... suddenly or there are other symptoms, such as: Cold or clammy skin Dizziness or feeling faint Fast pulse Fever Headache Slow or rapid breathing Uncontrolled shivering Also call 911 if: Confusion has come on ...
Starrfelt, Randi; Lindegaard, Martin; Bundesen, Claus
The effect of letter confusability on reading has received increasing attention over the last decade. Confusability scores for individual letters, derived from older psychophysical studies, have been used to calculate summed confusability scores for whole words, and effects of this variable...... on normal and alexic reading have been reported. On this basis, letter confusability is now increasingly controlled for in stimulus selection. In this commentary, we try to clarify what letter confusability scores represent and discuss several problems with the way this variable has been treated...... in neuropsychological research. We conclude that it is premature to control for this variable when selecting stimuli in studies of reading and alexia. Although letter confusability may play a role in (impaired) reading, it remains to be determined how this measure should be calculated, and what effect it may have...
Benett, D.L.; Mizrachi, L.
A confusion mechanism is proposed as a global modification of the heterotic string model. It envolves a confusion hypersurface across which the two E 8 's of the heterotic string are permuted. A remarkable numerical coincidence is found which prevents an inconsistency in the model. The low energy limit of this theory (after compactification) is typically invariant under one E 8 only, thereby removing the shadow world from the original model. (orig.)
Benett, D.; Brene, N.; Mizrachi, Leah; Nielsen, H. B.
A confusion mechanism is proposed as a global modification of the heterotic string model. It envolves a confusion hypersurface across which the two E 8's of the heterotic string are permuted. A remarkable numerical coincidence is found which prevents an inconsistency in the model. The low energy limit of this theory (after compactification) is typically invariant under one E 8 only, thereby removing the shadow world from the original model.
Benett, D.L.; Brene, N.; Nielsen, H.B.; Mizrachi, L.
A confusion mechanism is proposed as a global modification of the heterotic string model. It envolves a confusion hypersurface across which the two E/sub 8/'s of the heterotic string are permuted. A remarkable numerical coincidence is found which prevents an inconsistency in the model. The low energy limit of this theory (after compactification) is typically invariant under one E/sub 8/ only, thereby removing the shadow world from the original model.
Lier, R.J. van; Wit, T.C.J. de; Koning, A.R.
We have created patterns in which illusory Kanizsa squares are positioned on top of a background grid of bars. When the illusory contours and physical contours are misaligned, the resulting percept appears to be rather confusing (van Lier et al, 2004 Perception 33 Supplement, 77). Observers often
he area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service
The area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service
Lindeman, Marjaana; Svedholm, Annika M.; Takada, Mikito; Lonnqvist, Jan-Erik; Verkasalo, Markku
Previous studies have demonstrated that university students hold several paranormal beliefs and that paranormal beliefs can be best explained with core knowledge confusions. The aim of this study was to explore to what extent university students confuse the core ontological attributes of lifeless material objects (e.g. a house, a stone), living…
Bennett, D.L.; Mizrachi, L.; Nielsen, H.B.; Brene, N.
The confusion mechanism introduced earlier in connection with the gauge glass model is here discussed in the context of field theories involving symmetry groups which have outer automorphisms. The heterotic string with an E 8 x E 8 symmetry may be influenced by confusion with the result that only one E 8 group survives and the shadow world disappears. (orig.)
Bennett, D.L.; Nielsen, H.B.; Brene, N.; Mizrachi, L.
The confusion mechanism introduced earlier in connection with the gauge glass model is here discussed in the context of field theories involving symmetry groups which have outer automorphisms. The heterotic string with an E 8 8xE 8 symmetry may be influence by confusion with the result that only one E 8 group survives and the shadow world disappears. (author)
Journal of the Nigerian Association of Mathematical Physics ... The system assigns patients with severity levels in all the clusters. ... The system compares favorably with diagnosis arrived at by experienced physicians and also provides patients' level of severity in each confusable disease and the degree of confusability of ...
O'Connor, Kieron; Aardema, Frederick
Inferential confusion occurs when a person mistakes an imagined possibility for a real probability and might account for some types of thought-action and other fusions reported in obsessive-compulsive disorder. Inferential confusion could account for the ego-dystonic nature of obsessions and their recurrent nature, since the person acts "as if" an imagined aversive inference is probable and tries unsuccessfully to modify this imaginary probability in reality. The clinical implications of the inferential confusion model focus primarily on the role of the imagination in obsessive-compulsive disorder rather than on cognitive beliefs.
Fulton, Lawrence V.; Mendez, Francis A.; Bastian, Nathaniel D.; Musal, R. Muzaffer
This manuscript discusses the common confusion between the terms probability and odds. To emphasize the importance and responsibility of being meticulous in the dissemination of information and knowledge, this manuscript reveals five cases of sources of inaccurate statistical language imbedded in the dissemination of information to the general…
Blackwell, Will H.
A confusion regarding the number of kingdoms that should be recognized and the inclusion of domains in the traditional kingdom-based classification found in the higher levels of classification of organisms is presented. Hence, it is important to keep in mind future modifications that may occur in the classification systems and to recognize…
Chessick, Richard D
A variety of problems cause a confusion of tongues between the psychoanalyst and the patient. In this sense the psychoanalyst faces the same problems as the translator of a text from one language to another. Examples are given of confusion due cultural differences, confusion due translation differences among translators, confusion due translator prejudice or ignorance, confusion due ambiguous visual cues and images, and confusion due to an inherently ambiguous text. It is due to this unavoidable confusion that the humanistic sciences cannot in principle achieve the mathematical exactness of the natural sciences and should not be expected to do so or condemned because they do not.
Gebele, Christoph; Tscheulin, Dieter K; Lindenmeier, Jörg; Drevs, Florian; Seemann, Ann-Kathrin
As patient autonomy and consumer sovereignty increase, information provision is considered essential to decrease information asymmetries between healthcare service providers and patients. However, greater availability of third party information sources can have negative side effects. Patients can be confused by the nature, as well as the amount, of quality information when making choices among competing health care providers. Therefore, the present study explores how information may cause patient confusion and affect the behavioral intention to choose a health care provider. Based on a quota sample of German citizens (n = 198), the present study validates a model of patient confusion in the context of hospital choice. The study results reveal that perceived information overload, perceived similarity, and perceived ambiguity of health information impact the affective and cognitive components of patient confusion. Confused patients have a stronger inclination to hastily narrow down their set of possible decision alternatives. Finally, an empirical analysis reveals that the affective and cognitive components of patient confusion mediate perceived information overload, perceived similarity, and perceived ambiguity of information. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
Barack, Leor; Cutler, Curt
Captures of compact objects (COs) by massive black holes (MBHs) in galactic nuclei will be an important source for LISA, the proposed space-based gravitational wave (GW) detector. However, a large fraction of captures will not be individually resolvable - either because they are too distant, have unfavorable orientation, or have too many years to go before final plunge - and so will constitute a source of 'confusion noise', obscuring other types of sources. In this paper we estimate the shape and overall magnitude of the GW background energy spectrum generated by CO captures. This energy spectrum immediately translates to a spectral density S h capt (f) for the amplitude of capture-generated GWs registered by LISA. The overall magnitude of S h capt (f) is linear in the CO capture rates, which are rather uncertain; therefore we present results for a plausible range of rates. S h capt (f) includes the contributions from both resolvable and unresolvable captures, and thus represents an upper limit on the confusion noise level. We then estimate what fraction of S h capt (f) is due to unresolvable sources and hence constitutes confusion noise. We find that almost all of the contribution to S h capt (f) coming from white dwarf and neutron star captures, and at least ∼30% of the contribution from black hole captures, is from sources that cannot be individually resolved. Nevertheless, we show that the impact of capture confusion noise on the total LISA noise curve ranges from insignificant to modest, depending on the rates. Capture rates at the high end of estimated ranges would raise LISA's overall (effective) noise level [fS h eff (f)] 1/2 by at most a factor ∼2 in the frequency range 1-10 mHz, where LISA is most sensitive. While this slightly elevated noise level would somewhat decrease LISA's sensitivity to other classes of sources, we argue that, overall, this would be a pleasant problem for LISA to have: It would also imply that detection rates for CO captures
Ni, Zhaoheng; Yuksel, Ahmet Cem; Ni, Xiuyan; Mandel, Michael I; Xie, Lei
Brain fog, also known as confusion, is one of the main reasons for low performance in the learning process or any kind of daily task that involves and requires thinking. Detecting confusion in a human's mind in real time is a challenging and important task that can be applied to online education, driver fatigue detection and so on. In this paper, we apply Bidirectional LSTM Recurrent Neural Networks to classify students' confusion in watching online course videos from EEG data. The results show that Bidirectional LSTM model achieves the state-of-the-art performance compared with other machine learning approaches, and shows strong robustness as evaluated by cross-validation. We can predict whether or not a student is confused in the accuracy of 73.3%. Furthermore, we find the most important feature to detecting the brain confusion is the gamma 1 wave of EEG signal. Our results suggest that machine learning is a potentially powerful tool to model and understand brain activity.
