20 vs.16,P=0.740).However,patients who underwent MIE had longer operation time than the OE group (375 vs.300 minutes,P <0.001).Overall morbidity,pulmonary morbidity,the rate of leak,in-hospital death,and hospital LOS were not significantly different between MIE and OE groups.Morbidities including anastomotic leak and pulmonary morbidity,inhospital death,hospital LOS,and hospital expenses were not significantly different between MIE and OE groups as well.Conclusions MIE and OE appear equivalent with regard to early oncological outcomes.There is a trend that hospital LOS and hospital expenses are reduced in the MIE group than the OE group.

  19. A COMPARATIVE ANALYSIS OF PERCUTANEOUS AND OPEN SURGICAL TECHNIQUESFOR PERITONEAL CATHETER PLACEMENT.

    LENUS (Irish Health Repository)

    Medani, Samar

    2012-05-01

    BACKGROUND: Peritoneal dialysis (PD) is the preferred available option of renal replacement therapy for a significant number of end-stage kidney disease patients. A major limiting factor to the successful continuation of PD is the long-term viability of the PD catheter (PDC). Bedside percutaneous placement of the PDC is not commonly practiced despite published data encouraging use of this technique. Its advantages include faster recovery and avoidance of general anesthesia.♢ METHODS: We carried out a retrospective analysis of the outcomes of 313 PDC insertions at our center, comparing all percutaneous PDC insertions between July 1998 and April 2010 (group P, n = 151) with all surgical PDC insertions between January 2003 and April 2010 (group S, n = 162).♢ RESULTS: Compared with group P patients, significantly more group S patients had undergone previous abdominal surgery or PDC insertion (41.8% vs 9.3% and 33.3% vs 3.3% respectively, p = 0.00). More exit-site leaks occurred in group P than in group S (20.5% vs 6.8%, p = 0.002). The overall incidence of peritonitis was higher in group S than in group P (1 episode in 19 catheter-months vs 1 episode in 26 catheter-months, p = 0.017), but the groups showed no significant difference in the peritonitis rate within 1 month of catheter insertion (5% in group P vs 7.4% in group S, p =0.4) or in poor initial drainage or secondary drainage failure (9.9% vs 11.7%, p = 0.1, and 7.9% vs 12.3%, p = 0.38, for groups P and S respectively). Technical survival at 3 months was significantly better for group P than for group S (86.6% vs 77%, p = 0.037); at 12 months, it was 77.7% and 68.7% respectively (p = 0.126). No life-threatening complications attributable to the insertion of the PDC occurred in either group.♢ CONCLUSIONS: Our analysis demonstrates further encouraging outcomes of percutaneous PDC placement compared with open surgical placement. However, the members of the percutaneous insertion group were primarily a

  20. Computer-assisted versus traditional freehand technique in fibular free flap mandibular reconstruction: a morphological comparative study.

    Science.gov (United States)

    De Maesschalck, Thibault; Courvoisier, Delphine S; Scolozzi, Paolo

    2017-01-01

    The purpose of the study was to compare the accuracy of computer-assisted surgery (CAS) and the traditional freehand technique for fibular free flap mandibular reconstruction as well as to evaluate the accuracy of the CAS planning. The medical records of 18 patients who underwent mandibular reconstruction with fibular free flap were reviewed. The CAS group (n = 7) benefited from virtual surgical planning and custom patient-specific plates and surgical cutting guides. The Control group (n = 11) was treated by conventional surgery. Morphometric comparison was done by calculating the differences in specific linear and angular parameters on pre- and postoperative CT-scans for both groups by using ProPlan CMF(®) software. Symmetry was also assessed by calculating the ratio of the affected versus the nonaffected side. In the CAS group, planned and postoperative CT-scans were compared to evaluate accuracy. The morphometric comparison showed no statistically significant differences between the groups except for the axial angle on the nonaffected side (mean difference 1.0° in the CAS group versus 2.9° in the Control group; p = 0.03). Ratios of the affected side over the nonaffected side showed no differences between the two groups. In the CAS group, the accuracy assessment showed a mean distance deviation of 2.3 mm for mandibular osteotomies and 1.9 mm for fibular osteotomies. Our results indicated that CAS and the conventional freehand techniques were comparable in their ability to provide a satisfactory morphological fibular free flap mandibular reconstruction. Moreover, the accuracy of the CAS technique was within the range reported in the literature.

  1. Audio computer-assisted self interview compared to traditional interview in an HIV-related behavioral survey in Vietnam.

    Science.gov (United States)

    Le, Linh Cu; Vu, Lan T H

    2012-10-01

    Globally, population surveys on HIV/AIDS and other sensitive topics have been using audio computer-assisted self interview for many years. This interview technique, however, is still new to Vietnam and little is known about its application and impact in general population surveys. One plausible hypothesis is that residents of Vietnam interviewed using this technique may provide a higher response rate and be more willing to reveal their true behaviors than if interviewed with traditional methods. This study aims to compare audio computer-assisted self interview with traditional face-to-face personal interview and self-administered interview with regard to rates of refusal and affirmative responses to questions on sensitive topics related to HIV/AIDS. In June 2010, a randomized study was conducted in three cities (Ha Noi, Da Nan and Can Tho), using a sample of 4049 residents aged 15 to 49 years. Respondents were randomly assigned to one of three interviewing methods: audio computer-assisted self interview, personal face-to-face interview, and self-administered paper interview. Instead of providing answers directly to interviewer questions as with traditional methods, audio computer-assisted self-interview respondents read the questions displayed on a laptop screen, while listening to the questions through audio headphones, then entered responses using a laptop keyboard. A MySQL database was used for data management and SPSS statistical package version 18 used for data analysis with bivariate and multivariate statistical techniques. Rates of high risk behaviors and mean values of continuous variables were compared for the three data collection methods. Audio computer-assisted self interview showed advantages over comparison techniques, achieving lower refusal rates and reporting higher prevalence of some sensitive and risk behaviors (perhaps indication of more truthful answers). Premarital sex was reported by 20.4% in the audio computer-assisted self-interview survey

  2. A Comparative Study of Strength of Two-Way Rectangular Slabs with and without Openings

    Science.gov (United States)

    Ravindra, M.; Rakesh, V.; Rambabu, K.

    2016-09-01

    The present work uses yield-line theory to find the strength of uniformly loaded rectangular reinforced concrete slabs with and without rectangular openings. Five positions of openings are considered, i.e. the slab centre, the slab corner, the centre of a short side, the centre of a long side and the opening eccentric to the slab centre. All possible admissible yield line patterns are considered for all given configurations of the slab subjected to uniformly distributed load keeping in view the basic principles of yield line theory. The ratios of the corresponding lengths of the sides of the opening and the slab are different and sizes of opening up to 0.4× the length of the slab sides are considered. Symmetric edge conditions like continuous slab, simply supported, two long sides continuous and two short sides continuous are considered for various sizes of openings in order to plot the design charts for isotropic reinforcement coefficients only. Affine transformation is also performed for slab with openings.

  3. Comparative Genomics of Acetobacterpasteurianus Ab3, an Acetic Acid Producing Strain Isolated from Chinese Traditional Rice Vinegar Meiguichu.

    Science.gov (United States)

    Xia, Kai; Li, Yudong; Sun, Jing; Liang, Xinle

    2016-01-01

    Acetobacter pasteurianus, an acetic acid resistant bacterium belonging to alpha-proteobacteria, has been widely used to produce vinegar in the food industry. To understand the mechanism of its high tolerance to acetic acid and robust ability of oxidizing ethanol to acetic acid (> 12%, w/v), we described the 3.1 Mb complete genome sequence (including 0.28 M plasmid sequence) with a G+C content of 52.4% of A. pasteurianus Ab3, which was isolated from the traditional Chinese rice vinegar (Meiguichu) fermentation process. Automatic annotation of the complete genome revealed 2,786 protein-coding genes and 73 RNA genes. The comparative genome analysis among A. pasteurianus strains revealed that A. pasteurianus Ab3 possesses many unique genes potentially involved in acetic acid resistance mechanisms. In particular, two-component systems or toxin-antitoxin systems may be the signal pathway and modulatory network in A. pasteurianus to cope with acid stress. In addition, the large numbers of unique transport systems may also be related to its acid resistance capacity and cell fitness. Our results provide new clues to understanding the underlying mechanisms of acetic acid resistance in Acetobacter species and guiding industrial strain breeding for vinegar fermentation processes.

  4. Learning Competences in Open Mobile Environments: A Comparative Analysis Between Formal and Non-Formal Spaces

    Directory of Open Access Journals (Sweden)

    Daniel Dominguez

    2014-07-01

    Full Text Available As a result of the increasing use of mobile devices in education, new approaches to define the learning competences in the field of digitally mediated learning have emerged. This paper examines these approaches, using data obtained from empirical research with a group of Spanish university students. The analysis is focused on the experiences of students in the use of mobile devices in both formal and open-informal educational contexts. The theoretical framework of the study is based on the ecological focus applied to explanatory models of digital literacy. As a result of the data it is possible to study this framework in depth, taking into account the theories defending an open view of digital literacy. The study may be of interest to instructional designers and researchers in the fields of open educational resources and technologies applied to education in open contexts.

  5. A comparative study of open, laparoscopic and robotic partial nephrectomy in obese patients

    Directory of Open Access Journals (Sweden)

    Clairese M Webb

    2015-01-01

    Conclusions: Our study demonstrates that in obese patients, both laparoscopic and robotic partial nephrectomy are associated with less blood loss than open partial nephrectomy. Second, the length of the hospital stay was not related to the type of utilized intervention.

  6. Comparative effect of high pressure processing and traditional thermal treatment on the physicochemical, microbiology, and sensory analysis of olive jam

    Directory of Open Access Journals (Sweden)

    Delgado-Adamez, J.

    2013-09-01

    Full Text Available In the present work the effect of the processing by high hydrostatic pressures (HPP was assessed as an alternative to the thermal treatment of pasteurization in olive jam. The effects of both treatments on the product after processing were compared and stability during storage under refrigeration was assessed through the characterization of physicochemical, microbiological and sensory aspects. To assess the effect of processing, two HPP treatments (450 and 600MPa and thermal pasteurization (80 °C for 20 min were applied, comparing them with the unprocessed product. HPP 600MPa versus the rest of treatments showed a reduction in microorganisms, greater clarity and less browning, and sensory acceptance. The shelf-life of the refrigerated product would indicate the feasibility of the application of the HPP technology for food with similar shelf-life to that obtained with the traditional treatment of pasteurization, but with a better sensory quality.En el presente trabajo se valoró el efecto del procesado por altas presiones hidrostáticas (HPP como método alternativo al tratamiento térmico de pasteurización en la mermelada de aceitunas. Para ello se comparó el efecto de ambos tratamientos sobre el producto procesado y se evaluó su estabilidad durante el almacenamiento en refrigeración, mediante la caracterización de los aspectos físico-químicos, microbiológicos, y sensoriales. Para evaluar el efecto del procesado, se aplicaron dos tratamientos de HPP (450 y 600MPa y otro de pasteurización térmica (80 °C durante 20 min, comparándose con el producto no procesado. Las muestras tratadas con HPP 600MPa presentaron, frente al resto de tratamientos una reducción en la presencia de microorganismos, mayor claridad y menor pardeamiento, y una mayor aceptación sensorial. El estudio de la vida útil del producto en refrigeración, indicaría la viabilidad de la aplicación de la tecnología de HPP para obtener alimentos con vida útil similar

  7. Field and laboratory comparative evaluation of rapid malaria diagnostic tests versus traditional and molecular techniques in India

    Directory of Open Access Journals (Sweden)

    Bharti Praveen K

    2010-07-01

    Full Text Available Abstract Background Malaria presents a diagnostic challenge in most tropical countries. Microscopy remains the gold standard for diagnosing malaria infections in clinical practice and research. However, microscopy is labour intensive, requires significant skills and time, which causes therapeutic delays. The objective of obtaining result quickly from the examination of blood samples from patients with suspected malaria is now made possible with the introduction of rapid malaria diagnostic tests (RDTs. Several RDTs are available, which are fast, reliable and simple to use and can detect Plasmodium falciparum and non-falciparum infections or both. A study was conducted in tribal areas of central India to measure the overall performance of several RDTs for diagnosis of P. falciparum and non-falciparum infections in comparison with traditional and molecular techniques. Such data will be used to guide procurement decisions of policy makers and programme managers. Methods Five commercially available RDTs were tested simultaneously in field in parallel with peripheral blood smears in outbreak-affected areas. The evaluation is designed to provide comparative data on the performance of each RDT. In addition, molecular method i.e. polymerase chain reaction (PCR was also carried out to compare all three methods. Results A total of 372 patients with a clinical suspicion of malaria from Bajag Primary Health Centre (PHC of district Dindori and Satanwada PHC of district Shivpuri attending the field clinics of Regional Medical Research Centre were included in the study. The analysis revealed that the First Response Malaria Antigen pLDH/HRP2 combo test was 94.7% sensitive (95% CI 89.5-97.7 and 69.9% specific (95% CI 63.6-75.6 for P. falciparum. However, for non-falciparum infections (Plasmodium vivax the test was 84.2% sensitive (95% CI 72.1-92.5 and 96.5% specific (95% CI 93.8-98.2. The Parascreen represented a good alternative. All other RDTs were relatively

  8. Do state traditions matter? Comparing deliberative governance initiatives for climate change adaptation in Dutch corporatism and British pluralism

    NARCIS (Netherlands)

    Vink, M.; Benson, D.; Boezeman, D.F.; Cook, H.; Dewulf, A.; Termeer, C.

    2015-01-01

    In the emerging field of climate adaptation, deliberative governance initiatives are proposed to yield better adaptation strategies. However, introducing these network-centred deliberations between public and private players may contrast with institutionalized traditions of interest intermediation b

  9. Do state traditions matter? Comparing deliberative governance initiatives for climate change adaptation in Dutch corporatism and British pluralism

    NARCIS (Netherlands)

    Vink, M.J.; Benson, D.; Boezeman, D.; Cook, H.E.; Dewulf, A.R.P.J.; Termeer, C.J.A.M.

    2015-01-01

    In the emerging field of climate adaptation, deliberative governance initiatives are proposed to yield better adaptation strategies. However, introducing these network-centred deliberations between public and private players may contrast with traditions of interest intermediation between state and s

  10. [Comparative estimation of the results of open and endoscopic thoracic sympathectomy in the treatment of Raynaud's phenomenon].

    Science.gov (United States)

    Miminoshvili, O I; Perepelitsa, S V; Shapovalov, I N

    2010-10-01

    Comparative analysis of thoracic sympathectomy efficacy, performed for Raynaud's phenomenon (RP), was accomplished, concerning application either endoscopic or open method. In 62 patients, suffering RP, open or endoscopic thoracic sympathectomy was done in surgical and vascular departments in 1997-2007 yrs. In 32 (51.61%) patients there was performed endoscopic thoracic sympathectomy, in 30 (48.39%)--upper thoracic sympathectomy, using extrapleural supraclavicular access, according to V. N. Klimenko. Immediate results of upper thoracic sympathectomy did not differ trustworthy depending on any method or access. Late follow-up results of upper thoracic sympathectomy were worse than immediate results by 28%--in endoscopic variant and by 43% --in the open one. The positive results rate after endoscopic thoracic sympathectomy have exceeded that after conducting the open one by 15.18%.

  11. Decreased risk of surgery for small bowel obstruction after laparoscopic colon cancer surgery compared with open surgery

    DEFF Research Database (Denmark)

    Jensen, Kristian Kiim; Erichsen, Rune; Scheike, Thomas

    2016-01-01

    . The HR for mortality after colonic resection was 2.54 (CI 1.91 to 3.38, P surgery as compared to those who did not. CONCLUSIONS: Laparoscopic surgery for colonic cancer was associated with a decreased risk of subsequent SBO surgery compared with open...... surgery. Further, subsequent SBO surgery was associated with increased mortality after colonic cancer resection.......BACKGROUND: The impact of surgical approach on the incidence of small bowel obstruction (SBO) is unclear. The aim of the current study was to analyze the long-term risk of surgery for SBO after open and laparoscopic surgery and to assess how subsequent SBO surgery impacts on mortality after colonic...

  12. A Comparative Study on Performance Benefits of Multi-core CPUs using OpenMP

    Directory of Open Access Journals (Sweden)

    Vijayalakshmi Saravanan

    2012-01-01

    Full Text Available Achieving scalable parallelism from general programs was not successful to this point. To extract parallelism from programs has become the key focus of interest on multi-core CPUs. There are many techniques and programming models such as MPI, CUDA and OpenMP adopted in order to exploit more performance. But there is an urge to #64257;nd the best parallel programming techniques for the bene#64257;t of performance. This article shows how the performance potential bene#64257;ts the parallel programming model over sequential programming model. To support our claim, we are likely to analyze the performance in terms of execution time on both sequential and parallel implementations of naive matrix multiplication vs. Strassens matrix multiplication algorithm using OpenMP. Our analysis results show that optimizing the code using OpenMP increases the performance than sequential implementation and outperforming well with parallel algorithms.

  13. Comparative assessment of bone pose estimation using Point Cluster Technique and OpenSim.

    Science.gov (United States)

    Lathrop, Rebecca L; Chaudhari, Ajit M W; Siston, Robert A

    2011-11-01

    Estimating the position of the bones from optical motion capture data is a challenge associated with human movement analysis. Bone pose estimation techniques such as the Point Cluster Technique (PCT) and simulations of movement through software packages such as OpenSim are used to minimize soft tissue artifact and estimate skeletal position; however, using different methods for analysis may produce differing kinematic results which could lead to differences in clinical interpretation such as a misclassification of normal or pathological gait. This study evaluated the differences present in knee joint kinematics as a result of calculating joint angles using various techniques. We calculated knee joint kinematics from experimental gait data using the standard PCT, the least squares approach in OpenSim applied to experimental marker data, and the least squares approach in OpenSim applied to the results of the PCT algorithm. Maximum and resultant RMS differences in knee angles were calculated between all techniques. We observed differences in flexion/extension, varus/valgus, and internal/external rotation angles between all approaches. The largest differences were between the PCT results and all results calculated using OpenSim. The RMS differences averaged nearly 5° for flexion/extension angles with maximum differences exceeding 15°. Average RMS differences were relatively small (techniques appeared to be a constant offset between the PCT and all OpenSim results, which may be due to differences in the definition of anatomical reference frames, scaling of musculoskeletal models, and/or placement of virtual markers within OpenSim. Different methods for data analysis can produce largely different kinematic results, which could lead to the misclassification of normal or pathological gait. Improved techniques to allow non-uniform scaling of generic models to more accurately reflect subject-specific bone geometries and anatomical reference frames may reduce differences

  14. Comparing Learner Community Behavior in Multiple Presentations of a Massive Open Online Course

    Science.gov (United States)

    Gallagher, Silvia Elena; Savage, Timothy

    2016-01-01

    Massive Online Open Courses (MOOCs) can create large scale communities of learners who collaborate, interact and discuss learning materials and activities. MOOCs are often delivered multiple times with similar content to different cohorts of learners. However, research into the differences of learner communication, behavior and expectation between…

  15. A comparative study of challenges in integrating Open Source Software and Inner Source Software

    NARCIS (Netherlands)

    Stol, Klaas-Jan; Babar, Muhammad Ali; Avgeriou, Paris; Fitzgerald, Brian

    2011-01-01

    Context: Several large software-developing organizations have adopted Open Source Software development (OSSD) practices to develop in-house components that are subsequently integrated into products. This phenomenon is also known as "Inner Source". While there have been several reports of successful

  16. Comparative Analysis of Pedagogical Strategies across Disciplines in Open Distance Learning at Unisa

    Science.gov (United States)

    Ramdass, Kemlall; Masithulela, Fulufhelo

    2016-01-01

    Re-engineering technological strategies in teaching and learning in an open distance learning (ODL) environment is paramount as the demand for access to quality higher education escalates drastically on a year to year basis. The organisational framework requires change in order to accommodate the increasing number of students. In view of the…

  17. What Makes a MOOC? Massive Open Online Courses (MOOCSs) Compared to Mainstream Online University Courses

    Science.gov (United States)

    Johnston, Timothy C.

    2014-01-01

    A Massive Open Online Course (MOOC) is a model for delivering learning content online to any person who wants to take a course, with no limit on attendance. The MOOC industry is growing rapidly, fueled by students interested in free higher-education learning, and the universities and venture capitalists willing to fund the courses. This paper…

  18. Comparative study on nutritional and sensory quality of barnyard and foxtail millet food products with traditional rice products.

    Science.gov (United States)

    Verma, Suman; Srivastava, Sarita; Tiwari, Neha

    2015-08-01

    colour, flavor, texture, appearance and overall acceptability of foxtail and barnyard millet laddu and halwa when compared to control. Foxtail millet biryani was most acceptable compared to barnyard millet and control biryani. Nutritive value of formulated products was calculated and it was compared with the rice. The protein, fat and fibre content of the formulated products from foxtail and barnyard millet were higher than the rice products. Thus from the present study it was concluded that the foxtail millet and barnyard millet are superior in nutritive value to rice and have potential for use in traditional food products.

  19. How to Make the Financial Analysis an Easy Task – A Comparative Analysis between the Traditional and the Modern Approach?

    Directory of Open Access Journals (Sweden)

    Rajamahanti Surya Kiran

    2014-08-01

    Full Text Available This research paper is based upon the comparison of the Traditional Approaches / Methods with the Modern Approach / Methods in a simple manner so the beginners of the Financial Mangement could understand the relevance of the latest approaches as well . In this paper a sample example had been taken to solve a case of the two projects which are mutually exclusive wherein the best project is to be selected out of the two. The Same had been solved both by the traditional approach as well as by the modern approach so that the comparisons could be easily justified .

  20. Improved outcomes for laparoscopic appendectomy compared with open appendectomy in the pediatric population.

    Science.gov (United States)

    Schmelzer, Thomas M; Rana, Ankur R; Walters, K Christian; Norton, H James; Bambini, Daniel A; Heniford, B Todd

    2007-10-01

    The appendectomy is a common emergent surgical procedure in the pediatric population. The aim of this study was to examine our institution's experience and outcomes in the appendectomy in the pediatric population early in our transition from open surgery to a predominantly laparoscopic approach. We retrospectively studied all pediatric patients (age 20 years) that underwent an appendectomy at a tertiary care center over 2 years. The data collected included patient demographics, comorbidities, operative details, outcomes, and complications. Two hundred twenty-three consecutive patients, with a mean age of 9.5 (3.9) years, were included in the study. Forty-four laparoscopic and 179 open appendectomies were performed. Two of the laparoscopic cases were converted to open appendectomies. Significant differences were seen between the two groups, with longer operative times (P < 0.0001) and lower estimated blood loss (P = 0.007) in the laparoscopic group. Operative times improved significantly for the laparoscopic group as the surgeons became more experienced (P = 0.03). The laparoscopic group used intravenous pain medication for a shorter time (0.8 vs. 1.9 days; P = 0.0003) and had a shorter postoperative hospital length of stay (2.2 vs. 3.4 days; P = 0.004). The laparoscopic group had fewer wound infections (2.3% vs. 6.2%; P = 0.3), intra-abdominal abscesses (4.5% vs. 5.6%; P = 0.8), and postoperative ileus (0% vs. 2.2%; P = 0.3), although these differences did not reach statistical significance. The laparoscopic appendectomy procedure is a safe alternative to open appendectomy in pediatric patients and results in shorter hospital stays with less postoperative pain.

  1. Reversal of the Hartmann's procedure: A comparative study of laparoscopic versus open surgery

    Science.gov (United States)

    Melkonian, Ernesto; Heine, Claudio; Contreras, David; Rodriguez, Marcelo; Opazo, Patricio; Silva, Andres; Robles, Ignacio; Rebolledo, Rolando

    2017-01-01

    BACKGROUND: The Hartmann's operation, although less frequently performed today, is still used when initial colonic anastomosis is too risky in the short term. However, the subsequent procedure to restore gastrointestinal continuity is associated with significant morbidity and mortality. PATIENTS AND METHODS: The review of an institutional review board (IRB)-approved prospectively maintained database provided data on the Hartmann's reversal procedure performed by either laparoscopic or open technique at our institution. The data collected included: demographic data, operative approach, conversion for laparoscopic cases and perioperative morbidity and mortality. RESULTS: Over a 14-year period from January 1997 to August 2011, 74 Hartmann's reversal procedures were performed (laparoscopic surgery—49, open surgery—25). The average age was 55 years for the laparoscopic and 57 years for the open surgery group, respectively. Male patients represent 61% of both groups. There was no significant difference in operative time between the two groups (149 min vs 151 min; P = 0.95), and there was a tendency to lower morbidity (3/49—7.3% vs 4/25—16%; P = 0.24) in the laparoscopic surgery group. In the laparoscopic group, eight patients (16.3%) were converted to open surgery, mostly due to severe adhesions. The length of hospital stay was significantly shorter for the laparoscopic group (5 days vs 7 days; P = 0.44). CONCLUSIONS: The Hartmann's reversal procedure can be safely performed in the majority of the cases using a laparoscopic approach with a low morbidity rate and achieving a shorter hospital stay. PMID:27251820

  2. Reversal of the Hartmann's procedure: A comparative study of laparoscopic versus open surgery

    Directory of Open Access Journals (Sweden)

    Ernesto Melkonian

    2017-01-01

    Full Text Available Background: The Hartmann's operation, although less frequently performed today, is still used when initial colonic anastomosis is too risky in the short term. However, the subsequent procedure to restore gastrointestinal continuity is associated with significant morbidity and mortality. Patients and Methods: The review of an institutional review board (IRB-approved prospectively maintained database provided data on the Hartmann's reversal procedure performed by either laparoscopic or open technique at our institution. The data collected included: demographic data, operative approach, conversion for laparoscopic cases and perioperative morbidity and mortality. Results: Over a 14-year period from January 1997 to August 2011, 74 Hartmann's reversal procedures were performed (laparoscopic surgery—49, open surgery—25. The average age was 55 years for the laparoscopic and 57 years for the open surgery group, respectively. Male patients represent 61% of both groups. There was no significant difference in operative time between the two groups (149 min vs 151 min; P = 0.95, and there was a tendency to lower morbidity (3/49—7.3% vs 4/25—16%; P = 0.24 in the laparoscopic surgery group. In the laparoscopic group, eight patients (16.3% were converted to open surgery, mostly due to severe adhesions. The length of hospital stay was significantly shorter for the laparoscopic group (5 days vs 7 days; P = 0.44. Conclusions: The Hartmann's reversal procedure can be safely performed in the majority of the cases using a laparoscopic approach with a low morbidity rate and achieving a shorter hospital stay.

  3. A Comparative Study on the Motivation and Attitudes of Language Learners of Online Distance and Traditional In-Classroom Education

    Science.gov (United States)

    Genc, Gulten; Kulusakli, Emine; Aydin, Savas

    2016-01-01

    In recent years, the increase in the use of computer and the internet has led to a change in the traditional concept of formal education today. Distance learning as a more student-centered system has been frequently used at universities. In this context, education has been applied to the individuals consisting of all age groups in accordance with…

  4. A Comparative Analysis of Texas Grade Five Student Achievement between Year-Round and Traditional School Calendars

    Science.gov (United States)

    Wilmore-Dafonte, Christy N.

    2013-01-01

    Purpose: The purpose of this dissertation was to determine the extent to which school instructional calendar configuration (i.e., year-round or traditional) influenced Grade 5 student academic performance as reflected on the Texas Assessment of Knowledge and Skills (TAKS) test as a function of student ethnicity (i.e., Hispanic, White, and Black)…

  5. Assessment of reflectivity of noise barriers in the far field – QUIESST method compared to traditional approach

    NARCIS (Netherlands)

    Roo, F. de

    2013-01-01

    The sound reflectivity of noise barriers elements is one of the major acoustic product characteristics. Traditionally this property was tested in reverberation rooms according to EN 1793-1 and the results were used to predict the effect of sound reflections in the far field. As in many cases these r

  6. Math Anxiety, Math Self-Concept, and Math Self-Efficacy in Adult Learners Compared to Traditional Undergraduate Students

    Science.gov (United States)

    Jameson, Molly M.; Fusco, Brooke R.

    2014-01-01

    Adult learners comprise a significant portion of current undergraduate populations, and projections indicate steady or growing numbers of adult learners in the future. Previous research has suggested that adult learners possess lower self-confidence than and face barriers not experienced by traditional undergraduate students. These constructs have…

  7. Comparing Hybrid Learning with Traditional Approaches on Learning the Microsoft Office Power Point 2003 Program in Tertiary Education

    Science.gov (United States)

    Vernadakis, Nikolaos; Antoniou, Panagiotis; Giannousi, Maria; Zetou, Eleni; Kioumourtzoglou, Efthimis

    2011-01-01

    The purpose of this study was to determine the effectiveness of a hybrid learning approach to deliver a computer science course concerning the Microsoft office PowerPoint 2003 program in comparison to delivering the same course content in the form of traditional lectures. A hundred and seventy-two first year university students were randomly…

  8. Exploring Self-Directed Learning in the Online Learning Environment: Comparing Traditional versus Nontraditional Learner Populations a Qualitative Study

    Science.gov (United States)

    Plews, Rachel Christine

    2016-01-01

    The purpose of this study was to explore self-directed learning in the online learning context. A sample of traditional and nontraditional learners, who were considered above average in their level of self-direction, participated in qualitative interviews to discuss their learning while engaged in an online course. The findings suggested no major…

  9. Estimating the critical thermal maximum (CTmax) of bed bugs, Cimex lectularius: Comparing thermolimit respirometry with traditional visual methods.

    Science.gov (United States)

    DeVries, Zachary C; Kells, Stephen A; Appel, Arthur G

    2016-07-01

    Evaluating the critical thermal maximum (CTmax) in insects has provided a number of challenges. Visual observations of endpoints (onset of spasms, loss of righting response, etc.) can be difficult to measure consistently, especially with smaller insects. To resolve this problem, Lighton and Turner (2004) developed a new technique: thermolimit respirometry (TLR). TLR combines real time measurements of both metabolism (V·CO2) and activity to provide two independent, objective measures of CTmax. However, several questions still remain regarding the precision of TLR and how accurate it is in relation to traditional methods. Therefore, we evaluated CTmax of bed bugs using both traditional (visual) methods and TLR at three important metabolic periods following feeding (1d, 9d, and 21d). Both methods provided similar estimates of CTmax, although traditional methods produced consistently lower values (0.7-1°C lower than TLR). Despite similar levels of precision, TLR provided a more complete profile of thermal tolerance, describing changes in metabolism and activity leading up to the CTmax, not available through traditional methods. In addition, feeding status had a significant effect on bed bug CTmax, with bed bugs starved 9d (45.19[±0.20]°C) having the greatest thermal tolerance, followed by bed bugs starved 1d (44.64[±0.28]°C), and finally bed bugs starved 21d (44.12[±0.28]°C). Accuracy of traditional visual methods in relation to TLR is highly dependent on the selected endpoint; however, when performed correctly, both methods provide precise, accurate, and reliable estimations of CTmax.

  10. A Comparative Analysis of Nursing Manpower Requirements: Traditional Staffing Methodology versus Patient Classification System at Madigan Army Medical Center

    Science.gov (United States)

    1983-07-01

    intake monitoring more often than TID. CODE (B) Patient requires assistance at mealtime for prepar- ation of food (cutting meat, opening containers...CARE - Time spent in the presence of the patient and/or family ; preparation and tear-down time for direct care tasks are in- cluded since these times

  11. Remediation of floating, open water oil spills: Comparative efficacy of commercially available polypropylene sorbent booms

    Science.gov (United States)

    Schrader, Ed L.

    1991-03-01

    Several complex methods of remediation are applied to open water oil spills. Sorbing the liquid hydrocarbons with polypropylene booms is an effective and less complex means of treating such events. There are, however, a variety of commercially available booms which display different performances in sorbing different viscosity hydrocarbons. There is no acceptable A.S.T.M. protocol to evaluate these booms for performance efficiency in various weather and hydrocarbon viscosity scenarios. The current paper proposes such a protocol and evaluates the most commonly used sorbent products with the new test procedures. Nine specific performance criteria, based on actual field applications, are demonstrated.

  12. Comparative survey of bacterial and archaeal communities in high arsenic shallow aquifers using 454 pyrosequencing and traditional methods.

    Science.gov (United States)

    Li, Ping; Jiang, Dawei; Li, Bing; Dai, Xinyue; Wang, Yanhong; Jiang, Zhou; Wang, Yanxin

    2014-12-01

    A survey of bacterial and archaeal community structure was carried out in 10 shallow tube wells in a high arsenic groundwater system located in Hetao Basin, Inner Mongolia by 16S rRNA gene based two-step nested PCR-DGGE, clone libraries and 454 pyrosequencing. 12 bacterial and 18 archaeal DGGE bands and 26-136 species-level OTUs were detected for all the samples. 299 bacterial and 283 archaeal 16S rRNA gene clones for two typical samples were identified by phylogenetic analysis. Most of the results from these different methods were consistent with the dominant bacterial populations. But the proportions of the microbial populations were mostly different and the bacterial communities in most of these samples from pyrosequencing were both more abundant and more diverse than those from the traditional methods. Even after quality filtering, pyrosequencing revealed some populations including Alishewanella, Sulfuricurvum, Arthrobacter, Sporosarcina and Algoriphagus which were not detected with traditional techniques. The most dominant bacterial populations in these samples identified as some arsenic, iron, nitrogen and sulfur reducing and oxidizing related populations including Acinetobacter, Pseudomonas, Flavobacterium, Brevundimonas, Massilia, Planococcus, and Aquabacterium and archaeal communities Nitrosophaera and Methanosaeta. Acinetobacter and Pseudomonas were distinctly abundant in most of these samples. Methanogens were found as the dominant archeal population with three methods. From the results of traditional methods, the dominant archaeal populations apparently changed from phylum Thaumarchaeota to Euryarchaeota with the arsenic concentrations increasing. But this structure dynamic change was not revealed with pyrosequencing. Our results imply that an integrated approach combining the traditional methods and next generation sequencing approaches to characterize the microbial communities in high arsenic groundwater is recommended.

  13. Traditional and new strategies in the primary prevention of eating disorders: a comparative study in Spanish adolescents

    Directory of Open Access Journals (Sweden)

    Ignacio Jáuregui Lobera

    2010-09-01

    Full Text Available Ignacio Jáuregui Lobera1, Pilar León Lozano2, Patricia Bolaños Ríos3, Juan Romero Candau2, Gregorio Sánchez del Villar y Lebreros4, M Teresa Morales Millán1,5, M Teresa Montaña González1,5, Lourdes Andrés Martín2, Isabela Justo Villalobos2, Nuria Vargas Sánchez21Área de Nutrición y Bromatología, Universidad Pablo de Olavide; 2Colegio Oficial de Farmacéuticos; 3Instituto de Ciencias de la Conducta; 4Instituto de Enseñanza Secundaria “Murillo”; 5Facultad de Farmacia, Universidad de Sevilla, Sevilla, SpainBackground: Research conducted to date into the primary prevention of eating disorders (ED has mainly considered the provision of information regarding risk factors. Consequently, there is a need to develop new methods that go a step further, promoting a change in attitudes and behavior in the target population.Objective: This study describes an adaptation of the Girls’ Group model to the Spanish context, the main objective being to compare two types of intervention, ie, one based on this model and the other following the traditional approach of providing information. The ultimate aim was to implement a prevention program that reduces the risk factors and boosts the protection factors that have been empirically shown to be related to ED.Methods: On the basis of previous research on the primary prevention of ED, and taking into account recognized risk and protective factors, the following topics were addressed: nutritional aspects; self-esteem; coping strategies; the ideal image of what is attractive and role of the media; and body image. The total sample (174 girls and 197 boys was divided into 12 work groups, six for the intervention group (one school and six for the control group (two schools. School-based input (intervention group was provided by a pharmacist, a psychologist, a qualified nutritionist/dietician, and specialist support staff (psychologists and/or educators and teachers of the three schools

  14. A Prospective Comparative Study of Arthroscopic Versus Mini-Open Latarjet Procedure With a Minimum 2-Year Follow-up.

    Science.gov (United States)

    Marion, Blandine; Klouche, Shahnaz; Deranlot, Julien; Bauer, Thomas; Nourissat, Geoffroy; Hardy, Philippe

    2017-02-01

    To compare postoperative pain during the first postoperative week and the position of the coracoid bone block at the anterior aspect of the glenoid after the arthroscopic and the mini-open Latarjet procedure. The secondary purpose was to assess functional results and recurrence after at least 2 years of follow-up. This comparative prospective study included patients who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2012. The Latarjet procedure was performed by a mini-open approach (G1) in one center and by an arthroscopic approach (G2) in the other. The main evaluation criterion was average shoulder pain during the first postoperative week assessed by the patient on a standard 10-cm visual analog scale (0-10). Secondary criteria were consumption of analgesics during the first week, the position of the coracoid bone block on radiograph and computed tomography scan at the 3-month follow-up and clinical outcomes (Western Ontario Score Index and new surgery) after at least 2 years of follow-up. Fifty-eight patients were included, 22 G1 and 36 G2, 13 women and 45 men, mean age 26.9 ± 7.7 years. The mean follow-up was 29.8 ± 4.4 months. There was significantly less pain in the arthroscopic Latarjet group than in the mini-open group during the first postoperative week (2.5 ± 1.4 vs 1.2 ± 1.2, P = .002) with comparable consumption of analgesics (P > .05). The arthroscopic Latarjet procedure resulted in a more lateral coracoid bone block (P = .04) and a better equatorial position than the mini-open technique (P = .02). Three patients underwent revision surgery (1 recurrence [2.8%], 1 block fracture, 1 screw ablation) in the arthroscopic group, none in the mini-open group (P = .54). At the final follow-up, the Western Ontario Score Index score was good in all patients (G1: 78.5 ± 7.5% vs G2: 82.3 ± 7%, P = .03). This prospective comparative study showed that the arthroscopic Latarjet procedure was significantly less painful than

  15. A Longitudinal Comparative Study of Alternative and Traditional Teacher Education Programs in Israel: Initial Training, Induction Period, School Placement, and Retention Rates

    Science.gov (United States)

    Weinberger, Yehudith; Donitsa-Schmidt, Smadar

    2016-01-01

    The purpose of this study is to compare alternative teacher education programs in English as a foreign language (EFL), biology, and mathematics to traditional programs in the same subjects. To do this, we analyzed data on all of the students who studied in the aforementioned programs during 2009 and 2010 in the largest college of education in…

  16. Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe

    NARCIS (Netherlands)

    Versloot, J.; Veerkamp, J.S.J.; Hoogstraten, J.

    2008-01-01

    Objective To compare the pain and distress response of children receiving a local anesthesia injection using a computerised device (Wand®) or a traditional syringe over two consecutive treatment sessions and to study whether the response to the two injection techniques was different for high or low

  17. Studying Student Benefits of Assigning a Service-Learning Project Compared to a Traditional Final Project in a Business Statistics Class

    Science.gov (United States)

    Phelps, Amy L.; Dostilio, Lina

    2008-01-01

    The present study addresses the efficacy of using service-learning methods to meet the GAISE guidelines (http://www.amstat.org/education/gaise/GAISECollege.htm) in a second business statistics course and further explores potential advantages of assigning a service-learning (SL) project as compared to the traditional statistics project assignment.…

  18. Comparing Traditional Journal Writing with Journal Writing Shared over E-mail List Serves as Tools for Facilitating Reflective Thinking: A Study of Preservice Teachers

    Science.gov (United States)

    Kaplan, Diane S.; Rupley, William H.; Sparks, Joanne; Holcomb, Angelia

    2007-01-01

    To determine the conditions that would best encourage reflection in journal writing of preservice teachers in field-based reading internships, the degree of reflective content found in self-contained traditional journals was compared to the reflective content found in journal entries shared over e-mail list serves. Participants were 56 preservice…

  19. A Comparative Study of a Kodaly-Based Developmental Music Program and a Traditional Public School Music Program at the Kindergarten Level.