R. C. Hamdy MD
Full Text Available Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.
This article examines the historical development of Milton H. Erickson's theoretical approach to hypnosis using confusion. Review of the literature suggests that the Confusion Technique, in principle, consists of a two-stage "confusion-restructuring" process. The article also attempts to categorize several examples of confusion suggestions by seven linguistic characteristics: (1) antonyms, (2) homonyms, (3) synonyms, (4) elaboration, (5) interruption, (6) echoing, and (7) uncommon words. The Confusion Technique is an important yet little studied strategy developed by Erickson. More work is urged to investigate its nature and properties.
Umberger, D. E.; Proctor, M. H.; Clark, J. E.; Eisgruber, L. M.; Braschler, C. B. (Principal Investigator)
Results for both the United States and Canada show that econometric models can provide estimates of confusion crop ratios that are more accurate than historical ratios. Whether these models can support the LACIE 90/90 accuracy criterion is uncertain. In the United States, experimenting with additional model formulations could provide improved methods models in some CRD's, particularly in winter wheat. Improved models may also be possible for the Canadian CD's. The more aggressive province/state models outperformed individual CD/CRD models. This result was expected partly because acreage statistics are based on sampling procedures, and the sampling precision declines from the province/state to the CD/CRD level. Declining sampling precision and the need to substitute province/state data for the CD/CRD data introduced measurement error into the CD/CRD models.
Kapp, Marshall B
Discussions regarding defensive medical practice often result in proposals for public policy actions. Such proposals generally are premised on assumptions about defensive medicine, namely, that it (a) is driven by physicians' legal anxieties, (b) constitutes bad medical practice, (c) drives up health care costs, (d) varies depending on a jurisdiction's particular tort law climate, (e) depends on medical specialty and a physician's own prior experience as a malpractice defendant, and (f) is a rational response to actual legal risks confronting physicians. This article examines a sample of recent literature focusing on defensive medicine and finds that the messages conveyed vary widely, helping to explain the confusion experienced by many policymakers trying to improve the quality and affordability of health care.
Luce, Bryan R; Drummond, Michael; Jönsson, Bengt; Neumann, Peter J; Schwartz, J Sanford; Siebert, Uwe; Sullivan, Sean D
The terms evidence-based medicine (EBM), health technology assessment (HTA), comparative effectiveness research (CER), and other related terms lack clarity and so could lead to miscommunication, confusion, and poor decision making. The objective of this article is to clarify their definitions and the relationships among key terms and concepts. This article used the relevant methods and policy literature as well as the websites of organizations engaged in evidence-based activities to develop a framework to explain the relationships among the terms EBM, HTA, and CER. This article proposes an organizing framework and presents a graphic demonstrating the differences and relationships among these terms and concepts. More specific terminology and concepts are necessary for an informed and clear public policy debate. They are even more important to inform decision making at all levels and to engender more accountability by the organizations and individuals responsible for these decisions.
Wright, Edward L.; Origins Space Telescope Science and Technology Definition Team
The Origins Space Telescope (OST) is the mission concept for the Far-Infrared Surveyor, one of the four science and technology definition studies of NASA Headquarters for the 2020 Astronomy and Astrophysics Decadal survey. Origins will enable flagship-quality general observing programs led by the astronomical community in the 2030s.OST will have a background-limited sensitivity for a background 27,000 times lower than the Herschel background caused by thermal emission from Herschel's warm telescope. For continuum observations the confusion limit in a diffraction-limited survey can be reached in very short integration times at longer far-infrared wavelengths. But the confusion limit can be pierced for both the nearest and the farthest objects to be observed by OST. For outer the Solar System the targets' motion across the sky will provide a clear signature in surveys repeated after an interval of days to months. This will provide a size-frequency distribution of TNOs that is not biased toward high albedo objects.For the distant Universe the first galaxies and the first metals will provide a third dimension of spectral information that can be measured with a long-slit, medium resolution spectrograph. This will allow 3Dmapping to measure source densities as a function of redshift. The continuum shape associated with sourcesat different redshifts can be derived from correlation analyses of these 3D maps.Fairly large sky areas can be scanned by moving the spacecraft at a constant angular rate perpendicular to the orientation of the long slit of the spectrograph, avoiding the high overhead of step-and-stare surveying with a large space observatory.We welcome you to contact the Science and Technology Definition Team (STDT) with your science needs and ideas by emailing us at firstname.lastname@example.org
The problem regarding the nuclear ship Mutsu has developed into a major political issue, and has been thrown into confusion, since a group in the ruling Liberal Democratic Party decided that the nuclear ship should be out of commission, and the construction of the new home port should be suspended. The commercial operation of nuclear ships is not expected soon, and the government plan to spend 60 billion to 100 billion yen for the construction of the new home port is questioned. The group to consider the nuclear ship urged the government to make serious effort to resume the experiment of the Mutsu as soon as possible, and the Nuclear Ship Council of the AEC considered the construction of the new home port as unavoidable, and emphasized the importance of nuclear ship development. This seemed to end the argument, but the above decision was made. Five major papers are also divided over the question of the Mutsu. Local people demand the government to observe the five-party agreement on the construction of the new home port at Sekinehama. Four top executives of the Liberal Democratic Party made a four-point decision, but it was so ambiguous that it may be interpreted in various ways. This decision threatens the existence of the AEC as the highest organ on the atomic energy policy of Japan. The role as an experimental nuclear ship should be fulfiled anyway. (Kako, I.)
Balu, S.; Alagesaboopathi, C.
Andrographis paniculata Nees, Andrographis alata Nees and Andrographis lineate Nees. (Acanthaceae) are important medicinal plants useful in the treatment of various human ailments. Nomenclatural confusion prevails with regards to these medicinal plants in India medical literature and vernacular nomenclature. This nomenclatural confusion has been clarified in the present paper.
Daves, David P.; Walker, David W.
Professional confusion, as well as case law confusion, exists concerning the fidelity and integrity of response to intervention (RTI) as a defensible procedure for identifying children as having a specific learning disability (SLD) under the Individuals with Disabilities Education Act (IDEA). Division is generated because of conflicting mandates…
Francisco José Cabrera Perdomo
Full Text Available The article analysis the most important cases within the jurisdiction of California regarding the trademark infringement and its prerogative of the likelihood of confusion. Finally, it compares the conclusion with the confusable marks theory within the Andean community’s recent cases solving the issue.
Bennett, D.L.; Nielsen, H.B.
In the context of random dynamics, the mechanism of confusion is used to obtain a relation between the number of generations and standard model coupling constants. Preliminary results predict the existence of four generations. (orig.)
'Affect' or 'effect'? 'Right', 'write' or 'rite'? English can certainly be a confusing language, whether you're a native speaker or learning it as a second language. 'The Right Word' is the essential reference to help people master its subtleties and avoid making mistakes. Divided into three sections, it first examines homophones - those tricky words that sound the same but are spelled differently - then looks at words that often confuse before providing a list of commonly misspelled words.
Olson, Randal S; Hintze, Arend; Dyer, Fred C; Knoester, David B; Adami, Christoph
Swarming behaviours in animals have been extensively studied owing to their implications for the evolution of cooperation, social cognition and predator-prey dynamics. An important goal of these studies is discerning which evolutionary pressures favour the formation of swarms. One hypothesis is that swarms arise because the presence of multiple moving prey in swarms causes confusion for attacking predators, but it remains unclear how important this selective force is. Using an evolutionary model of a predator-prey system, we show that predator confusion provides a sufficient selection pressure to evolve swarming behaviour in prey. Furthermore, we demonstrate that the evolutionary effect of predator confusion on prey could in turn exert pressure on the structure of the predator's visual field, favouring the frontally oriented, high-resolution visual systems commonly observed in predators that feed on swarming animals. Finally, we provide evidence that when prey evolve swarming in response to predator confusion, there is a change in the shape of the functional response curve describing the predator's consumption rate as prey density increases. Thus, we show that a relatively simple perceptual constraint--predator confusion--could have pervasive evolutionary effects on prey behaviour, predator sensory mechanisms and the ecological interactions between predators and prey.
... end platform while Microsoft Access was used as the database application. The system gives a measure of each disease within a set of confusable disease. The proposed system had a classification accuracy of 60%. Keywords: Artificial Intelligence, expert system Fuzzy cluster – means Algorithm, physician, Diagnosis ...
Zirkel, Perry A.
This article expresses the position that the current legal commentary and cases do not sufficiently differentiate response to intervention (RTI) from the various forms of general education interventions that preceded it, thus compounding confusion in professional practice as to legally defensible procedures for identifying children as having a…
The nature of the study was of a qualitative and quantitative type and the data were analysed by describing the existing qualities of the puns on theoretical basis. The tools used were content analysis, questionnaire and interview. The result shows that idiomatic meanings have been used as puns, was confusion of puns with ...
Dillon, Richard F.; Thomas, Heather
In two experiments using the Brown-Peterson memory paradigm, instructions to guess had small effects on recall, but sizeable effects on incidence of prior list intrustion. However, results indicate that proactive interference is primarily the result of inability to generate correct items, rather than confusion between present and previous items.…
Brandon K. Burr
Full Text Available Although relationship education (RE and couples therapy (CT have similar goals in helping build and sustain healthy couple and family relationships, there remains confusion between the focus and structure of the two services. Literature on the marketing of family programs indicates that the awareness level of the target audience should dictate marketing and recruitment messages. Lack of awareness regarding RE and confusion over the difference between RE and CT most likely affects the decision to attend. In order to inform RE recruitment and marketing approaches, this study investigated overall perceptions of RE, RE awareness, and confusion regarding the difference between RE and CT in a sample of 1,977 individuals. Differences in perceptions were also explored by relationship satisfaction and gender. Results showed a fairly high lack of awareness of RE and confusion between RE and CT. Results also showed that respondents in more satisfying relationships see RE less positively, and men see RE less positively than women. Implications for practitioners and researchers are presented.
Hufschmidt, Andreas; Krisch, Alexandra; Peschen, I
The case of a 17-year-old girl with a history of headache, blurred vision, confusion, ataxia and syncope is presented. On admission, she had already recovered except for a slurring of speech. Her urine was found to be green. Screening for illegal drugs was negative, but gas chromatography with subsequent mass spectroscopy (GC-MS) revealed an extremely high concentration of flupirtine.
Full Text Available -1 IGARSS 2015, Milan, Italy, 26-31 July 2015 Proper comparison among methods using a confusion matrix 1,2 B.P. Salmon, 2,3 W. Kleynhans, 2,3 C.P. Schwegmann and 1J.C. Olivier 1School of Engineering and ICT, University of Tasmania, Australia 2...
Palmerton, Patricia R.
A study examined reports broadcast by ABC News between November 8, 1979 and December 7, 1979 in its series entitled "Crisis in Iran: America Held Hostage." Transcripts of approximately 50% of actual broadcasts were subjected to rhetorical critical analysis, from which the finding emerged that confusion was the predominant characteristic…
Fernelius, W. C.; Powell, W. H.
Discusses long (expanded), short (condensed), and pyramidal periodic table formats and documents events leading to a periodic table in which subgroups (families) are designated with the letters A and B, suggesting that this format is confusing for those consulting the table. (JN)
E.M.A.L. Beauxis-Aussalet (Emmanuelle); L. Hardman (Lynda)
htmlabstractMachine Learning techniques can automatically extract information from a variety of multimedia sources, e.g., image, text, sound, video. But it produces imperfect results since the multimedia content can be misinterpreted. Machine Learning errors are commonly measured using confusion
Griggs, R A; Koenig, C S; Alea, N L
Sources of facilitation for Needham and Amado's (1995) Pythagoras version of Wason's THOG problem were systematically examined in three experiments with 174 participants. Although both the narrative structure and figural notation used in the Pythagoras problem independently led to significant facilitation (40-50% correct), pairing hypothesis generation with either factor or pairing the two factors together was found to be necessary to obtain substantial facilitation (> 50% correct). Needham and Amado's original finding for the complete Pythagoras problem was also replicated. These results are discussed in terms of the "confusion theory" explanation for performance on the standard THOG problem. The possible role of labelling as a de-confusing factor in other versions of the THOG problem and the implications of the present findings for human reasoning are also considered.
Mitrović Milovan M.
This paper, represents a hypothetical consideration of the phenomenology of the Serbian national idea, within the traumatic circumstances of the breakup of the Yugoslav state at the end of the 20th century, when the Serbian national issue was reopened in an exceptionally unfavorable geopolitical context for the Serbian people. The author specifically analyzes the ideological and political factors behind the Serbian confusion with the theoretical framework of Agnes Heller's critical interpreta...
Olson, Randal S.; Hintze, Arend; Dyer, Fred C.; Knoester, David B.; Adami, Christoph
Swarming behaviours in animals have been extensively studied owing to their implications for the evolution of cooperation, social cognition and predator–prey dynamics. An important goal of these studies is discerning which evolutionary pressures favour the formation of swarms. One hypothesis is that swarms arise because the presence of multiple moving prey in swarms causes confusion for attacking predators, but it remains unclear how important this selective force is. Using an evolutionary mo...
Olson, Randal S.; Hintze, Arend; Dyer, Fred C.; Knoester, David B.; Adami, Christoph
Swarming behaviors in animals have been extensively studied due to their implications for the evolution of cooperation, social cognition, and predator-prey dynamics. An important goal of these studies is discerning which evolutionary pressures favor the formation of swarms. One hypothesis is that swarms arise because the presence of multiple moving prey in swarms causes confusion for attacking predators, but it remains unclear how important this selective force is. Using an evolutionary model...
Ahn, Dae Ryong; Yang, Ji Hyun; Lee, Sang Hun [Kookmin University, Seoul (Korea, Republic of)
Recent development in science and technology has enabled vehicles to be equipped with advanced autonomous functions. ADAS (Advanced Driver Assistance Systems) are examples of such advanced autonomous systems added. Advanced systems have several operational modes and it has been observed that drivers could be unaware of the mode they are in during vehicle operation, which can be a contributing factor of traffic accidents. In this study, possible mode confusions in a simulated environment when vehicles are equipped with an adaptive cruise control system were investigated. The mental model of the system was designed and verified using the formal analysis method. Then, the user interface was designed on the basis of those of the current cruise control systems. A set of human-in-loop experiments was conducted to observe possible mode confusions and redesign the user interface to reduce them. In conclusion, the clarity and transparency of the user interface was proved to be as important as the correctness and compactness of the mental model when reducing mode confusions.
Ahn, Dae Ryong; Yang, Ji Hyun; Lee, Sang Hun
Recent development in science and technology has enabled vehicles to be equipped with advanced autonomous functions. ADAS (Advanced Driver Assistance Systems) are examples of such advanced autonomous systems added. Advanced systems have several operational modes and it has been observed that drivers could be unaware of the mode they are in during vehicle operation, which can be a contributing factor of traffic accidents. In this study, possible mode confusions in a simulated environment when vehicles are equipped with an adaptive cruise control system were investigated. The mental model of the system was designed and verified using the formal analysis method. Then, the user interface was designed on the basis of those of the current cruise control systems. A set of human-in-loop experiments was conducted to observe possible mode confusions and redesign the user interface to reduce them. In conclusion, the clarity and transparency of the user interface was proved to be as important as the correctness and compactness of the mental model when reducing mode confusions
Hogan, Benedict G; Cuthill, Innes C; Scott-Samuel, Nicholas E
The influence of coloration on the ecology and evolution of moving animals in groups is poorly understood. Animals in groups benefit from the "confusion effect," where predator attack success is reduced with increasing group size or density. This is thought to be due to a sensory bottleneck: an increase in the difficulty of tracking one object among many. Motion dazzle camouflage has been hypothesized to disrupt accurate perception of the trajectory or speed of an object or animal. The current study investigates the suggestion that dazzle camouflage may enhance the confusion effect. Utilizing a computer game style experiment with human predators, we found that when moving in groups, targets with stripes parallel to the targets' direction of motion interact with the confusion effect to a greater degree, and are harder to track, than those with more conventional background matching patterns. The findings represent empirical evidence that some high-contrast patterns may benefit animals in groups. The results also highlight the possibility that orientation and turning may be more relevant in the mechanisms of dazzle camouflage than previously recognized.