    Science.gov (United States)

    Beatty, Rodger James

    A 9-month longitudinal study of two kindergarten classes compared two types of music instruction: a Kodaly-based developmental music program and a traditional public school music program. The class taught through the Kodaly method received instruction that emphasized the development of rhythmic and melodic perception through visual, aural, and…

  20. COMPARATIVE STUDY OF LAPAROSCOPIC AND OPEN REPAIR OF DUODENAL ULCER PERFORATION

    Directory of Open Access Journals (Sweden)

    P. Amutha

    2017-07-01

    Full Text Available BACKGROUND Laparoscopic Cholecystectomy (LC is one of the most common laparoscopic procedures being performed by general surgeons all over the world. Preoperative prediction of the risk of conversion is an important aspect of planning laparoscopic surgery. The purpose of our prospective study was to analyse various risk factors based clinical history, laboratory investigations and imaging and their association with conversion to open. With the help of accurate prediction, high-risk patient maybe informed beforehand regarding the probability of conversion and hence they may have a chance to make arrangements accordingly. On the other hand, surgeons also may have to schedule the time and team for the operation appropriately. Surgeons can also be aware about the possible complications that may arise in high-risk patients. MATERIALS AND METHODS Patients who presented to the Emergency Department in Government Rajaji Hospital with clinical diagnosis of duodenal ulcer perforation during the period of 6 months from March 2015 to August 2015 were prospectively nonrandomised (by consent and cafeteria method to undergo either laparoscopic or open repair of duodenal ulcer perforation. RESULTS There was no significant difference in duration of symptoms, mean age, ASA grade and mean perforation size in both groups. Analgesic requirement was significantly lower in the laparoscopy group (3.39 ± 0.58 vs. 4.84 ± 0.66 days. Our patients who underwent laparoscopic repair were enabled to be discharged significantly earlier from the hospital (8.6 ± 2.3 vs. 10.5 ± 3.9 days. We found that laparoscopic repair did result in earlier return to normal diet (4.26 ± 0.81 vs. 4.87 ± 0.86 days. Time required for mobilisation of patients was also significantly lower (3.3 ± 0.7 vs. 4.34 ± 0.62 days. CONCLUSION Laparoscopic repair of duodenal ulcer perforation is as safe and effective as open repair has the advantages of less woundrelated complications, early recovery and

  1. Comparative study of mechanical properties of 316L stainless steel between traditional production methods and selective laser melting

    Science.gov (United States)

    Lackey, Alton Dale

    Additive manufacturing, also known as 3D printing, is a technology which has recently seen expanding use, as well as expansion of the materials and methods able to be used. This thesis looks at the comparison of mechanical properties of 316L stainless steel manufactured by both traditional methods and selective laser melting found by tensile testing. The traditional method used here involved cold rolled 316L steel being machined to the desired part geometry. Selective laser melting used additive manufacturing to produce the parts from powdered 316L stainless steel, doing so in two different build orientations, flat and on edge with regards to the build plate. Solid test specimens, as well as specimens containing a circular stress concentration in the center of the parts, were manufactured and tensile tested. The tensile tests of the specimens were used to find the mechanical properties of the material; including yield strength, ultimate tensile strength (UTS), and Young's modulus of elasticity; where statistical analyses were performed to determine if the different manufacturing processes caused significant differences in the mechanical properties of the material. These analysis consisting of f-tests, to test for variance, and t-test, testing for significant difference of means. Through this study it was found that there were statistically significant differences existing between the mechanical properties of selective laser melting, and its orientations, and cold roll forming of production of parts. Even with a statistical difference, it was found that the results were reasonably close between flat oriented SLM parts and purchased parts. So it can be concluded that, with regards to strength, SLM methods produce parts similar to traditional production methods.

  2. Documentation of tests on particle size methodologies for laser diffraction compared to traditional sieving and sedimentation analysis

    DEFF Research Database (Denmark)

    Rasmussen, Charlotte; Dalsgaard, Kristian

    Sieving and sedimentation analyses by pipette or hydrometer are historically the traditional methods for determining particle size distributions (PSD). A more informative and faster alternative has for years been laser diffraction (LD). From 2003 to 2013 the authors of this paper have worked...... intensively with PSD and performed various tests and investigations, using LD, sedimentation (by pipette) and sieving. The aim was to improve and understand the relationship between these various techniques, pre-treatment effects and preferably find a unifying correlation factor. As a result, method...... content and expected PSD....

  3. Comparative health technology assessment of robotic-assisted, direct manual laparoscopic and open surgery: a prospective study

    OpenAIRE

    Turchetti, Giuseppe; Pierotti, Francesca; Palla, Ilaria; Manetti, Stefania; Freschi, Cinzia; Ferrari, Vincenzo; Cuschieri, Alfred

    2016-01-01

    Background Despite many publications reporting on the increased hospital cost of robotic-assisted surgery (RAS) compared to direct manual laparoscopic surgery (DMLS) and open surgery (OS), the reported health economic studies lack details on clinical outcome, precluding valid health technology assessment (HTA). Methods The present prospective study reports total cost analysis on 699 patients undergoing general surgical, gynecological and thoracic operations between 2011 and 2014 in the Italia...

  4. OPEN VERSUS ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: MULTICENTER COMPARATIVE STUDY OF SURGICAL RESULTS AND COMPLICATIONS (AGILE GROUP)

    OpenAIRE

    Minervini, A.; Vittori, G.; Antonelli, A.; Celia, A; Crivellaro, S.; Dente, D.; Di Santo, V.; B. Frea; Gacci, M; A. Gritti; L. Masieri; A. Morlacco; A. Porreca; B. Rocco; Parma, P.

    2012-01-01

    Aim of the study To compare surgical and perioperative outcomes of open partial ne- phrectomy (OPN) with those of robotic assisted partial nephrectomy (RAPN). Materials and methods This is 2-year multicentric study derived from a prospective da- tabase promoted by AGILE group, who included all patients treated awith OPN or RAPN for renal cell carcinoma between January 2010 and December 2011 at six Italian urologic centers. All clinical vari- ables, including tumor nephrometry (PADUA ...

  5. Comparing the Effect of Open and Closed Kinetic Chain Exercises in Patients Suffering From Patellofemoral Pain Syndrome

    Directory of Open Access Journals (Sweden)

    Zahra Firoozkoohi Moghadam

    2016-11-01

    Full Text Available Introduction: Patellofemoral pain syndrome is one of the most prevalent problems in physically active people. The syndrome is a multifactorial disorder with different therapeutic approaches. Conservative treatment of the syndrome has been a crucial matter in different studies. Quadriceps muscle strengthening exercise is a recommended approach which is performed in forms of open and closed kinetic chain exercises. This study was designed to compare the efficacy of these exercises on this syndrome. Methods: Totally 30 women suffering from the syndrome aged 30-40 were randomly allocated into three groups: open, and closed kinetic chain exercises, and control group, as groups A, B, and C, respectively. Groups A and B participated in 28 sessions of exercises in a period of four weeks and group C did not do any exercise in this period. Before and after the period, pain and function of the participants were assessed using visual analog scale (VAS and Kujala patellofemoral scale, respectively. Data were analyzed using independent t test, dependent t test, and univariate variance analysis, while significance of data was determined at P < 0.05. Results: The study indicated that open kinetic chain exercises (group A for 4 weeks brought significant changes in relieving the pain along with improving the function (P = 0.001. Likewise, it was revealed a significant pain relief as well as function improvement in group B (P = 0.001. Comparing two groups illustrated that benefits of open kinetic chain exercises outweigh closed ones (P = 0.001. Conclusion: Overall, both exercises were efficient in relieving pain as well as improving function, however open kinetic chain exercises were more contributory.

  6. 开放创面的负压治疗与传统换药治疗疗效对比的Meta分析%A meta-analysis of negative pressure wound therapy versus traditional wound care for open wounds

    Institute of Scientific and Technical Information of China (English)

    殷耀斌; 邓玖征; 马炜; 田光磊

    2014-01-01

    Cochrane database, Pubmed, Embase, China National Knowledge Internet ( CNKI ), Wanfang Data and China scientiifc journal database, and manual searching of journals in the related ifelds was conducted. The English key words included“negative pressure dressing”,“negative pressure therapy”,“negative pressure wound therapy”,“subatmospheric pressure dressing”, “subatmospheric pressure therapy”, “suction dressing”, “topical negative pressure”,“VAC”,“vacuum assisted closure”,“vacuum therapy”,“vacuum sealing”,“foam suction dressing”,“topical negative pressure” and “suction therapy”. The Chinese key words included “VSD”, “VAC” and “vacuum sealing drainage”. The randomized and controlled trials were performed, in which the effects of NPWT and traditional wound care for open wounds were compared. The Rvaman 5.1 was used for meta-analysis. Results 12 214 literatures were initially reviewed after screening. According to the inclusion and exclusion criteria, 18 studies were brought into the review, including 845 patients. In 7 studies, the healing time of chronic wounds was taken as the observation indicator, and the results were statistically signiifcant ( P=0.008, P<0.05 ). The healing time in the NPWT group was obviously shorter than that in the traditional wound care group. In 5 studies, the time to prepare acute wounds to be closed was taken as the observation indicator, and the results were statistically signiifcant ( P=0.00001, P<0.05 ). The healing time of acute wounds in the NPWT group was obviously shorter than that in the traditional wound care group. In 6 studies,the change ratio of the wound area was taken as the observation indicator, and the results were statistically signiifcant ( P=0.04, P<0.05 ). The reduction rate of the wound area was faster in the NPWT group than that in the traditional wound care group. Conclusions This study reveals that the NPWT is superior to the traditional wound care in the

  7. Comparative Theoretical Study of the Ring-Opening Polymerization of Caprolactam vs Caprolactone Using QM/MM Methods

    Energy Technology Data Exchange (ETDEWEB)

    Elsasser, Brigitta M.; Schoenen, Iris; Fels, Gregor

    2013-06-07

    Candida antarctica lipase B (CALB) efficiently catalyzes the ring-opening polymerization of lactones to high molecular weight products in good yield. In contrast, an efficient enzymatic synthesis of polyamides has so far not been described in the literature. This obvious difference in enzyme catalysis is the subject of our comparative study of the initial steps of a CALB catalyzed ring-opening polymerization of ε- caprolactone and ε-caprolactam. We have applied docking tools to generate the reactant state complex and performed quantum mechanical/molecular mechanical (QM/MM) calculations at the density functional theory (DFT) PBE0 level of theory to simulate the acylation of Ser105 by the lactone and the lactam, respectively, via the corresponding first tetrahedral intermediates. We could identify a decisive difference in the accessibility of the two substrates in the ring-opening to the respective acyl enzyme complex as the attack of ε-caprolactam is hindered because of an energetically disfavored proton transfer during this part of the catalytic reaction while ε-caprolactone is perfectly processed along the widely accepted pathway using the catalytic triade of Ser105, His224, and Asp187. Since the generation of an acylated Ser105 species is the crucial step of the polymerization procedure, our results give an explanation for the unsatisfactory enzymatic polyamide formation and opens up new possibilities for targeted rational catalyst redesign in hope of an experimentally useful CALB catalyzed polyamide synthesis.

  8. Comparative study of fracture appearance in crack tip opening angle testing of gas pipeline steels

    Energy Technology Data Exchange (ETDEWEB)

    Hashemi, S.H., E-mail: shhashemi@birjand.ac.ir [Department of Mechanical Engineering, The University of Birjand, PO Box 97175-376, Birjand (Iran, Islamic Republic of)

    2012-12-15

    The crack tip opening angle (CTOA) experiments were conducted on API X65, X70, X80 and X100 steels using a modified double cantilever beam (MDCB) geometry. The fracture surfaces of the test specimens were examined after fracture tests by optical and scanning electron microscopy. The fracture surfaces of the lower grade X65 and X70 steels had fully ductile features including classic flat and slant fracture characteristics. However, repetitive propagation and arrest of quasi-cleavage in the form of chevron arrow-head fractures was observed on the fracture surfaces of higher grade X80 and X100 steels. Interestingly, the analysis of load-displacement records from the latter steels demonstrated local ragged patterns after the test peak load, associated with the repetitive low energy quasi-cleavage mechanism. Detailed discussion on the micro-fractographs of the tested steels and comparison of the test observations with the only newly published work in this filed conclude the paper.

  9. Comparing the Quasi-Normal and Natural Modes of an open cavity

    CERN Document Server

    Settimi, A; Hoenders, B J; Hauss, J W; Napoli, A; Messina, A; Perina, J; Sibilia, C; Bertolotti, M

    2009-01-01

    The present paper proposes, for the first time to the best of our knowledge, a systematic comparison between the Quasi Normal Modes (QNMs) and the Natural Modes (NMs) for one-dimensional (1D) two side opened cavities. We clarify, in classical electrodynamics, why, for the description of an e.m. field outgoing from a one-layer homogeneous structure (as a laser cavity), the QNM eigen-functions should be the most suitable expansion basis, whilst, for discussing the scattering properties of a multi-layer inhomogeneous structure (as a Photonic Crystal (PC)), the NM eigen-functions seem a better choice. The QNM eigen-frequencies and eigen-functions are calculated for a linear Fabry-Perot (FP) cavity. The first-order Born approximation is applied to the same cavity in order to make a comparison between the first-order Born approximated and the actual QNM eigen-functions of the cavity. We prove that the first-order Born approximation for a FP cavity introduces a symmetry breaking: in fact, each Born approximated QNM ...

  10. A comparative analysis between laparoscopy and open colectomy: assessment of perioperative and oncological outcomes.

    Science.gov (United States)

    Farinetti, Alberto; Bonetti, Luca Reggiani; Migaldi, Mario; Mattioli, Anna Vittoria; Pennella, Sonia; Muratori, Simone; Rossi, Aldo

    2015-01-01

    Il presente studio raffronta due gruppi di pazienti affetti da adenocarcinoma dolo-rettale, sottoposti rispettivamente a colectomia con tecnica open e a videolaparoscopia, mettendone in luce benefici e svantaggi. Si tratta di un’analisi retrospettiva: dal gennaio 2003 e il dicembre 2006 sono stati reclutati 54 pazienti; di questi 26 operati in laparotomia e 28 in laparoscopia. Per la chirurgia laparotomica la durata media dell’intervento è stata di 177.9 minuti (tempo chirurgico) e di 280.4 minuti (tempo di sala operatoria con un minimo di 110 ed un massimo di 360 minuti, con significative differenze in rapporto al tipo di chirurgia effettuata e la storia clinica del paziente. Per la chirurgia laparoscopica la durata media è stata di 293 minuti (range 135-520), con significative differenze dipendenti dalla porzione di intestino asportata. Il raffronto delle due tecniche chirurgiche, laparotomica versus lapsroscopica, ha rivelato alcune differenze. La durata della resezione è stata maggiore per la laparoscopia se confrontata con la tecnica tradizionale. Entrambi gli approcci rappresentano tecniche convenienti, sicure ed oncologicamente corrette. La laparoscopia mostra maggiori vantaggi in termini di controllo del dolore, assenza di estese cicatrici, riscontro di laparoceli e di degenza post operatoria comparata con la tecnica laparotomica.

  11. A randomized controlled trial comparing traditional training in cardiopulmonary resuscitation (CPR) to self-directed CPR learning in first year medical students: The two-person CPR study.

    Science.gov (United States)

    Roppolo, Lynn P; Heymann, Rahm; Pepe, Paul; Wagner, James; Commons, Bradford; Miller, Ronna; Allen, Emilie; Horne, Leyla; Wainscott, Michael P; Idris, Ahamed H

    2011-03-01

    The primary purpose of this study was to compare two, shorter, self-directed methods of cardiopulmonary resuscitation (CPR) education for healthcare professionals (HCP) to traditional training with a focus on the trainee's ability to perform two-person CPR. First-year medical students with either no prior CPR for HCP experience or prior training greater than 5 years were randomized to complete one of three courses: 1) HeartCode BLS System, 2) BLS Anytime, or 3) Traditional training. Only data from the adult CPR skills testing station was reviewed via video recording by certified CPR instructors and the Laerdal PC Skill Reporter software program (Laerdal Medical, Stavanger, Norway). There were 180 first-year medical students who met inclusion criteria: 68 were HeartCode BLS System, 53 BLS Anytime group, and 59 traditional group Regarding two-person CPR, 57 (84%) of Heartcode BLS students and 43 (81%) of BLS Anytime students were able to initiate the switch compared to 39 (66%) of traditional course students (p = 0.04). There were no significant differences in the quality of chest compressions or ventilations between the three groups. There was a trend for a much higher CPR skills testing pass rate for the traditional course students. However, failure to "clear to analyze or shock" while using the AED was the most common reason for failure in all groups. The self-directed learning groups not only had a high level of success in initiating the "switch" to two-person CPR, but were not significantly different from students who completed traditional training. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  12. Comparative Studies of Traditional (Non-Energy Integration and Energy Integration of Catalytic Reforming Unit using Pinch Analysis

    Directory of Open Access Journals (Sweden)

    M. Alta

    2012-12-01

    Full Text Available Energy Integration of Catalytic Reforming Unit (CRU of Kaduna Refinery and petrochemicals Company Kaduna Nigeria was carried out using Pinch Technology. The pinch analysis was carried out using Maple. Optimum minimum approach temperature of 20 °C was used to determine the energy target. The pinch point temperature was found to be 278 °C. The utilities targets for the minimum approach temperature were found to be 72711839.47 kJ/hr and 87105834.43 kJ/hr for hot and cold utilities respectively. Pinch analysis as an energy integration technique was found to save more energy and utilities cost than the traditional energy technique. Key words: Pinch point, CRU, Energy Target, Maple

  13. Comparative study of final visual outcome between open- and closed-globe injuries following surgical treatment of traumatic cataract.

    Science.gov (United States)

    Shah, Mehul Ashvin; Shah, Shreya Mehul; Shah, Shashank B; Patel, Chintan G; Patel, Utsav A; Appleware, Adway; Gupta, Ashish

    2011-12-01

    The objective of this work is to compare final visual outcomes in cases of surgically treated traumatic cataract between open-globe and closed-globe groups, as classified by the Birmingham Eye Trauma Terminology system. Observational cohort study. Tertiary eye-care center at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. We enrolled patients meeting specific inclusion criteria, examined their eyes to review any co-morbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were re-examined 6 weeks postoperatively. We classified the cases of traumatic cataract as either open-globe (group 1) or closed-globe (group 2), according to the Birmingham Eye Trauma Terminology (BETT) system, and compared visual acuity. Visual Acuity. Our cohort of 687 eyes with traumatic cataracts included 496 eyes in group 1 and 191 in group 2. Six weeks postoperatively, the visual acuity was >20/60 in 298 (58%) and 75 (39.1%) operated eyes in groups 1 and 2, respectively (p 20/60 vision was significantly higher in group 1 than in group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall, 373 eyes (54.3%) regained final visual acuity >20/60. Open-globe injury has a more favorable prognosis for satisfactory (>20/60) visual recovery after management of traumatic cataracts.

  14. A Comparative View on Open-source IaaS Clouds%开源IaaS之比较研究

    Institute of Scientific and Technical Information of China (English)

    陈立民

    2014-01-01

    To process the huge amounts of data in the Big Data Era, cloud computing provides promising solutions by way of high scalable and high available paral el and distributed computing. This paper offers a comparative view on several open-source IaaS clouds. It begins with a brief introduction of cloud computing (especial y IaaS), and details some typical open source projects in this ifled. After comparing the main features of these projects, we conclude the paper with some comments and suggestions. Our results may be of some help for novice users in their deployment of the cloud infrastructure with the most suitable open-source IaaS clouds.%大数据时代,云计算以高扩展性和可用性的分布式并行计算为海量数据处理提供了技术解决方案。文章以基础设施即服务(Infrastructure as a Service,IaaS)为重点,简介云计算领域相关概念,介绍、比较、并评价了具有代表性的开源IaaS项目;给出使用建议,帮助新用户选择适应自身需求的开源工具部署其云设施。

  15. Do open access working papers attract more citations compared to printed journal articles from the same research unit?

    DEFF Research Database (Denmark)

    Ingwersen, Peter; Elleby, Anita

    2011-01-01

    This paper presents the results of an empirical case study of the characteristics of citations received by 10 open accessible non-peer reviewed working papers published by a prestigious multidisciplinary, but basically social science research institute, compared to 10 printed peer reviewed journal...... publication types, the citation distributions over the individual sample publications and observed years as well as over external, institutional and personal self-citations. The institute concerned is the Danish Institute for International Studies (DIIS), Copenhagen. The results demonstrate that the open...... access working papers publicly accessible through the DIIS e-archive became far less cited than the corresponding sample of DIIS journal articles published in printed form. However, highly cited working papers have higher impact than the average of the lower half of cited articles. Citation time series...

  16. Do open access working papers attract more citations compared to printed journal articles from the same research unit?

    DEFF Research Database (Denmark)

    Ingwersen, Peter; Elleby, Anita

    2011-01-01

    This paper presents the results of an empirical case study of the characteristics of citations received by 10 open accessible non-peer reviewed working papers published by a prestigious multidisciplinary, but basically social science research institute, compared to 10 printed peer reviewed journal...... publication types, the citation distributions over the individual sample publications and observed years as well as over external, institutional and personal self-citations. The institute concerned is the Danish Institute for International Studies (DIIS), Copenhagen. The results demonstrate that the open...... access working papers publicly accessible through the DIIS e-archive became far less cited than the corresponding sample of DIIS journal articles published in printed form. However, highly cited working papers have higher impact than the average of the lower half of cited articles. Citation time series...

  17. Comparative study between open and minimally invasive approach in the surgical management of esophageal leiomyoma

    Directory of Open Access Journals (Sweden)

    Diego Ramos

    2016-01-01

    Full Text Available Introduction: Leiomyomas are the most common benign tumors of the esophagus. Although classically surgical enucleation through thoracotomy or laparotomy has been widely accepted as treatment of choice, development of endoscopic and minimally invasive procedures has completely changed the surgical management of these tumors. Material and methods: We performed a retrospective review of all esophageal leiomyoma operated at Hospital Universitario Ramón y Cajal (Madrid, Spain between January 1986 and December 2014, analyzing patients' demographic data, symptomatology, tumor size and location, diagnostic tests, surgical data, complications and postoperative stay. Results: Thirteen patients were found within that period, 8 men and 5 women, with a mean age of 53.62 years (range 35-70 years. Surgical enucleation was achieved in all patients. In 8 cases (61.54% a thoracic approach was performed (4 thoracotomies and 4 thoracoscopies, and in 5 cases (38.56% an abdominal approach was performed (3 laparotomies and 2 laparoscopies; enucleation was carried out through a minimally invasive approach in 6 patients (46.15%. There were no cases of endoscopic resection alone. Surgery mean length was 174.38 minutes (range 70-270 minutes and median postoperative stay was 6.5 days (range 2-27 days. There was neither mortality nor cases of intraoperative complications were described. No postoperative major complications were reported; however one patient presented important pain in his right hemithorax that required management and long term follow-up by the Pain Management Unit. With a mean follow-up of 165.57 months (median 170; range 29-336 months no recurrences were reported. Conclusion: Enucleation is the treatment of choice for the majority of esophageal leiomyomas. In our experience, duration of the surgical procedure through minimally invasive approach was longer than surgery through open approach; however, postoperative stay was shorter in the first group

  18. Utilizing Free and Open Source Software to access, view and compare in situ observations, EO products and model output data

    Science.gov (United States)

    Vines, Aleksander; Hamre, Torill; Lygre, Kjetil

    2014-05-01

    The GreenSeas project (Development of global plankton data base and model system for eco-climate early warning) aims to advance the knowledge and predictive capacities of how marine ecosystems will respond to global change. A main task has been to set up a data delivery and monitoring core service following the open and free data access policy implemented in the Global Monitoring for the Environment and Security (GMES) programme. The aim is to ensure open and free access to historical plankton data, new data (EO products and in situ measurements), model data (including estimates of simulation error) and biological, environmental and climatic indicators to a range of stakeholders, such as scientists, policy makers and environmental managers. To this end, we have developed a geo-spatial database of both historical and new in situ physical, biological and chemical parameters for the Southern Ocean, Atlantic, Nordic Seas and the Arctic, and organized related satellite-derived quantities and model forecasts in a joint geo-spatial repository. For easy access to these data, we have implemented a web-based GIS (Geographical Information Systems) where observed, derived and forcasted parameters can be searched, displayed, compared and exported. Model forecasts can also be uploaded dynamically to the system, to allow modelers to quickly compare their results with available in situ and satellite observations. We have implemented the web-based GIS(Geographical Information Systems) system based on free and open source technologies: Thredds Data Server, ncWMS, GeoServer, OpenLayers, PostGIS, Liferay, Apache Tomcat, PRTree, NetCDF-Java, json-simple, Geotoolkit, Highcharts, GeoExt, MapFish, FileSaver, jQuery, jstree and qUnit. We also wanted to used open standards to communicate between the different services and we use WMS, WFS, netCDF, GML, OPeNDAP, JSON, and SLD. The main advantage we got from using FOSS was that we did not have to invent the wheel all over again, but could use

  19. METAREP: JCVI metagenomics reports—an open source tool for high-performance comparative metagenomics

    OpenAIRE

    Goll, Johannes; Rusch, Douglas B; Tanenbaum, David M.; Thiagarajan, Mathangi; Li, Kelvin; Methé, Barbara A.; Yooseph, Shibu

    2010-01-01

    Summary: JCVI Metagenomics Reports (METAREP) is a Web 2.0 application designed to help scientists analyze and compare annotated metagenomics datasets. It utilizes Solr/Lucene, a high-performance scalable search engine, to quickly query large data collections. Furthermore, users can use its SQL-like query syntax to filter and refine datasets. METAREP provides graphical summaries for top taxonomic and functional classifications as well as a GO, NCBI Taxonomy and KEGG Pathway Browser. Users can ...

  20. Comparing Ksharasutra (Ayurvedic Seton) and open fistulotomy in the management of fistula-in-ano

    OpenAIRE

    2015-01-01

    Background: Most commonly practiced surgical “lay open” technique to treat fistula-in-ano (a common anorectal pathology) has high rate of recurrence and anal incontinence. Alternatively, a nonsurgical cost efficient treatment with Ksharasutra (cotton Seton coated with Ayurvedic medicines) has minimal complications. In our study, we have tried to compare these two techniques. Materials and Methods: A prospective randomized control study was designed involving patients referred to the Departmen...

  1. The cost-utility of open prostatectomy compared with active surveillance in early localised prostate cancer

    Science.gov (United States)

    2014-01-01

    Background There is an on-going debate about whether to perform surgery on early stage localised prostate cancer and risk the common long term side effects such as urinary incontinence and erectile dysfunction. Alternatively these patients could be closely monitored and treated only in case of disease progression (active surveillance). The aim of this paper is to develop a decision-analytic model comparing the cost-utility of active surveillance (AS) and radical prostatectomy (PE) for a cohort of 65 year old men with newly diagnosed low risk prostate cancer. Methods A Markov model comparing PE and AS over a lifetime horizon was programmed in TreeAge from a German societal perspective. Comparative disease specific mortality was obtained from the Scandinavian Prostate Cancer Group trial. Direct costs were identified via national treatment guidelines and expert interviews covering in-patient, out-patient, medication, aids and remedies as well as out of pocket payments. Utility values were used as factor weights for age specific quality of life values of the German population. Uncertainty was assessed deterministically and probabilistically. Results With quality adjustment, AS was the dominant strategy compared with initial treatment. In the base case, it was associated with an additional 0.04 quality adjusted life years (7.60 QALYs vs. 7.56 QALYs) and a cost reduction of €6,883 per patient (2011 prices). Considering only life-years gained, PE was more effective with an incremental cost-effectiveness ratio of €96,420/life year gained. Sensitivity analysis showed that the probability of developing metastases under AS and utility weights under AS are a major sources of uncertainty. A Monte Carlo simulation revealed that AS was more likely to be cost-effective even under very high willingness to pay thresholds. Conclusion AS is likely to be a cost-saving treatment strategy for some patients with early stage localised prostate cancer. However, cost-effectiveness is

  2. Comparative RNA-Sequence Transcriptome Analysis of Phenolic Acid Metabolism in Salvia miltiorrhiza, a Traditional Chinese Medicine Model Plant

    Science.gov (United States)

    Song, Zhenqiao; Guo, Linlin; Liu, Tian; Lin, Caicai; Wang, Jianhua

    2017-01-01

    Salvia miltiorrhiza Bunge is an important traditional Chinese medicine (TCM). In this study, two S. miltiorrhiza genotypes (BH18 and ZH23) with different phenolic acid concentrations were used for de novo RNA sequencing (RNA-seq). A total of 170,787 transcripts and 56,216 unigenes were obtained. There were 670 differentially expressed genes (DEGs) identified between BH18 and ZH23, 250 of which were upregulated in ZH23, with genes involved in the phenylpropanoid biosynthesis pathway being the most upregulated genes. Nine genes involved in the lignin biosynthesis pathway were upregulated in BH18 and thus result in higher lignin content in BH18. However, expression profiles of most genes involved in the core common upstream phenylpropanoid biosynthesis pathway were higher in ZH23 than that in BH18. These results indicated that genes involved in the core common upstream phenylpropanoid biosynthesis pathway might play an important role in downstream secondary metabolism and demonstrated that lignin biosynthesis was a putative partially competing pathway with phenolic acid biosynthesis. The results of this study expanded our understanding of the regulation of phenolic acid biosynthesis in S. miltiorrhiza. PMID:28194403

  3. A comparative study on medicinal plants used in Akha's traditional medicine in China and Thailand, cultural coherence or ecological divergence?

    DEFF Research Database (Denmark)

    Inta, A.; Shengji, P.; Balslev, Henrik

    2008-01-01

    Aim of the study : The survey aims to study the effect of geographic separation of ethnic groups on local knowledge of medicinal plants used by Akha people in Thailand and China, who were separated 100-120 years ago, to see how different the two geographically distinct but culturally similar grou......, but that when using these new species they have maintained other traditions relating to medicinal plants.......Aim of the study : The survey aims to study the effect of geographic separation of ethnic groups on local knowledge of medicinal plants used by Akha people in Thailand and China, who were separated 100-120 years ago, to see how different the two geographically distinct but culturally similar groups...... were in this respect. Materials and methods : Interviewing 10 villagers in each of five Akha villages, three in Thailand and two in China, about which plants they used and how they used them. Results : A total of 95 medicinal plants registered in the five villages only 16 were shared between China...

  4. Comparative RNA-Sequence Transcriptome Analysis of Phenolic Acid Metabolism in Salvia miltiorrhiza, a Traditional Chinese Medicine Model Plant

    Directory of Open Access Journals (Sweden)

    Zhenqiao Song

    2017-01-01

    Full Text Available Salvia miltiorrhiza Bunge is an important traditional Chinese medicine (TCM. In this study, two S. miltiorrhiza genotypes (BH18 and ZH23 with different phenolic acid concentrations were used for de novo RNA sequencing (RNA-seq. A total of 170,787 transcripts and 56,216 unigenes were obtained. There were 670 differentially expressed genes (DEGs identified between BH18 and ZH23, 250 of which were upregulated in ZH23, with genes involved in the phenylpropanoid biosynthesis pathway being the most upregulated genes. Nine genes involved in the lignin biosynthesis pathway were upregulated in BH18 and thus result in higher lignin content in BH18. However, expression profiles of most genes involved in the core common upstream phenylpropanoid biosynthesis pathway were higher in ZH23 than that in BH18. These results indicated that genes involved in the core common upstream phenylpropanoid biosynthesis pathway might play an important role in downstream secondary metabolism and demonstrated that lignin biosynthesis was a putative partially competing pathway with phenolic acid biosynthesis. The results of this study expanded our understanding of the regulation of phenolic acid biosynthesis in S. miltiorrhiza.

  5. Similar results comparing early and late surgery in open repair of traumatic rotator cuff tears.

    Science.gov (United States)

    Zhaeentan, Soheila; Von Heijne, Anders; Stark, André; Hagert, Elisabet; Salomonsson, Björn

    2016-12-01

    The purpose was to investigate whether surgical repair earlier or later than 3 months after injury may result in similar outcomes and patient satisfaction. Seventy-three patients (75 shoulders, 58 males, mean age 59) who had undergone surgical intervention for traumatic rotator cuff tears from 1999 to 2011 were assessed by MRI, clinical examination and Western Ontario Rotator Cuff Index (WORC) as a primary outcome measure and Oxford Shoulder score (OSS), Constant-Murley score (CS) and EQ-5D as secondary. The patients treated less than 3 months after injury (n = 39) were compared with patients treated more than 3 months after injury (n = 36). The average follow-up time was 56 months (range 14-149), and the average time from injury to repair for all patients was 16 weeks (range 3-104). A single senior radiologist performed a blinded evaluation of all the MRIs. Rotator cuff integrity, presence of arthritis, fatty degeneration and muscle atrophy were evaluated. No differences were found for any of the assessed outcomes (WORC, OSS, CS and EQ-5D) between the two groups. The mean WORC % was 77 % for both groups. Re-tear frequency was 24 %, nine in both groups. Patients with re-tear reported less satisfaction with their outcome. The surgical treatment of symptomatic traumatic rotator cuff tears repairable later than 3 months after injury yields a good functional outcome, a high level of subjective patient satisfaction, and at the same level for patients receiving earlier treatment. Based on our findings, surgical repair could be encouraged whenever technically possible. Retrospective Comparative Study, Level III.

  6. Green Building between Tradition and Modernity Study Comparative Analysis between Conventional Methods and Updated Styles of Design and Architecture Processors

    Directory of Open Access Journals (Sweden)

    H Elshimy

    2017-03-01

    Full Text Available Green house   concept appeared from the ancient to the modern age ages and there is a tendency to use a traditional architecture with a pristine ecological environment areas and through sophisticated systems arrived to modern systems of the upgraded systems by Treatment architectural achieve environmental   sustainability   in   recent   years,   sustainability concept has become the common interest of numerous disciplines. The reason for this popularity is to perform the sustainable development. The Concept of Green Architecture, also known as "sustainable architecture” or “green house,” is the theory, science and style of buildings designed and constructed in accordance   with environmentally   friendly   principles.   Green house strives to minimize the number of resources consumed in the   building's  construction,   use   and   operation,   as  well  as curtailing  the  harm  done  to  the  environment  through  the emission, pollution and waste of its components.To design, construct, operate and maintain buildings energy, water and new materials are utilized as well as amounts of waste causing negative effects to health and environment is generated. In order to limit these effects and design environmentally sound and resource efficient buildings; "green building systems" must be introduced, clarified, understood and practiced.This paper aims at highlighting these difficult and complex issues of sustainability which encompass the scope of almost every aspect of human life.

  7. Relative bioavailability of iron and folic acid from a new powdered supplement compared to a traditional tablet in pregnant women

    Directory of Open Access Journals (Sweden)

    O'Connor Deborah L

    2009-07-01

    Full Text Available Abstract Background Deficiencies of iron and folic acid during pregnancy can lead to adverse outcomes for the fetus, thus supplements are recommended. Adherence to current tablet-based supplements is documented to be poor. Recently a powdered form of micronutrients has been developed which may decrease side-effects and thus improve adherence. However, before testing the efficacy of the supplement as an alternate choice for supplementation during pregnancy, the bioavailability of the iron needs to be determined. Our objective was to measure the relative bioavailability of iron and folic acid from a powdered supplement that can be sprinkled on semi-solid foods or beverages versus a traditional tablet supplement in pregnant women. Methods Eighteen healthy pregnant women (24 – 32 weeks gestation were randomized to receive the supplements in a crossover design. Following ingestion of each supplement, the changes (over baseline in serum iron and folate over 8 hours were determined. The powdered supplement contained 30 mg of iron as micronized dispersible ferric pyrophosphate with an emulsifier coating and 600 μg folic acid; the tablet contained 27 mg iron from ferrous fumarate and 1000 μg folic acid. Results Overall absorption of iron from the powdered supplement was significantly lower than the tablet (p = 0.003. There was no difference in the overall absorption of folic acid between supplements. Based on the differences in the area under the curve and doses, the relative bioavailability of iron from powdered supplement was lower than from the tablet (0.22. Conclusion The unexpected lower bioavailability of iron from the powdered supplement is contrary to previously published reports. However, since pills and capsules are known to be poorly accepted by some women during pregnancy, it is reasonable to continue to explore alternative micronutrient delivery systems and forms of iron for this purpose. Trial Registration ClinicalTrials.gov NCT00789490

  8. A COMPARATIVE STUDY OF TEAM-BASED LEARNING ON THE TRADITIONAL METHOD OF CONDUCTING TUTORIALS IN PHYSIOLOGY FOR FIRST YEAR MBBS STUDENTS

    Directory of Open Access Journals (Sweden)

    Ashwini Vishweshwar Amalladinna

    2017-05-01

    Full Text Available BACKGROUND In medical education, didactic lectures, tutorials, bedside clinics, etc. are some of the teaching-learning method incorporated in the curriculum. Most of the methods are teacher oriented where students are not involved much. Active participation of the students, i.e. student centered approach increases the understanding of the subject. In physiology, the tutorials are conducted to discuss the individual topics. It was observed that active participation of students in physiology tutorials is less. This study was undertaken to actively involve the students during tutorials and to assess their understanding by Team-Based Learning (TBL. MATERIALS AND METHODS In this study, the performance of the students in team-based learning was compared with the traditional learning. The pretest and post-test was conducted at the beginning and at the end of the tutorial in both the groups. In the study group, the tutorial topics were discussed in teams, whereas in control group, the tutorial was conducted by traditional method. RESULTS There was a significant increase in performance in post-test in study group compared to control group (p <0.001. TBL sessions will be more interesting and interacting compared to traditional method. TBL method improves the student’s understanding of the topics in detail and hence enhances the performance. CONCLUSION The different teaching-learning methods, which increase the student’s involvement should be implemented in the medical education to facilitate the learning process.

  9. Physical and Visual Accessibilities in Intensive Care Units: A Comparative Study of Open-Plan and Racetrack Units.

    Science.gov (United States)

    Rashid, Mahbub; Khan, Nayma; Jones, Belinda

    2016-01-01

    This study compared physical and visual accessibilities and their associations with staff perception and interaction behaviors in 2 intensive care units (ICUs) with open-plan and racetrack layouts. For the study, physical and visual accessibilities were measured using the spatial analysis techniques of Space Syntax. Data on staff perception were collected from 81 clinicians using a questionnaire survey. The locations of 2233 interactions, and the location and length of another 339 interactions in these units were collected using systematic field observation techniques. According to the study, physical and visual accessibilities were different in the 2 ICUs, and clinicians' primary workspaces were physically and visually more accessible in the open-plan ICU. Physical and visual accessibilities affected how well clinicians' knew their peers and where their peers were located in these units. Physical and visual accessibilities also affected clinicians' perception of interaction and communication and of teamwork and collaboration in these units. Additionally, physical and visual accessibilities showed significant positive associations with interaction behaviors in these units, with the open-plan ICU showing stronger associations. However, physical accessibilities were less important than visual accessibilities in relation to interaction behaviors in these ICUs. The implications of these findings for ICU design are discussed.

  10. Treatment of Bankart lesions in traumatic anterior instability of the shoulder: a randomized controlled trial comparing arthroscopy and open techniques.