Butler, Ricky W.; Miller, Steven P.; Potts, James N.; Carreno, Victor A.
The goal of the new NASA Aviation Safety Program (AvSP) is to reduce the civil aviation fatal accident rate by 80% in ten years and 90% in twenty years. This program is being driven by the accident data with a focus on the most recent history. Pilot error is the most commonly cited cause for fatal accidents (up to 70%) and obviously must be given major consideration in this program. While the greatest source of pilot error is the loss of situation awareness , mode confusion is increasingly becoming a major contributor as well. The January 30, 1995 issue of Aviation Week lists 184 incidents and accidents involving mode awareness including the Bangalore A320 crash 2/14/90, the Strasbourg A320 crash 1/20/92, the Mulhouse-Habsheim A320 crash 6/26/88, and the Toulouse A330 crash 6/30/94. These incidents and accidents reveal that pilots sometimes become confused about what the cockpit automation is doing. Consequently, human factors research is an obvious investment area. However, even a cursory look at the accident data reveals that the mode confusion problem is much deeper than just training deficiencies and a lack of human-oriented design. This is readily acknowledged by human factors experts. It seems that further progress in human factors must come through a deeper scrutiny of the internals of the automation. It is in this arena that formal methods can contribute. Formal methods refers to the use of techniques from logic and discrete mathematics in the specification, design, and verification of computer systems, both hardware and software. The fundamental goal of formal methods is to capture requirements, designs and implementations in a mathematically based model that can be analyzed in a rigorous manner. Research in formal methods is aimed at automating this analysis as much as possible. By capturing the internal behavior of a flight deck in a rigorous and detailed formal model, the dark corners of a design can be analyzed. This paper will explore how formal
David I Bruner
Full Text Available While sinusitis is a common ailment, intracranial suppurative complications of sinusitis are rare and difficult to diagnose and treat. The morbidity and mortality of intracranial complications of sinusitis have decreased significantly since the advent of antibiotics, but diseases such as subdural empyemas and intracranial abscesses still occur, and they require prompt diagnosis, treatment, and often surgical drainage to prevent death or long-term neurologic sequelae. We present a case of an immunocompetent adolescent male with a subdural empyema who presented with seizures,confusion, and focal arm weakness after a bout of sinusitis.
Bruner, David I.; Littlejohn, Lanny; Pritchard, Amy
While sinusitis is a common ailment, intracranial suppurative complications of sinusitis are rare and difficult to diagnose and treat. The morbidity and mortality of intracranial complications of sinusitis have decreased significantly since the advent of antibiotics, but diseases such as subdural empyemas and intracranial abscesses still occur, and they require prompt diagnosis, treatment, and often surgical drainage to prevent death or long-term neurologic sequelae. We present a case of an immunocompetent adolescent male with a subdural empyema who presented with seizures, confusion, and focal arm weakness after a bout of sinusitis. PMID:23358438
Full Text Available Lobby activities are often likened to the misuse of authority and bad practices. Such parallels generate problems that easily spiral down into crises and conflicts, and the symbiosis of politics and business turns into an ambiguous platform. Why should we look into the core of the suspicions regarding the intertwining and overlapping interests of political and business communities? The answer: because in Romania public interest is often defined in a private or personal framework, whereas private interests are defined in markedly public terms. Confusion sets us clearly apart from the effective Israeli, American, British, Czech, Polish or Magyar lobbyists. The same confusion has a damaging effect: we are unable to efficiently handle institutional relations and public-private relations, be they national or international, that is, European. To what extent is the politics-business relationship deemed appropriate in US and EU? Which are its constraints, prerequisites and possible sanctions? These are the questions which accompany our dilemmas that we clarify in this paper. We conclude with proposals on what can be done in promoting efficiently the Romanian private interests within the European institutions.
McCaffrey, M.; Berbeco, M.; Reid, A. H.
Politicians and ideologues blocking climate education through legislative manipulation. Free marketeers promoting the teaching of doubt and controversy to head off regulation. Education standards and curricula that skim over, omit, or misrepresent the causes, effects, risks and possible responses to climate change. Teachers who unknowingly foster confusion by presenting "both sides" of a phony scientific controversy. All of these contribute to dramatic differences in the quality and quantity of climate education received by U.S. students. Most U.S. adults and teens fail basic quizzes on energy and climate basics, in large part, because climate science has never been fully accepted as a vital component of a 21st-century science education. Often skipped or skimmed over, human contributions to climate change are sometimes taught as controversy or through debate, perpetuating a climate of confusion in many classrooms. This paper will review recent history of opposition to climate science education, and explore initial findings from a new survey of science teachers on whether, where and how climate change is being taught. It will highlight emerging effective pedagogical practices identified in McCaffrey's Climate Smart & Energy Wise, including the role of new initiatives such as the Next Generation Science Standards and Green Schools, and detail efforts of the Science League of America in countering denial and doubt so that educators can teach consistently and confidently about climate change.
Wamsley, Erin; Donjacour, Claire E.H.M.; Scammell, Thomas E.; Lammers, Gert Jan; Stickgold, Robert
Study Objectives: We investigated a generally unappreciated feature of the sleep disorder narcolepsy, in which patients mistake the memory of a dream for a real experience and form sustained delusions about significant events. Design: We interviewed patients with narcolepsy and healthy controls to establish the prevalence of this complaint and identify its predictors. Setting: Academic medical centers in Boston, Massachusetts and Leiden, The Netherlands. Participants: Patients (n = 46) with a diagnosis of narcolepsy with cataplexy, and age-matched healthy healthy controls (n = 41). Interventions: N/A. Measurements and Results: “Dream delusions” were surprisingly common in narcolepsy and were often striking in their severity. As opposed to fleeting hypnagogic and hypnopompic hallucinations of the sleep/wake transition, dream delusions were false memories induced by the experience of a vivid dream, which led to false beliefs that could persist for days or weeks. Conclusions: The delusional confusion of dreamed events with reality is a prominent feature of narcolepsy, and suggests the possibility of source memory deficits in this disorder that have not yet been fully characterized. Citation: Wamsley E; Donjacour CE; Scammell TE; Lammers GJ; Stickgold R. Delusional confusion of dreaming and reality in narcolepsy. SLEEP 2014;37(2):419-422. PMID:24501437
Brébion, Gildas; Ohlsen, Ruth I; Pilowsky, Lyn S; David, Anthony S
An association between hallucinations and reality-monitoring deficit has been repeatedly observed in patients with schizophrenia. Most data concern auditory/verbal hallucinations. The aim of this study was to investigate the association between visual hallucinations and a specific type of reality-monitoring deficit, namely confusion between imagined and perceived pictures. Forty-one patients with schizophrenia and 43 healthy control participants completed a reality-monitoring task. Thirty-two items were presented either as written words or as pictures. After the presentation phase, participants had to recognize the target words and pictures among distractors, and then remember their mode of presentation. All groups of participants recognized the pictures better than the words, except the patients with visual hallucinations, who presented the opposite pattern. The participants with visual hallucinations made more misattributions to pictures than did the others, and higher ratings of visual hallucinations were correlated with increased tendency to remember words as pictures. No association with auditory hallucinations was revealed. Our data suggest that visual hallucinations are associated with confusion between visual mental images and perception.