    Science.gov (United States)

    Archetti Netto, Nicola; Tamaoki, Marcel Jun Sugawara; Lenza, Mario; dos Santos, João Baptista Gomes; Matsumoto, Marcelo Hide; Faloppa, Flavio; Belloti, João Carlos

    2012-07-01

    The objective of this study was to compare the functional assessments of arthroscopy and open repair for treating Bankart lesion in traumatic anterior shoulder instability. Fifty adult patients, aged less than 40 years, with traumatic anterior shoulder instability and the presence of an isolated Bankart lesion confirmed by diagnostic arthroscopy were included in the study. They were randomly assigned to receive open or arthroscopic treatment of an isolated Bankart lesion. In all cases of both groups, the lesion was repaired with metallic suture anchors. The primary outcomes included the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. After a mean follow-up period of 37.5 months, 42 patients were evaluated. On the DASH scale, there was a statistically significant difference favorable to the patients treated with the arthroscopic technique, but without clinical relevance. There was no difference in the assessments by University of California, Los Angeles and Rowe scales. There was no statistically significant difference regarding complications and failures, as well as range of motion, for the 2 techniques. On the basis of this study, the open and arthroscopic techniques were effective in the treatment of traumatic anterior shoulder instability. The arthroscopic technique showed a lower index of functional limitation of the upper limb, as assessed by the DASH questionnaire; this, however, was not clinically relevant. Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  11. A comparative analysis of the electrical activity of the abdominal muscles during traditional and Pilates-based exercises under two conditions

    Directory of Open Access Journals (Sweden)

    Mariana Felipe Silva

    2013-04-01

    Full Text Available The use of Pilates-based exercises for trunk strengthening has been reported in the literature. The objective of this study was to analyze and compare the electrical activity of the rectus abdominis and external oblique muscles during a traditional abdominal exercise program and an exercise program based on the Pilates method using a ball and an elastic band. The sample was composed of 10 healthy women, non-practitioners of Pilates, who performed the traditional abdominal exercise and roll-up with the ball and elastic band. The sign was normalized by the electromyographic peak of the dynamics activity and was adjusted for 2000 samples/s; the filter was set in a frequency band from 20 to 450 Hz. In the comparison between exercises, the external oblique muscle in the concentric phase had a higher recruitment in the roll-up with the ball (P =0.042. In the comparison between muscles in each exercise, the rectus abdominis showed a higher activation in the concentric phase (P = 0.009 and in the eccentric phase (P = 0.05 of the traditional abdominal exercise. Activation percentages ranged from 15% to 22%. The traditional abdominal exercise had the largest activation percentage.

  12. Comparative Effectiveness of Two Ultrasound-Guided Regional Block Techniques for Surgical Anesthesia in Open Unilateral Inguinal Hernia Repair.

    Science.gov (United States)

    Steffel, Lauren; Kim, T Edward; Howard, Steven K; Ly, Daphne P; Kou, Alex; King, Robert; Mariano, Edward R

    2016-01-01

    Transversus abdominis plane (TAP) and ilioinguinal/iliohypogastric (II/IH) nerve blocks have been described as analgesic adjuncts for inguinal hernia repair, but the efficacy of these techniques in providing intraoperative anesthesia, either individually or together, is not known. We designed this retrospective cohort study to test the hypothesis that combining TAP and II/IH nerve blocks ("double TAP" technique) results in greater accordance between the preoperative anesthetic plan and actual anesthetic technique provided when compared to TAP alone. Based on this study, double TAP may be preferred for patients undergoing open inguinal hernia repair who wish to avoid general anesthesia.

  13. Comparing Natural Gas Leakage Detection Technologies Using an Open-Source "Virtual Gas Field" Simulator.

    Science.gov (United States)

    Kemp, Chandler E; Ravikumar, Arvind P; Brandt, Adam R

    2016-04-19

    We present a tool for modeling the performance of methane leak detection and repair programs that can be used to evaluate the effectiveness of detection technologies and proposed mitigation policies. The tool uses a two-state Markov model to simulate the evolution of methane leakage from an artificial natural gas field. Leaks are created stochastically, drawing from the current understanding of the frequency and size distributions at production facilities. Various leak detection and repair programs can be simulated to determine the rate at which each would identify and repair leaks. Integrating the methane leakage over time enables a meaningful comparison between technologies, using both economic and environmental metrics. We simulate four existing or proposed detection technologies: flame ionization detection, manual infrared camera, automated infrared drone, and distributed detectors. Comparing these four technologies, we found that over 80% of simulated leakage could be mitigated with a positive net present value, although the maximum benefit is realized by selectively targeting larger leaks. Our results show that low-cost leak detection programs can rely on high-cost technology, as long as it is applied in a way that allows for rapid detection of large leaks. Any strategy to reduce leakage should require a careful consideration of the differences between low-cost technologies and low-cost programs.

  14. Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multibedded wards

    Directory of Open Access Journals (Sweden)

    Sophie Knight

    2016-09-01

    Conclusion: Patients with dementia were at an increased risk of recurrent IF in single rooms compared with MB-Ws. Recurrent IF could be correlated with longer LoS but it is difficult to establish the cause and effect due to the low power of the study. There was no significant difference in terms of injury or mortality between the two settings.

  15. Performance of FLT-PET for pulmonary lesion diagnosis compared with traditional FDG-PET: A meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Zixing; Wang, Yuyan [Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, 100005 (China); Sui, Xin; Zhang, Wei [Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, 100005 (China); Shi, Ruihong [National Institutes for Food and Drug Control, Beijing, 100000 (China); Zhang, Yingqiang; Dang, Yonghong; Qiao, Zhen [Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, 100005 (China); Zhang, Biao [Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, 100005 (China); Song, Wei, E-mail: cjr.songwei@vip.163.com [Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, 100005 (China); Jiang, Jingmei, E-mail: jingmeijiang238@hotmail.com [Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, 100005 (China)

    2015-07-15

    Highlights: • FDG PET is more sensitive compared with FLT for detecting small and early staged lung cancers. • FLT can reduce false positives of FDG for inflammation-based lesions such as tuberculosis. • FLT shows comparable accuracies for diagnoses of late stage tumors and larger pulmonary lesions. - Abstract: Purpose: Widely used {sup 18}F 2′-deoxy-2′-fluoro-D-glucose (FDG) positron emission tomography (PET) can be problematic with false positives in cancer imaging. This study aims to investigate the diagnostic accuracy of a candidate PET tracer, {sup 18}F 2′,3′-dideoxy-3′-fluoro-2-thiothymidine (FLT), in diagnosing pulmonary lesions compared with FDG. Materials and methods: After comprehensive search and study selection, a meta-analysis was performed on data from 548 patients pooled from 17 studies for evaluating FLT accuracy, in which data from 351 patients pooled from ten double-tracer studies was used for direct comparison with FDG. Weighted sensitivity and specificity were used as main indicators of test performance. Individual data was extracted and patient subgroup analyses were performed. Results: Overall, direct comparisons showed lower sensitivity (0.80 vs. 0.89) yet higher specificity (0.82 vs. 0.66) for FLT compared with FDG (both p < 0.01). Patient subgroup analysis showed FLT was less sensitive than FDG in detecting lung cancers staged as T1 or T2, and those ≤2.0 cm in diameter (0.81 vs. 0.93, and 0.53 vs. 0.78, respectively, both p < 0.05), but was comparable for cancers staged as T3 or T4, and those >2.0 cm in diameter (0.95 vs. 1.00, 0.96 vs. 0.88, both p > 0.05). For benignities, FLT performed better compared with FDG in ruling out inflammation-based lesions (0.57 vs. 0.32, p < 0.05), and demonstrated greater specificity regardless of lesion sizes. Conclusions: Although FLT cannot replace FDG in detecting small and early lung cancers, it may help to prevent patients with larger or inflammatory lesions from cancer misdiagnosis

  16. A comparative study of efficacy of epidural versus interpleural bupivacaine for post operative analgesia after open cholecystectomy

    Directory of Open Access Journals (Sweden)

    RK Yadav

    2014-04-01

    Full Text Available Background The conventional methods of administering the prescribed doses of intramuscular or intravenous analgesics at fixed time intervals results in widely fluctuating and inadequate plasma level leads to poor post operative pain relief. Despite all advances made in the field of medicine, this symptom called “Pain” has not been combated well. Objective The present study was carried out to compare the efficacy of epidural verses interpleural administration of bupivacaine(0.5% with adrenaline for post operative pain relieve in patients undergoing open cholecystectomy. Methods We prospectively randomized and compared the post operative pain relieve with the reference of visual analog score (VAS in patients undergoing elective open cholecystectomy in college of medical sciences-teaching hospital, Bharatpur, Chitwan. Forty adult patients undergoing elective cholecystectomy were divided into two groups. Twenty patients in each group were subjected to a different technique of post-operative analgesia, namely thoracic epidural and interpleural instillation of 0.5% bupivacaine. These two groups were then compared in relation to changes produced in the pain scores, vital parameters and complication and side effects associated with the two techniques. The study was conducted for 24 hour postoperatively. Observation: Both thoracic epidural and interpleural instillation of 0.5% bupivacaine compared favorably with regard to analgesia in the present study. In general, the pain relief following thoracic epidural was more complete compared to interpleural but this was not clinically significant. Conclusion The present study shows that both the techniques are equally effective in providing analgesia following cholecystectomy. However, neither technique rendered the patients completely pain free at all times during first 24 hours. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 15-23 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10232

  17. Puzzle-based versus traditional lecture: comparing the effects of pedagogy on academic performance in an undergraduate human anatomy and physiology II lab.

    Science.gov (United States)

    Stetzik, Lucas; Deeter, Anthony; Parker, Jamie; Yukech, Christine

    2015-06-23

    A traditional lecture-based pedagogy conveys information and content while lacking sufficient development of critical thinking skills and problem solving. A puzzle-based pedagogy creates a broader contextual framework, and fosters critical thinking as well as logical reasoning skills that can then be used to improve a student's performance on content specific assessments. This paper describes a pedagogical comparison of traditional lecture-based teaching and puzzle-based teaching in a Human Anatomy and Physiology II Lab. Using a single subject/cross-over design half of the students from seven sections of the course were taught using one type of pedagogy for the first half of the semester, and then taught with a different pedagogy for the second half of the semester. The other half of the students were taught the same material but with the order of the pedagogies reversed. Students' performance on quizzes and exams specific to the course, and in-class assignments specific to this study were assessed for: learning outcomes (the ability to form the correct conclusion or recall specific information), and authentic academic performance as described by (Am J Educ 104:280-312, 1996). Our findings suggest a significant improvement in students' performance on standard course specific assessments using a puzzle-based pedagogy versus a traditional lecture-based teaching style. Quiz and test scores for students improved by 2.1 and 0.4% respectively in the puzzle-based pedagogy, versus the traditional lecture-based teaching. Additionally, the assessments of authentic academic performance may only effectively measure a broader conceptual understanding in a limited set of contexts, and not in the context of a Human Anatomy and Physiology II Lab. In conclusion, a puzzle-based pedagogy, when compared to traditional lecture-based teaching, can effectively enhance the performance of students on standard course specific assessments, even when the assessments only test a limited

  18. Comparative study on cerebral injury after open heart surgery in patients with congenital and rheumatic heart disease

    Institute of Scientific and Technical Information of China (English)

    WANG Yong; XIAO Ying-bin; CHEN Lin; ZHONG Qian-jin; WANG Xue-feng

    2005-01-01

    Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD group, n=20) or rheumatic heart disease (RHD, RHD group, n=20) underwent on-pump (cardiopulmonary bypass, CPB) heart-beating open heart surgery. Blood samples before CPB, and 20 minutes, 1 hour, 24 hours and 7 days after CPB were collected, and the levels of neuron-specific enolase (NSE) and protein S-100b in the plasma were determined with enzyme-linked immunoadsorbent assay (ELISA), respectively. All the patients were examined with electroencephalogram (EEG) before and 1 week after operation. The changes of NSE, S-100b and EEG compared to verify the difference of postoperative cerebral injury between CHD cases and RHD cases. Results: The plasma level of S-100b increased significantly 20 minutes after CPB and was still higher than the preoperative level at 24 hours after operation in both groups (P<0.01). The plasma level of NSE increased more significantly in the CHD group than in the RHD group 20 minutes after CPB and it returned to the normal level 24 hours after CPB in the CHD group but remained at a high level in the RHD group (P<0.01). The levels of NSE and S-100b returned to the normal levels on the 7th day after CPB. Abnormal EEG was found in 75% of the patients in the CHD group and 60% in the RHD group. Conclusions: On-pump heart-beating open heart surgery can cause certain cerebral injury in the patients with CHD or RHD. The injury was more severe and recovered more quickly in the CHD group than in the RHD group.

  19. Tradition of healthy food access in low-income neighborhoods: Price and variety of curbside produce vending compared to conventional retailers

    OpenAIRE

    Brinkley, Catherine; Chrisinger, Benjamin; Hillier, Amy

    2013-01-01

    This paper describes the longstanding, naturally emergent model of curbside vending of whole fruit and vegetable produce across several low-income, low-health Philadelphia neighborhoods. We conducted open-ended interviews with managers of 11 curbside produce vendors and compared prices and varieties of fruits and vegetables with the 11 closest conventional outlets. We find that produce trucks offer significantly lower prices on common fruit and vegetable items and they carry a variety of item...

  20. Accuracy assessment on the analysis of unbound drug in plasma by comparing traditional centrifugal ultrafiltration with hollow fiber centrifugal ultrafiltration and application in pharmacokinetic study.

    Science.gov (United States)

    Zhang, Lin; Zhang, Zhi-Qing; Dong, Wei-Chong; Jing, Shao-Jun; Zhang, Jin-Feng; Jiang, Ye

    2013-11-29

    In present study, accuracy assessment on the analysis of unbound drug in plasma was made by comparing traditional centrifugal ultrafiltration (CF-UF) with hollow fiber centrifugal ultrafiltration (HFCF-UF). We used metformin (MET) as a model drug and studied the influence of centrifugal time, plasma condition and freeze-thaw circle times on the ultrafiltrate volume and related effect on the measurement of MET. Our results demonstrated that ultrafiltrate volume was a crucial factor which influenced measurement accuracy of unbound drug in plasma. For traditional CF-UF, the ultrafiltrate volume cannot be well-controlled due to a series of factors. Compared with traditional CF-UF, the ultrafiltrate volume by HFCF-UF can be easily controlled by the inner capacity of the U-shaped hollow fiber inserted into the sample under enough centrifugal force and centrifugal time, which contributes to a more accurate measurement. Moreover, the developed HFCF-UF method achieved a successful application in real plasma samples and exhibited several advantages including high precision, extremely low detection limit and perfect recovery. The HFCF-UF method offers the advantage of highly satisfactory performance in addition to being simple and fast in pretreatment, with these characteristics being consistent with the practicability requirements in current scientific research.

  1. Comparative abundance and population structure of sympatric Afrotropical tortoises in six rainforest areas: the differential effects of ``traditional veneration'' and of ``subsistence hunting'' by local people

    Science.gov (United States)

    Luiselli, Luca

    2003-07-01

    Hinge-back tortoises are actively hunted by human populations in sub-Saharan Africa, and are currently threatened in wide areas of their ranges. The wide wetlands and moist rainforests of the Niger Delta (southeastern Nigeria, west Africa) house three sympatric species of hinge-back tortoises: Kinixys erosa, K. homeana, and K. belliana nogueyi. These tortoises are subjected to strong hunting pressure for several reasons (mainly domestic consumption), but in a few places in Bayelsa and Rivers States (eastern axis of the Niger Delta), they are traditionally venerated as "holy animals" bringing happiness. These few places may represent ideal laboratories for monitoring the effects of hundreds of years of "traditional conservation" on the wild populations of a tropical reptile. Here, I compare the apparent abundance, sex ratio, body sizes, microhabitats, and seasonal occurrence of free-ranging Kinixys populations inhabiting three of these "traditional sanctuaries" with the same ecological aspects of conspecifics from three neighbouring areas where the tortoises are actively hunted. K. homeana was the most common species at all sites, followed by K. erosa, whereas K. belliana was extremely rare. Adult sex ratio did not depart significantly from equality both in K. erosa and in K. homeana, and was not influenced by locality or by type of "management" (veneration or harvesting). The frequency of juveniles of K. homeana was significantly higher in areas with traditional veneration than in areas of harvesting, but the same pattern was not observed in K. erosa. There was a significant decrease in terms of the number of observed specimens between areas of traditional protection and areas of usual harvesting in all species, and this trend was more obvious in K. homeana than in K. erosa. The ratio "number of observed erosa/number of observed homeana" was not dependent on the presence of traditional veneration. Mean body sizes were not different in harvest areas and in

  2. A Randomized Study Comparing Digital Imaging to Traditional Glass Slide Microscopy for Breast Biopsy and Cancer Diagnosis

    Science.gov (United States)

    Elmore, Joann G.; Longton, Gary M.; Pepe, Margaret S.; Carney, Patricia A.; Nelson, Heidi D.; Allison, Kimberly H.; Geller, Berta M.; Onega, Tracy; Tosteson, Anna N. A.; Mercan, Ezgi; Shapiro, Linda G.; Brunyé, Tad T.; Morgan, Thomas R.; Weaver, Donald L.

    2017-01-01

    Background: Digital whole slide imaging may be useful for obtaining second opinions and is used in many countries. However, the U.S. Food and Drug Administration requires verification studies. Methods: Pathologists were randomized to interpret one of four sets of breast biopsy cases during two phases, separated by ≥9 months, using glass slides or digital format (sixty cases per set, one slide per case, n = 240 cases). Accuracy was assessed by comparing interpretations to a consensus reference standard. Intraobserver reproducibility was assessed by comparing the agreement of interpretations on the same cases between two phases. Estimated probabilities of confirmation by a reference panel (i.e., predictive values) were obtained by incorporating data on the population prevalence of diagnoses. Results: Sixty-five percent of responding pathologists were eligible, and 252 consented to randomization; 208 completed Phase I (115 glass, 93 digital); and 172 completed Phase II (86 glass, 86 digital). Accuracy was slightly higher using glass compared to digital format and varied by category: invasive carcinoma, 96% versus 93% (P = 0.04); ductal carcinoma in situ (DCIS), 84% versus 79% (P digital were: invasive carcinoma, 98% and 97% (not significant [NS]); DCIS, 70% and 57% (P = 0.007); atypia, 38% and 28% (P = 0.002); and benign without atypia, 97% and 96% (NS). Conclusions: In this large randomized study, digital format interpretations were similar to glass slide interpretations of benign and invasive cancer cases. However, cases in the middle of the spectrum, where more inherent variability exists, may be more problematic in digital format. Future studies evaluating the effect these findings exert on clinical practice and patient outcomes are required. PMID:28382226

  3. Relating Pyrolysis GC-MS to Traditional Soil Organic Matter Characterization: a Comparative Study Across a Landscape.

    Science.gov (United States)

    Kelleher, J. A.; Carrasco, J. J.; Neff, J. C.

    2004-12-01

    Ecosystem scale soil organic matter studies commonly involve measurements such as physical or chemical separations to bulk soil elemental estimates, however, these measurements provide limited information about SOM structure and how it varies across landscapes. To bridge the gap between molecular-scale and pool-based understanding of SOM dynamics, we compared soil density fractionation and chemical digestion techniques to more detailed pyrolysis GC-MS measurements. Composite soil samples from 0-10 cm were collected from four sites with observably different soil characteristics along the Front Range in Colorado: aspen grove, spruce-fir forest, and alpine dry and wet meadows. Samples were separated into heavy, light, and water fractions (slow, intermediate, and fast SOM turnover pools, respectively) using a 1.8 g/mL density fractionation. Non-polar extractives, polar extractives, cellulose, and lignin abundances were determined using a standard method for organic matter digestion. Significant differences were absent between sites for all density derived components as well as the non-polar and polar extractives. The spruce-fir SOM, however, showed higher % lignin and lower % cellulose compared to all other sites. We measured lignin, polysaccharide, and long-chain aliphatic derivatives using pyrolysis GC-MS and then compared relative abundances using principal component analysis. Spruce-fir SOM was distinguished by the high relative abundance of lignin derivatives that parallels observed higher % lignin by digestion. The dry and wet meadow SOM was distinguished by the relative abundance of long-chain aliphatic compounds. While the density and chemical fractionations were unable to fully distinguish these soils apart, pyrolysis GC-MS provided more detailed information about the chemical composition of SOM across different ecosystems.

  4. High Performance Data Clustering: A Comparative Analysis of Performance for GPU, RASC, MPI, and OpenMP Implementations.

    Science.gov (United States)

    Yang, Luobin; Chiu, Steve C; Liao, Wei-Keng; Thomas, Michael A

    2014-10-01

    Compared to Beowulf clusters and shared-memory machines, GPU and FPGA are emerging alternative architectures that provide massive parallelism and great computational capabilities. These architectures can be utilized to run compute-intensive algorithms to analyze ever-enlarging datasets and provide scalability. In this paper, we present four implementations of K-means data clustering algorithm for different high performance computing platforms. These four implementations include a CUDA implementation for GPUs, a Mitrion C implementation for FPGAs, an MPI implementation for Beowulf compute clusters, and an OpenMP implementation for shared-memory machines. The comparative analyses of the cost of each platform, difficulty level of programming for each platform, and the performance of each implementation are presented.

  5. High Performance Data Clustering: A Comparative Analysis of Performance for GPU, RASC, MPI, and OpenMP Implementations*

    Science.gov (United States)

    Yang, Luobin; Chiu, Steve C.; Liao, Wei-Keng; Thomas, Michael A.

    2013-01-01

    Compared to Beowulf clusters and shared-memory machines, GPU and FPGA are emerging alternative architectures that provide massive parallelism and great computational capabilities. These architectures can be utilized to run compute-intensive algorithms to analyze ever-enlarging datasets and provide scalability. In this paper, we present four implementations of K-means data clustering algorithm for different high performance computing platforms. These four implementations include a CUDA implementation for GPUs, a Mitrion C implementation for FPGAs, an MPI implementation for Beowulf compute clusters, and an OpenMP implementation for shared-memory machines. The comparative analyses of the cost of each platform, difficulty level of programming for each platform, and the performance of each implementation are presented. PMID:25309040

  6. Less platelet damage in the curved vane centrifugal pump: a comparative study with the roller pump in open heart surgery.

    Science.gov (United States)

    Nishinaka, T; Nishida, H; Endo, M; Koyanagi, H

    1994-09-01

    The centrifugal pump with the curved vane (Lifestream Centrifugal Pump [LCP]) was applied to cardiopulmonary bypass (CPB) in 10 patients who underwent elective coronary artery bypass grafting. Serum hemoglobin levels, platelet counts, and serum beta-thromboglogulin (beta-TG) levels were measured during CPB. The results were compared with those for a comparative roller pump (RP) group (n = 10). There was no difference in CPB time between LCP (112 +/- 22 min) and RP (121 +/- 22 min) groups. Serum beta-TG levels (ng/ml) were lower in the LCP group than in the RP group (34 +/- 9 vs. 101 +/- 80, 5 min; 81 +/- 33 vs. 236 +/- 112, 30 min; 120 +/- 53 vs. 314 +/- 100, 60 min after initiation of CPB; p < 0.05). There were no significant differences in hemolysis and platelet depletion. The LCP showed excellent hemodynamic performance with less blood trauma in clinical application to open heart surgery.

  7. Comparing two methods of education (virtual versus traditional) on learning of Iranian dental students: a post-test only design study.

    Science.gov (United States)

    Moazami, Fariborz; Bahrampour, Ehsan; Azar, Mohammad Reza; Jahedi, Farzad; Moattari, Marzieh

    2014-03-05

    The importance of using technologies such as e-learning in different disciplines is discussed in the literature. Researchers have measured the effectiveness of e-learning in a number of fields.Considering the lack of research on the effectiveness of online learning in dental education particularly in Iran, the advantages of these learning methods and the positive university atmosphere regarding the use of online learning. This study, therefore, aims to compare the effects of two methods of teaching (virtual versus traditional) on student learning. This post-test only design study approached 40, fifth year dental students of Shiraz University of Medical Sciences. From this group, 35 students agreed to participate. These students were randomly allocated into two groups, experimental (virtual learning) and comparison (traditional learning). To ensure similarity between groups, we compared GPAs of all participants by the Mann-Whitney U test (P > 0.05). The experimental group received a virtual learning environment courseware package specifically designed for this study, whereas the control group received the same module structured in a traditional lecture form. The virtual learning environment consisted of online and offline materials. Two identical valid, reliable post-tests that consisted of 40 multiple choice questions (MCQs) and 4 essay questions were administered immediately (15 min) after the last session and two months later to assess for knowledge retention. Data were analyzed by SPSS version 20. A comparison of the mean knowledge score of both groups showed that virtual learning was more effective than traditional learning (effect size = 0.69). The newly designed virtual learning package is feasible and will result in more effective learning in comparison with lecture-based training. However further studies are needed to generalize the findings of this study.

  8. A comparative evaluation of antibacterial potential of some plants used in indian traditional medicine for the treatment of microbial infections

    Directory of Open Access Journals (Sweden)

    Rabi Ranjan Chattopadhyay

    2009-10-01

    Full Text Available A comparative in vitro antibacterial potential of extracts (aqueous and ethanol of five important medicinal plants (Aegle marmelos, Azadirachta indica, Terminalia chebula, Mangifera indica and Ocimum sanctum were investigated using microbial growth inhibition assays against the common human pathogenic bacteria (Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli of clinical origin. All the plant materials showed varying degrees of strain specific inhibitory action and ethanol extract of the plant materials showed higher antibacterial activity than their aqueous counterparts. Besides, T. chebula and A. marmelos had the strongest antibacterial activity out of which, T. chebula possessed a wider spectrum and a superior antibacterial potential over the others. The bioactive compounds of T. chebula might have potential as therapeutic agents for the treatment of common bacterial infections.

  9. Comparative study of safety and efficacy of electrocautery blade with cold scalpel blade for skin opening during fixation of fracture of forearm bone with plate and screws

    Directory of Open Access Journals (Sweden)

    K T Madhukar

    2012-01-01

    Full Text Available Introduction: The art of performing surgeries have improved in recent years with the development of various electrosurgical devices assisting surgeons in performing safer surgeries with better outcomes. Skin incision has traditionally been made with a standard scalpel blade with good primary healing end results of the wound. The electrocautery has been used safely in performing deeper dissections. Use of electrocautery in skin incision has been discouraged in the past for the fear of cutaneous scarring, wound dehiscence, and infections particularly in orthopedic surgeries using internal implants. A review of the literature shows not many studies have been conducted to evaluate the safety and efficacy of electrocautery in skin incisions during orthopedic surgeries using internal implants. Aim: A prospective study was conducted in a tertiary care hospital with the aim to determine whether an electrocautery blade can be used safely for skin incisions. Materials and Methods: Sixty-two patients with single-bone fracture of the forearm undergoing open reduction and internal fixation received one-half of the incision with a standard scalpel blade and another half with electrocautery in pure cutting mode randomly. Analysis: Wounds were compared on operating day for any physical changes and on days 3, 5, and 12, and again on 3 rd and 6 weeks follow-up to know any difference in skin healing between the incised wounds of the two halves. Results: No evidence of any difference in healing of the two halves of skin incision was noted. There was also no increased risk of wound scarring, dehiscence, or infection with electrocautery incision when compared with standard scalpel incision. The time taken for skin incision with electrocautery was significantly less when compared with cold scalpel incision. Conclusion: We propose that electrocautery can be safely used for performing skin incision, with comparable results to that of a standard scalpel skin incision.

  10. Tradition of healthy food access in low-income neighborhoods: Price and variety of curbside produce vending compared to conventional retailers.

    Science.gov (United States)

    Brinkley, Catherine; Chrisinger, Benjamin; Hillier, Amy

    2013-01-01

    This paper describes the longstanding, naturally emergent model of curbside vending of whole fruit and vegetable produce across several low-income, low-health Philadelphia neighborhoods. We conducted open-ended interviews with managers of 11 curbside produce vendors and compared prices and varieties of fruits and vegetables with the 11 closest conventional outlets. We find that produce trucks offer significantly lower prices on common fruit and vegetable items and they carry a variety of items comparable to that carried by limited-assortment grocery stores. We conclude with recommendations regarding zoning, licensing, and Supplemental Nutrition Assistance Program (SNAP) authorization that could stabilize and expand this model of healthy food access.

  11. Posterior lumbar interbody fusion with cortical bone trajectory screw fixation versus posterior lumbar interbody fusion using traditional pedicle screw fixation for degenerative lumbar spondylolisthesis: a comparative study.

    Science.gov (United States)

    Sakaura, Hironobu; Miwa, Toshitada; Yamashita, Tomoya; Kuroda, Yusuke; Ohwada, Tetsuo

    2016-11-01

    OBJECTIVE Several biomechanical studies have demonstrated the favorable mechanical properties of the cortical bone trajectory (CBT) screw. However, no reports have examined surgical outcomes of posterior lumbar interbody fusion (PLIF) with CBT screw fixation for degenerative spondylolisthesis (DS) compared with those after PLIF using traditional pedicle screw (PS) fixation. The purposes of this study were thus to elucidate surgical outcomes after PLIF with CBT screw fixation for DS and to compare these results with those after PLIF using traditional PS fixation. METHODS Ninety-five consecutive patients underwent PLIF with CBT screw fixation for DS (CBT group; mean followup 35 months). A historical control group consisted of 82 consecutive patients who underwent PLIF with traditional PS fixation (PS group; mean follow-up 40 months). Clinical status was assessed using the Japanese Orthopaedic Association (JOA) scale score. Fusion status was assessed by dynamic plain radiographs and CT. The need for additional surgery and surgery-related complications was also evaluated. RESULTS The mean JOA score improved significantly from 13.7 points before surgery to 23.3 points at the latest follow-up in the CBT group (mean recovery rate 64.4%), compared with 14.4 points preoperatively to 22.7 points at final follow-up in the PS group (mean recovery rate 55.8%; p fusion was achieved in 84 patients from the CBT group (88.4%) and in 79 patients from the PS group (96.3%, p > 0.05). Symptomatic adjacent-segment disease developed in 3 patients from the CBT group (3.2%) compared with 9 patients from the PS group (11.0%, p fusion rate tended to be lower in the CBT group than in the PS group, although the difference was not statistically significant between the 2 groups.

  12. Greenhouse gas emissions under conservation agriculture compared to traditional cultivation of maize in the central highlands of Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Dendooven, Luc, E-mail: dendooven@me.com [Laboratory of Soil Ecology, ABACUS, Cinvestav, Avenida Instituto Politecnico Nacional 2508, C.P. 07360 Mexico, D.F. (Mexico); Gutierrez-Oliva, Vicente F. [Laboratory of Plant Biotechnology, Instituto Tecnologico de Tuxtla-Gutierrez, Tuxtla-Gutierrez, Chiapas (Mexico); Patino-Zuniga, Leonardo [Laboratory of Soil Ecology, ABACUS, Cinvestav, Avenida Instituto Politecnico Nacional 2508, C.P. 07360 Mexico, D.F. (Mexico); Ramirez-Villanueva, Daniel A. [Departamento de Microbiologia, Escuela Nacional de Ciencias Biologicas-IPN, Av. Prolongacion de Carpio y Plan de Ayala, C.P. 11340 Mexico, D.F. (Mexico); Verhulst, Nele [International Maize and Wheat Improvement Centre (CIMMYT), Apdo. Postal 6-641, 06600, Mexico D.F. (Mexico); Luna-Guido, Marco; Marsch, Rodolfo [Laboratory of Soil Ecology, ABACUS, Cinvestav, Avenida Instituto Politecnico Nacional 2508, C.P. 07360 Mexico, D.F. (Mexico); Montes-Molina, Joaquin; Gutierrez-Miceli, Federico A. [Laboratory of Plant Biotechnology, Instituto Tecnologico de Tuxtla-Gutierrez, Tuxtla-Gutierrez, Chiapas (Mexico); Vasquez-Murrieta, Soledad [Departamento de Microbiologia, Escuela Nacional de Ciencias Biologicas-IPN, Av. Prolongacion de Carpio y Plan de Ayala, C.P. 11340 Mexico, D.F. (Mexico); Govaerts, Bram [International Maize and Wheat Improvement Centre (CIMMYT), Apdo. Postal 6-641, 06600, Mexico D.F. (Mexico)

    2012-08-01

    In 1991, the 'International Maize and Wheat Improvement Center' (CIMMYT) started a field experiment in the rain fed Mexican highlands to investigate conservation agriculture (CA) as a sustainable alternative for conventional maize production practices (CT). CT techniques, characterized by deep tillage, monoculture and crop residue removal, have deteriorated soil fertility and reduced yields. CA, which combines minimum tillage, crop rotations and residue retention, restores soil fertility and increases yields. Soil organic matter increases in CA compared to CT, but increases in greenhouse gas emissions (GHG) in CA might offset the gains obtained to mitigate global warming. Therefore, CO{sub 2}, CH{sub 4} and N{sub 2}O emissions, soil temperature, C and water content were monitored in CA and CT treatments in 2010-2011. The cumulative GHG emitted were similar for CA and CT in both years, but the C content in the 0-60 cm layer was higher in CA (117.7 Mg C ha{sup -1}) than in CT (69.7 Mg C ha{sup -1}). The net global warming potential (GWP) of CA (considering soil C sequestration, GHG emissions, fuel use, and fertilizer and seeds production) was - 7729 kg CO{sub 2} ha{sup -1} y{sup -1} in 2008-2009 and - 7892 kg CO{sub 2} ha{sup -1} y{sup -1} in 2010-2011, whereas that of CT was 1327 and 1156 kg CO{sub 2} ha{sup -1} y{sup -1}. It was found that the contribution of CA to GWP was small compared to that of CT. - Highlights: Black-Right-Pointing-Pointer Conservation agriculture (CA) and conventional agriculture (CT) systems Black-Right-Pointing-Pointer Greenhouse gasses emitted were similar from CA and CT. Black-Right-Pointing-Pointer C content in the 0-60 cm layer was much higher in CA than in CT. Black-Right-Pointing-Pointer The net global warming potential of CA was negative, but positive in CT. Black-Right-Pointing-Pointer C sequestered in soil is far more important than GHG emitted.

  13. 全胸腔镜微创肺癌根治术手术创伤的临床研究%Clinical Analysis of Surgical Trauma between Complete Video-assisted Thoracoscopy and Traditional Open Surgery for Lung Cancer

    Institute of Scientific and Technical Information of China (English)

    马建强; 杨绍军; 李旭; 杨立民; 王曦; 凌锋; 赵之婧

    2013-01-01

    目的:比较全胸腔镜(complete video-assisted thoracoscopic surgery,c-VATS)与传统开胸肺癌切除术(taditional open surgery,TOS)的创伤性指标,进一步探讨全胸腔镜肺癌切除术的微创性.方法2010年1月至2013年2月昆明医科大学第二附属医院胸心血管外科全胸腔镜肺癌切除术(c-VATS组)45例,随机选择42例传统开胸(TOS组)作对照研究,比较两组患者手术时间、术中失血量、胸腔引流时间、围术期细胞因子及免疫细胞(CRP,WBC、N、L)、疼痛评分、肩关节活动功能评分.结果2组患者性别、年龄、病理类型、病理分期差异无统计学意义(>0.05);2组患者手术时间上无明显差异(>0.05);引流时间TOS组较c-VATS组明显延长[(4.64±2.10) d vs (3.20±1.20) d,=0.000];与TOS组相比,VATS组术中失血量明显减少[(167.4±68.5) mL vs (288.6±84.0) mL,=0.000];2组患者围术期CRP,WBC,N,L比较无明显差异(>0.05);术后1 d、3 d、7 d、30 d时c-VATS组疼痛评分均低于TOS组,其中两组间术后1 d疼痛评分差异无统计学意义(=0.542),术后3 d ,7 d,30 d疼痛评分差异均有统计学意义(=0.034,0.000,0.000,);患者日常生活活动评分术后7 d,30 d时c-VATS组均明显优于TOS组患者,有统计学差异(=0.000,0.000).结论全胸腔镜肺癌切除术不论近期效果还是远期效果均优于传统开胸手术,全胸腔镜肺癌切除术更微创化.%Objective To compare the traumatic indicators of complete video-assisted thoracoscopic surgery (c-VATS) with traditional open surgery (TOS) for lung cancer patients, and further explore the minimal invasiveness of c-VATS. Methods From January 2010 to February 2013, 45 cases with complete video-assisted thoracoscopic surgery (c-VATS gurop) and 42 cases with traditional open surgery (TOS group) were compared in operation time

  14. Flexor tendon repair: a comparative study between a knotless barbed suture repair and a traditional four-strand monofilament suture repair.

    LENUS (Irish Health Repository)

    Joyce, C W

    2014-01-01

    We compared the tensile strength of a novel knotless barbed suture method with a traditional four-strand Adelaide technique for flexor tendon repairs. Forty fresh porcine flexor tendons were transected and randomly assigned to one of the repair groups before repair. Biomechanical testing demonstrated that the tensile strengths between both tendon groups were very similar. However, less force was required to create a 2 mm gap in the four-strand repair method compared with the knotless barbed technique. There was a significant reduction in the cross-sectional area in the barbed suture group after repair compared with the Adelaide group. This would create better gliding within the pulley system in vivo and could decrease gapping and tendon rupture.

  15. Perceptions of veterinary admissions committee members of undergraduate credits earned from community colleges or online compared to traditional 4-year institutions

    Directory of Open Access Journals (Sweden)

    L.R. Kogan

    2015-06-01

    Full Text Available Veterinary admission committees are asked to create and implement a fair, reliable, and valid system to select the candidates most likely to succeed in veterinary school from a large pool of applicants. Although numerous studies have explored grade point average (GPA as a predictive value of later academic success, there has been little attention paid to how and where an applicant acquires his/her undergraduate coursework. Quality of academic program is an important component of applicant files, and it is suggested that the source of a candidate’s coursework might influence admissions committee decisions, perhaps even outside of the committee’s immediate awareness. Options for undergraduate education include taking classes at a traditional four-year institution, a community college, or online. This study provides an overview of the current state of online courses and community colleges in the US as a foundation to explore the views of veterinary admissions committee members pertaining to coursework completed at traditional residential 4-year schools or at community colleges and whether they are delivered on campus or online (at either type of institution. Survey participants reported a pattern of preference for traditional four-year residential coursework compared to online or community college courses. These results are interesting given the exponential growth of students taking online courses and data showing community colleges are providing a successful gateway to obtaining a four-year degree. This also points to the need for admission committees to discuss potential biases since the information about type of school and/or course may not be consistently available for all applicants. Finally, at a time when admitting a diverse class of students is a goal of many programs, it is of special concern that there are potential biases against courses taken online or from community colleges - venues that tend to draw a more diverse population than

  16. Perceptions of veterinary admissions committee members of undergraduate credits earned from community colleges or online compared to traditional 4-year institutions.

    Science.gov (United States)

    Kogan, L R; Stewart, S M; Schoenfeld-Tacher, R; Hellyer, P W

    2015-01-01

    Veterinary admission committees are asked to create and implement a fair, reliable, and valid system to select the candidates most likely to succeed in veterinary school from a large pool of applicants. Although numerous studies have explored grade point average (GPA) as a predictive value of later academic success, there has been little attention paid to how and where an applicant acquires his/her undergraduate coursework. Quality of academic program is an important component of applicant files, and it is suggested that the source of a candidate's coursework might influence admissions committee decisions, perhaps even outside of the committee's immediate awareness. Options for undergraduate education include taking classes at a traditional four-year institution, a community college, or online. This study provides an overview of the current state of online courses and community colleges in the US as a foundation to explore the views of veterinary admissions committee members pertaining to coursework completed at traditional residential 4-year schools or at community colleges and whether they are delivered on campus or online (at either type of institution). Survey participants reported a pattern of preference for traditional four-year residential coursework compared to online or community college courses. These results are interesting given the exponential growth of students taking online courses and data showing community colleges are providing a successful gateway to obtaining a four-year degree. This also points to the need for admission committees to discuss potential biases since the information about type of school and/or course may not be consistently available for all applicants. Finally, at a time when admitting a diverse class of students is a goal of many programs, it is of special concern that there are potential biases against courses taken online or from community colleges - venues that tend to draw a more diverse population than traditional 4-year

  17. Mastering Developmental Transitions in Young and Middle Adulthood: The Interplay of Openness to Experience and Traditional Gender Ideology on Women's Self-Efficacy and Subjective Well-Being

    Science.gov (United States)

    Weiss, David; Freund, Alexandra M.; Wiese, Bettina S.

    2012-01-01

    The present research focuses on 2 factors that might help or hurt women to cope with the uncertainties associated with developmental transitions in modern societies (i.e., starting one's first job, graduating from high school, reentry to work after parental leave). We investigate (a) the role of openness to experience in coping with challenging…

  18. Influence of alternating air injection on the color and “alambrado” of natural black olives cv. Arauco, as compared with the traditional Argentine method

    OpenAIRE

    2015-01-01

    Ripe black olives cv. Arauco were processed under different conditions to evaluate the effects of alternating air injection (AI) on the color of olives and on spoilage known as “alambrado”, using a system based on the one patented by the “Instituto de la Grasa” (Sevilla, Spain), as compared with the traditional Argentine processing method, which consists of drying the olives in natural air (“extendido”) for 24 hours at 7, 14 and 21 days of fermentation. Four types of fermentation were used: b...

  19. 原生数字期刊与Open Access期刊比较研究%Comparative Study of Born-digital Journal and Open Access Journal

    Institute of Scientific and Technical Information of China (English)

    阮建海; 郭刚

    2010-01-01

    原生数字期刊和Open Access期刊是网络技术普及和学术交流观念变革下出现的新型连续出版物,两者既有区别又有联系,易混淆.从产生背景、概念界定、出版模式、发行方式、版权形式、质量控制等方面对原生数字期刊和Open Access期刊进行比较探讨,得出对原生数字期刊和Open Access期刊的较全面的认识,最后对两者发展的侧重点进行阐述.

  20. Mixed method approaches in open-ended, qualitative, exploratory research involving people with intellectual disabilities: a comparative methods study.

    Science.gov (United States)

    Ottmann, Goetz; Crosbie, Jenny

    2013-09-01

    People with intellectual disabilities and their families are increasingly being asked to provide input into the services they receive. Under the aegis of the United Nation Convention of the Rights of Persons with Disabilities, support plans crucially depend on a participant's articulation of his or her preferences and life goals. Yet, research highlighting the strengths and weaknesses of different methodological approaches has not been published. This study compared the results of a suite of qualitative methods (questionnaire, focus group, semi-structured interview, "case in point" ethnographic observation, photographic images, and carer proxy response) by identifying the advantages and disadvantages of each method employed. It also foregrounds an effective mix of methods that is likely to produce an adequate representation of the views of people with disabilities within the context of open-ended exploratory questions.

  1. Comparative Study of Online Open Circuit Voltage Estimation Techniques for State of Charge Estimation of Lithium-Ion Batteries

    Directory of Open Access Journals (Sweden)

    Hicham Chaoui

    2017-04-01

    Full Text Available Online estimation techniques are extensively used to determine the parameters of various uncertain dynamic systems. In this paper, online estimation of the open-circuit voltage (OCV of lithium-ion batteries is proposed by two different adaptive filtering methods (i.e., recursive least square, RLS, and least mean square, LMS, along with an adaptive observer. The proposed techniques use the battery’s terminal voltage and current to estimate the OCV, which is correlated to the state of charge (SOC. Experimental results highlight the effectiveness of the proposed methods in online estimation at different charge/discharge conditions and temperatures. The comparative study illustrates the advantages and limitations of each online estimation method.

  2. Comparative measurements of water vapor fluxes over a tall forest using open- and closed-path eddy covariance system

    Directory of Open Access Journals (Sweden)

    J. B. Wu

    2015-05-01

    Full Text Available Eddy covariance using infrared gas analyses has been a useful tool for gas exchange measurements between soil, vegetation and atmosphere. So far, comparisons between the open- and closed-path eddy covariance (CP system have been extensively made on CO2 flux estimations, while lacking in the comparison of water vapor flux estimations. In this study, the specific performance of water vapor flux measurements of an open-path eddy covariance (OP system was compared against a CP system over a tall temperate forest in Northeast China. The results show that the fluxes from the OP system (LEop were generally greater than the (LEcp though the two systems shared one sonic anemometer. The tube delay of closed-path analyser depended on relative humidity, and the fixed median time lag contributed to a significant underestimation of (LEcp between the forest and atmosphere, while slight systematic overestimation was also found for covariance maximization method with single broad time lag search window. After the optimized time lag compensation was made, the average difference between the 30 min (LEop and (LEcp was generally within 6%. Integrated over the annual cycle, the CP system yielded a 5.1% underestimation of forest evapotranspiration as compared to the OP system measurements (493 vs. 469 mm yr−1. This study indicates the importance to estimate the sampling tube delay accurately for water vapor flux calculations with closed-path analysers, and it also suggests that when discuss the energy balance closure problem in flux sites with closed-path eddy covariance systems, it has to be aware that some of the imbalance is possibly caused by the systematic underestimation of water vapor fluxes.

  3. Local Anesthesia in Open Inguinal Hernia Repair Improves Postoperative Quality of Life Compared to General Anesthesia: A Prospective, International Study.

    Science.gov (United States)

    Huntington, Ciara R; Wormer, Blair A; Cox, Tiffany C; Blair, Laurel J; Lincourt, Amy E; Augenstein, Vedra A; Heniford, B Todd

    2015-07-01

    The choice of general (GA) versus local anesthesia (LA) in open inguinal hernia repair (OIHR) has a substantial financial impact and may influence clinical outcomes. Our study compares postoperative quality of life (QOL) in patients undergoing OIHR under LA versus GA. A cooperative prospective study from centers in 10 countries was performed through the International Hernia Mesh Registry from 2007 to 2012. QOL was compared at one, six, 12, and 24 months for LA versus GA with univariate and multivariate analysis controlling for known confounding variables. Of 1128 patients who underwent OIHR, 585(52%) used GA and 533(48%) used LA. Most were male (92%) with unilateral (94%), primary (91%) repairs with a mean age 57 ± 16 years. There was no difference (P > 0.05) in age, gender, operative time, mesh size, length of stay, infection, recurrence, reoperation, or death. Multivariate analysis demonstrated significant QOL differences between groups: GA had higher odds of discomfort at one and six months [odds ratio (OR) 3.3, 2.0], movement limitation at one and six months (OR 3.5, 2.8), and mesh sensation at one and 12 months (OR 2.9, 1.8). Overall, patients undergoing OIHR under LA had improved postoperative QOL in the short and long term compared with GA.

  4. The Efficacy of Final Examinations: A Comparative Study of Closed-Book, Invigilated Exams and Open-Book, Open-Web Exams

    Science.gov (United States)

    Williams, Jeremy B.; Wong, Amy

    2009-01-01

    Educators have long debated the usefulness (or otherwise) of final examinations; a debate that has typically revolved around the relative merits of closed-book exams, open-book exams, take-home exams or their substitution by some other assessment format (e.g., project work). This paper adds a new dimension to the debate by considering how the…

  5. The ACTIVATE study: results from a group-randomized controlled trial comparing a traditional worksite health promotion program with an activated consumer program.

    Science.gov (United States)

    Terry, Paul E; Fowles, Jinnet Briggs; Xi, Min; Harvey, Lisa

    2011-01-01

    PURPOSE. This study compares a traditional worksite-based health promotion program with an activated consumer program and a control program DESIGN. Group randomized controlled trial with 18-month intervention. SETTING. Two large Midwestern companies. SUBJECTS. Three hundred and twenty employees (51% response). INTERVENTION. The traditional health promotion intervention offered population-level campaigns on physical activity, nutrition, and stress management. The activated consumer intervention included population-level campaigns for evaluating health information, choosing a health benefits plan, and understanding the risks of not taking medications as prescribed. The personal development intervention (control group) offered information on hobbies. The interventions also offered individual-level coaching for high risk individuals in both active intervention groups. MEASURES. Health risk status, general health status, consumer activation, productivity, and the ability to evaluate health information. ANALYSIS. Multivariate analyses controlled for baseline differences among the study groups. RESULTS. At the population level, compared with baseline performance, the traditional health promotion intervention improved health risk status, consumer activation, and the ability to recognize reliable health websites. Compared with baseline performance, the activated consumer intervention improved consumer activation, productivity, and the ability to recognize reliable health websites. At the population level, however, only the activated consumer intervention improved any outcome more than the control group did; that outcome was consumer activation. At the individual level for high risk individuals, both traditional health coaching and activated consumer coaching positively affected health risk status and consumer activation. In addition, both coaching interventions improved participant ability to recognize a reliable health website. Consumer activation coaching also

  6. The Effectiveness Of Social Media (Facebook) Compared With More Traditional Advertising Methods for Recruiting Eligible Participants To Health Research Studies: A Randomized, Controlled Clinical Trial

    Science.gov (United States)

    Thow, Megan; Ferguson, Stuart G

    2016-01-01

    Background Recruiting participants for research studies can be difficult and costly. The popularity of social media platforms (eg, Facebook) has seen corresponding growth in the number of researchers turning to social networking sites and their embedded advertising frameworks to locate eligible participants for studies. Compared with traditional recruitment strategies such as print media, social media advertising has been shown to be favorable in terms of its reach (especially with hard-to-reach populations), cost effectiveness, and usability. However, to date, no studies have examined how participants recruited via social media progress through a study compared with those recruited using more traditional recruitment strategies. Objectives (1) Examine whether visiting the study website prior to being contacted by researchers creates self-screened participants who are more likely to progress through all study phases (eligible, enrolled, completed); (2) compare conversion percentages and cost effectiveness of each recruitment method at each study phase; and, (3) compare demographic and smoking characteristics of participants recruited through each strategy to determine if they attract similar samples. Methods Participants recruited to a smoking cessation clinical trial were grouped by how they had become aware of the study: via social media (Facebook) or traditional media (eg, newspaper, flyers, radio, word of mouth). Groups were compared based on throughput data (conversion percentages and cost) as well as demographic and smoking characteristics. Results Visiting the study website did not result in individuals who were more likely to be eligible for (P=.24), enroll in (P=.20), or complete (P=.25) the study. While using social media was more cost effective than traditional methods when we examined earlier endpoints of the recruitment process (cost to obtain a screened respondent: AUD $22.73 vs $29.35; cost to obtain an eligible respondent: $37.56 vs $44.77), it was

  7. The Effectiveness Of Social Media (Facebook) Compared With More Traditional Advertising Methods for Recruiting Eligible Participants To Health Research Studies: A Randomized, Controlled Clinical Trial.

    Science.gov (United States)

    Frandsen, Mai; Thow, Megan; Ferguson, Stuart G

    2016-08-10

    Recruiting participants for research studies can be difficult and costly. The popularity of social media platforms (eg, Facebook) has seen corresponding growth in the number of researchers turning to social networking sites and their embedded advertising frameworks to locate eligible participants for studies. Compared with traditional recruitment strategies such as print media, social media advertising has been shown to be favorable in terms of its reach (especially with hard-to-reach populations), cost effectiveness, and usability. However, to date, no studies have examined how participants recruited via social media progress through a study compared with those recruited using more traditional recruitment strategies. (1) Examine whether visiting the study website prior to being contacted by researchers creates self-screened participants who are more likely to progress through all study phases (eligible, enrolled, completed); (2) compare conversion percentages and cost effectiveness of each recruitment method at each study phase; and, (3) compare demographic and smoking characteristics of participants recruited through each strategy to determine if they attract similar samples. Participants recruited to a smoking cessation clinical trial were grouped by how they had become aware of the study: via social media (Facebook) or traditional media (eg, newspaper, flyers, radio, word of mouth). Groups were compared based on throughput data (conversion percentages and cost) as well as demographic and smoking characteristics. Visiting the study website did not result in individuals who were more likely to be eligible for (P=.24), enroll in (P=.20), or complete (P=.25) the study. While using social media was more cost effective than traditional methods when we examined earlier endpoints of the recruitment process (cost to obtain a screened respondent: AUD $22.73 vs $29.35; cost to obtain an eligible respondent: $37.56 vs $44.77), it was less cost effective in later endpoints

  8. Arthroscopic Versus Open Latarjet in the Treatment of Recurrent Anterior Shoulder Dislocation With Marked Glenoid Bone Loss: A Prospective Comparative Study.

    Science.gov (United States)

    Zhu, Yiming; Jiang, Chunyan; Song, Guanyang

    2017-06-01

    Very few studies have compared open Latarjet versus arthroscopic Latarjet procedures. To compare the clinical and computed tomographic outcomes between open and arthroscopic Latarjet procedures. Cohort study; Level of evidence, 3. A prospective, comparative study was performed. The open Latarjet group included 44 patients, and the arthroscopic Latarjet group included 46 patients. All patients had more than 2 years of clinical follow-up (range of motion, American Shoulder and Elbow Surgeons [ASES] score, Constant-Murley score, and Rowe score). The position of the transferred coracoid, the screw orientation, and graft resorption were evaluated on computed tomography (CT) scan. The surgery time for the open group was significantly shorter than that for the arthroscopic group ( P = .003). No recurrent dislocation occurred in either group. The apprehension test was negative in all patients in both groups. At the final follow-up, no significant difference was detected between the open group and the arthroscopic group regarding any of the clinical outcome measurements. The transferred coracoid graft was level with the glenoid in all patients in both groups. The open group had better position in the superior-inferior direction compared with the arthroscopic group ( P Latarjet group showed notably less graft resorption compared with patients in the open Latarjet group.

  9. COST AND TIME ESTIMATES DURING THE SUPPLIER SELECTION OF AN INFORMATION SYSTEM FOR LEGAL AREA: A CASE STUDY COMPARING TRADITIONAL AND AGILE PROJECT APPROACHES

    Directory of Open Access Journals (Sweden)

    Vieira, G. L. S.

    2017-06-01

    Full Text Available Considering a direct correlation between projects requirements details levels and their performance, this paper aims to evaluate whether the adoption of more extensive and detailed cost, time and scope estimation processes based on both practices, traditional and agile, and executed concurrently with the supplier selection stage, could guarantee greater accuracy in these estimates, thus increasing project success rates. Based on a case study for the information system project implementation into the legal area of a large Brazilian company, five suppliers had their proposals analyzed and compared in terms of the costs and deadlines involved, as well as the project management processes used in theirs estimates. From the obtained results, it was possible to observe that not all companies follow, at least during the prospecting phase, their service proposals described management processes, according to the theory. Another important finding was that the proposals involving, at least partially, agile approach concepts, were more likely to justify their estimates. These proposals still presented lower values, whenever compared to those less adherents to the theoretical concepts, as those based on traditional concepts.

  10. A systematic review and meta-analysis of randomized and non-randomized studies comparing laparoscopic and open abdominoperineal resection for rectal cancer.

    LENUS (Irish Health Repository)

    Ahmad, N Z

    2013-03-01

    Evidence supporting the role of laparoscopy in abdominoperineal resection (APR) is limited. This study compared the short-term and long-term outcomes and complications associated with open and laparoscopic APR.

  11. Pentaho and Jaspersoft: A Comparative Study of Business Intelligence Open Source Tools Processing Big Data to Evaluate Performances

    Directory of Open Access Journals (Sweden)

    Victor M. Parra

    2016-10-01

    Full Text Available Regardless of the recent growth in the use of “Big Data” and “Business Intelligence” (BI tools, little research has been undertaken about the implications involved. Analytical tools affect the development and sustainability of a company, as evaluating clientele needs to advance in the competitive market is critical. With the advancement of the population, processing large amounts of data has become too cumbersome for companies. At some stage in a company’s lifecycle, all companies need to create new and better data processing systems that improve their decision-making processes. Companies use BI Results to collect data that is drawn from interpretations grouped from cues in the data set BI information system that helps organisations with activities that give them the advantage in a competitive market. However, many organizations establish such systems, without conducting a preliminary analysis of the needs and wants of a company, or without determining the benefits and targets that they aim to achieve with the implementation. They rarely measure the large costs associated with the implementation blowout of such applications, which results in these impulsive solutions that are unfinished or too complex and unfeasible, in other words unsustainable even if implemented. BI open source tools are specific tools that solve this issue for organizations in need, with data storage and management. This paper compares two of the best positioned BI open source tools in the market: Pentaho and Jaspersoft, processing big data through six different sized databases, especially focussing on their Extract Transform and Load (ETL and Reporting processes by measuring their performances using Computer Algebra Systems (CAS. The ETL experimental analysis results clearly show that Jaspersoft BI has an increment of CPU time in the process of data over Pentaho BI, which is represented by an average of 42.28% in performance metrics over the six databases

  12. Comparative study of amrutbhallataka and glucosamine sulphate in osteoarthritis: Six months open label randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Ashwinikumar Raut

    2013-01-01

    Full Text Available Background: AmrutBhallatak (ABFN02, a ′rasayana′ drug from Ayurveda is indicated in degenerative diseases and arthritis. Objective: To evaluate safety and efficacy of ABFN02 in osteoarthritis (OA and compare it with Glucosamine sulphate (GS Materials and Methods: This was a r andomized open comparative study. Ambulant OPD patients of OA knees (n = 112 were enrolled for 24 weeks. Tablets (750mg each of GS and ABFN02 were matched. Three groups of patients: (A GS, one tablet × twice/day × 24 weeks. (B ABFN02, incremental pulse dosage (one tablet x twice/day × two weeks, two tablets × twice/day × two weeks, three tablets × twice/day × two weeks, two such cycles of drug and non-drug phases alternately for six weeks each (C ABFN02 continuous dosage akin to GS. Pain visual analogue score (Pain-VAS and Western Ontario and Mc-Master University Osteoarthritis Index (WOMAC were the primary outcome measures. Secondary outcome measures were Health assessment questionnaire (HAQ, paracetamol consumption, 50 feet walking, physician and patient global assessment, knee stiffness, knee status, urinary CTX II, serum TNFa-SRI, SRII and MRI knee in randomly selected patients. Results: ABFNO2 and GS demonstrated, adherence to treatment 87.75% and 74.3%, reduction in Pain-VAS at rest 61.05% and 57.1%, reduction in pain-VAS on activity 57.4% and 59.8%, WOMAC score drop 62.8% and 59.1% respectively. Secondary outcome measures were comparable in all groups. Safety measures were also comparable. No serious adverse events reported. However, asymptomatic reversible rise in liver enzymes was noted in the ABFNO2 group. Conclusions: ABFN02 has significant activity in OA; the formulation needs further investigation.

  13. Comparative efficacy trial of cupping and serkangabin versus conventional therapy of migraine headaches: A randomized, open-label, comparative efficacy trial

    Directory of Open Access Journals (Sweden)

    Mohammad Dehghani Firoozabadi

    2014-01-01

    Full Text Available Background: Migraine headaches are the most common acute and recurrent headaches. Current treatment of a migraine headache consists of multiple medications for control and prevention of recurrent attacks. Global emergence of alternative medicine led us to examine the efficacy of cupping therapy plus serkangabin syrup in the treatment of migraine headaches. Materials and Methods: This study was a randomized, controlled, open-label, comparative efficacy trial. We randomly assigned patients with migraine into cupping therapy plus serkangabin group (30 patients and conventional treatment group (30 patients. An investigator assessed the severity of headache, frequency of attacks in a week and duration of attacks per hour in 5 visits (at the end of 2 weeks, 1, 3 and 6 months. Generalized estimating equations approach was used to analyze repeated measures data to compare outcomes in both groups. Results: Average age for cupping therapy group and conventional treatment group were 31.7 (±7.6 and 32.6 (±12.7 years, respectively (P = 0.45. After treatment for 2 weeks; and 1, 3 and 6 months, severity of headache (P = 0.80, frequency of migraine attacks (P = 0.63 and duration of attacks per hours (P = 0.48 were similar in conventional and cupping groups but these symptoms were decreased in each group during the study (P < 0.001. Conclusion: There was no significant difference between cupping plus serkangabin therapy and conventional treatment in the treatment and prophylaxis of migraine. The alternative therapy may be used in cases of drug intolerance, no medication response, and in primary care.

  14. Effect of obesity on laparoscopy-assisted distal gastrectomy compared with open distal gastrectomy for gastric cancer.

    Science.gov (United States)

    Makino, Hirochika; Kunisaki, Chikara; Izumisawa, Yusuke; Tokuhisa, Motohiko; Oshima, Takashi; Nagano, Yasuhiko; Fujii, Shoichi; Kimura, Jun; Takagawa, Ryo; Kosaka, Takashi; Ono, Hidetaka A; Akiyama, Hirotoshi; Endo, Itaru

    2010-08-01

    This study compared surgical outcomes between patients undergoing laparoscopy-assisted distal gastrectomy (LADG) and those undergoing open distal gastrectomy (ODG) from the viewpoint of obesity. Between June 2002 and May 2008, 146 patients with preoperatively diagnosed early gastric cancer who underwent LADG (n = 90) or ODG (n = 56) were enrolled in this study and compared in terms of clinicopathological findings and operative outcome. The visceral fat area (VFA) and subcutaneous fat area (SFA) were assessed as identifiers of obesity using FatScan software. The relationship between obesity and operative outcomes after LADG and ODG was evaluated. There were no significant correlations between intraoperative blood loss (IBL) and any obesity-related factors, or between operation time (OT) and any obesity-related factors in the LADG group. There was a significant correlation between IBL and BMI (r = 0.486, P = 0.0001), IBL and VFA (r = 0.456, P = 0.0003), IBL and SFA (r = 0.311, P = 0.0193), OT and BMI (r = 0.406, P = 0.0017), OT and VFA (r = 0.314, P = 0.0178), and between OT and SFA (r = 0.382, P = 0.0034) in the ODG group. LADG may be a useful operative manipulation that is not influenced by obesity, whereas ODG may be influenced by obesity even after reaching the surgical plateau. (c) 2010 Wiley-Liss, Inc.

  15. Antidepressant monotherapy compared with combinations of antidepressants in the treatment of resistant depressive patients: a randomized, open-label study.

    Science.gov (United States)

    Bares, Martin; Novak, Tomas; Kopecek, Miloslav; Stopkova, Pavla; Cermak, Jan; Kozeny, Jiri; Höschl, Cyril

    2013-02-01

    This randomized, 6-week, open-label study compared efficacy of CAD and antidepressant monotherapies (ADM) that had been chosen according to clinical judgment of the attending psychiatrist. A total of 60 inpatients (intent-to-treat analysis) with depressive disorder (≥ 1 unsuccessful antidepressant treatment) were randomly assigned to the interventions. The responders who completed the acute phase of study, were evaluated for relapse within 2 months of follow-up treatment. The primary outcome measure was change in the Montgomery-Åsberg Depression Rating Scale (MADRS) and response was defined as a ≥ 50% reduction of MADRS score. Mean changes in total MADRS score from baseline to week 6 for patients in both treatment modalities were not different (ADM = 13.2 ± 8.6 points; CAD = 14.5 ± 9.5 points; P = 0.58). The analysis of covariance performed for significantly higher value of imipramine equivalent dose in CAD group showed only a non-significant between-group difference for total MADRS change (P = 0.17). There were also no differences between groups in response rate (ADM = 48%; CAD = 58%) and number of drop-outs in acute treatment as well as proportion of responders' relapses in the follow-up. Both treatment modalities produced clinically relevant reduction of depressive symptomatology in acute treatment of patients with resistant depression and their effect was comparable.

  16. 4-WEEK OPEN-LABEL CONTROLLED RANDOMIZED COMPARATIVE STUDY OF THE INJECTABLE AND TABLETTED FORMULATIONS OF METHOTREXATE IN RHEUMATOID ARTHRITIS

    Directory of Open Access Journals (Sweden)

    Yu. V. Muravyev

    2011-01-01

    Full Text Available Objective: to estimate the advantages and disadvantages of using the injectable formulation of methotrexate (MT (Methoject (MTJ in rheumatoid arthritis (RA in clinical practice. Subjects and methods. A 24-week open-label controlled randomized comparative study evaluated the therapeutic and side effects of MTJ and methotrexate tablets in RA and clarified whether MTJ treatment might be continued if its tabletted formulation was discontinued because of adverse reactions. Results and discussion. MTJ was found to be more effective than the tabletted formulation of MT and as a whole; and following 3-month therapy, more patients receiving MTJ achieved an ACR20 response. The advantage of MTJ was also retained 6 months after therapy. Higher transaminase levels were noted in 2 patients, one in each group. Switching from MT to MTJ noticeably reduced the number of adverse reactions in the majority of patients from an additional group. Conclusion. As compared to MT, MTJ used in RA patients is more effective when given in an equivalent dose, exerts a therapeutic effect more rapidly, and induces adverse gastrointestinal reactions less frequently. 

  17. Topical adapalene in the treatment of plantar warts; Randomized comparative open trial in comparison with cryo-therapy

    Directory of Open Access Journals (Sweden)

    Ramji Gupta

    2015-01-01

    Full Text Available Background: Various therapeutic modalities, which are available for treating plantar wart, have not been successful every time. Aims: To evaluate topical adapalene under occlusion in the treatment of plantar warts and compare it with cryo-therapy. Materials and Methods: 50 patients with 424 plantar warts were included in this single center, two arm, prospective, randomized, control, open study. Patients were allocated randomly into two groups consisting of 25 patients each. Group A patients having 299 plantar warts were treated using adapalene gel 0.1% under occlusion while Group B patients having 125 warts were treated using cryo-therapy. All the patients were evaluated weekly till the clearance of all the warts and the results compared. Result: All the warts of 25 patients of Group A that were treated using adapalene gel 0.1% cleared in 36.71 ± 19.24 (55.95-17.47 days except those in one patient. In Group B, warts in all except one treated by cryo-therapy cleared in 52.17 ± 30.06 (82.23-22.11 days. There were no side effects like scar formation, irritation, erythema, or infections with adapalene group while in the cryo group scar was seen in 2 patients, pain in 24, erythema in 10, and infection in 3 patients. Conclusion: Adapalene gel 0.1% under occlusion is an effective, safe and easy to use treatment for plantar warts and may help clear lesions faster than cryo-therapy.

  18. Alstonia scholaris (L.) R. Br. and Alstonia macrophylla Wall. ex G. Don: A comparative review on traditional uses, phytochemistry and pharmacology.

    Science.gov (United States)

    Khyade, Mahendra S; Kasote, Deepak M; Vaikos, Nityanand P

    2014-04-11

    Alstonia scholaris (L.) R. Br. and Alstonia macrophylla Wall. ex G. Don are two vital medicinal plant species (family: Apocynaceae). In India, the therapeutic use of Alstonia scholaris has been described in both codified and non-codified drug systems for the treatment of malaria, jaundice, gastrointestinal troubles, cancer and in many other ailments. Other species, Alstonia macrophylla has been used in conventional medicines in Thailand, Malaysia and Philippines as a general tonic, aphrodisiac, anticholeric, antidysentery, antipyretic, emmenagogue, and vulnerary agents. In India, Alstonia macrophylla is used as a substitute for Alstonia scholaris in various herbal pharmaceutical preparations. However, one certainly cannot evaluate the truthfulness of a practice (i.e. in scientific terms). In this article we discuss and summarize comparative data about traditional uses, phytochemistry, pharmacology and toxicity of Alstonia scholaris and Alstonia macrophylla. Moreover, in order to unfold future research opportunities, lacunae in the present knowledge are also highlighted. Literature about Alstonia scholaris and Alstonia macrophylla was collected by using electronic and library search. Additionally, referred books on traditional medicine and ethnopharmacology were also utilized for receiving traditional records about both the plant species. Both Alstonia scholaris and Alstonia macrophylla are rich in different types of bioactive alkaloids. So far, broad spectrum of in vitro and in vivo biological and pharmacological activities have been reported to both the species. Amongst them, antimicrobial and anticancer activities were promising. The use of Alstonia macrophylla as a substitute for Alstonia scholaris is not at all justifiable as both the species are distinct from each other in their phytochemistry and pharmacology. Further detail chemical fingerprinting and metabolic studies of these two species are warranted to prevent their mutual adulteration most importantly

  19. Magnitude of placebo response and response variance in antidepressant clinical trials using structured, taped and appraised rater interviews compared to traditional rating interviews.

    Science.gov (United States)

    Khan, Arif; Faucett, James; Brown, Walter A

    2014-04-01

    The high failure rate of antidepressant clinical trials is due in part to a high magnitude of placebo response and considerable variance in placebo response. In some recent trials enhanced patient interview techniques consisting of Structured Interview Guide for the Montgomery-Asberg Depression Rating Scale (SIGMA) interviews, audiotaping of patient interviews and 'central' appraisal with Rater Applied Performance Scale (RAPS) criteria have been implemented in the hope of increasing reliability and thus reducing the placebo response. However, the data supporting this rationale for a change in patient interview technique are sparse. We analyzed data from depressed patients assigned to placebo in antidepressant clinical trials conducted at a single research site between 2008 and 2012. Three trials included 34 depressed patients undergoing SIGMA depression interviews with taping and RAPS appraisal and 4 trials included 128 depressed patients using traditional interview methods. Using patient level data we assessed the mean decrease in total MADRS scores and the variability of the decrease in MADRS scores in trials using SIGMA interviews versus trials using traditional interviews. Mean decrease in total MADRS score was significantly higher in the 3 trials that used SIGMA interviews compared to the 4 trials using traditional interviews (M = 13.0 versus 8.3, t(df = 160) = 2.04, p = 0.047). Furthermore, trials using SIGMA had a larger magnitude of response variance based on Levene's test for equality of variance (SD = 12.3 versus 9.4, F = 7.3, p = 0.008). The results of our study suggest that enhanced patient interview techniques such as SIGMA interviews, audiotaping and RAPS appraisal may not result in the intended effect of reducing the magnitude of placebo response and placebo variance.

  20. A study comparing student satisfaction, achievement, and retention in a multimedia-based lecture and traditional lecture college general chemistry course

    Science.gov (United States)

    Schuler, John L.

    2001-07-01

    Purpose. The purpose of this study was to determine whether or not a significant difference exists between general chemistry students taught by a contemporary multimedia approach and those taught by a traditional lecture approach with regard to their achievement and overall satisfaction. The study differentiated between the level of achievement and satisfaction according to age group and gender. A comparison of student retention for each methodology, multimedia-based versus traditional, was also conducted. Methodology. The research design for this study was quasi experimental. The population consisted of first semester community college general chemistry students. A questionnaire was used to measure student course satisfaction and a standardized final exam was used to measure student achievement. Findings. Results showed no significant statistical difference in achievement when students' final exam scores were compared. When age group was considered, the older students showed statistically greater achievement than the younger, regardless of instruction methodology. There were no statistical differences in achievement by gender. A statistically significant difference was found in question nine on the satisfaction survey when students were asked if their interest in the subject had increased while taking the course. Students in the multimedia-based course responded more favorably than those in the traditional course. When gender was considered no statistical differences in satisfaction were seen. Additionally, no differences in student retention were seen. Conclusions and recommendations. Results showing no differences in achievement between the two instructional methodologies may be viewed as both positive and negative. Positive because changing to a multimedia-based lecture did not adversely impact student achievement, and negative because one might expect a multimedia-based lecture, when considering the cost of implementation, to yield a more positive outcome

  1. Aperture datate negli edifici delle zone montane: una tradizione da indagare / Dated openings in the buildings of mountainous areas: a tradition to be investigated

    Directory of Open Access Journals (Sweden)

    Anna Boato

    2015-12-01

    Full Text Available Tiziano Mannoni osservava come fosse frequente trovare date incise sui portali delle case di abitazione delle zone alpine e appenniniche, quasi si trattasse di una tradizione specifica dei paesi di montagna. Non sappiamo se e in quale misura tale affermazione corrisponda al vero, ma non vi è dubbio che in molti abitati di montagna la tradizione di scolpire nella pietra la data della costruzione sia assai diffusa. Il catalogo informatico delle aperture redatto da Mannoni e da altri membri dell’Istituto di Storia della Cultura Materiale a partire dagli anni ‘80 del secolo scorso permette di tracciare una prima mappa di tale fenomeno che, seppure non sistematica e non esaustiva, fornisce alcuni dati quantitativi e spunti di riflessione. L’articolo non ha la pretesa di spiegare le ragioni sociali e culturali che hanno indotto molte popolazioni a lasciare una traccia materiale della propria storia, ma intende proporre all’attenzione dei lettori questa interessante tradizione e fornire alcune ipotesi di lavoro. Tiziano Mannoni observed how frequently dates were engraved on the doorways and windows (normally made by stone of the houses built in the Alps and in the Apennines mountains. In his opinion, this tradition was specific of the mountains region. We don’t know whether and to what extent this statement can be generalised, but it cannot be denied that in several mountainous areas the tradition of engraving the construction date in stone is extremely common. Thanks to the digital catalogue of apertures compiled by Tiziano Mannoni and by other members of the Institute for the History of Material Culture (ISCUM since the 1980s, it is possible to outline a map of this phenomenon, which provides interesting and thought provoking quantitative data, even if it is not yet systematic and exhaustive. The present article does not seek to explain the social and cultural reasons that led many populations to leave a material trace of their history

  2. A randomised, open-label, comparative study of tranexamic acid microinjections and tranexamic acid with microneedling in patients with melasma

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    Leelavathy Budamakuntla

    2013-01-01

    Full Text Available Background: Melasma is a common cause of facial hyperpigmentation with significant cosmetic deformity. Although several treatment modalities are available, none is satisfactory. Aim: To compare the therapeutic efficacy and safety of tranexamic acid (TA microinjections versus tranexamic acid with microneedling in melasma. Materials and Methods: This is a prospective, randomised, open-label study with a sample size of 60; 30 in each treatment arms. Thirty patients were administered with localised microinjections of TA in one arm, and other 30 with TA with microneedling. The procedure was done at monthly intervals (0, 4 and 8 weeks and followed up for three consecutive months. Clinical images were taken at each visit including modified Melasma Area Severity Index MASI scoring, patient global assessment and physician global assessment to assess the clinical response. Results: In the microinjection group, there was 35.72% improvement in the MASI score compared to 44.41% in the microneedling group, at the end of third follow-up visit. Six patients (26.09% in the microinjections group, as compared to 12 patients (41.38% in the microneedling group, showed more than 50% improvement. However, there were no major adverse events observed in both the treatment groups. Conclusions: On the basis of these results, TA can be used as potentially a new, effective, safe and promising therapeutic agent in melasma. The medication is easily available and affordable. Better therapeutic response to treatment in the microneedling group could be attributed to the deeper and uniform delivery of the medication through microchannels created by microneedling.

  3. A Randomised, Open-label, Comparative Study of Tranexamic Acid Microinjections and Tranexamic Acid with Microneedling in Patients with Melasma

    Science.gov (United States)

    Budamakuntla, Leelavathy; Loganathan, Eswari; Suresh, Deepak Hurkudli; Shanmugam, Sharavana; Suryanarayan, Shwetha; Dongare, Aparna; Venkataramiah, Lakshmi Dammaningala; Prabhu, Namitha

    2013-01-01

    Background: Melasma is a common cause of facial hyperpigmentation with significant cosmetic deformity. Although several treatment modalities are available, none is satisfactory. Aim: To compare the therapeutic efficacy and safety of tranexamic acid (TA) microinjections versus tranexamic acid with microneedling in melasma. Materials and Methods: This is a prospective, randomised, open-label study with a sample size of 60; 30 in each treatment arms. Thirty patients were administered with localised microinjections of TA in one arm, and other 30 with TA with microneedling. The procedure was done at monthly intervals (0, 4 and 8 weeks) and followed up for three consecutive months. Clinical images were taken at each visit including modified Melasma Area Severity Index MASI scoring, patient global assessment and physician global assessment to assess the clinical response. Results: In the microinjection group, there was 35.72% improvement in the MASI score compared to 44.41% in the microneedling group, at the end of third follow-up visit. Six patients (26.09%) in the microinjections group, as compared to 12 patients (41.38%) in the microneedling group, showed more than 50% improvement. However, there were no major adverse events observed in both the treatment groups. Conclusions: On the basis of these results, TA can be used as potentially a new, effective, safe and promising therapeutic agent in melasma. The medication is easily available and affordable. Better therapeutic response to treatment in the microneedling group could be attributed to the deeper and uniform delivery of the medication through microchannels created by microneedling. PMID:24163529

  4. A Comparative Assessment of Postoperative Analgesic Efficacy of Lornoxicam versus Tramadol after Open Reduction and Internal Fixation of Mandibular Fractures.

    Science.gov (United States)

    Jain, Ankesh Dilip; Vsm, Ravisankar; Ksn, Siva Bharani; Km, Sudheesh; Tewathia, Nisha

    2017-09-01

    Pain after any surgical procedure is inevitable but can be controlled by administration of analgesics in most cases. Postoperative pain after surgical treatment of mandibular fractures can be treated by nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics. The purpose of this study is to critically compare the postoperative analgesic efficacy of small doses of intravenous TRAMADOL (opioid analgesic) versus LORNOXICAM (NSAID) in patients with mandibular trauma undergoing open reduction and internal fixation (ORIF) and to assess the presence of any adverse effects due to NSAID or opioid use. Forty adult ASA grade I-II patients with mandibular trauma, scheduled for ORIF under general anesthesia in the Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere, were selected for the study. The patients were randomly assigned into a tramadol group (Group T) and a lornoxicam group (Group L) and were administered intravenous tramadol 50 mg and intravenous lornoxicam 8 mg, respectively, at specific postoperative intervals. Pain intensity was quantitatively assessed at the 2nd, 4th, 6th, 12th, and 24th postoperative hours using a visual analog scale of 10 cm. Adverse effects of the analgesics were also recorded and compared. Both the drugs resulted in a significant decrease in pain intensity from 2nd to 24th postoperative hours, but better pain control was observed in Group L at 24th postoperative hour. Only two patients experienced nausea and vomiting in Group T and one patient experienced gastric acidity in Group L. The comparative results clearly demonstrate that pain control by intravenous lornoxicam is significantly better than by intravenous tramadol at 24th postoperative hour after ORIF of mandibular trauma. Side effects produced by both the drugs were minor and had no apparent effect on the study results.

  5. Genomic selection models double the accuracy of predicted breeding values for bacterial cold water disease resistance compared to a traditional pedigree-based model in rainbow trout aquaculture.

    Science.gov (United States)

    Vallejo, Roger L; Leeds, Timothy D; Gao, Guangtu; Parsons, James E; Martin, Kyle E; Evenhuis, Jason P; Fragomeni, Breno O; Wiens, Gregory D; Palti, Yniv

    2017-02-01

    Previously, we have shown that bacterial cold water disease (BCWD) resistance in rainbow trout can be improved using traditional family-based selection, but progress has been limited to exploiting only between-family genetic variation. Genomic selection (GS) is a new alternative that enables exploitation of within-family genetic variation. We compared three GS models [single-step genomic best linear unbiased prediction (ssGBLUP), weighted ssGBLUP (wssGBLUP), and BayesB] to predict genomic-enabled breeding values (GEBV) for BCWD resistance in a commercial rainbow trout population, and compared the accuracy of GEBV to traditional estimates of breeding values (EBV) from a pedigree-based BLUP (P-BLUP) model. We also assessed the impact of sampling design on the accuracy of GEBV predictions. For these comparisons, we used BCWD survival phenotypes recorded on 7893 fish from 102 families, of which 1473 fish from 50 families had genotypes [57 K single nucleotide polymorphism (SNP) array]. Naïve siblings of the training fish (n = 930 testing fish) were genotyped to predict their GEBV and mated to produce 138 progeny testing families. In the following generation, 9968 progeny were phenotyped to empirically assess the accuracy of GEBV predictions made on their non-phenotyped parents. The accuracy of GEBV from all tested GS models were substantially higher than the P-BLUP model EBV. The highest increase in accuracy relative to the P-BLUP model was achieved with BayesB (97.2 to 108.8%), followed by wssGBLUP at iteration 2 (94.4 to 97.1%) and 3 (88.9 to 91.2%) and ssGBLUP (83.3 to 85.3%). Reducing the training sample size to n = ~1000 had no negative impact on the accuracy (0.67 to 0.72), but with n = ~500 the accuracy dropped to 0.53 to 0.61 if the training and testing fish were full-sibs, and even substantially lower, to 0.22 to 0.25, when they were not full-sibs. Using progeny performance data, we showed that the accuracy of genomic predictions is substantially higher

  6. A comparative study of beef quality after ageing longissimus muscle using a dry ageing bag, traditional dry ageing or vacuum package ageing.