Full Text Available A 51-year-old man, who received a living related transplant from his wife and anti-thymocyte globulin (ATG as induction therapy, developed delayed graft function after transplantation. One day after he received an i.v. dose of ganciclovir, the patient developed hallucinations, confusion and agitation, which worsened the following day. CT-scan of the brain and cerebrospinal fluid were unremarkable. Ganciclovir-induced encepha-lopathy was considered the most likely reason for the patient′s neurological condition, since he recovered completely a few days after discontinuation of this drug. Since anti-CMV prophylactic treatment is now widely used after transplantation, a high index of suspicion is required to diagnose ganciclovir (or acyclovir induced neurotoxicity.
Makota, Susanne; Nde-Tchoupe, Arnaud I.; Mwakabona, Hezron T.; Tepong-Tsindé, Raoul; Noubactep, Chicgoua; Nassi, Achille; Njau, Karoli N.
Researchers on metallic iron (Fe0) for environmental remediation and water treatment are walking in a valley of confusion for 25 years. This valley is characterized by the propagation of different beliefs that have resulted from a partial analysis of the Fe0/H2O system as (1) a reductive chemical reaction was considered an electrochemical one and (2) the mass balance of iron has not been really addressed. The partial analysis in turn has been undermining the scientific method while discouraging any real critical argumentation. This communication re-establishes the complex nature of the Fe0/H2O system while recalling that, finally, proper system analysis and chemical thermodynamics are the most confident ways to solve any conflicting situation in Fe0 environmental remediation.
Full Text Available This paper analyzes common confusions involving basic concepts in statistical hypothesis testing. One-third of the social science statistics textbooks examined in the study contained false statements about significance level and/or p-value. We infer that a large proportion of social scientists are being miseducated about these concepts. We analyze the causes of these persistent misunderstandings, and conclude that the conventional terminology is prone to abuse because it does not clearly represent the conditional nature of probabilities and events involved. We argue that modifications in terminology, as well as the explicit introduction of conditional probability concepts and notation into the statistics curriculum in the social sciences, are necessary to prevent the persistence of these errors.
Zaar, Johannes; Dau, Torsten
, Kollmeier, and Kohlrausch [(1997). J. Acoust. Soc. Am. 102, 2892–2905]. The model was evaluated based on the extensive consonant perception data set provided by Zaar and Dau [(2015). J. Acoust. Soc. Am. 138, 1253–1267], which was obtained with normal-hearing listeners using 15 consonant-vowel combinations...... confusion groups. The large predictive power of the proposed model suggests that adaptive processes in the auditory preprocessing in combination with a cross-correlation based template-matching back end can account for some of the processes underlying consonant perception in normal-hearing listeners....... The proposed model may provide a valuable framework, e.g., for investigating the effects of hearing impairment and hearing-aid signal processing on phoneme recognition....
Hall, Danika V
Earlier this year, two industry-sponsored advertising campaigns for cholesterol awareness that target the general public were launched in Australia. These campaigns aimed to alert the public to the risks associated with having high cholesterol and encouraged cholesterol testing for wider groups than those specified by the National Heart Foundation. General practitioners should be aware of the potential for the two campaigns to confuse the general public as to who should be tested, and where. The campaign sponsors (Unilever Australasia and Pfizer) each have the potential to benefit by increased market share for their products, and increased profits. These disease awareness campaigns are examples of what is increasingly being termed "condition branding" by pharmaceutical marketing experts.
Rosenman, Stephen; Nasti, Julian
Empirical explanation and treatment repeatedly fail for psychiatric diagnoses. Diagnosis is mired in conceptual confusion that is illuminated by Ludwig Wittgenstein's later critique of philosophy (Philosophical Investigations). This paper examines conceptual confusions in the foundation of psychiatric diagnosis from some of Wittgenstein's important critical viewpoints. Diagnostic terms are words whose meanings are given by usages not definitions. Diagnoses, by Wittgenstein's analogy with 'games', have various and evolving usages that are connected by family relationships, and no essence or core phenomenon connects them. Their usages will change according to the demands and contexts in which they are employed. Diagnoses, like many psychological terms, such as 'reading' or 'understanding', are concepts that refer not to fixed behavioural or mental states but to complex apprehensions of the relationship of a variety of behavioural phenomena with the world. A diagnosis is a sort of concept that cannot be located in or explained by a mental process. A diagnosis is an exercise in language and its usage changes according to the context and the needs it addresses. Diagnoses have important uses but they are irreducibly heterogeneous and cannot be identified with or connected to particular mental processes or even with a unity of phenomena that can be addressed empirically. This makes understandable not only the repeated failure of empirical science to replicate or illuminate genetic, neurophysiologic, psychic or social processes underlying diagnoses but also the emptiness of a succession of explanatory theories and treatment effects that cannot be repeated or stubbornly regress to the mean. Attempts to fix the meanings of diagnoses to allow empirical explanation will and should fail as there is no foundation on which a fixed meaning can be built and it can only be done at the cost of the relevance and usefulness of diagnosis.
Chapellon, Sébastien; Houssier, Florian
The fascination surrounding a successful artwork is linked to the fact it faces the viewer to unknown aspects of his/her own psychic life. The same applies to the comics Iron Man. Behind the armour is hiding a man caught up in the traumatic incidences of life. The hero demonstrates a psychic weakness which, despite being deep, is, however, showing universal aspects.The analysis of his misfortunes reveals a narcissistic disorder. The article intends to set out the identity confusion the Marvel's protagonist is trapped in while highlighting the addictive troublesome linking him to his high-tech armour. This article also seeks to attest the fact the symbiosis between Tony Stark and Iron Man is anticipating the evolution of our behaviour with regard to new technologies.To this end, the authors are recalling the episodes of the series. Through the analysis of the confrontational dialogue the hero is maintaining with his iron armour, they explore how the internal experiment related to the sense of identity disorder is figured out. Thus, going through the key moments of the saga, the authors raise the ambiguity of his hero. The metapsychological analysis of the actions undertaken by Iron Man reflects a little-known facet of his personality, revealing a character more tormented than he really looks. However, the point is not to "treat" a fictional man, but to observe how he can help us to understand the internal behaviour of our patients, and also our own.The Faustian drama this comic leads to is hence understood as a living testimony of our own psychic conflicts. Furthermore, the analysis gives rise to a questioning as to the risk of identity confusion the technological progress can create at a time when the Human is more and more depending on the machines he creates himself.
Weinstein, Lissa; Shustorovich, Ellen
Middle childhood is a pivotal time in character development during which enduring internal structures are formed. Fiction can offer insights into the cognitive and affective shifts of this developmental phase and how they are transformed in adulthood. While the success of beloved books for latency age children lies in the solutions they offer to the conflict between the pull toward independence and the pull back to the safety of childhood, the enduring stories for adults about children in their middle years can be seen as works of mourning for the relationship with the parents and the childhood self, but more importantly as attempts to transform their experience of middle childhood through the retrospective creation of a coherence that was initially absent. Thematic and structural elements distinguish two groups of stories for adults: the first appears to solve the conflicts of this period by importing adult knowledge and perspective into the narrative of childhood; the second describes the unconscious disorganizing aspects of this period, thereby offering readers a chance to reorganize their own memories, to make a coherent whole out of the fragmented, the confusing, and the unresolved.
Ando, M; Hakoda, Y
Performance superiority of the addition of features in the stimuli over the deletion on recognition (asymmetric confusability effect) has been shown in previous studies (Pezdek, Maki, Valencia-Laver, Whetstone, Stoeckert, & Dougherty, 1988; Ando & Hakoda, 1998). We investigated the same effect by using a familiar living thing (cat) as a stimulus. Ten subjects were given a recognition task using pictures of cats with feature changes (additions, deletions, or no change). Results showed that the picture with deletions were easier to recognize than those with additions, which was opposite to the previous studies. Then, we examined the possibility that performance superiority of the deletions over the additions was mediated by the factor of impression. Another group of 18 subjects was asked to rate the impression scales consisting of a "typicality-reality factor", a "stability-balance factor", and a "grotesque-disgust factor". Results showed that there was a significant difference in impression ratings for each factor between the additions and the deletions, and that impression ratings predicted recognition performance well. It was concluded that performance superiority of the deletions over the additions was mediated by the factor of impression.
Burt, Jennifer S; McFarlane, Kimberley A; Kelly, Sarah J; Humphreys, Michael S; Weatherall, Kimberlee; Burrell, Robert G
Determining brand name similarity is vital in areas of trademark registration and brand confusion. Students rated the orthographic (spelling) similarity of word pairs (Experiments 1, 2, and 4) and brand name pairs (Experiment 5). Similarity ratings were consistently higher when words shared beginnings rather than endings, whereas shared pronunciation of the stressed vowel had small and less consistent effects on ratings. In Experiment 3 a behavioral task confirmed the similarity of shared beginnings in lexical processing. Specifically, in a task requiring participants to decide whether 2 words presented in the clear (a probe and a later target) were the same or different, a masked prime word preceding the target shortened response latencies if it shared its initial 3 letters with the target. The ratings of students for word and brand name pairs were strongly predicted by metrics of orthographic similarity from the visual word identification literature based on the number of shared letters and their relative positions. The results indicate a potential use for orthographic metrics in brand name registration and trademark law. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Dhillon, Mandeep S; Patel, Sandeep; John, Rakesh
Positive results have been uniformly observed by various researchers for platelet-rich plasma (PRP) in early osteoarthritis (OA) knee in the past few years. PRP has clearly demonstrated its supremacy in comparison to hyaluronic acid (HA) and placebo in various clinical trials and is undoubtedly the best option available for symptomatic treatment in early OA. The release of growth factors from PRP occurs immediately and lasts for around three weeks and the clinical effect tends to wane down by the end of the year. Prolonged and sustained release of growth factors from platelets could possibly help in much better biological healing and sustained clinical effects. PRP in combination with biocompatible carriers could be one way of achieving this. Gelatin hydrogel PRP and chitosan PRP seem to be promising based on early in vitro studies and animal studies. PRP in combination with hyaluronic acid also seems to be additive. This article intends to discuss the present status of the PRP, confusions surrounding its use, upcoming trends and ideas for improvising PRP for use early OA knees based on available evidence. © The Authors, published by EDP Sciences, 2017.
de Liguori, Girolamo
Starting from the reading of a recent biography of the Dutch materialistic physiologist Jacopo Moleschott (1822-1893), this article proposes a brief survey of the impact, especially in Italy, of the materialistic paradigm, not only in the field of medicine and of the natural sciences, but also in that of philosophy and of literature. From the rejection and ferocious criticisms of the Jesuits, such as Padre Previti, to the harsh ironies of Tommaseo--who, in reference to the academic lessons of Moleschott, spoke of "confused Germanic blasphemy"--, the survey proceeds to a recognition of the role and influence of Moleschott's perspective in the field of medicine, in that of science, and especially in the philosophical and epistemological debate on the relation between the experimental sciences and philosophy. The survey then proceeds to touch on the classical controversy over the Chemische Briefe of Liebig (1844), the dispute with Bufalini on the new way of thinking about the relation between physiology and pathology, and the influence exerted by the Dutch physiologist on Salvatore Tommasi. The article in the end broadens to include a rapid analysis of Moleschott's contribution to the field of literature, as well as to the more complicated debate on the natural sciences and materialism, which still today presents, beyond the outdated models of positivistic scientism, well-grounded themes of interest, if not of validity.
Full Text Available A Antropologia sempre procurou entender a natureza humana e as variedades da cultura humana. Esta tarefa ambiciosa enfrentou constantemente dificuldades teóricas e metodológicas. A teoria da evolução social foi apresentada como sendo preconceituosa e baseada em poucas evidências, inclusive com uma inferência racista em uma época de dominação européia. Os antídotos - rigoroso trabalho de campo inspirado no funcionalismo, estruturalismo ou culturalismo - eram também vistos como contaminados por hierarquias de uma ordem mundial colonialista. A atenção pós-moderna a este "orientalismo" em um mundo pós-colonial produziu textos no sentido de atentar os antropólogos para estas questões, o que acarretou um declínio na produção e no entendimento antropológico. Esta conferência considera estes dilemas, os correntes debates sobre "cultura" e "sobrevivência cultural" e como antropólogos deveriam proceder nesta nova era de confusão, produzida pela globalização e pelo aparecimento do Estado-nação.
Krauß, F.; Kreter, M.; Müller, C.; Markowitz, A.; Böck, M.; Burnett, T.; Dauser, T.; Kadler, M.; Kreikenbohm, A.; Ojha, R.; Wilms, J.
PMN J1603-4904 is a likely member of the rare class of γ-ray emitting young radio galaxies. Only one other source, PKS 1718-649, has been confirmed so far. These objects, which may transition into larger radio galaxies, are a stepping stone to understanding AGN evolution. It is not completely clear how these young galaxies, seen edge-on, can produce high-energy γ rays. PMN J1603-4904 has been detected by TANAMI Very Long Baseline Interferometry (VLBI) observations and has been followed-up with multiwavelength observations. A Fermi Gamma-ray Space Telescope Large Area Telescope (Fermi-LAT) γ-ray source has been associated with this young galaxy in the LAT catalogs. We have obtained Chandra observations of the source to consider the possibility of source confusion due to the relatively large positional uncertainty of Fermi-LAT. The goal was to investigate the possibility of other X-ray bright sources in the vicinity of PMN J1603-4904 that could be counterparts to the γ-ray emission. With Chandra/ACIS, we find no other sources in the uncertainty ellipse of Fermi-LAT data, which includes an improved localization analysis of eight years of data. We further study the X-ray fluxes and spectra. We conclude that PMN J1603-4904 is indeed the second confirmed γ-ray bright young radio galaxy.
Guru, Pramod K; Ramaeker, Devon M; Jeybalan, Arundhathi; Shah, Nirav A; Bastacky, Sheldon; Liang, Kelly V
Pregnancy-related renal diseases are unique and need special attention, both for diagnosis and management. The major confounding factors for diagnosis are the physiological multiorgan changes that occur throughout the gestational period. Proper diagnosis of the renal disease is also important, given the impact of varied management options both on the maternal and fetal health. A young middle-aged female with a long-standing history of diabetes presented to the hospital with worsening proteinuria in her second trimester of pregnancy. Clinical history, examinations, and laboratory analysis did not give any clues for diagnosis of a specific disease entity. This led us to take the risk of renal biopsy for a tissue diagnosis. The odds of renal biopsy favored the management decision in her case, thereby avoiding the confusions prior to biopsy. The pathological diagnosis is a surprise though not a unique entity on its own (minimal change disease in pregnancy). The case illustrates the disparity of clinical presentations and the pathology in patients, and the importance of renal biopsy in pregnant patients in particular.
Antoine, V; Belmin, J; Blain, H; Bonin-Guillaume, S; Goldsmith, L; Guerin, O; Kergoat, M-J; Landais, P; Mahmoudi, R; Morais, J A; Rataboul, P; Saber, A; Sirvain, S; Wolfklein, G; de Wazieres, B
The Confusion Assessment Method (CAM) is a validated key tool in clinical practice and research programs to diagnose delirium and assess its severity. There is no validated French version of the CAM training manual and coding guide (Inouye SK). The aim of this study was to establish a consensual French version of the CAM and its manual. Cross-cultural adaptation to achieve equivalence between the original version and a French adapted version of the CAM manual. A rigorous process was conducted including control of cultural adequacy of the tool's components, double forward and back translations, reconciliation, expert committee review (including bilingual translators with different nationalities, a linguist, highly qualified clinicians, methodologists) and pretesting. A consensual French version of the CAM was achieved. Implementation of the CAM French version in daily clinical practice will enable optimal diagnosis of delirium diagnosis and enhance communication between health professionals in French speaking countries. Validity and psychometric properties are being tested in a French multicenter cohort, opening up new perspectives for improved quality of care and research programs in French speaking countries. Copyright © 2018 Elsevier Masson SAS. All rights reserved.