    Science.gov (United States)

    Li, Xin; Babol, Jakub; Bredie, Wender L P; Nielsen, Belinda; Tománková, Jana; Lundström, Kerstin

    2014-08-01

    The objective of this study was to investigate beef quality of longissimus muscle after ageing in dry ageing bags, traditional dry ageing or vacuum for 8 or 19 days. Lower ageing weight loss, odour score and microbial growth were found in meat aged in dry ageing bags than after traditional dry ageing. The sensory panel detected no differences for most of the sensory attributes between samples using the two dry ageing methods, except for the odour of the cutting surface. The dry-aged steaks had more umami and butter fried meat taste compared with vacuum-aged steaks. Ageing time affected most of the sensory traits in this study, which improved as ageing time increased from 8 to 19 days. In a consumer test, meat aged for 21 days in dry ageing bags was preferred than the samples aged in vacuum. This may be due to the higher tenderness and juiciness obtained during storage in dry ageing bags than meat aged in vacuum.

  7. A randomized clinical trial on treatment of chronic constipation by traditional persian medicine recommendations compared to allopathic medicine: A pilot study

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    Mohammad Reza Fattahi

    2017-01-01

    Full Text Available Background: The aim of this study was to compare the efficacy and side effects of lactulose plus traditional Persian medicine with only lactulose on the functional chronic constipation. Methods: Participants included 20 patients (10 in each group aged 18–80 years, with major inclusion criteria of ROME III. They were assigned into two parallel therapeutic groups, including the intervention group (lactulose plus traditional Persian medicine [TPM] advices and control group (only lactulose through a block randomization. Weekly follow-up was done for 1 month for both groups. Results: After the intervention, the frequency of bowel habit increased significantly in patients of both groups (P = 0.001, and the frequency of hard stool defecation, sensation of painful defecation, sensation of incomplete evacuation, sensation of anorectal obstruction, and manual maneuver for evacuation were decreased significantly in patients of both groups (P < 0.001 for all comparisons and 0.025 for manual maneuver. However, the only significant difference between the two groups was more reduction in the sensation of painful defecation in the lactulose group versus lactulose plus TPM advices (P = 0.014. Conclusions: Based on the pilot study, no significant difference was shown between TPM with lactulose and lactulose only in the management of chronic functional constipation. However, the easy recommendations of TPM can be useful in improving chronic constipation.

  8. Tradition with a New Identity: Thomist Engagement with Non-Christian Thought as a Model for the New Comparative Theology in Europe

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    Martin Ganeri

    2012-11-01

    Full Text Available British theologians have criticised contemporary comparative theology for privileging learning from other religions to the exclusion of challenge and transformation in the Christian encounter with the thought of other religions. Moreover, a wider concern in Britain about contemporary expressions of theology in the academy, including comparative theology, is about their accountability to the ecclesial communities to which theologians belong. This paper aims to retrieve the Thomist engagement with non-Christian thought as a model for contemporary comparative theology that also addresses these concerns. The paper outlines Aquinas’ understanding of Christian theology’s engagement with non-Christian thought as being one of transformation, using the Biblical image of water changing into wine to illustrate what is involved. The paper points to historical examples of Thomist encounters with Indian thought and suggests some new applications. Using the Thomist model for contemporary comparative theology is a case of tradition coming to have a new identity, one that balances learning with challenge and transformation, one that bridges the divide between the academic and the ecclesial exercise of theology.

  9. Developing imaging capabilities of multi-channel detectors comparable to traditional x-ray detector technology for industrial and security applications

    Science.gov (United States)

    Jimenez, Edward S.; Collins, Noelle M.; Holswade, Erica A.; Devonshire, Madison L.; Thompson, Kyle R.

    2016-10-01

    This work will investigate the imaging capabilities of the Multix multi-channel linear array detector and its potential suitability for big-data industrial and security applications versus that which is currently deployed. Multi-channel imaging data holds huge promise in not only finer resolution in materials classification, but also in materials identification and elevated data quality for various radiography and computed tomography applications. The potential pitfall is the signal quality contained within individual channels as well as the required exposure and acquisition time necessary to obtain images comparable to those of traditional configurations. This work will present results of these detector technologies as they pertain to a subset of materials of interest to the industrial and security communities; namely, water, copper, lead, polyethylene, and tin.

  10. The symbolic context of Chinese medicine: a comparative approach to the study of traditional medical and psychiatric forms of care in Chinese culture.

    Science.gov (United States)

    Kleinman, A M

    1975-04-01

    This article explores a distinctly different aspect of Chinese medicine, and of health care in Chinese culture, from that receiving most attention and serious study at present in this country. It examines the symbolic structure and significance of illness and care in the Chinese context by (a) applying concepts developed in anthropology and the cross-cultural study of medicine and psychiatry; (b) examining recent studies of folk and popular forms of health care in contemporary Chinese communities; and (c) raising questions about the congnitive structure, cultural background, and bio-social significance of traditional Chinese healing beliefs and practices. An attempt is made to place this analysis in a comparative framework, so that Chinese cases can be related to health care systems in other cultural settings.

  11. Low-field MR imaging of the spine. A comparative study of a traditional and a new, completely balanced gradient-echo sequence

    Energy Technology Data Exchange (ETDEWEB)

    Drejer, J. [Dept. of Diagnostic Radiology, Herlev Hospital, Univ. Copenhagen (Denmark); Thomsen, H.S. [Dept. of Diagnostic Radiology, Herlev Hospital, Univ. Copenhagen (Denmark); Tanttu, J. [Picker Nordstar, Helsinki (Finland)

    1995-09-01

    49 patients underwent 53 examinations with both a traditional T1-weighted gradient-echo (PS) sequence and a new completely balanced steady-state 3-D (CBASS3D) sequence; 20 examinations included the cervical spine, 8 the thoracic spine and 25 the lumbar spine. All 106 examinations were reviewed twice regarding visibility of selected structures in the spinal region and diagnostic usefulness. The CBASS3D sequence delineated the medulla, nerve roots, CSF, the intervertebral discs and the posterior longitudinal ligament significantly better than the PS sequence. Disc hernia was also better visualised (p<0.01). There were significantly more artefacts on images obtained with the CBASS3D sequence, but they were usually outside the region of interest and occurred less frequently over time due to increased experience of the staff. Both reviewers found the diagnostic usefulness of CBASS3D to be superior compared to that of PS and excellent for diagnostic purposes. (orig./MG).

  12. Technology-assisted stroke rehabilitation in Mexico: a pilot randomized trial comparing traditional therapy to circuit training in a Robot/technology-assisted therapy gym.

    Science.gov (United States)

    Bustamante Valles, Karla; Montes, Sandra; Madrigal, Maria de Jesus; Burciaga, Adan; Martínez, María Elena; Johnson, Michelle J

    2016-09-15

    Stroke rehabilitation in low- and middle-income countries, such as Mexico, is often hampered by lack of clinical resources and funding. To provide a cost-effective solution for comprehensive post-stroke rehabilitation that can alleviate the need for one-on-one physical or occupational therapy, in lower and upper extremities, we proposed and implemented a technology-assisted rehabilitation gymnasium in Chihuahua, Mexico. The Gymnasium for Robotic Rehabilitation (Robot Gym) consisted of low- and high-tech systems for upper and lower limb rehabilitation. Our hypothesis is that the Robot Gym can provide a cost- and labor-efficient alternative for post-stroke rehabilitation, while being more or as effective as traditional physical and occupational therapy approaches. A typical group of stroke patients was randomly allocated to an intervention (n = 10) or a control group (n = 10). The intervention group received rehabilitation using the devices in the Robot Gym, whereas the control group (n = 10) received time-matched standard care. All of the study subjects were subjected to 24 two-hour therapy sessions over a period of 6 to 8 weeks. Several clinical assessments tests for upper and lower extremities were used to evaluate motor function pre- and post-intervention. A cost analysis was done to compare the cost effectiveness for both therapies. No significant differences were observed when comparing the results of the pre-intervention Mini-mental, Brunnstrom Test, and Geriatric Depression Scale Test, showing that both groups were functionally similar prior to the intervention. Although, both training groups were functionally equivalent, they had a significant age difference. The results of all of the upper extremity tests showed an improvement in function in both groups with no statistically significant differences between the groups. The Fugl-Meyer and the 10 Meters Walk lower extremity tests showed greater improvement in the intervention group compared to the

  13. Estimation of Open Boundary Conditions for an Internal Tidal Model with Adjoint Method: A Comparative Study on Optimization Methods

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    Haibo Chen

    2013-01-01

    Full Text Available Based on an internal tidal model, the practical performances of the limited-memory BFGS (L-BFGS method and two gradient descent (GD methods (the normal one with Wolfe’s line search and the simplified one are investigated computationally through a series of ideal experiments in which the open boundary conditions (OBCs are inverted by assimilating the interior observations with the adjoint method. In the case that the observations closer to the unknown boundary are included for assimilation, the L-BFGS method performs the best. As compared with the simplified GD method, the normal one really uses less iteration to reach a satisfactory solution, but its advantage over the simplified one is much smaller than expected. In the case that only the observations that are further from the unknown boundary are assimilated, the simplified GD method performs the best instead, whereas the performances of the other two methods are not satisfactory. The advanced L-BFGS algorithm and Wolfe’s line search still need to be improved when applied to the practical cases. The simplified GD method, which is controllable and easy to implement, should be regarded seriously as a choice, especially when the classical advanced optimization techniques fail or perform poorly.

  14. Goldmann applanation tonometry compared with corneal-compensated intraocular pressure in the evaluation of primary open-angle Glaucoma

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    Ehrlich Joshua R

    2012-09-01

    Full Text Available Abstract Background To better understand the role of corneal properties and intraocular pressure (IOP in the evaluation of primary open-angle glaucoma (POAG; and to determine the feasibility of identifying glaucomatous optic neuropathy (GON using IOP corrected and uncorrected for corneal biomechanics. Methods Records from 1,875 eyes of consecutively evaluated new patients were reviewed. Eyes were excluded if central corneal thickness (CCT or Ocular Response Analyzer (ORA measurements were unavailable. Presence or absence of GON was determined based on morphology of the optic disc, rim and retinal nerve fiber layer at the time of clinical examination, fundus photography and Heidelberg Retinal Tomography. Goldmann-applanation tonometry (GAT in the untreated state was recorded and Goldmann-correlated (IOPg and corneal-compensated IOP (IOPcc were obtained using the ORA. Glaucomatous eyes were classified as normal or high-tension (NTG, HTG using the conventional cutoff of 21 mm Hg. One eligible eye was randomly selected from each patient for inclusion. Results A total of 357 normal, 155 HTG and 102 NTG eyes were included. Among NTG eyes, IOPcc was greater than GAT (19.8 and 14.4 mm Hg; p  Conclusions IOPcc may account for measurement error induced by corneal biomechanics. Compared to GAT, IOPcc may be a superior test in the evaluation of glaucoma but is unlikely to represent an effective diagnostic test.

  15. Long-term follow-up of a randomized trial comparing laparoscopic and mini-incision open live donor nephrectomy.

    NARCIS (Netherlands)

    Dols, L.F.; Ijzermans, J.N.M.; Wentink, N.; Tran, T.C.K.; Zuidema, W.C.; Dooper, P.M.M.; Weimar, W.; Kok, N.F.

    2010-01-01

    Long-term physical and psychosocial effects of laparoscopic and open kidney donation are ill defined. We performed long-term follow-up of 100 live kidney donors, who had been randomly assigned to mini-incision open donor nephrectomy (MIDN) or laparoscopic donor nephrectomy (LDN). Data included blood

  16. Comparative Study of New Media and Traditional Media%新媒体与传统媒体比较研究

    Institute of Scientific and Technical Information of China (English)

    冯思婧

    2012-01-01

    新世纪以来,伴随着信息科学技术突飞猛进的发展,传播媒介开始由以传统媒体为主流的渠道向新媒体过度,新媒体彰显出了非凡的影响力以及对宣传舆论的控制力,成为继纸媒体、广播电视媒体之后的第三大重要传播载体。并深深地融入了人们的日常生活,在新媒体重构的媒介环境中,其传播手段、传播内容、传播效果等元素都发生了同传统媒体相比较大的变化。对新媒体与传统媒体两者之间相关元素的比较研究,并从中探寻媒介本身对传播语境的影响,是文章关注的着眼点所在。%Since the new century,with the development of information science and technology make a spurt of progress,the media started by traditional media for the mainstream channels to new media,new media to highlight the extraordinary influence as well as to the public opinion control force,and become afterwards the paper media,radio and television media as the third major carriers.Deeply into people's daily life,in the new media remodeling of the media environment,the communication methods,communication content,communication effect element produced with the traditional media compared to big changes.On the new media and traditional media between related elements of comparative study,and find the medium itself on the spread of context effects,is the starting point.

  17. Effects of quetiapine and olanzapine in patients with psychosis and violent behavior: a pilot randomized, open-label, comparative study

    Directory of Open Access Journals (Sweden)

    Gobbi G

    2014-05-01

    Full Text Available Gabriella Gobbi,1,2 Stefano Comai,1 Guy Debonnel1,2,† 1Neurobiological Psychiatric Unit, Department of Psychiatry, McGill University and McGill University Health Center, 2Institut Philippe Pinel, Department of Psychiatry, Université de Montréal, Montréal, QC, Canada †Guy Debonnel passed away on November 4, 2006 Objective: Patients suffering from psychosis are more likely than the general population to commit aggressive acts, but the therapeutics of aggressive behavior are still a matter of debate. Methods: This pilot randomized, open-label study compared the efficacy of quetiapine versus olanzapine in reducing impulsive and aggressive behaviors (primary endpoints and psychotic symptoms (secondary endpoints from baseline to days 1, 7, 14, 28, 42, 56, and 70, in 15 violent schizophrenic patients hospitalized in a maximum-security psychiatric hospital. Results: Quetiapine (525±45 mg and olanzapine (18.5±4.8 mg were both efficacious in reducing Impulsivity Rating Scale from baseline to day 70. In addition, both treatments reduced the Brief Psychiatric Rating Scale, Positive and Negative Syndrome Scale, and Clinical Global Impression Scale scores at day 70 compared to baseline, and no differences were observed between treatments. Moreover, quetiapine, but not olanzapine, yielded an improvement of depressive symptoms in the items “depression” in Brief Psychiatric Rating Scale and “blunted affect” in Positive and Negative Syndrome Scale. Modified Overt Aggression Scale scores were also decreased from baseline to the endpoint, but due to the limited number of patients, it was not possible to detect a significant difference. Conclusion: In this pilot study, quetiapine and olanzapine equally decreased impulsive and psychotic symptoms after 8 weeks of treatment. Double-blind, large studies are needed to confirm the validity of these two treatments in highly aggressive and violent schizophrenic patients. Keywords: schizophrenia, aggression

  18. Open-nucleus breeding strategies compared with population-wide positive assortative mating: I. Equal distribution of testing efforts.

    Science.gov (United States)

    Lstibůrek, M; Mullin, T J; Lindgren, D; Rosvall, O

    2004-10-01

    Positive assortative mating (PAM) can enhance the additive genetic variance in a breeding population(BP). This increases the potential for gains in the production population (PP, selected subset of the BP) for recurrent selection programs in forest trees. The assortment of mates can be either: (1) by individual tree rank across the whole BP (PAM), or (2) trees of similar rank can be merged into larger hierarchical groups and then mated randomly within group ("open"-nucleus breeding,NB). The objective of this study was to compare PAM and NB in quantitative terms. The NB simulation model assumed two tiers (nucleus, main) with unrestricted migration between the tiers. Clonal tests were used to predict breeding values and test resources per mate were kept constant for all mates. Both gain and diversity were combined into a single selection criterion, "group-merit selection." Alternatives were compared over five breeding cycles by considering genetic gain and diversity in a selected PP established in a seed orchard. The assortment of mates in both alternatives enhanced additive variance and increased the additive effect in the BP, leading to additional gain in the PP. Gains generated under PAM always exceeded gains under NB. Thus, the main message from this study is that PAM in both the short- and long-term results in more gain at any target level of diversity in the PP (the breeder's target) than is achieved by the NB alternative. The optimum size of the nucleus varies with the desired level of seed orchard diversity. At lower target diversity, smaller nucleus sizes are favorable, while larger sizes result in more gain when seed orchard diversity is considered more important.

  19. Laparoscopic versus open radical cystectomy for elderly patients over 75-year-old: a single center comparative analysis.

    Directory of Open Access Journals (Sweden)

    Shuxiong Zeng

    Full Text Available PURPOSE: To explore the morbidity, mortality and oncological results of laparoscopic radical cystectomy (LRC in the elderly patients over 75-year-old in contrast with open radical cystectomy (ORC. MATERIALS AND METHODS: We analyzed 46 radical cystectomies from January 2009 to December 2013 in patients over 75-year-old in our institute, 21 patients in the LRC group and 25 in the ORC group. Demographic parameters, operative variables and perioperative outcome were retrospectively collected and analyzed between the two groups. Perioperative morbidity and mortality were categorized as early (within 90 days after surgery or late (more than 90 days according to the time of occurrence. RESULTS: Patients in both groups had comparable preoperative characteristics. A significant longer operative time (418 vs. 337 min, p = 0.018 and less estimated blood loss (400 vs. 500 ml p = 0.038 were observed in LRC group compared with ORC group. Infection and ileus were the most common early complications after surgery. Patients underwent ORC suffered from significantly more postoperative ileus (28.0% vs. 4.8%, P = 0.038 and infection (40% vs. 9.5%, P = 0.019 than LRC group within 90 days after surgery. The mortality rate was 4.7% (1/21 and 4% (1/25 for LRC group and ORC group respectively. At a median follow-up of 21 months (range 2-61 months, the Kaplan-Meier survival curves and log-rank analysis demonstrate that there were no significant differences between the LRC and ORC groups in the 3-year overall, cancer-specific, or recurrence-free survival rates. CONCLUSIONS: It is suggested that LRC should be recommended as the primary intervention to treat muscle invasive or high risk non-muscle invasive bladder cancer in elderly patients with a relative long life expectancy.

  20. A COMPARATIVE STUDY TO ASSESS THE EFFICACY AND TOLERABILITY OF LATANOPROST, BIMATOPROST AND TRAVOPROST IN PATIENTS WITH OPEN ANGLE GLAUCOMA

    Directory of Open Access Journals (Sweden)

    Prempal

    2016-05-01

    Full Text Available Glaucoma is the leading cause of irreversible blindness in the world as it can remain asymptomatic until it causes severe visual loss. The target intraocular pressure with which progression is slowed sufficiently to avoid functional impairment should be achieved with the fewest medications and minimum adverse effects. The choice of medicine may be influenced by efficacy, cost, adverse effects, and dosing schedules. In general, prostaglandin analogues (PGA are the first-line of medical therapy. These drugs are administered once at night and have few systemic adverse effects. The study was conducted to compare the efficacy and safety of available PGAs. MATERIAL AND METHODS The study was conducted on sixty diagnosed cases of primary open angle glaucoma visiting the Outpatient Department of Regional Institute of Ophthalmology, Government Medical College, Amritsar. They were divided into three groups of twenty each. Each group was put on either of these anti-glaucoma topical drug (PGA - latanoprost 0.005%, travoprost 0.004% and bimatoprost 0.03% for three months duration. IOP at 9:00 AM ± 1 hr. and 4:00 PM ± 1 hr. were taken before and after 1 month and 3 months of treatment. The results of the reduction in mean IOP in each group were compared and analysed. OBSERVATIONS Mean baseline IOP at 8 AM in each group was similar (p value 0.772. Average decrease in IOP between the pretreatment (Baseline IOP and post-treatment levels (i.e. at 3 months was 31.90% in Group 1 (Bimatoprost Group, 32.97% in Group 2 (Latanoprost Group and 34.75% in Group 3 (Travoprost Group. When we applied paired t test, in each group, p value was <0.001, showing a statistically significant change. Once the efficacy of drugs was seen, we compared the efficacy of 3 groups with each other by applying ANOVA, P value was 0.108 which is not statistically significant. CONCLUSIONS Individually Bimatoprost, Latanoprost and Travoprost significantly lowered the intraocular pressure but

  1. A Comparative Study of Apical Healing of Open Apices Using MTA and Ca(OH2 Apical Plugs in Cats

    Directory of Open Access Journals (Sweden)

    M. H. Zarrabi

    2005-06-01

    Full Text Available Statement of problem: Endodontic treatment of necrotic teeth with open apices is a challenge. After ruling out surgery as a treatment scheme and introduction of the multivisit apexification which in turn had its disadvantages, apical plug seems to be a suitable substitute treatment plan for such cases. Apical plug makes the treatment through formation of a barrier against the obturating material in a single visit.Purpose: The purpose of this study was to compare histologically the periapical healing using MTA and calcium hydroxide apical plugs after intervals of 4 and 12 weeks in cats.Materials and Methods: In this clinical trial study 64 canines of 16 healthy and mature cats were divided into 3 groups after a periapical lesion formation by over instrumentation in the apical area with files up to no.120. The first group included 24 teeth on which MTA apical plug was applied. The second group included 24 teeth on which Ca (OH 2 apical plug was applied. In both groups the canals were filled with gutta percha and sealer. The third group included 16 control teeth whose canals were left empty after instrumentation and debridement. The access cavities of all teeth were sealed with varnish and amalgam and the vital perfusion of cats was performed in 4 and 12 week intervals. Statistical analysis was established by χ2 and independence test.Results: After 4 weeks, periapical healing in the first group was 90%, in the second group 80% and in the third group, it was only 12.5 %. After 12 weeks, periapical healing occurred in 100% of the MTA group, while it was 57.1% in the second and 40%in the third group .Generally, in the study of histological parameters of healing, no statistical significant difference was observed between the 2 experimental groups,although the MTA group results were much better than the Ca (OH 2 group especially at 12 weeks.Conclusion: The use of MTA apical plug is more effective than Ca (OH 2 in treatment of necrotic teeth with open

  2. How do children at special schools and their parents perceive their HRQoL compared to children at open schools?

    Directory of Open Access Journals (Sweden)

    Ramma Lebogang

    2010-07-01

    Full Text Available Abstract Background There has been some debate in the past as to who should determine values for different health states for economic evaluation. The aim of this study was to compare the Health Related Quality of Life (HRQoL in children attending open schools (OS and children with disabilities attending a special school (SS and their parents in Cape Town South Africa. Methods The EQ-5D-Y and a proxy version were administered to the children and their parents were requested to fill in the EQ-5D-Y proxy version without consultation with their children on the same day. Results A response rate of over 20% resulted in 567 sets of child/adult responses from OS children and 61 responses from SS children. Children with special needs reported more problems in the "Mobility" and "Looking after myself" domains but their scores with regard to "Doing usual activities", "Pain or discomfort" and "Worried, sad or unhappy" were similar to their typically developing counterparts. The mean Visual Analogue Scale (VAS score of SS children was (88.4, SD18.3, range 40-100 which was not different to the mean score of the OS respondents (87.9, SD16.5, range 5-100. The association between adult and child scores was fair to moderate in the domains. The correlations in VAS scores between Open Schools children and female care-givers' scores significant but low (r = .33, p Discussion It would appear that children with disabilities do not perceive their HRQoL to be worse than their able bodied counterparts, although they do recognise their limitations in the domains of "Mobility" and "Doing usual activities". Conclusions This finding lends weight to the argument that valuation of health states by children affected by these health states should not be included for the purpose of economic analysis as the child's resilience might result in better values for health states and possibly a correspondingly smaller resource allocation. Conversely, if HRQoL is to be used as a clinical

  3. Del Ajedrez a Starcraft. Análisis comparativo de juegos tradicionales y videojuegos From Chess to StarCraft. A Comparative Analysis of Traditional Games and Videogames

    Directory of Open Access Journals (Sweden)

    Óliver Pérez Latorre

    2012-03-01

    Full Text Available Desde su origen histórico, los juegos han planteado dramatizaciones sobre actividades fundamentales para la humanidad, como la siembra y recolección agrícola (juegos de mancala, la guerra (ajedrez o la construcción (puzzles, pero los juegos más populares sobre un mismo tipo de actividad varían de forma significativa en función del lugar y la época a la que pertenecen. En este sentido, el análisis comparado entre juegos tradicionales y videojuegos puede aportarnos una mirada particular y valiosa para profundizar en nuestra comprensión sobre la cultura popular de nuestro tiempo. ¿Qué rasgos distintivos presenta en los videojuegos de estrategia la dramatización de la guerra, en comparación con el ajedrez?, ¿qué distingue a las principales metáforas videolúdicas sobre la actividad de construcción de los puzzles tradicionales?... El objetivo de este artículo es abordar este tipo de cuestiones, a través de un análisis comparativo de la significación de juegos tradicionales y videojuegos populares. Los fundamentos teórico/metodológicos del trabajo se encuentran en la Historia del Juego, la Teoría del Diseño de Juegos y la Teoría de la Significación del Videojuego. Los resultados revelan elementos distintivos significativos entre los juegos tradicionales y algunos de los videojuegos más populares, y permiten verificar el interés de un modelo de análisis concebido para este estudio. Finalmente, en las conclusiones se reflexiona sobre la relación entre la significación de los videojuegos analizados y aspectos distintivos de la cultura contemporánea.From their historical origins games have provided us with dramatic models of the fundamental activities of humankind, such as sowing and harvesting (mancala games, war (chess and construction (puzzles. However, games based on the same activity change significantly depending on the place and time they belong to, and therefore a comparative analysis between traditional games and

  4. Market Openness and Culture as Factors that Shape the Gender Gap: a Comparative Study of Urban Latin America and East Asia (1960-2000)

    OpenAIRE

    Enriqueta Camps

    2013-01-01

    In this paper we present: 1. The available data on comparative gender inequality at the macroeconomic level and 2. Gender inequality measures at the microeconomic and case study level. We see that market openness has a significant effect on the narrowing of the human capital gender gap. Globalization and market openness stand as factors that improve both the human capital endowments of women and their economic position. But we also see that the effects of culture and religious beliefs are ver...

  5. EFFICACY AND SAFETY OF IVABRADINE AND BISOPROLOL IN PATIENTS WITH ISCHEMIC HEART DISEASE: RESULTS OF COMPARATIVE RANDOMIZED OPEN STUDY

    Directory of Open Access Journals (Sweden)

    R. D. Kurbanov

    2011-01-01

    Full Text Available Aim. To study influence of ivabradine as compared with bisoprolol on clinical and hemodynamic indices, exercise tolerance, endothelial function, quality of life (QL and erectile function in patients with ischemic heart disease. Material and methods. 60 males with stable angina pectoris were enrolled into comparative randomized crossover open study. One half of patients randomly received ivabradine during 14 days with replace it with bisoprolol for the next 3 months, another half of patients received compared drugs in the reverse order . Treadmill-test and flow-mediated dilatation (FMD test were performed initially and after 14 days of treatment with each drug. QL and erectile function were evaluated after 3 months with Seattle Angina Questionnaire (SAQ and International Index of Erectile Function (IIEF-5, respectively. Results. Heart rate reduced by 16.7±4.6 (p<0.005 and 16.4±4.8 bpm (p<0.005 after 2 weeks of treatment with bisoprolol and ivabradine, respectively. 30 (50.0% and 31 (51.7% patients treated with bisoprolol and ivabradine, respectively , increased exercise tolerance ≥1 min in the treadmill-test. Ivabradine treatment, in comparison with bisoprolol one, was associated by more expressed increase in chronotropic reserve in treadmill-test (p<0.05 and significant improvement of sensitivity coefficient of brachial artery to tension shift in FMD (p<0.005. In patients with endothelial dysfunction bisoprolol (69.4 % and ivabradine (52.8% efficacy did not differ significantly. At the same time in patients with normal endothelial functions increase in exercise tolerance ≥1 min in treadmill-test was observed in 50% (p<0.05 and 20.8% of patients treated with ivabradine and bisoprolol, respectively. Both drugs significantly increased QL, and ivabradine improved erectile function (p<0.005 in comparison with bisoprolol. Conclusion. The If-channel inhibitor ivabradine and beta-blocker bisoprolol have a similar antianginal efficacy in patients

  6. Nutrient adequacy during weight loss interventions: a randomized study in women comparing the dietary intake in a meal replacement group with a traditional food group

    Science.gov (United States)

    Ashley, Judith M; Herzog, Holly; Clodfelter, Sharon; Bovee, Vicki; Schrage, Jon; Pritsos, Chris

    2007-01-01

    Background Safe and effective weight control strategies are needed to stem the current obesity epidemic. The objective of this one-year study was to document and compare the macronutrient and micronutrient levels in the foods chosen by women following two different weight reduction interventions. Methods Ninety-six generally healthy overweight or obese women (ages 25–50 years; BMI 25–35 kg/m2) were randomized into a Traditional Food group (TFG) or a Meal Replacement Group (MRG) incorporating 1–2 meal replacement drinks or bars per day. Both groups had an energy-restricted goal of 5400 kJ/day. Dietary intake data was obtained using 3-Day Food records kept by the subjects at baseline, 6 months and one-year. For more uniform comparisons between groups, each diet intervention consisted of 18 small group sessions led by the same Registered Dietitian. Results Weight loss for the 73% (n = 70) completing this one-year study was not significantly different between the groups, but was significantly different (p ≤ .05) within each group with a mean (± standard deviation) weight loss of -6.1 ± 6.7 kg (TFG, n = 35) vs -5.0 ± 4.9 kg (MRG, n = 35). Both groups had macronutrient (Carbohydrate:Protein:Fat) ratios that were within the ranges recommended (50:19:31, TFG vs 55:16:29, MRG). Their reported reduced energy intake was similar (5729 ± 1424 kJ, TFG vs 5993 ± 2016 kJ, MRG). There was an improved dietary intake pattern in both groups as indicated by decreased intake of saturated fat (≤ 10%), cholesterol (<200 mg/day), and sodium (< 2400 mg/day), with increased total servings/day of fruits and vegetables (4.0 ± 2.2, TFG vs 4.6 ± 3.2, MRG). However, the TFG had a significantly lower dietary intake of several vitamins and minerals compared to the MRG and was at greater risk for inadequate intake. Conclusion In this one-year university-based intervention, both dietitian-led groups successfully lost weight while improving overall dietary adequacy. The group

  7. [Who Hits the Mark? A Comparative Study of the Free Geocoding Services of Google and OpenStreetMap].

    Science.gov (United States)

    Lemke, D; Mattauch, V; Heidinger, O; Hense, H W

    2015-09-01

    Geocoding, the process of converting textual information (addresses) into geographic coordinates is increasingly used in public health/epidemiological research and practice. To date, little attention has been paid to geocoding quality and its impact on different types of spatially-related health studies. The primary aim of this study was to compare 2 freely available geocoding services (Google and OpenStreetMap) with regard to matching rate (percentage of address records capable of being geocoded) and positional accuracy (distance between geocodes and the ground truth locations). Residential addresses were geocoded by the NRW state office for information and technology and were considered as reference data (gold standard). The gold standard included the coordinates, the quality of the addresses (4 categories), and a binary urbanity indicator based on the CORINE land cover data. 2 500 addresses were randomly sampled after stratification for address quality and urbanity indicator (approximately 20 000 addresses). These address samples were geocoded using the geocoding services from Google and OSM. In general, both geocoding services showed a decrease in the matching rate with decreasing address quality and urbanity. Google showed consistently a higher completeness than OSM (>93 vs. >82%). Also, the cartographic confounding between urban and rural regions was less distinct with Google's geocoding API. Regarding the positional accuracy of the geo-coordinates, Google also showed the smallest deviations from the reference coordinates, with a median of Google that nearly 95% and for OSM 50% of the addresses were geocoded within Google is superior to OSM regarding completeness and positional accuracy of the geocoded addresses. On the other hand, Google has several restrictions, such as the limitation of the requests to 2 500 addresses per 24 h and the presentation of the results exclusively on Google Maps, which may complicate the use for scientific purposes.

  8. Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-clinical results at short term follow-up.

    Science.gov (United States)

    Kordasiewicz, Bartłomiej; Małachowski, Konrad; Kicinski, Maciej; Chaberek, Sławomir; Pomianowski, Stanisław

    2017-05-01

    The aim of this study was to compare early clinical results after open and arthroscopic Latarjet stabilisation in anterior shoulder instability. Our hypothesis was the results of arthroscopic stabilisation were comparable with the results of open procedure. The clinical results of the patients after primary Latarjet procedure were analysed. Patients operated on between 2006 and 2011 using an open technique composed the OPEN group and patients operated on arthroscopically between 2011 and 2013 composed the ARTHRO group; 48 out of 55 shoulders (87%) in OPEN and 62 out of 64 shoulders (97%) in ARTHRO were available to follow-up. The average age at surgery was 28 years in OPEN and 26 years in ARTHRO. The mean follow-up was 54.2 months in OPEN and 23.4 months in ARTHRO. Intra-operative data were analysed regarding time of surgery, concomitant lesions and complications. Patient results were assessed with Walch-Duplay, Rowe, VAS scores and subjective self-evaluation of satisfaction and shoulder function. Computed tomography scan evaluation was used to assess the graft healing. Average time of surgery was significantly shorter in ARTHRO than OPEN: respectively 110 and 120 minutes. The number of intra-operative complications was six (12.5%) in OPEN and five (8.1%) in ARTHRO. The results were comparable in both groups, with no significant difference between OPEN and ARTHRO group: satisfaction rate - 96.8% and 91.9%, shoulder function - 92.2% and 90%, Walch-Duplay score - 83.9 and 76.7 respecively. A significant difference was reported in Rowe score: 87.8 in OPEN and 78.9 in ARTHRO. Another significant difference was found in the presence of "subjective apprehension"-a term referring to the subjective perception of instability with no signs of instability at clinical examination - 28.7% in OPEN and 50% in ARTHRO. Range of motion in both groups were comparable, however patients in OPEN had significantly lower loss of external rotation in adduction to the side comparing to the

  9. Cost analysis of magnetically controlled growing rods compared with traditional growing rods for early-onset scoliosis in the US: an integrated health care delivery system perspective

    Science.gov (United States)

    Polly, David W; Ackerman, Stacey J; Schneider, Karen; Pawelek, Jeff B; Akbarnia, Behrooz A

    2016-01-01

    Purpose Traditional growing rod (TGR) for early-onset scoliosis (EOS) is effective but requires repeated invasive surgical lengthenings under general anesthesia. Magnetically controlled growing rod (MCGR) is lengthened noninvasively using a hand-held magnetic external remote controller in a physician office; however, the MCGR implant is expensive, and the cumulative cost savings have not been well studied. We compared direct medical costs of MCGR and TGR for EOS from the US integrated health care delivery system perspective. We hypothesized that over time, the MCGR implant cost will be offset by eliminating repeated TGR surgical lengthenings. Methods For both TGR and MCGR, the economic model estimated the cumulative costs for initial implantation, lengthenings, revisions due to device failure, surgical-site infections, device exchanges (at 3.8 years), and final fusion, over a 6-year episode of care. Model parameters were estimated from published literature, a multicenter EOS database of US institutions, and interviews. Costs were discounted at 3.0% annually and represent 2015 US dollars. Results Of 1,000 simulated patients over 6 years, MCGR was associated with an estimated 270 fewer deep surgical-site infections and 197 fewer revisions due to device failure compared with TGR. MCGR was projected to cost an additional $61 per patient over the 6-year episode of care compared with TGR. Sensitivity analyses indicated that the results were sensitive to changes in the percentage of MCGR dual rod use, months between TGR lengthenings, percentage of hospital inpatient (vs outpatient) TGR lengthenings, and MCGR implant cost. Conclusion Cost neutrality of MCGR to TGR was achieved over the 6-year episode of care by eliminating repeated TGR surgical lengthenings. To our knowledge, this is the first cost analysis comparing MCGR to TGR – from the US provider perspective – which demonstrates the efficient provision of care with MCGR. PMID:27695352

  10. Comparative study of open tension-free and laparoscopic inguinal hernia repair in hernioplasty and simultaneous laparoscopic cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    JIANG Dao-zhen; QIU Ming; ZHENG Xiang-min; LU Lei; DONG Zhi-tao; HE Yan-fei; JIANG Hang

    2006-01-01

    Objective: To evaluate the clinical value of laparoscopic inguinal hernia repair in hernioplasty and simultaneous cholecystectomy. Methods: Twenty-eight patients with symptomatic chronic calculous cholecystitis and synchronous unilateral primary inguinal hernia were performed combined surgery between October 2001 and March 2005. Of them, 10 cases underwent laparoscopic totally extraperitoneal mesh hernia repair (TEP) and laparoscopic cholecystectomy (LC), 3 cases underwent laparoscopic transabdominal preperitoneal mesh hernia repair (TAPP) and LC, and 15 cases underwent LC and open tension-free hernia repair. Results: All the procedures were performed successfully, 2 patients occurred urinary retention in LC+open group and 1 patient occurred scrotum seroma in LC+TEP procedures. During the 6 to 24 months' follow-up, no hernia recurrences occurred in all patients. There were 6 Patients (40%) in LC +open group had discomfort pain in the inguinal region and lasted 1 to 3 months. The operating time was longer in the totally laparoscopic group (TEP+LC and TAPP+LC) (104±31 min) than in the LC+open group (80±28 min) (P<0.05). The intensity of postoperative pain at rest was greater in the LC+open group at 24 h (P<0.05) and 48 h (P<0.05). No differences between the 2 groups were found in the mean operating costs and oral intake of the postoperative period. But the time resume to walking (2.9 vs 1. 8 d) (P<0.01) and the mean hospital stay (8.2 vs 4.6 d) (P<0. 001) was longer in the LC+open group than in the totally laparoscopic group. Conclusion: In the same operating costs, the totally laparoscopic precedure has more advantages of low postoperative pain, quicker resume to walking and less hospital stay than open tension-free hernia repair in hernioplasty and simultaneous LC. Thus, the totally laparoscopic approach is considered to be advantage of the hernioplasty and simultaneous LC.

  11. Nutrient adequacy during weight loss interventions: a randomized study in women comparing the dietary intake in a meal replacement group with a traditional food group

    Directory of Open Access Journals (Sweden)

    Bovee Vicki

    2007-06-01

    Full Text Available Abstract Background Safe and effective weight control strategies are needed to stem the current obesity epidemic. The objective of this one-year study was to document and compare the macronutrient and micronutrient levels in the foods chosen by women following two different weight reduction interventions. Methods Ninety-six generally healthy overweight or obese women (ages 25–50 years; BMI 25–35 kg/m2 were randomized into a Traditional Food group (TFG or a Meal Replacement Group (MRG incorporating 1–2 meal replacement drinks or bars per day. Both groups had an energy-restricted goal of 5400 kJ/day. Dietary intake data was obtained using 3-Day Food records kept by the subjects at baseline, 6 months and one-year. For more uniform comparisons between groups, each diet intervention consisted of 18 small group sessions led by the same Registered Dietitian. Results Weight loss for the 73% (n = 70 completing this one-year study was not significantly different between the groups, but was significantly different (p ≤ .05 within each group with a mean (± standard deviation weight loss of -6.1 ± 6.7 kg (TFG, n = 35 vs -5.0 ± 4.9 kg (MRG, n = 35. Both groups had macronutrient (Carbohydrate:Protein:Fat ratios that were within the ranges recommended (50:19:31, TFG vs 55:16:29, MRG. Their reported reduced energy intake was similar (5729 ± 1424 kJ, TFG vs 5993 ± 2016 kJ, MRG. There was an improved dietary intake pattern in both groups as indicated by decreased intake of saturated fat (≤ 10%, cholesterol ( Conclusion In this one-year university-based intervention, both dietitian-led groups successfully lost weight while improving overall dietary adequacy. The group incorporating fortified meal replacements tended to have a more adequate essential nutrient intake compared to the group following a more traditional food group diet. This study supports the need to incorporate fortified foods and/or dietary supplements while following an energy

  12. Science-Technology-Society literacy in college non-majors biology: Comparing problem/case studies based learning and traditional expository methods of instruction

    Science.gov (United States)

    Peters, John S.