Hogan, Benedict G; Scott-Samuel, Nicholas E; Cuthill, Innes C
'Motion dazzle camouflage' is the name for the putative effects of highly conspicuous, often repetitive or complex, patterns on parameters important in prey capture, such as the perception of speed, direction and identity. Research into motion dazzle camouflage is increasing our understanding of the interactions between visual tracking, the confusion effect and defensive coloration. However, there is a paucity of research into the effects of contrast on motion dazzle camouflage: is maximal contrast a prerequisite for effectiveness? If not, this has important implications for our recognition of the phenotype and understanding of the function and mechanisms of potential motion dazzle camouflage patterns. Here we tested human participants' ability to track one moving target among many identical distractors with surface patterns designed to test the influence of these factors. In line with previous evidence, we found that targets with stripes parallel to the object direction of motion were hardest to track. However, reduction in contrast did not significantly influence this result. This finding may bring into question the utility of current definitions of motion dazzle camouflage, and means that some animal patterns, such as aposematic or mimetic stripes, may have previously unrecognized multiple functions.
Handelman, Tomer; Chor, Benny
Ancestral maximum likelihood (AML) is a phylogenetic tree reconstruction criteria that "lies between" maximum parsimony (MP) and maximum likelihood (ML). ML has long been known to be statistically consistent. On the other hand, Felsenstein (1978) showed that MP is statistically inconsistent, and even positively misleading: There are cases where the parsimony criteria, applied to data generated according to one tree topology, will be optimized on a different tree topology. The question of weather AML is statistically consistent or not has been open for a long time. Mossel et al. (2009) have shown that AML can "shrink" short tree edges, resulting in a star tree with no internal resolution, which yields a better AML score than the original (resolved) model. This result implies that AML is statistically inconsistent, but not that it is positively misleading, because the star tree is compatible with any other topology. We show that AML is confusingly misleading: For some simple, four taxa (resolved) tree, the ancestral likelihood optimization criteria is maximized on an incorrect (resolved) tree topology, as well as on a star tree (both with specific edge lengths), while the tree with the original, correct topology, has strictly lower ancestral likelihood. Interestingly, the two short edges in the incorrect, resolved tree topology are of length zero, and are not adjacent, so this resolved tree is in fact a simple path. While for MP, the underlying phenomenon can be described as long edge attraction, it turns out that here we have long edge repulsion. Copyright © 2017. Published by Elsevier Ltd.
Zirkel, Perry A.
In this issue of "Learning Disability Quarterly" (LDQ), Professors Daves and Walker reply to my earlier LDQ article on confusion in the cases and commentary about the legal dimension of RTI. In this brief rejoinder, I show that their reply confirms rather than resolves the confusion in their original commentary in 2010. This persistent…
Arguel, Amaël; Lockyer, Lori; Lipp, Ottmar V.; Lodge, Jason M.; Kennedy, Gregor
Confusion is an emotion that is likely to occur while learning complex information. This emotion can be beneficial to learners in that it can foster engagement, leading to deeper understanding. However, if learners fail to resolve confusion, its effect can be detrimental to learning. Such detrimental learning experiences are particularly…
Dong, Jianmei; Han, Fubin
With the development of mass higher education in China, confusion--a contradictory state between college students' awareness of employment, learning, morality, and their own behavior and societal requirements--is proving a ubiquitous problem among college students. His confusion has garnered much social attention. In this paper, the origins of…
Yang, Diyi; Kraut, Robert E.; Rose, Carolyn P.
Although thousands of students enroll in Massive Open Online Courses (MOOCs) for learning and self-improvement, many get confused, harming learning and increasing dropout rates. In this paper, we quantify these effects in two large MOOCs. We first describe how we automatically estimate students' confusion by looking at their clicking behavior on…
Vicknair, David; Wright, Jeffrey
Evidence of confusion in intermediate accounting textbooks regarding the annual percentage rate (APR) and annual effective rate (AER) is presented. The APR and AER are briefly discussed in the context of a note payable and correct formulas for computing each is provided. Representative examples of the types of confusion that we found is presented…
We study the anisotropies of the galactic confusion noise background and its effects on LISA data analysis. LISA has two data streams of gravitational wave signals relevant for the low frequency regime. Because of the anisotropies of the background, the matrix for their confusion noises has off-diagonal components and depends strongly on the orientation of the detector plane. We find that the sky-averaged confusion noise level √(S(f)) could change by a factor of 2 in 3 months and would be minimum when the orbital position of LISA is around either the spring or autumn equinox
Smith, S M; Tindell, D R; Pierce, B H; Gilliland, T R; Gerkens, D R
In 4 category cued recall experiments, participants falsely recalled nonlist common members, a semantic confusion error. Errors were more likely if critical nonlist words were presented on an incidental task, causing source memory failures called episodic confusion errors. Participants could better identify the source of falsely recalled words if they had deeply processed the words on the incidental task. For deep but not shallow processing, participants could reliably include or exclude incidentally shown category members in recall. The illusion that critical items actually appeared on categorized lists was diminished but not eradicated when participants identified episodic confusion errors post hoc among their own recalled responses; participants often believed that critical items had been on both the incidental task and the study list. Improved source monitoring can potentially mitigate episodic (but not semantic) confusion errors.
Been, H. D.; Fidler, M. W.; Bras, J.
The authors report two cases of vascular tumors of the spine, classified originally as benign and malignant hemangioendothelioma, and after revision, as cellular hemangioma and angioblastomatosis, respectively. Problems in interpretation of the confusing term hemangioendothelioma and treatment
.... While it is important to ensure that all persons eligible for the EIC receive it, equally important is the need to identify and deny erroneous claims, whether due to fraud, negligence, or confusion...
Root, Joseph; Oster, Natalia V; Jackson, Sara L; Mejilla, Roanne; Walker, Jan; Elmore, Joann G
Patient access to online electronic medical records (EMRs) is increasing and may offer benefits to patients. However, the inherent complexity of medicine may cause confusion. We elucidate characteristics and health behaviors of patients who report confusion after reading their doctors' notes online. We analyzed data from 4,528 patients in Boston, MA, central Pennsylvania, and Seattle, WA, who were granted online access to their primary care doctors' clinic notes and who viewed at least one note during the 1-year intervention. Three percent of patients reported confusion after reading their visit notes. These patients were more likely to be at least 70 years of age (p education (p reading visit notes (relative risk [RR] 4.83; confidence interval [CI] 3.17, 7.36) compared to patients who were not confused. In adjusted analyses, they were less likely to report feeling more in control of their health (RR 0.42; CI 0.25, 0.71), remembering their care plan (RR 0.26; CI 0.17, 0.42), and understanding their medical conditions (RR 0.32; CI 0.19, 0.54) as a result of reading their doctors' notes compared to patients who were not confused. Patients who were confused by reading their doctors' notes were less likely to report benefits in health behaviors. Understanding this small subset of patients is a critical step in reducing gaps in provider-patient communication and in efforts to tailor educational approaches for patients.
Goods, N A R; Rees, C S; Egan, S J; Kane, R T
Inferential confusion is an under-researched faulty reasoning process in obsessive-compulsive disorder (OCD). Based on an overreliance on imagined possibilities, it shares similarities with the extensively researched construct of thought-action fusion (TAF). While TAF has been proposed as a specific subset of the broader construct of magical thinking, the relationship between inferential confusion and magical thinking is unexplored. The present study investigated this relationship, and hypothesised that magical thinking would partially mediate the relationship between inferential confusion and obsessive-compulsive symptoms. A non-clinical sample of 201 participants (M = 34.94, SD = 15.88) were recruited via convenience sampling. Regression analyses found the hypothesised mediating relationship was supported, as magical thinking did partially mediate the relationship between inferential confusion and OC symptoms. Interestingly, inferential confusion had the stronger relationship with OC symptoms in comparison to the other predictor variables. Results suggest that inferential confusion can both directly and indirectly (via magical thinking) impact on OC symptoms. Future studies with clinical samples should further investigate these constructs to determine whether similar patterns emerge, as this may eventually inform which cognitive errors to target in treatment of OCD.
Regimbau, T.; Hughes, Scott A.