    This study used a multiple response model (MRM) on selected items from the Views on Science-Technology-Society (VOSTS) survey to examine science-technology-society (STS) literacy among college non-science majors' taught using Problem/Case Studies Based Learning (PBL/CSBL) and traditional expository methods of instruction. An initial pilot investigation of 15 VOSTS items produced a valid and reliable scoring model which can be used to quantitatively assess student literacy on a variety of STS topics deemed important for informed civic engagement in science related social and environmental issues. The new scoring model allows for the use of parametric inferential statistics to test hypotheses about factors influencing STS literacy. The follow-up cross-institutional study comparing teaching methods employed Hierarchical Linear Modeling (HLM) to model the efficiency and equitability of instructional methods on STS literacy. A cluster analysis was also used to compare pre and post course patterns of student views on the set of positions expressed within VOSTS items. HLM analysis revealed significantly higher instructional efficiency in the PBL/CSBL study group for 4 of the 35 STS attitude indices (characterization of media vs. school science; tentativeness of scientific models; cultural influences on scientific research), and more equitable effects of traditional instruction on one attitude index (interdependence of science and technology). Cluster analysis revealed generally stable patterns of pre to post course views across study groups, but also revealed possible teaching method effects on the relationship between the views expressed within VOSTS items with respect to (1) interdependency of science and technology; (2) anti-technology; (3) socioscientific decision-making; (4) scientific/technological solutions to environmental problems; (5) usefulness of school vs. media characterizations of science; (6) social constructivist vs. objectivist views of theories; (7

  13. PICC Seldinger technique and traditional tube insertion.we Used to compare%Seldinger技术与传统PICC置管术应用比较

    Institute of Scientific and Technical Information of China (English)

    罗昭梅

    2016-01-01

    目的:比较超声实时引导下改良Seldinger技术与传统经外周静脉穿刺置入中心静脉导管(PICC)置管术在肿瘤患者中的应用效果。方法:将116例拟实施PICC置管化疗的肺癌患者随机分为观察组(58例)和对照组(58例),观察组是采用超声实时引导下的改良Seldinger技术穿刺置管,对照组采用传统方法置管。结果:观察组和对照组的一次性穿刺成功率、一次置管成功率、机械性静脉炎和血栓形成比较差异均有统计学意义(P<0.05),但在穿刺点渗血方面差异无统计学意义(P>0.05)。结论:超声实时引导下改良Seldinger技术行PICC置管一次成功率高,并发症少,值得在肿瘤患者化疗中进行推广。%purpose:to compare the ultrasonic guided by real-time modified Seldinger technique and traditional via peripheral venous puncture in central venous catheter (PICC) tube insertion.we application effect in cancer patients.Methods:116 cases of quasi implementation of PICC catheter chemotherapy in lung cancer patients were randomly divided into observation group (58 cases) and control group (58 cases),the observation group USES the modified Seldinger technique guided by ultrasound real-time,tube control group using traditional methods.Results:the observation group and control group of one-time success rate of puncture,a success rate of catheter,mechanical phlebitis thrombosis and comparative differences are statistically significant (P0.05).Conclusion:ultrasound guided by real-time modified Seldinger technique line of PICC catheter into a high power,fewer complications,is worth popularizing in cancer chemotherapy.

  14. Fluid Lavage of Open Wounds (FLOW): A Multicenter, Blinded, Factorial Trial Comparing Alternative Irrigating Solutions and Pressures in Patients with Open Fractures

    Science.gov (United States)

    2013-10-01

    months, and 10 • patient’s illness beliefs with the Somatic Pre-Occupation and Coping ( SPOC ) questionnaire at 1 week and 6 weeks. 10a. SF-12 The SF...used in a sub-study comparing the test version to the validated version, which uses 3-level response options. 10c. SPOC The SPOC questionnaire...fractures SPOC : Somatic pre-occupation and coping questionnaire SSI: Surgical Site Infection FLOW February 19, 2013 Version: 6.0 Study Summary

  15. Open-label, randomized, comparative, phase III study on effects of reducing steroid use in combination with Palonosetron.

    Science.gov (United States)

    Komatsu, Yoshito; Okita, Kenji; Yuki, Satoshi; Furuhata, Tomohisa; Fukushima, Hiraku; Masuko, Hiroyuki; Kawamoto, Yasuyuki; Isobe, Hiroshi; Miyagishima, Takuto; Sasaki, Kazuaki; Nakamura, Michio; Ohsaki, Yoshinobu; Nakajima, Junta; Tateyama, Miki; Eto, Kazunori; Minami, Shinya; Yokoyama, Ryoji; Iwanaga, Ichiro; Shibuya, Hitoshi; Kudo, Mineo; Oba, Koji; Takahashi, Yasuo

    2015-07-01

    The purpose of this study is to compare the efficacy of a single administration of dexamethasone (DEX) on day 1 against DEX administration on days 1-3 in combination with palonosetron (PALO), a second-generation 5-HT3 receptor antagonist, for chemotherapy-induced nausea and vomiting (CINV) in non-anthracycline and cyclophosphamide (AC) moderately-emetogenic chemotherapy (MEC). This phase III trial was conducted with a multi-center, randomized, open-label, non-inferiority design. Patients who received non-AC MEC as an initial chemotherapy were randomly assigned to either a group administered PALO (0.75 mg, i.v.) and DEX (9.9 mg, i.v.) prior to chemotherapy (study treatment group), or a group administered additional DEX (8 mg, i.v. or p.o.) on days 2-3 (control group). The primary endpoint was complete response (CR) rate. The CR rate difference was estimated by logistic regression with allocation factors as covariates. The non-inferiority margin was set at -15% (study treatment group - control group). From April 2011 to March 2013, 305 patients who received non-AC MEC were randomly allocated to one of two study groups. Overall, the CR rate was 66.2% in the study treatment group (N = 151) and 63.6% in the control group (N = 154). PALO plus DEX day 1 was non-inferior to PALO plus DEX days 1-3 (difference, 2.5%; 95% confidence interval [CI]: -7.8%-12.8%; P-value for non-inferiority test = 0.0004). There were no differences between the two groups in terms of complete control rate (64.9 vs 61.7%) and total control rate (49.7% vs 47.4%). Anti-emetic DEX administration on days 2-3 may be eliminated when used in combination with PALO in patients receiving non-AC MEC.

  16. Detecting alcohol abuse: traditional blood alcohol markers compared to ethyl glucuronide (EtG) and fatty acid ethyl esters (FAEEs) measurement in hair.

    Science.gov (United States)

    Hastedt, Martin; Büchner, Mara; Rothe, Michael; Gapert, René; Herre, Sieglinde; Krumbiegel, Franziska; Tsokos, Michael; Kienast, Thorsten; Heinz, Andreas; Hartwig, Sven

    2013-12-01

    Alcohol abuse is a common problem in society; however, the technical capabilities of evaluating individual alcohol consumption using objective biomarkers are rather limited at present. In recent years research has focused on alcohol markers using hair analysis but data on performance and reliable cut-off values are still lacking. In this study 169 candidates were tested to compare traditional biomarkers, such as carbohydrate-deficient-transferrin (CDT), gamma glutamyl transferase (GGT), aspartate amino transferase, alanine amino transferase and the mean corpuscular volume of the erythrocytes, with alcohol markers detectable in hair such as ethyl glucuronide (EtG) and fatty acid ethyl esters (FAEEs). This study revealed that EtG, GGT and CDT showed the best results, demonstrating areas under the curve calculated from receiver operating characteristics of 0.941, 0.943 and 0.899 respectively. The lowest false-negative and false-positive rates were obtained by using a combined interpretation system for hair EtG and FAEEs. All markers demonstrated only low to moderate correlations. Optimum cut-off values for differentiation between social and chronic excessive drinking calculated for hair EtG and FAEEs were 28 pg/mg and 0.675 ng/mg, respectively. The critical values published in the "Consensus on Alcohol Markers 2012" by the Society of Hair Testing were confirmed.

  17. O2O与传统网络营销模式对比研究%Comparative Study on O2O and Traditional Network Marketing Mode

    Institute of Scientific and Technical Information of China (English)

    任春红

    2014-01-01

    In the emerging O2O,Solomo and other network marketing mode,O2O is more representative and more powerful development potential. In this paper, based on in-depth analysis of Internet business models are emerging that O2O mode and the traditional network marketing mode of the two foundation, advantage, disadvantage, do a comparative study of the status quo, development prospects, in between the two common and different introduced.%在新兴的O2O,Solomo等网络营销模式中O2O更具有代表性意义与更加强大的发展潜力。文中在深入的分析了互联网新兴商业模式O2O模式与传统网络营销模式的基础上对二者的基础,优势,劣势,现状,发展前景等方面做了对比研究,对于二者之间的共性与不同作出了一定的阐述。

  18. DPT Student Perceptions of the Physical Therapist Assistant's Role: Effect of Collaborative Case-Based Learning Compared to Traditional Content Delivery and Clinical Experience.

    Science.gov (United States)

    Colgrove, Yvonne M; VanHoose, Lisa D

    2017-01-01

    Doctor of physical therapy (DPT) student learning about role delineation of physical therapist assistants (PTAs) is essential to ethical and legal practice. Survey assessment of three DPT student cohorts compared collaborative interprofessional case-based learning with PTA students to traditional curriculum delivery strategies. Control cohorts were assessed one time. The intervention group was assessed pre-intervention, immediately post-intervention, and after completing a full-time clinical experience. The case-based learning covered 46% of survey content, allowing for the assessment of content-specific material and potential learning through collaboration. Following the educational intervention, the intervention group improved significantly in areas inside and outside the case-based study content, outscoring both control groups on 25-34% of the survey items. Following the clinical experience, the intervention group declined answer accuracy for patient evaluation and treatment implementation, suggesting unlearning. Improvement in the administrative section was observed after the clinical experience. Perceptions of the tasks within the PTA role were diminished while tasks outside the scope of practice appeared clarified following the clinical experience. While case-based collaborative intraprofessional learning proves effective in student learning about the PTA role, changes following the clinical experience raise questions about the influence of the clinical environment on learning and the practical application of recently learned knowledge.

  19. Rate and time to develop first central line-associated bloodstream infections when comparing open and closed infusion containers in a Brazilian Hospital

    Directory of Open Access Journals (Sweden)

    Margarete Vilins

    Full Text Available The objective of the study was to determine the effect of switching from an open (glass or semi-rigid plastic infusion container to a closed, fully collapsible plastic infusion container (Viaflex® on rate and time to onset of central lineassociated bloodstream infections (CLABSI. An open-label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in three intensive care units in Brazil. The CLABSI rate using open infusion containers was compared to the rate using a closed infusion container. Probability of acquiring CLABSI was assessed over time and compared between open and closed infusion container periods; three-day intervals were examined. A total of 1125 adult ICU patients were enrolled. CLABSI rate was significantly higher during the open compared with the closed infusion container period (6.5 versus 3.2 CLABSI/1000 CL days; RR=0.49, 95%CI=0.26- 0.95, p=0.031. During the closed infusion container period, the probability of acquiring a CLABSI remained relatively constant along the time of central line use (0.8% Days 2-4 to 0.7% Days 11-13 but increased in the open infusion container period (1.5% Days 2-4 to 2.3% Days 11-13. Combined across all time intervals, the chance of a patient acquiring a CLABSI was significantly lower (55% in the closed infusion container period (Cox proportional hazard ratio 0.45, p= 0.019. CLABSIs can be reduced with the use of full barrier precautions, education, and performance feedback. Our results show that switching from an open to a closed infusion container may further reduce CLABSI rate as well as delay the onset of CLABSIs. Closed infusion containers significantly reduced CLABSI rate and the probability of acquiring CLABSI.

  20. Rate and time to develop first central line-associated bloodstream infections when comparing open and closed infusion containers in a Brazilian Hospital

    Directory of Open Access Journals (Sweden)

    Margarete Vilins

    2009-10-01

    Full Text Available The objective of the study was to determine the effect of switching from an open (glass or semi-rigid plastic infusion container to a closed, fully collapsible plastic infusion container (Viaflex® on rate and time to onset of central lineassociated bloodstream infections (CLABSI. An open-label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in three intensive care units in Brazil. The CLABSI rate using open infusion containers was compared to the rate using a closed infusion container. Probability of acquiring CLABSI was assessed over time and compared between open and closed infusion container periods; three-day intervals were examined. A total of 1125 adult ICU patients were enrolled. CLABSI rate was significantly higher during the open compared with the closed infusion container period (6.5 versus 3.2 CLABSI/1000 CL days; RR=0.49, 95%CI=0.26- 0.95, p=0.031. During the closed infusion container period, the probability of acquiring a CLABSI remained relatively constant along the time of central line use (0.8% Days 2-4 to 0.7% Days 11-13 but increased in the open infusion container period (1.5% Days 2-4 to 2.3% Days 11-13. Combined across all time intervals, the chance of a patient acquiring a CLABSI was significantly lower (55% in the closed infusion container period (Cox proportional hazard ratio 0.45, p= 0.019. CLABSIs can be reduced with the use of full barrier precautions, education, and performance feedback. Our results show that switching from an open to a closed infusion container may further reduce CLABSI rate as well as delay the onset of CLABSIs. Closed infusion containers significantly reduced CLABSI rate and the probability of acquiring CLABSI.

  1. Impact of Obesity on Surgical Treatment for Endometrial Cancer: A Multicenter Study Comparing Laparoscopy vs Open Surgery, with Propensity-Matched Analysis.

    Science.gov (United States)

    Uccella, Stefano; Bonzini, Matteo; Palomba, Stefano; Fanfani, Francesco; Ceccaroni, Marcello; Seracchioli, Renato; Vizza, Enrico; Ferrero, Annamaria; Roviglione, Giovanni; Casadio, Paolo; Corrado, Giacomo; Scambia, Giovanni; Ghezzi, Fabio

    2016-01-01

    To evaluate the impact of obesity on the outcomes of surgical treatment for endometrial cancer in general and also comparing laparoscopic and open abdominal approach. Retrospective case-control study (Canadian Task Force classification II-1). Obstetrics and Gynecology Department, University of Insubria, Varese, Catholic University of the Sacred Heart, Rome, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar, and Sant'Orsola-Malpighi Hospital, Bologna, Italy. Data of consecutive patients who underwent surgery for endometrial cancer in 4 centers were reviewed. Univariate and multivariable analyses were performed. Adjustment for potential selection bias in surgical approach was made using propensity score (PS) matching. Laparoscopic or open surgical treatment for endometrial cancer. A total of 1266 patients were included, including 764 in the laparoscopy group and 502 in the open surgery group. A total of 391 patients (30.9%) were obese, including 238 (18.8%) with class I obesity, 89 (7%) with class II obesity, and 64 (5.1%) with class III obesity. The total number of complications, risk of wound complications, and venous thromboembolic events were higher in obese women compared with nonobese women. Blood transfusions, incidence/severity of postoperative complications, and postoperative hospital stay were significantly higher in the open surgery group compared with the laparoscopy group, irrespective of obesity. These differences remained significant in both multivariable analysis and PS-matched analysis. The percentage of patients who received lymphadenectomy declined significantly in patients with BMI ≥40 in both the laparoscopy and open surgery groups. Conversions from the initially intended minimally invasive approach to open surgery were 1.1% to 2.2% for women with BMI obese women in the laparoscopic group. Laparoscopy for endometrial cancer retains its advantages over open surgery, even in obese patients. However, operating on obese

  2. Radiographic evaluation of acute distal radius fracture stability: A comparative cadaveric study between a thermo-formable bracing system and traditional fiberglass casting.

    Science.gov (United States)

    Santoni, Brandon G; Aira, Jazmine R; Diaz, Miguel A; Kyle Stoops, T; Simon, Peter

    2017-08-01

    Distal radius fractures are common musculoskeletal injuries and many can be treated non-operatively with cast immobilization. A thermo-formable brace has been developed for management of such fractures, but no data exist regarding its comparative stabilizing efficacy to fiberglass casting. A worst-case distal radius fracture was created in 6 cadaveric forearms. A radiolucent loading fixture was created to apply cantilever bending/compression loads ranging from 4.5N to 66.7N across the simulated fracture in the: (1) non-stabilized, (2) braced; and (3) casted forearms, each forearm serving as its own control. Fracture fragment translations and rotations were measured radiographically using orthogonal radiographs and a 2D-3D, CT-based transformation methodology. Under 4.5N of load in the non-stabilized condition, average sagittal plane rotation and 3D center of mass translation of the fracture fragment were 12.3° and 5.3mm, respectively. At the 4.5N load step, fragment rotation with the brace (avg. 0.0°) and cast (0.1°) reduced sagittal plane rotation compared to the non-stabilized forearm (Pdifferences in measured sagittal plane fracture fragment rotations or 3D fragment translations between the brace or cast at any of the four load steps (4.5N, 22.2N, 44.5N, and 66.7N, P≥0.138). In this in vitro radiographic study utilizing 6 cadaveric forearms with simulated severe-case, unstable and comminuted distal radius fractures, the thermo-formable brace stabilized the fracture in a manner that was not radiographically or biomechanically different from traditional fiberglass casting. Study results support the use of the thermo-formable brace clinically. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Randomized trial comparing the Prolene Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair.

    NARCIS (Netherlands)

    Nienhuijs, S.W.; Oort, I.M. van; Keemers-Gels, M.E.; Strobbe, L.J.; Rosman, C.

    2005-01-01

    BACKGROUND: Most surgeons favour the use of a mesh for open inguinal hernia repair as it has a low recurrence rate. Procedures used most frequently are the Lichtenstein method, mesh plug repair and the Prolene Hernia System. The choice of technique may be influenced by the effects on postoperative p

  4. 西南山地传统场镇开放空间特点与保护%The Characteristics and Protection of the Open Space of Southwest Traditional Mountainous Towns

    Institute of Scientific and Technical Information of China (English)

    周露; 张锦华

    2011-01-01

    Southwest mountainous traditional towns have the special natural and cultural resources, which reflect the town buildings' respect for nature, idea of adapting to the environmental development, unique shape, and seamless pattern with the landscape environment. And the cultural meaning bred in the landscape environment formed the unique culture between the mountainous town and buildings. The authors use the analyzing method of "dot-line-surface" layer advancing in researching the open space of Southwest traditional mountainous towns, and sum up their form characteristics under different scales. On the premise of sustainability, the principle and strategy of how to protect the original and authentic features of traditional towns are put forward, in order to achieve the continuation and development of the space physical form and humanities spirit.%西南山地传统场镇中特殊的自然与人文资源构成,反映了场镇建设尊重自然、适应环境发展的思想,独特的形态与山水环境浑然一体的格局以及孕育其中的人文内涵更是形成山地场镇与建筑间特有的文化.对西南山地传统场镇开放空间进行研究,采用由“点”及“线”到“面”层层推进的分析方法,总结出其在不同尺度视角下的形态特征.在可持续发展的前提下,对传统场镇开放空间如何保持原真性进行了策略思考,以求得其空间物质形态与人文精神的延续和发展.

  5. [An open randomized comparative trial of efficacy and safety of selective alpha-adrenoblocker setegis (terazosin) in therapy of patients with chronic bacterial prostatitis].

    Science.gov (United States)

    Trapeznikova, M F; Morozov, A P; Dutov, V V; Urenkov, S B; Pozdniakov, K V; Bychkova, N V

    2007-01-01

    An open randomized comparative trial of setegis (terazosine) has shown good subjective and objective results in patients with chronic bacterial prostatitis. The drug is well tolerated and produces insignificant side effects. It is also demonstrated that combined therapy with alpha-adrenoblockers is more effective that monotherapy with antibacterial drugs in patients with bacterial prostatitis.

  6. Robot-assisted laparoscopic versus open partial nephrectomy in patients with chronic kidney disease: A propensity score-matched comparative analysis of surgical outcomes.

    Science.gov (United States)

    Takagi, Toshio; Kondo, Tsunenori; Tachibana, Hidekazu; Iizuka, Junpei; Omae, Kenji; Kobayashi, Hirohito; Yoshida, Kazuhiko; Tanabe, Kazunari

    2017-07-01

    To compare surgical outcomes between robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy in patients with chronic kidney disease. Of 550 patients who underwent partial nephrectomy between 2012 and 2015, 163 patients with T1-2 renal tumors who had an estimated glomerular filtration rate between 30 and 60 mL/min/1.73 m(2) , and underwent robot-assisted laparoscopic partial nephrectomy or open partial nephrectomy were retrospectively analyzed. To minimize selection bias between the two surgical methods, patient variables were adjusted by 1:1 propensity score matching. The present study included 75 patients undergoing robot-assisted laparoscopic partial nephrectomy and 88 undergoing open partial nephrectomy. After propensity score matching, 40 patients were included in each operative group. The mean preoperative estimated glomerular filtration rate was 49 mL/min/1.73 m(2) . The mean ischemia time was 21 min in robot-assisted laparoscopic partial nephrectomy (warm ischemia) and 35 min in open partial nephrectomy (cold ischemia). Preservation of the estimated glomerular filtration rate 3-6 months postoperatively was not significantly different between robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy (92% vs 91%, P = 0.9348). Estimated blood loss was significantly lower in the robot-assisted laparoscopic partial nephrectomy group than in the open partial nephrectomy group (104 vs 185 mL, P = 0.0025). The postoperative length of hospital stay was shorter in the robot-assisted laparoscopic partial nephrectomy group than in the open partial nephrectomy group (P robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy provide similar outcomes in terms of functional preservation and perioperative complications among patients with chronic kidney disease. However, a lower estimated blood loss and shorter postoperative length of hospital stay can be obtained with robot-assisted laparoscopic partial

  7. COMPARATIVE STUDY OF HEAVY METALS IN BOTTOM ASH FROM INCINERATORS AND OPEN PIT FROM HEALTHCARE FACILITIES IN GHANA

    Directory of Open Access Journals (Sweden)

    Richard Amfo-Otua

    2015-03-01

    Full Text Available Treatment of healthcare waste either by incinerating or open burning in a pit produces bottom ashes which contains heavy metals and other chemicals which are toxic, persistent and accumulate in the food chain resulting in adverse health effects in human and the environment. The study investigated the level of heavy metals in the ashes of thermally treated medical waste from four health care facilities in Ghana. Two batch of the ash samples were collected from two hospital incinerators and the other two from medical waste burnt in an open-pit. The samples were collected on different days but within the same month, stored and transported to Water Research Institute laboratory for heavy metals analysis. The concentrations of Pb, Cd, Cr and Hg were assessed using Atomic Absorption Spectrophotometry (AAS. The results proved that the concentrations of heavy metals were higher for the waste treated in the incinerator than those burnt in the open pit. The average concentration of the metals in the ashes were in the following decreasing order Pb>Cr>Hg>Cd. The mean concentration of Pb from the incinerated bottom ash was 147.5mg/kg and Cd was 2.5mg/kg whilst the open pit was (69.67mg/kg and (1.34mg/kg respectively. All the metals investigated exceeded the Dutch and Danish limit values for maximum permissible levels of heavy metals in good soil quality and therefore classified as harmful and toxic and therefore proper attention should be given to the ash disposal at the landfill sites.

  8. An assessment of traditional and objective structured practical evaluation methods on satisfaction of nursing students in Zahedan Faculty of Nursing and Midwifery: A comparing

    Directory of Open Access Journals (Sweden)

    Z Pishkar Mofrad

    2013-03-01

    Full Text Available Introduction: Objective evaluation of clinical and professional competency is one of the most important aspects in medical students' clinical education. Objective structural clinical exam (OSCE evaluates a large spectrum of technical and basic skills in an experimental setting. The present study was carried out in order to comparing two methods of evaluation, traditional evaluation (TE and objective structured practical evaluation (OSPE on the satisfaction of nursing students in Zahedan Faculty of Nursing and Midwifery. Method: This study is a quasi-experimental research. Thirty five nursing students who selected relevant units in the first trimester of 2011-12 academic year, participated in this study. TE and OSPE methods were both administered. Data were gathered via a 21 items researcher-made questionnaire after determination of its validity and reliability. Data were analyzed using SPSS software (version 15. Chi square, independent and paired t-tests were used. Results: The average age was 19.7 ± 2.5. %80 of students satisfied or very satisfied with the OSPE evaluation and only % 2.9 were dissatisfied or very dissatisfied with this evaluation method. These rates were changed to %81.5 and %3.7 after announcement of grades respectively. %79.4 of students satisfied or very satisfied with the TE evaluation and %11.8 were dissatisfied or very dissatisfied with this evaluation method. These rates were changed to %63 and %11.1 after announcement of grades, respectively. After announcement of grades, the mean score of OSPE satisfaction was higher than TE satisfaction and this differences was statistically significant (P = 0.02. Conclusion: Nursing students were satisfied with OSPE method in this study, it seems necessary to promote this evaluation method in nursing faculties.

  9. Massive Open Online Courses: Disruptive Innovations or Disturbing Inventions?

    Science.gov (United States)

    de Langen, Frank; van den Bosch, Herman

    2013-01-01

    According to Christensen and Horn, Massive Open Online Courses (MOOCs) are serving non-consumers. Although they are limited in the services they provide compared with traditional colleges, they offer free and accessible education to a broader audience, who cannot afford the traditional provision. However, this is a characteristic of online…

  10. MR imaging of claustrophobic patients in an open 1.0T scanner: motion artifacts and patient acceptability compared with closed bore magnets.

    Science.gov (United States)

    Bangard, Christopher; Paszek, Jennifer; Berg, Frank; Eyl, Gesa; Kessler, Josef; Lackner, Klaus; Gossmann, Axel

    2007-10-01

    To evaluate motion artifacts and patient acceptability of MR imaging of claustrophobic patients in an open 1.0T scanner. Thirty six claustrophobic patients were enrolled prospectively, 34 of which had previous MR examinations in closed bore magnets. Anxiety and pain during MR examination in an open 1.0T scanner were evaluated by visual analogue scales and various tests. Influence of motion artifacts on image quality was evaluated by two radiologists independently using a five-point scale. Additionally, 36 non-claustrophobic patients delivered a reference value of a non-claustrophobic population for the visual analogue anxiety scale. Termination rate of MR imaging of highly claustrophobic patients decreased from 58.3% (n=21) in closed bore magnets to 8.3% (n=3) in the open scanner (pclaustrophobic patients compared with closed bore magnets. Motion artifacts did not influence image quality.

  11. [Comparative analysis of ethanol effects on the spatial organization of biopotentials under conditions of open and closed eyes during different types of thinking].

    Science.gov (United States)

    Dorokhov, V B; Sviderskaia, N E; Zakharchenko, D V; Antonov, A G

    2011-01-01

    Effects of low doses of ethanol on indices of spatial organization of cortical potentials (spatial synchronization, coherence, spectral power and information-power index) under the closed- and open-eyes conditions and during performance of divergent and convergent non-verbal and verbal tasks. Ethanol effect was shown to be more expressed under the open eyes-conditions as compared to that with the closed eyes. This finding may be associated with the greater effect of the stream of afferent information in the former case. Changes in topographical characteristics of the spatial synchronization of cortical potentials were more clearly localized and "specific" during divergent thinking as compared to the convergent type. Changes in the spectral power and information-power index testify to greater sensitivity to ethanol of divergent type of thinking as compared to convergent type. Psychological testing of stress resistance and impulsivity also showed a greater effect of ethanol on divergent thinking.

  12. Visual outcomes in patients with open globe injuries compared to predicted outcomes using the Ocular Trauma Scoring system.

    Science.gov (United States)

    du Toit, Nagib; Mustak, Hamza; Cook, Colin

    2015-01-01

    To determine the visual outcomes in adult patients who sustained open globe injuries and to determine whether the visual prognosis following an eye injury in an African setting differs from the predicted outcomes according to the Ocular Trauma Score (OTS) study. A secondary aim was to establish the evisceration rate for these injuries and assess how this form of intervention affected outcomes in comparison to the OTS. A prospective case series of all patients admitted with open globe injuries over a two-year (July 2009 to June 2011) period. Injuries were scored using the OTS and the surgical intervention was recorded. The best corrected visual acuity at three months was regarded as visual outcome. There were 249 open globe injuries, of which 169 patients (169 eyes) completed the 3-month follow-up. All patients underwent primary surgery, 175 (70.3%) repairs, 61 (24.5%) eviscerations and 13 (5.2%) other procedures. Globe eviscerations were mainly done on OTS Category 1 cases, but outcomes in this category were not found to be different from OTS outcomes. Outcomes were significantly worse in Category 2, but when the entire distribution was tested, the differences were not statistically significant. The overall association between OTS outcomes and the final visual outcomes in this study was found to be a strong (P<0.005). Reliable information regarding the expected outcomes of eye injuries will influence management decisions and patient expectations. The OTS is a valuable tool, the use of which has been validated in many parts of the world-it may also be a valid predictor in an African setting.

  13. Debridement of cartilage lesions before autologous chondrocyte implantation by open or transarthroscopic techniques: a comparative study using post-mortem materials.

    Science.gov (United States)

    Drobnic, M; Radosavljevic, D; Cör, A; Brittberg, M; Strazar, K

    2010-04-01

    We compared the quality of debridement of chondral lesions performed by four arthroscopic (SH, shaver; CU, curette; SHCU, shaver and curette; BP, bipolar electrodes) and one open technique (OPEN, scalpel and curette) which are used prior to autologous chondrocyte implantation (ACI). The ex vivo simulation of all five techniques was carried out on six juvenile equine stifle joints. The OPEN, SH and SHCU techniques were tested on knees harvested from six adult human cadavers. The most vertical walls with the least adjacent damage to cartilage were obtained with the OPEN technique. The CU and SHCU methods gave inferior, but still acceptable results whereas the SH technique alone resulted in a crater-like defect and the BP method undermined the cartilage wall. The subchondral bone was severely violated in all the equine samples which might have been peculiar to this model. The predominant depth of the debridement in the adult human samples was at the level of the calcified cartilage. Some minor penetrations of the subchondral end-plate were induced regardless of the instrumentation used. Our study suggests that not all routine arthroscopic instruments are suitable for the preparation of a defect for ACI. We have shown that the preferred debridement technique is either open or arthroscopically-assisted manual curettage. The use of juvenile equine stifles was not appropriate for the study of the cartilage-subchondral bone interface.

  14. MR imaging of claustrophobic patients in an open 1.0 T scanner: Motion artifacts and patient acceptability compared with closed bore magnets

    Energy Technology Data Exchange (ETDEWEB)

    Bangard, Christopher [Department of Radiology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: cbangard@gmx.de; Paszek, Jennifer [Department of Neurology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: jennypaszek@gmx.de; Berg, Frank [Department of Radiology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: frank.berg@uk-koeln.de; Eyl, Gesa [Department of Radiology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: gesa.eyl@gmx.de; Kessler, Josef [Department of Neurology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: kessler@nf.mpg.de; Lackner, Klaus [Department of Radiology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: klaus.lackner@uk-koeln.de; Gossmann, Axel [Department of Radiology, University of Cologne, Kerpener Str. 62, 50924 Cologne (Germany)], E-mail: axel.gossmann@uni-koeln.de

    2007-10-15

    Objective: To evaluate motion artifacts and patient acceptability of MR imaging of claustrophobic patients in an open 1.0 T scanner. Subjects and methods: Thirty six claustrophobic patients were enrolled prospectively, 34 of which had previous MR examinations in closed bore magnets. Anxiety and pain during MR examination in an open 1.0 T scanner were evaluated by visual analogue scales and various tests. Influence of motion artifacts on image quality was evaluated by two radiologists independently using a five-point scale. Additionally, 36 non-claustrophobic patients delivered a reference value of a non-claustrophobic population for the visual analogue anxiety scale. Results: Termination rate of MR imaging of highly claustrophobic patients decreased from 58.3% (n = 21) in closed bore magnets to 8.3% (n = 3) in the open scanner (p {<=} 0.001). Anxiety during MR examination was reduced from 87.1 {+-} 16.7 (closed magnets) to 30.4 {+-} 30.8 (open magnet) (p {<=} 0.001) on visual analogue scale ranging from 0 to 100. Influence of motion artifacts on image quality was very little (inter-rater reliability r = 0.74; p < 0.01). Conclusions: MR imaging using an open 1.0 T scanner yielded a significantly decreased anxiety and subsequently an improved acceptability in claustrophobic patients compared with closed bore magnets. Motion artifacts did not influence image quality.

  15. 中外开放存取政策比较研究%Comparative Study on Open Access Poficy for Chinese and Foreign Books and Periodicals

    Institute of Scientific and Technical Information of China (English)

    赵清霞; 赵文涟; 王召兵

    2011-01-01

    推动开放存取的发展,需要政策的支持。中国的开放存取政策与国外的开放存取政策相比存在着很大的差距和不足,分析和借鉴国外的先进经验和方法,可促进我国的开放存取政策趋向完善、促进开放存取的发展、促进学术信息的广泛交流与传播。%It needs policy support to promote the development of open access. China' s open access policies have significant gaps and deficiencies compared with foreign open access policies. Analyzing and learning fi'om foreign advanced experience and methods can promote China' s open access policies, the development of open access and information' s wide dissemination.

  16. Keeping Tradition

    NARCIS (Netherlands)

    Zenhong, C.; Buwalda, P.L.

    2011-01-01

    Chinese dumplings such as Jiao Zi and Bao Zi are two of the popular traditional foods in Asia. They are usually made from wheat flour dough (rice flour or starch is sometimes used) that contains fillings. They can be steamed, boiled and fried and are consumed either as a main meal or dessert. As

  17. Traditional Opera

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    THE Beijing Chinese Opera School, founded in 1952, has fostered a multitude of gifted performers of traditional opera over the past 40-odd years. Famous virtuosos of Beijing opera, Mei Lanfang, Shang Xiaoyun and Xun Huisheng, have exhibited great concern for the school and have joined in providing instruction. Madame Sun Yumin, president of this

  18. A tale of two sections: an experiment to compare the effectiveness of a hybrid versus a traditional lecture format in introductory microbiology.

    Science.gov (United States)

    Adams, Alison E M; Randall, Shelby; Traustadóttir, Tinna

    2015-03-01

    Two sections of an introductory microbiology course were taught by one instructor. One was taught through a hybrid format and the other through a traditional format. Students were randomly assigned to the two sections. Both sections were provided with identical lecture materials, in-class worksheets, in-class assessments, and extra credit opportunities; the main difference was in the way the lecture material was delivered-online for the hybrid section and in person for the traditional section. Analysis of final grades revealed that students in the traditional section did significantly better than those in the hybrid section (plecture notes and/or use the audio component of the online lectures, suggesting minimal interaction with the lecture material for these students.

  19. Volume Computation of a Stockpile - a Study Case Comparing GPS and Uav Measurements in AN Open Pit Quarry

    Science.gov (United States)

    Raeva, P. L.; Filipova, S. L.; Filipov, D. G.

    2016-06-01

    The following paper aims to test and evaluate the accuracy of UAV data for volumetric measurements to the conventional GNSS techniques. For this purpose, an appropriate open pit quarry has been chosen. Two sets of measurements were performed. Firstly, a stockpile was measured by GNSS technologies and later other terrestrial GNSS measurements for modelling the berms of the quarry were taken. Secondly, the area of the whole quarry including the stockpile site was mapped by a UAV flight. Having considered how dynamic our world is, new techniques and methods should be presented in numerous fields. For instance, the management of an open pit quarry requires gaining, processing and storing a large amount of information which is constantly changing with time. Fast and precise acquisition of measurements regarding the process taking place in a quarry is the key to an effective and stable maintenance. In other words, this means getting an objective evaluations of the processes, using up-to-date technologies and reliable accuracy of the results. Often legislations concerning mine engineering state that the volumetric calculations are to present ±3% accuracy of the whole amount. On one hand, extremely precise measurements could be performed by GNSS technologies, however, it could be really time consuming. On the other hand, UAV photogrammetry presents a fast, accurate method for mapping large areas and calculating stockpiles volumes. The study case was performed as a part of a master thesis.

  20. Physiological, movement and technical demands of centre-wicket Battlezone, traditional net-based training and one-day cricket matches: a comparative study of sub-elite cricket players.

    Science.gov (United States)

    Vickery, Will; Dascombe, Ben; Duffield, Rob

    2014-01-01

    This study compared physiological, physical and technical demands of Battlezone, traditional cricket training and one-day matches. Data were initially collected from 11 amateur, male cricket players (age: 22.2 ± 3.3 year, height: 1.82 ± 0.06 m body mass: 80.4 ± 9.8 kg) during four Battlezone and four traditional cricket training sessions encompassing different playing positions. Heart rate, blood lactate concentration, rating of perceived exertion and movement patterns of players were measured. Retrospective video analysis was performed to code for technical outcomes. Similar data were collected from 42 amateur, male cricket players (23.5 ± 4.7 year, 1.81 ± 0.07 m, 81.4 ± 11.4 kg) during one-day matches. Significant differences were found between Battlezone, traditional cricket training and one-day matches within each playing position. Specifically, Battlezone invoked the greatest physiological and physical demands from batsmen in comparison to traditional cricket training and one-day matches. However, the greatest technical demand for batsmen was observed during traditional cricket training. In regards to the other playing positions, a greater physiological, physical and technical demand was observed during Battlezone and traditional training than during one-day matches. These results suggest that the use of Battlezone and traditional cricket training provides players with a suitable training stimulus for replicating the physiological, physical and technical demands of one-day cricket.

  1. Assessment of visual function based on IOL-Master comparing with traditional ultrasonic biometry for intraocular lens calculation in high myopia patients

    Directory of Open Access Journals (Sweden)

    Lu Zhang

    2013-10-01

    Full Text Available AIM: To evaluate the clinical feasibility of using a new optical coherence interferometry(IOL-Master, comparing with traditional ultrasonic biometry and manual keratometry in the accuracy and characteristics for intraocular lens calculation of high myopia.METHODS: The measurement of axial length was performed in 60 eyes(30 eyes for each groupwith senile cataract of high myopia(≥-6.00Dusing IOL-Master and ultrasonic biometry. The measurement of corneal power(Kwas also performed in the patient using IOL-Master and manual keratometry preoperatively. Phacoemulsification and foldable lens implantation were done on the patients. IOL power calculation was carried out according to the SRK/T formula on the basis of the group-related data. Best corrected visual acuity, refraction, contrast sensitivity and wave front aberration root mean square(RMSwere re-tested after 3 months postoperatively.RESULTS: Significant difference between the two methods in axial length measurement which was 29.81±1.53mm by ultrasound and 29.63±1.81mm by IOL-Master(P=0.001. And in corneal power measurement which was 43.22±1.67K by manual keratometry and 44.27±1.39K by IOL-Master(P=0.006. There was a significant difference between the two groups(P=0.001. 63.0% vs 31.2% had a mean absolute refractive error(MAREwithin ±0.50 diopter for the IOL-Master and A-scan groups, respectively(χ2=3.1, Pth order aberration, 4th order spherical aberration and total high order aberration in the IOL-Master group were lower than those in the A-scan group at 6mm pupil diameter 3 months later. CONCLUSION: IOL-Master is a non-contact, accurate, safe and reliable tool for calculating IOL power and it is more accurate on the design of the IOL in the cataract surgery on the high myopia patients.

  2. Quality evaluation of randomized controlled trials reports of laparoscopy compared with open colorectal resection for colorectal cancer.

    Science.gov (United States)

    Huang, Dandan; Jin, Xin; Gao, Jie; Li, Yuying; Lu, Liming; Sun, Feng; Chen, Dan; Zhao, Wentao; Luo, Weimin; Li, Hongjie; Hu, Yunyun; Hu, Fengliang

    2015-06-01

    Previously, there were no data looking at the quality evaluation of randomized controlled trials (RCTs) on effect comparison of laparoscopic surgery and open surgery for colorectal cancer in China. Here, we evaluate the completeness and transparency of RCT reports in this field. The following databases were searched: Medline, EMbase, SCI Expanded, China National Knowledge Infrastructure, the Chinese Biological Medicine Database, VIP database and Wan Fang databases) to search RCT reports on the effect comparison of laparoscopic surgery and open surgery for colorectal cancer in China. Our study evaluated the reporting quality of RCTs based on 22 standards of Consolidated Standards for Reporting Trials (CONSORT) 2010 Statement. Two reviewers responded with 'yes' or 'no' to each standard to judge whether the authors had reported or had recorded concrete details of the reports accomplished in accordance with the requirement of each standard. A total of 40 relevant RCTs were included in the final analysis. For the 'Title and abstract', only three articles (7.5%) could be identified directly from its title as the report of RCTs. For the 'Methods', only three articles (7.5%) applied the method of random allocation of sequences; only two articles (5%) mentioned the type of randomization or gave the description of the mechanism of allocation concealment; no article referred the concrete implementation of random method. Only one article (2.5%) applied the method of blinding or sample size calculation; no article had analysis about the metaphase of an experiment or an explanation of its interruption. For 'results', only one article (2.5%) described participant flow, primary and secondary outcomes with estimated effect size or ancillary analyses. Only 13 articles (32.5%) showed baseline demographic and clinical characteristics, 10 (25%) referred to intention-to-treat analysis, and 12 (30%) mentioned important harms or unintended effects. For the 'discussion', only eight

  3. A Tale of Two Sections: An Experiment to Compare the Effectiveness of a Hybrid versus a Traditional Lecture Format in Introductory Microbiology

    Science.gov (United States)

    Adams, Alison E. M.; Randall, Shelby; Traustadóttir, Tinna

    2015-01-01

    Two sections of an introductory microbiology course were taught by one instructor. One was taught through a hybrid format and the other through a traditional format. Students were randomly assigned to the two sections. Both sections were provided with identical lecture materials, in-class worksheets, in-class assessments, and extra credit…

  4. Genomic selection models double the accuracy of predicted breeding values for bacterial cold water disease resistance compared to a traditional pedigree-based model in rainbow trout aquaculture

    Science.gov (United States)

    Previously we have shown that bacterial cold water disease (BCWD) resistance in rainbow trout can be improved using traditional family-based selection, but progress has been limited to exploiting only between-family genetic variation. Genomic selection (GS) is a new alternative enabling exploitation...

  5. Genome-enabled selection doubles the accuracy of predicted breeding values for bacterial cold water disease resistance compared to traditional family-based selection in rainbow trout aquaculture

    Science.gov (United States)

    We have shown previously that bacterial cold water disease (BCWD) resistance in rainbow trout can be improved using traditional family-based selection, but progress has been limited to exploiting only between-family genetic variation. Genomic selection (GS) is a new alternative enabling exploitation...

  6. Headspace fingerprinting as an untargeted approach to compare novel and traditional processing technologies: A case-study on orange juice pasteurisation

    NARCIS (Netherlands)

    Vervoort, L.; Grauwet, T.; Kebede, T.; Plancken, van der I.; Timmermans, R.A.H.; Hendrickx, M.; Loey, van A.

    2012-01-01

    As a rule, previous studies have generally addressed the comparison of novel and traditional processing technologies by a targeted approach, in the sense that only the impact on specific quality attributes is investigated. By contrast, this work focused on an untargeted strategy, in order to take

  7. A Tale of Two Sections: An Experiment to Compare the Effectiveness of a Hybrid versus a Traditional Lecture Format in Introductory Microbiology

    Science.gov (United States)

    Adams, Alison E. M.; Randall, Shelby; Traustadóttir, Tinna

    2015-01-01

    Two sections of an introductory microbiology course were taught by one instructor. One was taught through a hybrid format and the other through a traditional format. Students were randomly assigned to the two sections. Both sections were provided with identical lecture materials, in-class worksheets, in-class assessments, and extra credit…

  8. Headspace fingerprinting as an untargeted approach to compare novel and traditional processing technologies: A case-study on orange juice pasteurisation

    NARCIS (Netherlands)

    Vervoort, L.; Grauwet, T.; Kebede, T.; Plancken, van der I.; Timmermans, R.A.H.; Hendrickx, M.; Loey, van A.

    2012-01-01

    As a rule, previous studies have generally addressed the comparison of novel and traditional processing technologies by a targeted approach, in the sense that only the impact on specific quality attributes is investigated. By contrast, this work focused on an untargeted strategy, in order to take in

  9. A Comparative Analysis of Computer-Assisted Instruction and Traditional Lecture Instruction for Administration and Management Topics in Physical Therapy Education

    Science.gov (United States)

    Hyland, Matthew R.; Pinto-Zipp, Genevieve; Olson, Valerie; Lichtman, Steven W.

    2010-01-01

    Technological advancements and competition in student recruitment have challenged educational institutions to expand upon traditional teaching methods in order to attract, engage and retain students. One strategy to meet this shift from educator-directed teaching to student-centered learning is greater computer utilization as an integral aspect of…

  10. Problem-based Compared with Traditional Methods at the Faculty of Medical Sciences, University of the West Indies: A Model Study.

    Science.gov (United States)

    Alleyne, T.; Shirley, A.; Bennett, C.; Addae, J.; Walrond, E.; West, S.; Pinto Pereira, L.

    2002-01-01

    Analyzes results from the final clinical examinations of two separate campuses of the University of the West Indies that use two different learning approaches. Concludes that, except for a few isolated cases, there were no statistically significant differences between the performance of the traditional group and the problem based learning (PBL)…

  11. A Comparative Study of Factors Related to Student Performance in Online and Traditional Face-to-Face MBA Courses That Are Quantitative and Qualitative in Nature

    Science.gov (United States)

    Davis, Carenado V.

    2013-01-01

    Online learning environments have been embraced by many institutions, faculty, and students as a viable adult learning option to the traditional face-to-face learning environment. As this mode of delivery for instruction continues to grow in acceptance, it is important to understand the characteristics of adult learners, the historical progression…

  12. Influence of alternating air injection on the color and “alambrado” of natural black olives cv. Arauco, as compared with the traditional Argentine method

    Directory of Open Access Journals (Sweden)

    Juarez Romero, J. A.

    2015-06-01

    Full Text Available Ripe black olives cv. Arauco were processed under different conditions to evaluate the effects of alternating air injection (AI on the color of olives and on spoilage known as “alambrado”, using a system based on the one patented by the “Instituto de la Grasa” (Sevilla, Spain, as compared with the traditional Argentine processing method, which consists of drying the olives in natural air (“extendido” for 24 hours at 7, 14 and 21 days of fermentation. Four types of fermentation were used: brine at 2% NaCl plus AI; brine at 2% NaCl plus three “extendidos”; brine at 9% NaCl plus three “extendidos”; and brine at 9% NaCl plus AI and one “extendido”. As previously observed in other varieties by other authors, we noticed that lower pH values were achieved in 2% NaCl fermentations vs. 9% NaCl fermentations. AI prevented the “alambrado” whereas brine at 2% NaCl reduced this spoilage as compared with brine at 9% NaCl. The darkest color of olives was obtained with three “extendidos”, but 83% of brightness reduction was achieved with only one “extendido”. The “extendido” process decreased the texture. We conclude that the combination of AI and “extendido” can add benefits to natural black olives of the Arauco variety.Se elaboraron aceitunas negras maduras variedad Arauco en distintas condiciones para evaluar la inyección alternante de aire (IA con un sistema basado en el patentado por el Instituto de la Grasa, en comparación con la elaboración tradicional argentina donde se realiza exposición al aire en seco (“extendido” de los frutos durante 24 h, en tres momentos de la fermentación (después de 7, 14 y 21 días. Se hicieron cuatro tipos de fermentaciones: en salmuera al 2% con IA; en salmuera al 2% y 9% con tres “extendidos” y salmuera 9% con IA y un “extendido”. Se alcanzaron los valores mas bajos de pH en fermentaciones con el 2% de NaCl versus las de 9%. La IA evita el defecto de

  13. Characteristics of Open Access Journals and Comparing to Subscription Journals%开放存取期刊特点及与订阅期刊的比较

    Institute of Scientific and Technical Information of China (English)

    唐秀群

    2012-01-01

    By examining the open access journals of six subjects, the characteristics of them are analyzed. OA journals should be accepted into library resource service system by comparing them with subscription journal.%通过对六门学科领域openaccess(下文简称OA)期刊特点的分析,并与订阅期刊进行比较,表明OA应纳入图书馆资源服务体系。

  14. A randomized, open-label trial of iron isomaltoside 1000 (Monofer®) compared with iron sucrose (Venofer®) as maintenance therapy in haemodialysis patients

    OpenAIRE

    Bhandari, Sunil; Kalra, Philip A.; Kothari, Jatin; Ambühl, Patrice M.; Christensen, Jeppe H.; Essaian, Ashot M.; Thomsen, Lars L.; Macdougall, Iain C.; Coyne, Daniel W.

    2015-01-01

    Background Iron deficiency anaemia is common in patients with chronic kidney disease, and intravenous iron is the preferred treatment for those on haemodialysis. The aim of this trial was to compare the efficacy and safety of iron isomaltoside 1000 (Monofer®) with iron sucrose (Venofer®) in haemodialysis patients. Methods This was an open-label, randomized, multicentre, non-inferiority trial conducted in 351 haemodialysis subjects randomized 2 : 1 to either iron isomaltoside 1000 (Group A) or...

  15. Efficacy and safety of brinzolamide/timolol fixed combination compared with timolol in Japanese patients with open-angle glaucoma or ocular hypertension [Erratum

    Directory of Open Access Journals (Sweden)

    Yoshikawa K

    2014-05-01

    Full Text Available  Yoshikawa K, Kozaki J, Maeda H. Efficacy and safety of brinzolamide/timolol fixed combination compared with timolol in Japanese patients with open-angle glaucoma or ocular hypertension. Clin Ophthalmol. 2014;8:389–399.The Acknowledgments on page 397 contains an error: "Hidehito Kawabata (Kusakari Eye Clinic, Chiba, Japan" should be "Hidehito Kawabata (Kawabata Eye Clinic, Chiba, Japan".Read the original article

  16. A survey of toxic plants on the market in the district of Bamako, Mali: traditional knowledge compared with a literature search of modern pharmacology and toxicology.

    Science.gov (United States)

    Maiga, Ababacar; Diallo, Drissa; Fane, Seydou; Sanogo, Rokia; Paulsen, Berit Smestad; Cisse, Boubacar

    2005-01-04

    In Mali, the empirical knowledge on plant medicine is held by traditional practioners. Scientific studies have been carried on some plants and they have confirmed their local uses, but few data are available on the toxicity of Malian medicinal plants. In the present work, we record the toxic plants used as medicines in the Bamako district, Mali, with the aim to evaluate the knowledge of traditional healers and herbalists on the toxicity of the plant used. A survey was carried out on the market places in the Bamako district and 106 healers and herbalists were interviewed. A survey of the scientific literature was conducted to verify or sustain the claimed toxicological data. Nineteen plants are arranged according to their frequency of quotation based on the questionnaire. The information includes the botanical name, literature survey on the pharmacology of the plants, the healers' knowledge on plant toxicity and its prevention by some of the healers.

  17. COMBINED THERAPY OF VIRAL DIARRHEA IN CHILDREN: FIRST RESULTS OF AN OPEN COMPARATIVE RANDOMIZED CLINICAL TRIAL OF INTERFERON EFFICIENCY

    Directory of Open Access Journals (Sweden)

    A.V. Gorelov

    2011-01-01

    Full Text Available The article presents an interim statistical analysis of the open multicenter randomized clinical trial, whose goal was to evaluate the efficiency and safety of immunomodulatory therapy of acute intestinal infections of viral etiology in children. Patients and methods: at this stage 28 children aged 6 months to 6 years with a clinically diagnosed viral diarrhea were included in the study. Children were randomly assigned to two groups: basic, where for the treatment was used the suppository preparation of recombinant human interferon alpha-2b in combination with taurine, and a control group, where the patients admitted the drug as the recombinant human interferon alpha-2b in combination with a complex immunoglobulin preparation. The dynamics of the relief of individual viral diarrhea symptoms was assessed within 5 days after the patient was included in the study. Results: the analysis of the data revealed no significant differences in the efficiency of the investigated drugs, this fact suggests the equivalence of the produced therapeutic effect. The use of the preparation containing recombinant human interferon alpha-2b in combination with taurine, reduces the level of a drug load on the child’s organism without loss of the treatment efficiency.Key words: recombinant human interferon alpha-2b, taurine, an acute intestinal infection of viral etiology, treatment, children.

  18. Five-year extension of a clinical trial comparing the EX-PRESS glaucoma filtration device and trabeculectomy in primary open-angle glaucoma.

    Science.gov (United States)

    de Jong, Leo; Lafuma, Antoine; Aguadé, Anne-Sophie; Berdeaux, Gilles

    2011-01-01

    This study compared the efficacy of the EX-PRESS(®) glaucoma filtration device and trabeculectomy in primary open-angle glaucoma up to five years after surgery. Patients from a previously reported randomized, open-label, parallel-arm clinical trial in which 78 patients received either the EX-PRESS glaucoma filtration device or underwent a trabeculectomy were followed for up to an additional four years (five total) beyond the original study (39 eyes per treatment group). Risk-benefit data were obtained for up to five years after glaucoma surgery. Outcome variables were intraocular pressures and intraocular pressure medications. Complete success was denoted by intraocular pressure values ≤ 18 mmHg without medication. The EX-PRESS glaucoma filtration device controlled intraocular pressure more effectively without medication for more patients from year 1 (86.8% versus 61.5%, P = 0.01) to year 3 (66.7% versus 41.0%, P = 0.02) than trabeculectomy. At year 1, only 12.8% of patients required intraocular pressure medication after EX-PRESS implantation, compared with 35.9% after trabeculectomy. The proportions became closer at year 5 (41% versus 53.9%). The responder rate was higher with EX-PRESS and time to failure was longer. In addition, surgical interventions for complications were fewer after EX-PRESS implantation. This five-year analysis confirmed and extended the results reported after one year. Compared with trabeculectomy, EX-PRESS provided better intraocular pressure control in the first three years, and patients required fewer intraocular pressure medications and fewer surgical interventions during the five-year study period. For patients with primary open-angle glaucoma, the EX-PRESS glaucoma filtration device, implanted under a superficial scleral flap, produced significantly higher success rates than trabeculectomy. EX-PRESS is an effective device for long-term treatment of primary open-angle glaucoma.

  19. Open comparative trial of formestane versus megestrol acetate in postmenopausal patients with advanced breast cancer previously treated with tamoxifen

    NARCIS (Netherlands)

    Freue, M; Kjaer, M; Boni, C; Joliver, J; Janicke, F; Willemse, PHB; Coombes, RC; Van Belle, S; Perez-Carrion, R; Zieschang, J; de Palacios, PI; Rose, C

    2000-01-01

    The aim of the trial was to compare efficacy and safety of the aromatase inhibitor formestane (250 mg i.m. given every 2 weeks) with the progestin megestrol acetate (160 mg administered orally once daily), as second-line therapy in postmenopausal patients with advanced breast cancer previously treat

  20. Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications.

    Science.gov (United States)

    Lim, Peter C; Crane, John T; English, Eric J; Farnam, Richard W; Garza, Devin M; Winter, Marc L; Rozeboom, Jerry L

    2016-06-01

    To compare perioperative outcomes between robotic-assisted benign hysterectomies and abdominal, vaginal, and laparoscopic hysterectomies when performed by high-volume surgeons. A multicenter data analysis compared 30-day outcomes from consecutive robotic-assisted hysterectomies performed by high-volume surgeons (≥60 prior procedures) at nine centers with records retrieved from the Premier Perspective database for abdominal, vaginal, and laparoscopic hysterectomies performed by high-volume gynecologic surgeons. Data on benign hysterectomy disorders from January 1, 2012 to September 30, 2013 were included. Data from 2300 robotic-assisted, 9745 abdominal, 8121 vaginal, and 11 952 laparoscopic hysterectomies were included. The robotic-assisted patient cohort had a significantly higher rate of adhesive disease compared with the vaginal (Plaparoscopic cohorts (Pobesity than the vaginal (Plaparoscopic cohorts (P250g) than the abdominal (Plaparoscopic cohorts (P=0.017). The robotic-assisted cohort experienced significantly fewer intraoperative complications than the abdominal (Physterectomy provided improved outcomes compared with abdominal, vaginal, and laparoscopic hysterectomy. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  1. Oncologic Safety of Robot Thyroid Surgery for Papillary Thyroid Carcinoma: A Comparative Study of Robot versus Open Thyroid Surgery Using Inverse Probability of Treatment Weighting.

    Science.gov (United States)

    Sung, Tae-Yon; Yoon, Jong Ho; Han, Minkyu; Lee, Yi Ho; Lee, Yu-Mi; Song, Dong Eun; Chung, Ki-Wook; Kim, Won Bae; Shong, Young Kee; Hong, Suck Joon

    2016-01-01

    The aim of this study was to evaluate the oncologic safety of robot thyroid surgery compared to open thyroid surgery for papillary thyroid carcinoma (PTC). We enrolled 722 patients with PTC who underwent a total thyroidectomy with central compartment node dissection (CCND) from January 2009 to December 2010. These patients were classified into open thyroid surgery (n = 610) or robot thyroid surgery (n = 112) groups. We verified the impact of robot thyroid surgery on clinical recurrence and ablation/control-stimulated thyroglobulin (sTg) levels predictive of non-recurrence using weighted logistic regression models with inverse probability of treatment weighting (IPTW). Age, sex, thyroid weight, extent of CCND, and TNM were significantly different between the two groups (p robot groups (1.5% vs. 2.7%; p = 0.608). The proportion of patients with ablation sTg 0.05). Logistic regression with IPTW using the propensity scores estimated by adjusting all of the parameters demonstrated that robot thyroid surgery did not influence the clinical recurrence (OR; 0.784, 95% CI; 0.150-3.403, p = 0.750), ablation sTg (OR; 0.950, 95% CI; 0.361-2.399, p = 0.914), and control sTg levels (OR; 0.498, 95% CI; 0.190-1.189, p = 0.130). Robot thyroid surgery is comparable to open thyroid surgery with regard to oncologic safety in PTC patients.

  2. A Comparative Study of the Principles Governing Criminal Responsibility in the Major Legal Systems of the World (England, United States, Germany, France, Denmark, Russia, China, and Islamic legal tradition)

    DEFF Research Database (Denmark)

    Elewa Badar, Mohamed; Marchuk, Iryna

    2013-01-01

    The purpose of this survey is to examine the underlying principles of criminal responsibility in selected common law and continental law jurisdictions as well as in the Islamic legal tradition through the lens of comparative law. By conducting a comprehensive legal analysis of the concept of crim...

  3. Computer-Assisted, Self-Interviewing (CASI Compared to Face-to-Face Interviewing (FTFI with Open-Ended, Non-Sensitive Questions

    Directory of Open Access Journals (Sweden)

    John Fairweather PhD

    2012-07-01

    Full Text Available This article reports results from research on cultural models, and assesses the effects of computers on data quality by comparing open-ended questions asked in two formats—face-to-face interviewing (FTFI and computer-assisted, self-interviewing (CASI. We expected that for our non-sensitive topic, FTFI would generate fuller and richer accounts because the interviewer could facilitate the interview process. Although the interviewer indeed facilitated these interviews, which resulted in more words in less time, the number of underlying themes found within the texts for each interview mode was the same, thus resulting in the same models of national culture and innovation being built for each mode. Our results, although based on an imperfect research design, suggest that CASI can be beneficial when using open-ended questions because CASI is easy to administer, capable of reaching more efficiently a large sample, and able to avoid the need to transcribe the recorded responses.

  4. pROC: an open-source package for R and S+ to analyze and compare ROC curves

    Directory of Open Access Journals (Sweden)

    Lisacek Frédérique

    2011-03-01

    Full Text Available Abstract Background Receiver operating characteristic (ROC curves are useful tools to evaluate classifiers in biomedical and bioinformatics applications. However, conclusions are often reached through inconsistent use or insufficient statistical analysis. To support researchers in their ROC curves analysis we developed pROC, a package for R and S+ that contains a set of tools displaying, analyzing, smoothing and comparing ROC curves in a user-friendly, object-oriented and flexible interface. Results With data previously imported into the R or S+ environment, the pROC package builds ROC curves and includes functions for computing confidence intervals, statistical tests for comparing total or partial area under the curve or the operating points of different classifiers, and methods for smoothing ROC curves. Intermediary and final results are visualised in user-friendly interfaces. A case study based on published clinical and biomarker data shows how to perform a typical ROC analysis with pROC. Conclusions pROC is a package for R and S+ specifically dedicated to ROC analysis. It proposes multiple statistical tests to compare ROC curves, and in particular partial areas under the curve, allowing proper ROC interpretation. pROC is available in two versions: in the R programming language or with a graphical user interface in the S+ statistical software. It is accessible at http://expasy.org/tools/pROC/ under the GNU General Public License. It is also distributed through the CRAN and CSAN public repositories, facilitating its installation.

  5. Comparative evaluation of active learning and the traditional lectures in physiology: a case study of 200 level medical laboratory students of Imo State Unversity, Owerri.

    Science.gov (United States)

    Anyaehie, U S B; Nwobodo, Ed; Njoku, C J; Inah, G A

    2007-01-01

    Currently, understanding of physiology and disease patterns is undergoing a fundamental paradigm shift with attendant shift in education of health professionals worldwide towards active learning to encourage exploration of connections and their relationships. We introduced problem-based learning to physiology teaching of medial laboratory students to confirm worldwide reports that active learning environments offer better learning opportunities over the traditional methods which is the predominant teaching method in Nigerian universities. Our findings indicate that problem-based learning increases students' attendance/participation in classes and performance in examination. We recommend the integration of active learning into physiology curriculum of Nigerian Universities.

  6. A comparative study on treatment of two and three walled periodontal bony defects utilizing open flap debridement with and without enamel matrix derivatives

    Directory of Open Access Journals (Sweden)

    Soleimani Shayesteh Y.

    2006-08-01

    Full Text Available Background and Aim: Intrabony periodontal defects are important problems in periodontology and up to now several ways have been suggested for their treatment .Treatment with enamel matrix derivatives (EMD has been shown to enhance periodontal regeneration. There is limited information available from clinical trials regarding the performance of EMD in the treatment of periodontal intrabony defects. This study was designed to compare the clinical and radiographic effects of EMD treatment to that of open flap debridment (OFD for two and three walled intrabony defects. Materials and Methods: 18 patients were included in this clinical trial which have 24 two and/ or three intrabony defects. Defects were randomly divided into two groups (test and control. Defects in test group were treated with flap surgery plus EMD and in control group with open flap debridment. At baseline and at 3 and 6 months follow up, clinical and radiographic measurements were performed. Data were analyzed using Greenhouse-Geisser test with p<0.05 as the limit of significance. Results: At 3 and 6 months, mean probing pocket depth reduction was greater in the test group (EMD (4.33 mm and 4.70 mm compared to the OFD group (2.54 mm and 3.09 mm. Mean values for clinical attachment gain in the EMD group after 3 and 6 months were 4.29 mm and 4.98 mm, and in OFD group were 2.83 and 2.82 mm respectively. Radiographic bone gain measured by radiovisiography technique was greater in the EMD group compared to the OFD group (4.66 mm in EMD and 1.11 mm in OFD group after 3 months and 5.78 mm in EMD and 1.39 mm in OFD group after 6 months. Conclusion: Based on the results of this study, treatment with flap surgery and EMD compared to open flap debridment, produced more favorable clinical improvements in two and three walled intrabony defects.

  7. [Comparative analysis of photoselective vaporization of the prostate with the Greenlight laser and open prostatectomy for high volume prostate hypertrophy].

    Science.gov (United States)

    Raimbault, M; Watt, S; Bourgoin, H; Brichart, N; Bruyère, F

    2014-06-01

    Comparative medical economic study between total prostatectomy and laser in the treatment of benign prostatic hyperplasia in patients whose prostate is more than 80g. This study compared data registered retrospectively for the group AVH and prospective data for PVP patients. The patients whose prostate weighed more than 80g by echography were selected. The adopted point of view was the one of the hospital and the temporal horizon was of one year after the surgical operation. Direct costs per- and post-surgery were taken into account including specific surgical care and secondary surgical revision. The medical data per- and postoperative were also compared. Primary outcome measure was incremental cost per procedure. Forty-one patients in the AVH group and 53 in the PVP group. The mean length of stay (LOS) is significantly shorter in the PVP group (3.0±1.0 days vs 10.4±4.0; P<0.001). Re-operation rate was significantly lower in the PVP group (1.9% vs 19.5% P<0.001). The cost analysis shows a mean additional cost of 1450 euros for the AVH group. PVP was cost-effective because it was more economic and it lead to lower re-operation rate until one year of follow-up than in the AVH group. Nevertheless, these data deserve to be nuanced by unfavorable results of the AVH in comparison with those of the literature. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  8. Microbial and metal water quality in rain catchments compared with traditional drinking water sources in the East Sepik Province, Papua New Guinea.

    Science.gov (United States)

    Horak, Helena M; Chynoweth, Joshua S; Myers, Ward P; Davis, Jennifer; Fendorf, Scott; Boehm, Alexandria B

    2010-03-01

    In Papua New Guinea, a significant portion of morbidity and mortality is attributed to water-borne diseases. To reduce incidence of disease, communities and non-governmental organizations have installed rain catchments to provide drinking water of improved quality. However, little work has been done to determine whether these rain catchments provide drinking water of better quality than traditional drinking water sources, and if morbidity is decreased in villages with rain catchments. The specific aim of this study was to evaluate the quality of water produced by rain catchments in comparison with traditional drinking water sources in rural villages in the East Sepik Province. Fifty-four water sources in 22 villages were evaluated for enterococci and Escherichia coli densities as well as 14 health-relevant metals. In addition, we examined how the prevalence of diarrhoeal illness in villages relates to the type of primary drinking water source. The majority of tested metals were below World Health Organization safety limits. Catchment water sources had lower enterococci and E. coli than other water sources. Individuals in villages using Sepik River water as their primary water source had significantly higher incidence of diarrhoea than those primarily using other water sources (streams, dug wells and catchments).

  9. A COMPARATIVE STUDY BETWEEN RECTAL DICLOFENAC PLUS PARACETAMOL AND INJECTABLE TRAMADOL FOR POSTOPERATIVE PAIN MANAGEMENT IN OPEN/LAPAROSCOPIC APPENDECTOMY

    Directory of Open Access Journals (Sweden)

    Manoranjan Ujjaini

    2016-05-01

    Full Text Available Both rectal diclofenac and paracetamol are commonly used to treat acute postoperative, but combining them to improve the quality of analgesia is controversial. This study aimed to detect whether the preoperative combined administration of rectal diclofenac and paracetamol is superior to injectable tramadol alone, is effective in postoperative pain management. METHODS 57 patients were randomly assigned to receive the suppository 1 hr. prior to surgery. In the first 24 hrs. postoperatively, pain was assessed using the visual analogue pain scale (VAS. If the patients experienced a pain score of 5 or more, tramadol 50 mg IV was given. The total dose of tramadol and number of doses required were recorded. Patients who received the rectal diclofenac-paracetamol combination experienced a lower pain scale and a decreased need for tramadol compared with those receiving tramadol alone. RESULTS The overall VAS score and consumption of injectable tramadol was lower in the group receiving the rectal suppository. The mean VAS score in group 1 at 4, 8 and 24 hours was lower than those in group 2, this difference was statistically significant (p<0.000. CONCLUSIONS Patients receiving the rectal diclofenac-paracetamol combination experienced significantly a lower pain as compared with patients getting only injectable analgesics. The need for injectable analgesics was also found to be reduced in the immediate postoperative period in the patients receiving rectal suppository.

  10. A Comparative Analysis of Coastal and Open-Ocean Records of the Great Chilean Tsunamis of 2010, 2014 and 2015 off the Coast of Mexico

    Science.gov (United States)

    Zaytsev, Oleg; Rabinovich, Alexander B.; Thomson, Richard E.

    2016-12-01

    The three great earthquakes off the coast of Chile on 27 February 2010 (Maule, M w 8.8), 1 April 2014 (Iquique, M w 8.2) and 16 September 2015 (Illapel, M w 8.3) generated major transoceanic tsunamis that spread throughout the Pacific Ocean and were measured by numerous coastal tide gauges and open-ocean DART stations. Statistical and spectral analyses of the tsunami waves from the events recorded on the Pacific coast of Mexico enabled us to estimate parameters of the waves along the coast and to compare statistical features of the events. We also identified three coastal "hot spots" (sites having maximum tsunami risk): Puerto Angel, Puerto Madero and Manzanillo. Based on the joint spectral analyses of the tsunamis and background noise, we have developed a method for using coastal observations to determine the underlying spectrum of tsunami waves in the deep ocean. The "reconstructed" open-ocean tsunami spectra are in close agreement with the actual tsunami spectra evaluated from direct analysis of the DART records offshore of Mexico. We have further used the spectral estimates to parameterize the energy of the three Chilean tsunamis based on the total open-ocean tsunami energy and frequency content of the individual events.

  11. The Great Chilean Tsunamis of 2010, 2014 and 2015 on the Coast and Offshore of Mexico: Comparative Features Based on Open-Ocean Energy Parameterization

    Science.gov (United States)

    Rabinovich, A.; Zaytsev, O.; Thomson, R.

    2016-12-01

    The three recent great earthquakes offshore of Chile on 27 February 2010 (Maule, Mw 8.8), 1 April 2014 (Iquique, Mw 8.2) and 16 September 2015 (Illapel, Mw 8.3) generated major trans-oceanic tsunamis that spread throughout the entire Pacific Ocean and were measured by numerous coastal tide gauges and open-ocean DART stations. Statistical and spectral analyses of the tsunami waves from the three events recorded on the Pacific coast of Mexico enabled us to compare the events and to identify coastal "hot spots", regions with maximum tsunami risk. Based on joint spectral analyses of tsunamis and background noise, we have developed a method for reconstructing the "true" tsunami spectra in the deep ocean. The "reconstructed" open-ocean tsunami spectra are in excellent agreement with the actual tsunami spectra evaluated from direct analysis of the DART records offshore of Mexico. We have further used the spectral estimates to parameterize the energy of the three Chilean tsunamis based on the total open-ocean tsunami energy and frequency content of the individual events.

  12. Retraction statement: Manuka honey vs. hydrogel - a prospective, open label, multicentre, randomised controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers.

    Science.gov (United States)

    2015-09-01

    The following article from Journal of Clinical Nursing, 'Manuka honey vs. hydrogel - a prospective, open label, multicentre, randomised controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers' by Georgina Gethin and Seamus Cowman published online on 25 August 2008 in Wiley Online Library (wileyonlinelibrary.com) and in Volume 18, pp. 466-474, has been retracted by agreement between the journal Editor-in-Chief, the authors and John Wiley & Sons, Ltd. The retraction has been agreed due to errors in the data analysis which affect the article's findings.

  13. Summary of the FERC final rules on comparable open access, stranded cost recovery, and same-time information systems: order 888 and order 889

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    FERC Final Rules of wholesale electricity generation and transmission services and their impact in implementing non-discriminatory open access to transmission facilities in the United States, were discussed. The article focused on the scope of the rule, the definition of legal authority, comparability, ancillary services, real-time information networks, co-ordination arrangements for power pools, public utility companies, and independent system operators. Rules concerning pro forma tariffs, definition of federal and state jurisdictions, and the mechanism for settling problems of stranded costs were also explained.

  14. TREATMENT OF CLOSED TIBIAL PILON FRACTURES WITH OPEN REDUCTION, INTERNAL FIXATION AND BONE GRAFTING. A STUDY OF 22 CASES COMPARING THE OBJE CTIVE AND SUBJECTIVE EVALUATION

    Directory of Open Access Journals (Sweden)

    Athmaram

    2015-02-01

    Full Text Available The cases of twenty two fractures of the ankle joint that involved the tibial plafond were reviewed. The fractures were classified in to five types according to the severity of the injury. Open reduction and internal fixation was performed using one third tubular plate for fibula and recon plate for the tibia. Bone grafting was don e to augment the fixation and maintain the reduction . For each fracture treated Objective and Subjective evaluation is done. The objective and subjective scores are compared. With this method we noticed that the Type III & IV fractures also had a good or e xcellent result .

  15. Similarities and differences of doctor-patient co-operated evidence-based medical record of treating digestive system diseases with integrative medicine compared with traditional medical records

    Institute of Scientific and Technical Information of China (English)

    Bo Li; Wen-Hong Shao; Yan-Da Li; Ying-Pan Zhao; Qing-Na Li; Zhao Yang; Hong-Cai Shang

    2016-01-01

    Objective: To establish the model of doctor-patient cooperated record, based on the concepts of narrative evidence-based medicine and related theories on Doctor-Patient Co-operated Evidence-Based Medical Record. Methods: We conducted a literature search from Pubmed, following the principles of narrative evidence-based medicine, and refer to the advice of experts of digestive system and EBM in both traditional Chinese medicine and Western medicine. Result: This research is a useful attempt to discuss the establishment of doctor-patient co-operated evidence-based medical record guided by narrative evidence-based medicine. Conclusion:Doctor-patient co-operated medical record can become a key factor of the curative effect evaluation methodology system of integrated therapy of tradition Chinese medicine and Western medicine on spleen and stomach diseases.%遵循叙事循证医学理念,咨询中西医消化内科及循证医学专家,凝练医患共建式病历的理论,建立医患共建式病历的范本,对比医患共建式病历与传统病历记录的不同,分析医患共建式病历的优缺点。思考与展望:医患共建式病历有可能成为中西医合作治疗脾胃病疗效评价方法学体系的一个要素。

  16. VivaxGEN: An open access platform for comparative analysis of short tandem repeat genotyping data in Plasmodium vivax populations.

    Science.gov (United States)

    Trimarsanto, Hidayat; Benavente, Ernest D; Noviyanti, Rintis; Utami, Retno Ayu Setya; Trianty, Leily; Pava, Zuleima; Getachew, Sisay; Kim, Jung-Yeon; Goo, Youn-Kyoung; Wangchuck, Sonam; Liu, Yaobao; Gao, Qi; Dowd, Simone; Cheng, Qin; Clark, Taane G; Price, Ric N; Auburn, Sarah

    2017-03-01

    The control and elimination of Plasmodium vivax will require a better understanding of its transmission dynamics, through the application of genotyping and population genetics analyses. This paper describes VivaxGEN (http://vivaxgen.menzies.edu.au), a web-based platform that has been developed to support P. vivax short tandem repeat data sharing and comparative analyses. The VivaxGEN platform provides a repository for raw data generated by capillary electrophoresis (FSA files), with fragment analysis and standardized allele calling tools. The query system of the platform enables users to filter, select and differentiate samples and alleles based on their specified criteria. Key population genetic analyses are supported including measures of population differentiation (FST), expected heterozygosity (HE), linkage disequilibrium (IAS), neighbor-joining analysis and Principal Coordinate Analysis. Datasets can also be formatted and exported for application in commonly used population genetic software including GENEPOP, Arlequin and STRUCTURE. To date, data from 10 countries, including 5 publicly available data sets have been shared with VivaxGEN. VivaxGEN is well placed to facilitate regional overviews of P. vivax transmission dynamics in different endemic settings and capable to be adapted for similar genetic studies of P. falciparum and other organisms.

  17. Comparative molecular dynamics studies of heterozygous open reading frames of DNA polymerase eta (η) in pathogenic yeast Candida albicans

    Science.gov (United States)

    Satpati, Suresh; Manohar, Kodavati; Acharya, Narottam; Dixit, Anshuman

    2017-01-01

    Genomic instability in Candida albicans is believed to play a crucial role in fungal pathogenesis. DNA polymerases contribute significantly to stability of any genome. Although Candida Genome database predicts presence of S. cerevisiae DNA polymerase orthologs; functional and structural characterizations of Candida DNA polymerases are still unexplored. DNA polymerase eta (Polη) is unique as it promotes efficient bypass of cyclobutane pyrimidine dimers. Interestingly, C. albicans is heterozygous in carrying two Polη genes and the nucleotide substitutions were found only in the ORFs. As allelic differences often result in functional differences of the encoded proteins, comparative analyses of structural models and molecular dynamic simulations were performed to characterize these orthologs of DNA Polη. Overall structures of both the ORFs remain conserved except subtle differences in the palm and PAD domains. The complementation analysis showed that both the ORFs equally suppressed UV sensitivity of yeast rad30 deletion strain. Our study has predicted two novel molecular interactions, a highly conserved molecular tetrad of salt bridges and a series of π-π interactions spanning from thumb to PAD. This study suggests these ORFs as the homologues of yeast Polη, and due to its heterogeneity in C. albicans they may play a significant role in pathogenicity.

  18. Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

    Directory of Open Access Journals (Sweden)

    Tanya Nazemi

    2006-02-01

    Full Text Available PURPOSE: Radical nephrectomy can be performed using open or laparoscopic (with or without hand assistance methods, and most recently using the da Vinci Surgical Robotic System. We evaluated the perioperative outcomes using a contemporary cohort of patients undergoing radical nephrectomy by one of the above 4 methods performed by the same surgeon. MATERIALS AND METHODS: The relevant clinical information on 57 consecutive patients undergoing radical nephrectomy from September 2000 until July 2004 by a single surgeon was entered in a Microsoft Access DatabaseTM and queried. Following appropriate statistical analysis, p values < 0.05 were considered significant. RESULTS: Of 57 patients, the open, robotic, laparoscopy with or without hand assistance radical nephrectomy were performed in 18, 6, 21, and 12 patients, respectively. The age, sex, body mass index (BMI, incidence of malignancy, specimen and tumor size, tumor stage, Fuhrman grade, hospital stay, change in postoperative creatinine, drop in hemoglobin, and perioperative complications were not significantly different between the methods. While the estimated median blood loss, postoperative narcotic use for pain control, and hospital stay were significantly higher in the open surgery method (p < 0.05, the median operative time was significantly shorter compared to the robotic method (p = 0.02. Operating room costs were significantly higher in the robotic and laparoscopic groups; however, there was no significant difference in total hospital costs between the 4 groups. CONCLUSIONS: The study demonstrates that radical nephrectomy can be safely performed either by open, robotic, or laparoscopic with or without hand assistance methods without significant difference in perioperative complication rates. A larger cohort and longer follow up are needed to validate our findings and establish oncological outcomes.

  19. Little Eyolf and dramatic tradition

    Directory of Open Access Journals (Sweden)

    Roland Lysell

    2015-02-01

    Full Text Available The article criticises an Ibsen tradition who has seen the last scene of Little Eyolf as a reconciliation. Instead, the article discusses the improbability of a happy marriage characterised by social engagement. The play is open but it is hardly probable that Rita, with her erotic desire, and Allmers, whose desire has turned into metaphysics, can be happy together. The arguments refer to inner criteria and the constantly present dramatic tradition.

  20. DESARDA’S NO MESH REPAIR VERSUS LICHTENSTEIN’S OPEN MESH REPAIR OF INGUINAL HERNIA: A COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Zaheer

    2015-09-01

    Full Text Available BACKGROUND : The tissue - based techniques are still acceptable for primary inguinal hernia repair according to the European Hernia Society guidelines. Desarda’s no mesh technique, introduced in 2001, is a hernia repair method using an undetached strip of external oblique Apo neurosis . This study compared outcomes after hernia repair with Desarda (D and mesh - based Lichtenstein (L techniques. METHODS : A total of 100 patients were randomly assigned to the D or L group (50 each. The primary outcomes measured were post - operative pain ( D ay1 and day 7, mean hospital stay (in days, return to basic activity (in days and recurrence. RESULTS : During the follow - up, no recurrences were observed in each group (p = 1.000. Average duration of the Desarda’s repair was 65.64 minutes, while the Lichtenstein repair lasted for 65.76 minutes. Mean VAS on 1 st post - operative day was significantly less in Desarda’s repair (2.86 than Lichenstein’s repair (3.50, (p=0.0004. Mean hospital stay was less in Desarda’s repair (2.58 days versus Lichtenstein’s repair (3.90 days p=0.0001. Return to basic physical activity was earlier in Desarda’s repair (7.04 days than Lichenstein’s repair (11.30 days, (p=<0.0001. However there was no recurrence in either group in 18 months follow up. CONCLUSIONS : The Desarda’s and Lichtenstein’s methods of primary inguinal hernia repair do not differ in the means of procedure complexity, surgery time and complication profile. However the return to basic physical activity was earlier in Desarda’s repair. Desarda’s no mesh repair is equally safe and more cost effective than Lichtenstein’s repair. The technique may potentially increase the number of tissue - based methods a vailable for treating inguinal hernias.

  1. Comparative CO2 flux measurements by eddy covariance technique using open- and closed-path gas analysers over the equatorial Pacific Ocean

    Directory of Open Access Journals (Sweden)

    Fumiyoshi Kondo

    2012-04-01

    Full Text Available Direct comparison of air–sea CO2 fluxes by open-path eddy covariance (OPEC and closed-path eddy covariance (CPEC techniques was carried out over the equatorial Pacific Ocean. Previous studies over oceans have shown that the CO2 flux by OPEC was larger than the bulk CO2 flux using the gas transfer velocity estimated by the mass balance technique, while the CO2 flux by CPEC agreed with the bulk CO2 flux. We investigated a traditional conflict between the CO2 flux by the eddy covariance technique and the bulk CO2 flux, and whether the CO2 fluctuation attenuated using the closed-path analyser can be measured with sufficient time responses to resolve small CO2 flux over oceans. Our results showed that the closed-path analyser using a short sampling tube and a high volume air pump can be used to measure the small CO2 fluctuation over the ocean. Further, the underestimated CO2 flux by CPEC due to the attenuated fluctuation can be corrected by the bandpass covariance method; its contribution was almost identical to that of H2O flux. The CO2 flux by CPEC agreed with the total CO2 flux by OPEC with density correction; however, both of them are one order of magnitude larger than the bulk CO2 flux.

  2. Comparing the Effectiveness of a Supplemental Computer-Based Food Safety Tutorial to Traditional Education in an Introductory Food Science Course

    Science.gov (United States)

    Fajardo-Lira, Claudia; Heiss, Cynthia

    2006-01-01

    The purpose of this study was to ascertain whether a Web-based computer tutorial for food safety is an effective tool in the education of food science and nutrition students. Students completing the Web-based tutorial had a greater improvement in pre-test scores compared with post-test scores and compared with students who attended lecture only.…

  3. Comparing the Effectiveness of a Supplemental Computer-Based Food Safety Tutorial to Traditional Education in an Introductory Food Science Course

    Science.gov (United States)

    Fajardo-Lira, Claudia; Heiss, Cynthia

    2006-01-01

    The purpose of this study was to ascertain whether a Web-based computer tutorial for food safety is an effective tool in the education of food science and nutrition students. Students completing the Web-based tutorial had a greater improvement in pre-test scores compared with post-test scores and compared with students who attended lecture only.…

  4. Open Compute Project at CERN

    CERN Document Server

    CERN. Geneva

    2014-01-01

    The Open Compute Project, OCP ( http://www.opencompute.org/), was launched by Facebook in 2011 with the objective of building efficient computing infrastructures at lowest possible cost. The technologies are released as open hardware design, with the goal to develop servers and data centers following the model traditionally associated with open source software projects. We have been following the OCP project for some time and decided to buy two OCP twin servers in 2013 to get some hands-on experience. The servers have been tested and compared with our standard hardware regularly acquired through large tenders. In this presentation we will give some relevant results from this testing and also discuss some of the more important differences that can matter for a larger deployment at CERN. Finally it will outline the details for a possible project for a larger deployment of OCP hardware for production use at CERN.

  5. A comparative survey of the prevalence of human parasites found in fresh vegetables sold in supermarkets and open-aired markets in Accra, Ghana.

    Science.gov (United States)

    Duedu, Kwabena O; Yarnie, Elizabeth A; Tetteh-Quarcoo, Patience B; Attah, Simon K; Donkor, Eric S; Ayeh-Kumi, Patrick F

    2014-11-25

    Consuming raw vegetables offers essential nutrients that one may not get when such vegetables are usually cooked. However, eating them raw may pose a great risk for transmissions of pathogens. Such risks may be influenced by the sources of the vegetables and washing techniques used. The aim of the study was to compare the prevalence and diversity of parasitic pathogens associated with vegetables sold at the two types of markets in Ghana and compare effectiveness of various washing techniques. We purchased two batches of samples of cabbage, sweet bell pepper, carrot, lettuce, tomato and onion within a two week interval. The vegetables were washed by three methods and the wash solution was concentrated and analyzed for parasites. The prevalent parasites detected were Strongyloides stercoralis larvae (43%) and Cryptosporidium parvum oocyst (16%). Others present were Hookworm ova, Entamoeba histolytica cysts, Giardia lamblia cysts, Cyclospora cayetanensis oocysts, Entamoeba coli cysts, Trichuris trichiuria ova, Enterobius vermicularis ova, Isospora belli oocysts and Fasciolopsis buski ova. Contamination was highest in lettuce (61%) and cabbage and the least contaminated was tomato (18%). Contamination of vegetables sold at the open-aired markets was about ten-times that of the supermarkets. In Ghana, the large open-aired markets are the most patronized and serve as a supply point for most corner shops and stalls. The results thus highlight the potential of fresh vegetables serving as a major source of food-borne disease outbreaks and the contribution of open-aired markets to their transmission. Urgent public education on handling of fresh vegetables is recommended.

  6. Open life science research, open software and the open century

    Institute of Scientific and Technical Information of China (English)

    Youhua Chen

    2015-01-01

    At the age of knowledge explosion and mass scientific information, I highlighted the importance of conducting open science in life and medical researches through the extensive usage of open software and documents. The proposal of conducting open science is to reduce the limited repeatability of researches in life science. I outlined the essential steps for conducting open life science and the necessary standards for creating, reusing and reproducing open materials. Different Creative Commons licenses were presented and compared of their usage scope and restriction. As a conclusion, I argued that open materials should be widely adopted in doing life and medical researches.

  7. COMPARATIVE STUDY ON PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS BETWEEN "NEW DRUG" ABUSERS AND "TRADITIONAL DRUG" ABUSERS%"新型毒品"与"传统毒品"滥用者的心理和行为特征比较研究

    Institute of Scientific and Technical Information of China (English)

    李冠军; 李娜; 郑雯慧; 王清亮

    2011-01-01

    Objective: To compare psychological and behavioral characteristics between "new drug" abusers and "traditional drug" abusers, and provide scientific data for appropriate treatment of such drug abusers. Methods:" New drug" abusers and "traditional drug" abusers on compulsory isolated drug detoxification and rehabilitation were surveyed with the following questionnaires: Demographic Characteristics, History of Drug Abuse, Characteristics of Psychological Symptoms, Defense Mechanism Questionnaire, Individual Appraisal Questionnaire and Eysenck Personality Questionnaire. Differences were compared between the two groups. Results:On the demographic characteristics, the differences of age, marital status and occupation were significant(P < 0. 01 ), differences of time and duration of drug abuse were significant( P < 0. 01 ), and there were significant differences between the two groups in the total individual appraisal scores, four factors of EPQ, immature defense mechanism factor in the defense mechanism questionnaire as well as the factors of warmth, intellect, emotional stability, liveliness, social boldness, sensitivity, vigilance, abstractness, apprehension, openness to change, self- reliance and tension in Cattell - 16PF Questionnaire ( P < 0. 01 ).Conclusion: Compared with the "traditional drug" abusers, the "new drug" abusers are younger and mainly unmarried, self- employed or have jobs as a stable source of income. The characteristics of psychology and behaviors in the "new drug" abusers mainly are anxiety, vacuity, sensitivity, fidget, hallucination and so on, indicating that the treatment for the "new drug" abusers should be carried out according to their characteristics, and people with the characteristics should be considered as high risk population when preventative measures are conducted.%目的:通过与"传统毒品"滥用者的比较,了解强制隔离戒毒人员中"新型毒品"滥用者的心理及行为特点,为科学、合理、系统地对"

  8. Comparative evaluation of microleakage in Class II restorations using open vs. closed centripetal build-up techniques with different lining materials

    Directory of Open Access Journals (Sweden)

    Shefali Sawani

    2014-01-01

    Full Text Available Background: Evaluation of microleakage is important for assessing the success of new restorative materials and methods. Aim and Objectives: Comparative evaluation of microleakage in Class II restorations using open vs. closed centripetal build-up techniques with different lining materials. Materials and Methods: Standardized mesi-occlusal (MO and distoocclusal (DO Class II tooth preparations were preparedon 53 molars and samples were randomly divided into six experimental groups and one control group for restorations. Group 1: Open-Sandwich technique (OST with flowable composite at the gingival seat. Group 2: OST with resin-modified glass ionomer cement (RMGIC at the gingival seat. Group 3: Closed-Sandwich technique (CST with flowable composite at the pulpal floor and axial wall. Group 4: CST with RMGIC at the pulpal floor and axial wall. Group 5: OST with flowable composite at the pulpal floor, axial wall, and gingival seat. Group 6: OST with RMGIC at the pulpal floor, axial wall, and gingival seat. Group 7: Control - no lining material, centripetal technique only. After restorations and thermocycling, apices were sealed and samples were immersed in 0.5% basic fuchsin dye. Sectioning was followed by stereomicroscopic evaluation. Results: Results were analyzed using Post Hoc Bonferroni test (statistics is not a form of tabulation. Cervical scores of control were more than the exprimental groups (P 0.05. Conclusion: Class II composite restorations with centripetal build-up alone or when placed with CST reduces the cervical microleakage when compared to OST.

  9. [Comparative analysis of the maternal motivation expression in WAG/Rij and Wistar rats in the place preference and open field tests].

    Science.gov (United States)

    Dobriakova, Iu V; Tanaeva, K K; Dubynin, V A; Sarkisova, K Iu

    2014-01-01

    Maternal behavior in females of WAG/Rij and Wistar rats was compared in the place preference test from 2 to 8 days after delivery, as well as in the open field test from 4 to 6 days after delivery. In females of WAG/Rij rats compared with females of Wistar rats weaker expression of maternal motivation has been revealed in both tests: they spend less time in the compartment associated with pups. Moreover, in females of WAG/Rij rats, number of approaches to pups, number of pup-carryings and time spent with pups (time of contacts) were less than in females of Wistar rats. Reduced maternal motivation in females of WAG/Rij rats in the place preference test persisted in repeated testing, while in the open field test it was detected only in the first testing, indicating higher reliability of the place preference test for revealing inter-strain differences in the expression of maternal motivation. It is supposed that weaker expression of maternal behavior and preference is due to hypo-function of the mesolimbic dopaminergic bran system in WAG/Rij rats as a genetic model of depression associated with absence epilepsy.

  10. Comparative study of Moodle, Claroline and Dokeos open source network teaching platform%Moodle,Claroline和Dokeos开源网络教学平台的比较

    Institute of Scientific and Technical Information of China (English)

    何增颖

    2014-01-01

    Compare from awareness, basic properties, functional analysis and applications compare quartet face Moodle, Clarolin and Dodeos three mainstream open source network teaching platform for comparison. Users should be based on reality, combined with the characteristics of each platform itself, make the right choice.%从知名度、基本属性比较、功能分析和应用比较方面对Moodle,Clarolin和Dodeos三款主流开源网络教学平台进行比较。用户应从实际出发,结合各平台自身的特点,做出合适的选择。

  11. Evaluation of Polyphenolic Profile and Nutritional Value of Non-Traditional Fruit Species in the Czech Republic — A Comparative Study

    Directory of Open Access Journals (Sweden)

    Rene Kizek

    2012-07-01

    Full Text Available Dry matter, organic acids, ascorbic acid, minerals (nitrogen, phosphorus, potassium, calcium, magnesium, sodium and polyphenolic profile of a number of non-traditional fruit species and their genotypes, namely blue honeysuckle (Lonicera spp., Saskatoon berry (Amelanchier alnifolia, black mulberry (Morus nigra, Tomentosa cherry (Prunus tomentosa Thunb. and jostaberry (Ribes nigrum x Grossularia uva-crispa were investigated. The results showed that Lonicera genotypes displayed high levels of ascorbic acid and they were rich in minerals, with the cultivar ‘Amfora’ achieving the leading position in nitrogen, phosphorus and potassium content among all lesser known fruit species. Amelanchier cultivars represented a valuable source of ascorbic acid and calcium, ‘Tišňovský’ and ‘Smoky’ together with Morus nigra ‘Jugoslavska’ accumulated the highest level of examined polyphenolic compounds. Regular consumption of studied less common fruit species can bring health benefits so they can represent a high potential value for fruit growers and in addition they can be utilised as functional foods.

  12. Evaluation of polyphenolic profile and nutritional value of non-traditional fruit species in the Czech Republic--a comparative study.

    Science.gov (United States)

    Jurikova, Tunde; Sochor, Jiri; Rop, Otakar; Mlček, Jiří; Balla, Stefan; Szekeres, Ladislav; Zitný, Rastislav; Zitka, Ondrej; Adam, Vojtech; Kizek, Rene

    2012-07-27

    Dry matter, organic acids, ascorbic acid, minerals (nitrogen, phosphorus, potassium, calcium, magnesium, sodium) and polyphenolic profile of a number of non-traditional fruit species and their genotypes, namely blue honeysuckle (Lonicera spp.), Saskatoon berry (Amelanchier alnifolia), black mulberry (Morus nigra), Tomentosa cherry (Prunus tomentosa Thunb.) and jostaberry (Ribes nigrum x Grossularia uva-crispa) were investigated. The results showed that Lonicera genotypes displayed high levels of ascorbic acid and they were rich in minerals, with the cultivar ‘Amfora’ achieving the leading position in nitrogen, phosphorus and potassium content among all lesser known fruit species. Amelanchier cultivars represented a valuable source of ascorbic acid and calcium, ‘Tišňovský’ and ‘Smoky’ together with Morus nigra ‘Jugoslavska’ accumulated the highest level of examined polyphenolic compounds. Regular consumption of studied less common fruit species can bring health benefits so they can represent a high potential value for fruit growers and in addition they can be utilised as functional foods.

  13. Comparing mindfulness based cognitive therapy and traditional cognitive behavior therapy with treatments as usual on reduction of major depressive disorder symptoms.

    Science.gov (United States)

    Omidi, Abdollah; Mohammadkhani, Parvaneh; Mohammadi, Abolfazl; Zargar, Fatemeh

    2013-02-01

    In this studyMindfulness and CBT were combined to investigate the enhance of psychotropic work. Both therapies have integrated acceptance-based mindfulness approaches with change-based cognitive behavioral therapies to create efficacious treatments. That is, introduce use of MBCT in active phase of treatment and chronic depression. This study was done to evaluate efficacy of Mindfulness Based Cognitive Therapy (MBCT) and traditional Cognitive Behavior Therapy (CBT) with Treatments as usual (TAU) to reduce psychiatric symptoms in a sample of patients with Major Depressive Disorder (MDD). 90 patients who were referred to clinics of university of Social Welfare and Rehabilitation Sciences and Tehran University Counseling Centre and met DSM-IV criteria for MDD were selected. They were randomly assigned to MBCT (n = 30), CBT (n = 30), or TAU (n = 30). They were aged between 18 and 45 years (M = 28, SD = 8), with an average of two previous depression episodes. They were interviewed through the Structured Clinical Interview for DSM-IV and self-report by Brief Symptom Inventory, pre and post treatment. Patients in MBCT and CBT group received the treatment, while TAU group continued therapy (anti-depressant). The results indicated that MBCT and CBT groups have significant efficacy on reduction of MDD symptoms. MBCT appears to be as effective as CBT in the treatment of current depression.

  14. 传统百科全书与网络百科的比较研究%Comparative Analysis between Traditional Encyclopedia and Online Encyclopedia

    Institute of Scientific and Technical Information of China (English)

    彭程

    2012-01-01

    随着数字化时代的到来,出版的概念日渐扩大,很多网络百科全书都已经出现、普及,传统纸质百科全书面·l盏网络百科全书的挑战。两种类型的百科全书在选词立目、释文要求、交叉平衡、附件等辞书编纂的重要方面有各自的优势和劣势,都存在很大的完善空间。%With the arrival of the digital age, the concept of publishing has broadened, and online encyclopedia has appeared. Faced with its challenges, the traditional encyclopedia meets the risk of being replaced. In view of the important factors of dictionary compilation ranging from words selection, interpretation requirements, balancing by transposition to attachments and so on, both types of encyclopedia have their advantages and disadvantages, along with improving methods and promising prospects.

  15. Comparative Analysis of DNA Barcoding and HPLC Fingerprint to Trace Species of Phellodendri Cortex, an Important Traditional Chinese Medicine from Multiple Sources.

    Science.gov (United States)

    Zhang, Zhipeng; Zhang, Yang; Zhang, Zhao; Yao, Hui; Liu, Haitao; Zhang, Ben'gang; Liao, Yonghong

    2016-08-01

    Phellodendri Cortex is derived from the dried barks of Phellodendron genus species, has been extensively used in traditional Chinese medicine. The cortex is divided into two odorless crude drugs Guanhuangbo and Huangbo. Historically, it has been difficult to distinguish their identities due to a lack of identification methods. This study was executed to confirm the identity and to ensure the species traceability of Phellodendri Cortex. In the current study, analysis is based on the internal transcribed spacer (ITS) and psbA-trnH intergenic spacer (psbA-trnH) barcodes and HPLC fingerprint was carried out to guarantee the species traceability of Guanhuangbo and Huangbo. DNA barcoding data successfully identified the three plants of the Phellodendron genus species by ITS+psbA-trnH, with the ability to distinguish the species origin of Huangbo. Moreover, the psbA-trnH data distinguished Guanhuangbo and Huangbo except to trace species. The HPLC fingerprint data showed that Guanhuangbo was clearly different from Huangbo, but there was no difference between the two origins of Huangbo. Additionally, the result of hierarchical clustering analysis, based on chlorogenic acid, phellodendrine, magnoflorine, jatrorrhizine, palmatine and berberine, was consistent with the HPLC fingerprint analysis. These results show that DNA barcoding and HPLC fingerprint can discriminate Guanhuangbo and Huangbo. However, DNA barcoding is more powerful than HPLC fingerprint for species traceability in the identification of related species that are genetically similar. DNA barcoding is a useful scientific tool to accurately confirm the identities of medicinal materials from multiple sources.

  16. Traditional and New Enhancing Human Cybernetic and Nanotechnological Body Modification Technologies: A Comparative Study of Roman Catholic and Transhumanist Ethical Approaches

    Science.gov (United States)

    Caligiuri, Michael J.

    Advances in cybernetic and nanotechnological body modifications currently allow for enhancements to human physical and mental function which exceed human species-based norms. This thesis examines body modification and human enhancement from two perspectives---Roman Catholicism and Transhumanism--- in order to contribute to bioethical deliberations regarding enhancement technologies. Roman Catholicism has a longstanding tradition of bioethical discourse, informing the healthcare directives of Roman Catholic institutions. Transhumanism is more recent movement that endorses body modifications and human enhancements as a means of individual betterment and social evolution. The thesis first considers definitions of human enhancement and levels of normalcy in connection to cybernetic and nanotechnological bionic implants, and outlines a series of criteria to assess a technology's potential bioethical acceptability: implantability, permanency, power, and public interaction. The thesis then describes Roman Catholicism's response to non-enhancing decorative body modifications (cosmetic surgeries, common decorative modifications such as tattoos and piercings, and uncommon modifications such as scarifications and brandings) in order to establish a basis for possible Roman Catholic responses to enhancing cybernetic and nanotechnological modifications. This is followed by an analysis from a Roman Catholic perspective of the major social issues brought forward by enhancement technologies: commodification, eugenics, vulnerability, and distributive justice. Turning to Transhumanism, the thesis describes the origins and philosophy of the movement, and then discusses the bioethical principles it advances with regard to human enhancement. The thesis concludes by locating points of convergence between Transhumanism and Roman Catholicism that could be the basis of more widely accepted ethical guidelines regarding modification technologies.

  17. A Comparative Study of Selected Trace Element Content in Malay and Chinese Traditional Herbal Medicine (THM Using an Inductively Coupled Plasma-Mass Spectrometer (ICP-MS

    Directory of Open Access Journals (Sweden)

    Sharifah Mohamad

    2013-02-01

    Full Text Available A total of 60 products of traditional herbal medicine (THM in various dosage forms of herbal preparation were analyzed to determine selected trace elements (i.e., Zn, Mn, Cu, Cd, and Se using ICP-MS. Thirty types of both Chinese and Malay THMs were chosen to represent each population. The closed vessel acid microwave digestion method, using CEM MARS 5, was employed for the extraction of the selected trace elements. The digestion method applied was validated by using certified reference material from the Trace Element in Spinach Leaves (SRM1570a. The recoveries of all elements were found to be in the range of 85.3%–98.9%. The results indicated that Zn, Mn, Cu, Cd and Se have their own trends of concentrations in all samples studied. The daily intake concentrations of the elements were in the following order: Mn > Zn > Cu > Se > Cd. Concentrations of all five elements were found to be dominant in Chinese THMs. The essentiality of the selected trace elements was also assessed, based on the recommended daily allowance (RDA, adequate intake (AI and the United States Pharmacopeia (USP for trace elements as reference. The concentrations of all elements studied were below the RDA, AI and USP values, which fall within the essential concentration range, except for cadmium.

  18. Perioperative and long-term results after left pancreatectomy: a single-institution, non-randomized, comparative study between open and laparoscopic approach.

    Science.gov (United States)

    Butturini, Giovanni; Partelli, Stefano; Crippa, Stefano; Malleo, Giuseppe; Rossini, Roberto; Casetti, Luca; Melotti, Gian Luigi; Piccoli, Micaela; Pederzoli, Paolo; Bassi, Claudio

    2011-09-01

    Laparoscopic left pancreatic resections are being increasingly performed. In this study, we provide a nonrandomized comparison between laparoscopic and open left pancreatectomy (OLP) for benign and borderline tumors, focusing on both perioperative and long-term results. Demographic, pathologic, and perioperative details from patients who underwent laparoscopic and OLP between 1999 and 2006 were retrieved from our database and analyzed. Long-term results, including resume to full-time work, occurrence of incisional hernias, and incidence of exocrine and endocrine insufficiency also were evaluated. A total of 116 patients were included in the analysis; 43 (37.1%) were managed laparoscopically and 73 (62.9%) underwent the open procedure. There were no significant differences regarding clinical and pathological data. All of the resections attempted laparoscopically were completed. The rate of splenic preservation was significantly higher in the laparoscopic group (P = 0.0001). Postoperative outcomes were similar between the two groups. Longitudinal comparison between two time periods (1999-June 2004 vs. July 2004-2006) showed that pancreatic fistula and hospital stay significantly diminished over time in the laparoscopic group (P = 0.04 and P = 0.004, respectively). Median follow-up was 53 months. The incidence of exocrine insufficiency and incisional hernias was significantly higher after open resections (both P = 0.05). After hospital discharge, median time to resume full-time work was 6 weeks in the open group and 3 weeks after laparoscopic resections (P < 0.0001). Laparoscopy also resulted as an independent factor for an early resume to full-time activities in the multivariate analysis (P < 0.0001). Laparoscopic left pancreatectomy is a safe procedure for benign and borderline tumors, with similar perioperative outcomes compared with the open procedure. In the long term, the laparoscopic approach is likely to be superior thanks to a more rapid resume

  19. Comparation sensory characteristic, non-volatile compounds, volatile compounds and antioxidant activity of MRPs by novel gradient temperature-elevating and traditional isothermal methods

    National Research Council Canada - National Science Library

    Huang, Meigui; Zhang, Xiaoming; Karangwa, Eric

    2015-01-01

    .... The main purpose of the present study was to compare the color, taste characteristic, non-volatile compounds, volatile compounds and antioxidant activity of MRPs prepared by the novel gradient...

  20. Challenging tradition in Nigeria.

    Science.gov (United States)

    Supriya, K E

    1991-01-01

    In Nigeria since 1987, the National Association of Nigeria Nurses and Midwives (NSNNM) has used traditional medial and traditional health care workers to curtail the practice of female circumcision. Other harmful traditions are being changed also, such as early marriage, taboos of pregnancy and childbirth, and scarification. 30,000 member of NANNM are involved in this effort to halt the harmful practices themselves and to change community opinion. The program involved national and state level workshops on harmful health consequences of traditional practices and instruction on how to conduct focus group discussions to assess women's beliefs and practices. The focus groups were found to be a particularly successful method of opening up discussion of taboo topics and expressing deep emotions. The response to the knowledge that circumcision was not necessary was rage and anger, which was channeled into advocacy roles or change in the practice. The result was the channeled into advocacy roles for change in the practice. The result was the development of books, leaflets and videos. One community group designed a dress with a decorative motif of tatoos and bodily cuts to symbolize circumcision and scarring. Plays and songs were written and performed. Artists provided models of female genitalia both before and after circumcision. The campaign has been successful in bringing this issue to the public attention in prominent ways, such a national television, health talk shows, and women;s magazines. One of the most important results of the effort has been the demonstration that culture and tradition can be changed from within, rather than from outside imposition of values and beliefs.

  1. Comparison of peritoneal cavity after laparoscopic renal pelvis and ureter lithotomy and traditional open renal pelvis incision nephrolithotomy%经后腹膜腔腹腔镜肾盂输尿管切开取石术与传统开放肾盂切开取石术的临床效果比较

    Institute of Scientific and Technical Information of China (English)

    李泳

    2015-01-01

    Objective To compare the clinical effects of peritoneal cavity after laparoscopic renal pelvis and ureter lithotomy and traditional open renal pelvis incision nephrolithotomy.Methods 150 cases with renal pelvis and ureteral calculi were randomly divided into control group and observation group with 75 cases in each group,the control group was given traditional open pyelolithotomy for treatment while the observation group was given peritoneal cavity after laparoscopic renal pelvis and ureter lithotomy for treatment,clinical efficacy of the two groups were compared.Results The clinical effective rate of the observation group after treatment was 100%,which that of the control group was 92%,there was significant differences between the two groups (x2 =10.31,P < 0.05).The operation time in the observation group was (90 ± 12) min,amount of bleeding during operation was (25 ± 7) mL,hospital stays was (10 ± 3) d,which were better than those of the control group,there were significant differences between the two groups (t =7.24,8.31,7.61,all P < 0.05).Conclusion Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy is a minimally invasive operation,which has the advantages of definite curative effect,less trauma,less bleeding,rapid recovery,superior than the traditional open pyelolithotomy,so it is worthy of clinical application.%目的 比较经后腹膜腔腹腔镜肾盂输尿管切开取石术与传统开放肾盂切开取石术的临床效果.方法 收集150例肾盂及输尿管结石患者,按照数字表法分为对照组与观察组,每组75例,其中对照组给予传统开放肾盂切开取石术治疗;观察组给予经后腹膜腔腹腔镜肾盂输尿管切开取石术治疗,比较两组的临床疗效.结果 治疗后,观察组临床有效率100.0%,对照组临床有效率92.0%,两组差异有统计学意义(x2 =10.31,P<0.05);观察组手术时间(90±12) min、术中出血量(25±7)mL、住院时间(10±3)d,均优于对照组(t=7

  2. Efficacy evaluation of subtotal and total gastrectomies in robotic surgery for gastric cancer compared with that in open and laparoscopic resections: a meta-analysis.

    Directory of Open Access Journals (Sweden)

    Liang Zong

    Full Text Available Robotic gastrectomy (RG, as an innovation of minimally invasive surgical method, is developing rapidly for gastric cancer. But there is still no consensus on its comparative merit in either subtotal or total gastrectomy compared with laparoscopic and open resections.Literature searches of PubMed, Embase and Cochrane Library were performed. We combined the data of four studies for RG versus open gastrectomy (OG, and 11 studies for robotic RG versus laparoscopic gastrectomy (LG. Moreover, subgroup analyses of subtotal and total gastrectomies were performed in both RG vs. OG and RG vs. LG.Totally 12 studies involving 8493 patients met the criteria. RG, similar with LG, significantly reduced the intraoperative blood loss than OG. But the duration of surgery is longer in RG than in both OG and LG. The number of lymph nodes retrieved in RG was close to that in OG and LG (WMD = -0.78 and 95% CI, -2.15-0.59; WMD = 0.63 and 95% CI, -2.24-3.51. And RG did not increase morbidity and mortality in comparison with OG and LG (OR = 0.92 and 95% CI, 0.69-1.23; OR = 0.72 and 95% CI, 0.25-2.06 and (OR = 1.06 and 95% CI, 0.84-1.34; OR = 1.55 and 95% CI, 0.49-4.94. Moreover, subgroup analysis of subtotal and total gastrectomies in both RG vs. OG and RG vs. LG revealed that the scope of surgical dissection was not a positive factor to influence the comparative results of RG vs. OG or LG in surgery time, blood loss, hospital stay, lymph node harvest, morbidity, and mortality.This meta-analysis highlights that robotic gastrectomy may be a technically feasible alternative for gastric cancer because of its affirmative role in both subtotal and total gastrectomies compared with laparoscopic and open resections.

  3. Characterisation of a traditional Finnish liver sausage and different types of Spanish liver pâtés: A comparative study.

    Science.gov (United States)

    Estévez, Mario; Ventanas, Jesús; Cava, Ramón; Puolanne, Eero

    2005-12-01

    The physico-chemical characteristics of a traditional Finnish liver sausage (FLS) and different types of Spanish porcine liver pâtés (commercial, home-made and experimental) were studied. The characteristic recipes and different protocols of manufacture influenced the chemical composition and oxidative stability of the liver products. FLS showed, amongst the liver products, the smallest percentage of monounsaturated fatty acids (MUFAs) and the highest of polyunsaturated fatty acids (PUFAs) acids, including long-chain PUFAs. From a nutritional point of view, the FLS showed the smallest n-6/n-3 value whereas the experimental liver pâté (ELP) presented the smallest ratio between hyper- (lauric, myristic and palmitic acids) and hypocholesterolemic fatty acids (oleic and linoleic acids). A large variety of volatile compounds were isolated from the liver products including lipid-derived volatiles, Strecker aldehydes and alcohols, sulphur and nitrogen containing compounds and volatile terpenes, providing information on their oxidative stability and aroma characteristics. The FLS presented a balanced profile between lipid-derived volatiles and volatile terpenes from spices. The presence of potent odorants from added flavourings in the commercial liver pâté (CLP) could mask undesirable aroma odours from a large variety of lipid-derived volatiles. The home-made liver pâté (HMLP) also presented large amounts of lipid-derived volatiles as a likely consequence of strong thermal treatment during cooking, the presence of high amounts of iron and the absence of sodium nitrites and ascorbate in its composition. The ELP showed the simplest profile due to its high oxidative stability and the absence of added spices.

  4. Standardized application of yeast bioluminescent reporters as endocrine disruptor screen for comparative analysis of wastewater effluents from membrane bioreactor and traditional activated sludge.

    Science.gov (United States)

    Wang, Jun; Eldridge, Melanie; Menn, Fu-min; Dykes, Todd; Sayler, Gary

    2015-12-01

    A standardized protocol is demonstrated for bioluminescent strains Saccharomyces cerevisiae BLYES, BLYAS and BLYR as high-throughput screening tools to monitor the estrogenic, androgenic and toxic potencies in wastewater. The sensitivity and reproducibility of the assay in wastewater monitoring was evaluated for 7 day semi-continuous batch reactor using activated sludge with hormones spiked raw sewage. Yeast bioluminescent assay successfully captured the rapid removal of estrogenic and androgenic activities in the bioreactors, and demonstrated rapid response (≤4 h) with good reproducibility. This standardized protocol was then applied in a 12 months monitoring of the effluent of a WWTP located at Powell, TN, USA featuring parallel-operated full-scale membrane bioreactor (MBR) and traditional activated sludge (TAS) treatment. Monitoring results showed that estrogenic activity was persistent in all TAS and most MBR effluent samples, while residual androgenic activity was non-detectable throughout the monitored period. The estrogenic equivalents (EEQ) in TAS effluent ranged from 21.61 ng/L to 0.04 pg/L and averaged 3.25 ng/L. The EEQ in MBR effluent ranged from 2.88 ng/L to 0.0134 pg/L and averaged ~10 fold less (0.32 ng/L) than TAS. Despite the large temporal variation, MBR effluent EEQ was consistently lower than TAS on any given sampling date. Most MBR effluent samples also exhibited less cytotoxicity than TAS. Further analysis did not demonstrate significant correlation between effluent EEQ level and WWTP operational parameters including MLSS, SRT, HRT and BOD.

  5. Comparative Analysis Between Intelligent Biogas Engineering and Traditional Biogas Engineering%智能化沼气工程技术及其优势分析

    Institute of Scientific and Technical Information of China (English)

    林斌; 徐庆贤; 官雪芳; 林碧芬

    2012-01-01

    以福建省建瓯市新星养猪场为例,阐述智能化沼气工程系统的工艺流程及技术要点,包括酸化池和沼气池的pH值监测系统、智能化进料系统、玻璃钢沼气池加热系统,沼气自动搅拌系统、沼气流量监测系统和互联网远程控制系统;比较智能化沼气工程与传统沼气工程的成本和产气率情况,认为从沼气工程可持续运行的角度出发,智能化沼气工程更符合成本效益原则;智能化沼气工程技术系统能为沼气发酵创造最佳发酵环境,获得高效的产气率.%Firstly, this paper introduces the key technological points of the intelligent biogas engineering system by taking Xin-xing seed—pig pig farms as an example, including pH monitoring system of acidification tank and biogas digester, intelligent feeding system, heating system for FRP digester, bio—gas automatic mixing system, gas flowing metering system and internet remote control system. Then, it takes a comparison of the cost and gas production rate between intelligent biogas engineering and traditional biogas engineering, the result showing that: for the long—term sustainable operation of biogas engineering, intelligent biogas engineering is more according with the cost—benefit principle; technology system of intelligent biogas engineering can create the best environment for biogas fermentation, thus it can get the highest efficiency of gas production.

  6. A comparative study teaching chemistry using the 5E learning cycle and traditional teaching with a large English language population in a middle-school setting

    Science.gov (United States)

    McWright, Cynthia Nicole

    For decades science educators and educational institutions have been concerned with the status of science content being taught in K-12 schools and the delivery of the content. Thus, educational reformers in the United States continue to strive to solve the problem on how to best teach science for optimal success in learning. The constructivist movement has been at the forefront of this effort. With mandatory testing nationwide and an increase in science, technology, engineering, and mathematics (STEM) jobs with little workforce to fulfill these needs, the question of what to teach and how to teach science remains a concern among educators and all stakeholders. The purpose of this research was to determine if students' chemistry knowledge and interest can be increased by using the 5E learning cycle in a middle school with a high population of English language learners. The participants were eighth-grade middle school students in a large metropolitan area. Students participated in a month-long chemistry unit. The study was a quantitative, quasi-experimental design with a control group using a traditional lecture-style teaching strategy and an experimental group using the 5E learning cycle. Students completed a pre-and post-student attitude in science surveys, a pretest/posttest for each mini-unit taught and completed daily exit tickets using the Expert Science Teaching Educational Evaluation Model (ESTEEM) instrument to measure daily student outcomes in main idea, student inquiry, and relevancy. Analysis of the data showed that there was no statistical difference between the two groups overall, and all students experienced a gain in content knowledge overall. All students demonstrated a statistically significant difference in their interest in science class, activities in science class, and outside of school. Data also showed that scores in writing the main idea and writing inquiry questions about the content increased over time.

  7. TO COMPARE FUNCTIONAL OUTCOME, COMPLICATIONS & RESULTS OF OPEN REDUCTION & INTERNAL FIXATION WITH CLOSED REDUCTION & EXTERNAL FIXATION IN VOLAR DISPLACED DISTAL RADIAL FRACTURE

    Directory of Open Access Journals (Sweden)

    Ketan Gupta

    2015-02-01

    Full Text Available Distal radius fractures account for 17% of all fractures in adults. The fracture of the lower end of radius crush the mechanical foundation of man‟s most elegant tool, the hand. No other fracture has a greater potential to devastate hand function. Today, o pen reduction of the fracture with internal fixation and closed reduction of the fracture with external fixation, forms the mainstay of the treatment of an uncomplicated distal end radius fracture in a patient unless specifically contraindicated. AIMS AND OBJECTIVES: To compare functional outcome, complications & results of two commonly used surgical methods; Open reduction & internal fixation with volar placed buttress plate and Closed reduction & external fixation with „Jess fixator‟ and internal fixation with „k - wire‟ in volar displaced distal radial fractures. MATERIALS AND METHODS : Total 30 cases were included in the study. 15 patients were treated with Open reduction & internal fixation with volar placed buttress plate and 15 were treated with Closed r eduction & external fixation with „Jess fixator‟ and internal fixation with „k - wire‟ in volar displaced distal radial fractures. Patients were followed up at regular intervals and Anatomical and functional outcomes were evaluated in all the patients. RESUL TS: Patients treated with Open reduction & internal fixation, 8 showed excellent results, 5 good and 2 fair results. Patients treated with closed reduction and external fixation 4 showed excellent results, 5 good, 4 fair and 2 showed poor results. CONCLUSI ON: O.R.I.F is generally preferred modality gives better results in terms of functional recovery and decrease morbidity to patient

  8. A COMPARATIVE STUDY OF PROGRAMMED AND TRADITIONAL TECHNIQUES FOR TEACHING MUSIC READING IN THE UPPER ELEMENTARY SCHOOLS, UTILIZING A KEYBOARD APPROACH. FINAL REPORT.

    Science.gov (United States)

    MANDLE, WILLIAM DEE

    THE PURPOSE OF THIS STUDY WAS TO INITIATE A PROGRAM FOR TEACHING MUSIC READING SKILLS, USING THE PIANO KEYBOARD IN COMBINATION WITH PROGRAMED LEARNING, AND TO COMPARE IT WITH CONVENTIONAL METHODS OF MUSIC INSTRUCTION. FOURTH, FIFTH, AND SIXTH GRADERS AT ONE CLEVELAND PUBLIC SCHOOL COMPRISED THE CONTROL GROUP RECEIVING CONVENTIONAL MUSIC READING…

  9. Comparative pharmacokinetic investigation on baicalin and wogonoside in type 2 diabetic and normal rats after oral administration of traditional Chinese medicine Huanglian Jiedu decoction.

    Science.gov (United States)

    He, Meng-Yun; Deng, Yuan-Xiong; Shi, Qun-Zhi; Zhang, Xiao-Jie; Lv, Yuan

    2014-08-08

    Huanglian Jiedu decoction (HLJDD) is used traditionally in China for the treatment of diabetes mellitus in clinical practice, which has been proved to be effective. The purpose of this study was to investigate the pharmacokinetic characteristics (especially the area under the curve, AUC) of baicalin and wogonoside in type 2 diabetic rats after oral administration of HLJDD extract and to explore its possible mechanism. HLJDD extract and Radix scutellariae extract were prepared and the contents of baicalin and wogonoside contained in two extracts were assayed with high performance liquid chromatography (HPLC). Type 2 diabetic rats were induced by high fat diet and intraperitoneal injection of streptozotocin. Pharmacokinetics of baicalin and wogonoside in type 2 diabetic and normal control rats after oral administration of HLJDD extract or Radix scutellariae extract were investigated. Pharmacokinetics of baicalin in type 2 diabetic and normal rats after oral administration of pure baicalin was also investigated. The pharmacokinetic parameters (especially AUCs) of baicalin and wogonoside in type 2 diabetic rats after oral administration of HLJDD extract were remarkably different from those in normal rats. And the alterations of the AUCs of baicalin and wogonoside in type 2 diabetic rats after oral administration of Radix scutellariae extract were similar to those after oral administration of HLJDD extract. Moreover, the increase of the AUC of baicalin in type 2 diabetic rats after oral administration of pure baicalin was similar to that after oral administration of HLJDD extract or Radix scutellariae extract. The pharmacokinetic behaviors of baicalin and wogonoside (especially the systemic exposure [AUCs] of baicalin and wogonoside) were significantly altered in type 2 diabetic rats after orally administrated HLJDD extract. And the increased AUCs of baicalin and wogonoside in type 2 diabetic rats after oral administration of HLJDD extract resulted from neither the

  10. Do frogs have to croak? Comparing academic performance o