Increasing the sensitivity of a gravitational-wave (GW) detector improves our ability to measure the characteristics of detected sources. It also increases the number of weak signals that contribute to the data. Because GW detectors have nearly all-sky sensitivity, they can be subject to a confusion limit: Many sources which cannot be distinguished may be measured simultaneously, defining a stochastic noise floor to the sensitivity. For GW detectors operating at present and for their planned upgrades, the projected event rate is sufficiently low that we are far from the confusion-limited regime. However, some detectors currently under discussion may have large enough reach to binary inspiral that they enter the confusion-limited regime. In this paper, we examine the binary inspiral confusion limit for terrestrial detectors. We consider a broad range of inspiral rates in the literature, several planned advanced gravitational-wave detectors, and the highly advanced 'Einstein telescope' design. Though most advanced detectors will not be impacted by this limit, the Einstein telescope with a very low-frequency 'seismic wall' may be subject to confusion noise. At a minimum, careful data analysis will be require to separate signals which will appear confused. This result should be borne in mind when designing highly advanced future instruments.
Wang, M D; Reed, C M; Bilger, R C
It has been found that listeners with sensorineural hearing loss who show similar patterns of consonant confusions also tend to have similar audiometric profiles. The present study determined whether normal listeners, presented with filtered speech, would produce consonant confusions similar to those previously reported for the hearing-impaired listener. Consonant confusion matrices were obtained from eight normal-hearing subjects for four sets of CV and VC nonsense syllables presented under six high-pass and six-low pass filtering conditions. Patterns of consonant confusion for each condition were described using phonological features in sequential information analysis. Severe low-pass filtering produced consonant confusions comparable to those of listeners with high-frequency hearing loss. Severe high-pass filtering gave a result comparable to that of patients with flat or rising audiograms. And, mild filtering resulted in confusion patterns comparable to those of listeners with essentially normal hearing. An explanation in terms of the spectrum, the level of speech, and the configuration of this individual listener's audiogram is given.
Safarzadeh, Mohammadtaher; Ferguson, Henry C.; Lu, Yu; Inami, Hanae; Somerville, Rachel S.
We present a new technique for overcoming confusion noise in deep far-infrared Herschel space telescope images making use of prior information from shorter λ < 2 μm wavelengths. For the deepest images obtained by Herschel, the flux limit due to source confusion is about a factor of three brighter than the flux limit due to instrumental noise and (smooth) sky background. We have investigated the possibility of de-confusing simulated Herschel PACS 160 μm images by using strong Bayesian priors on the positions and weak priors on the flux of sources. We find the blended sources and group them together and simultaneously fit their fluxes. We derive the posterior probability distribution function of fluxes subject to these priors through Monte Carlo Markov Chain (MCMC) sampling by fitting the image. Assuming we can predict the FIR flux of sources based on the ultraviolet-optical part of their SEDs to within an order of magnitude, the simulations show that we can obtain reliable fluxes and uncertainties at least a factor of three fainter than the confusion noise limit of 3σ c = 2.7 mJy in our simulated PACS-160 image. This technique could in principle be used to mitigate the effects of source confusion in any situation where one has prior information of positions and plausible fluxes of blended sources. For Herschel, application of this technique will improve our ability to constrain the dust content in normal galaxies at high redshift
Hogan, Benedict G; Hildenbrandt, Hanno; Scott-Samuel, Nicholas E; Cuthill, Innes C; Hemelrijk, Charlotte K
The confusion effect describes the phenomenon of decreasing predator attack success with increasing prey group size. However, there is a paucity of research into the influence of this effect in coherent groups, such as flocks of European starlings ( Sturnus vulgaris ). Here, for the first time, we use a computer game style experiment to investigate the confusion effect in three dimensions. To date, computerized studies on the confusion effect have used two-dimensional simulations with simplistic prey movement and dynamics. Our experiment is the first investigation of the effects of flock size and density on the ability of a (human) predator to track and capture a target starling in a realistically simulated three-dimensional flock of starlings. In line with the predictions of the confusion effect, modelled starlings appear to be safer from predation in larger and denser flocks. This finding lends credence to previous suggestions that starling flocks have anti-predator benefits and, more generally, it suggests that active increases in density in animal groups in response to predation may increase the effectiveness of the confusion effect.
Brion, Mélanie; de Timary, Philippe; Pitel, Anne-Lise; Maurage, Pierre
Korsakoff syndrome (KS), most frequently resulting from alcohol dependence (ALC), is characterized by severe anterograde amnesia. It has been suggested that these deficits may extend to other memory components, and notably source memory deficits involved in the disorientation and temporal confusion frequently observed in KS. However, the extent of this source memory impairment in KS and its usefulness for the differential diagnosis between ALC and KS remain unexplored. Nineteen patients with KS were compared with 19 alcohol-dependent individuals and 19 controls in a source memory test exploring temporal context confusions ("continuous recognition task"). Episodic memory and psychopathological comorbidities were controlled for. While no source memory deficit was observed in ALC, KS was associated with a significant presence of temporal context confusion, even when the influence of comorbidities was taken into account. This source memory impairment did not appear to be related to performances on episodic memory or executive functions. Patients with KS displayed source memory deficits, as indexed by temporal context confusions. The absence of a relationship with episodic memory performances seems to indicate that source memory impairment is not a mere by-product of amnesia. As ALC was associated with preserved source memory, the presence of temporal context confusion may serve as a complementary tool for the differential diagnosis between ALC and KS. Copyright © 2017 by the Research Society on Alcoholism.
Nuclear safety responsibility subject seems a unquestionable issue, but when I took part in the CNNC searching team of 'nuclear law legislation', I found that there are confusions on understanding of this concept and in application. The paper focuses on the content of nuclear safety responsibility, using legal and practical method to dig out the differences with the related and frequently confusing concepts, on which basis to analyze the situation of nuclear safety responsibility subject of our nation. In conclusion, I give suggestions on who shall be the nuclear safety responsibility subject. (author)
Richard G. Erskine
Full Text Available Part 3 of a case study trilogy on early affect-confusion describes the use of therapeutic dialogue, relational presence and supportive age regression in the psychotherapy of a client who lived on a “borderline” of early affect confusion. The concepts and methods of an in-depth, integrative and relational psychotherapy include a sensitivity to the client’s physiological and emotional expressions of implicit and sub-symbolic memories, therapeutic inference, an awareness of the client’s relational-needs, the effective use of a developmental image, as well the identification of an introjected other and the use of therapeutic interposition.
Brand confusion in South African Rugby – Super 12 brands vs Currie-Cup brands? ... Through the application of marketing principles and practice, sport marketers should anticipate, manage ... 12 rugby brands and the apparent lack of differentiation from the traditional Currie Cup brands. ... AJOL African Journals Online.
Ravinder, Handanhal; Misra, Ram B.
This paper critically examines the treatment of the statistical basis for Six Sigma and process capability in popular operations management textbooks. It discusses areas of confusion and suggest ways of treating the topic that make sense to instructors as well as students. Even though Six Sigma was introduced almost 30 years ago, misconceptions…
In the wake of the Chernobyl accident the public was greatly confused by the press because units quite unknown before used and large numbers suggested danger; the meaning of limits for radionuclide concentrations in foods was also misunderstood. The present paper attempts a clarification. (G.Q.).
This article points out that the "in loco parentis" maxim is partly to blame for introducing the confusing "reasonable parent" doctrine as the test for delictual negligence of educators in the school context. It is argued that the standard of care exercised by parents over their children is not appropriate to determine the negligence of educators.…
Hawes, M. Dixie; Danhauer, Jeffrey L.
An investigation of the confusion resulting from reliance on visual perceptual teachers in the identification of dactylemes (handshapes) in the American Manual Alphabet (MA) is reported. A hierarchy of errors varying with subjects' degree of expertness in the MA is established. This can help manual communication teachers develop techniques for…
Gregory, Emma; McCloskey, Michael
Perceiving the orientation of objects is important for interacting with the world, yet little is known about the mental representation or processing of object orientation information. The tendency of humans and other species to confuse mirror images provides a potential clue. However, the appropriate characterization of this phenomenon is not…
Spears, R; Haslam, SA; Jansen, R
The category confusion paradigm (Taylor, Fiske, Etcoff & Ruderman, 1978) was used to examine the relationship between cognitive load and the extent of social categorization. The original prediction made by Taylor et al. (1978; Experiment 2) and inferences from the cognitive miser model suggest that
Ocklenburg, Sebastian; Hirnstein, Marco; Ohmann, Hanno Andreas; Hausmann, Markus
Several studies have demonstrated that women believe they are more prone to left-right confusion (LRC) than men. However, while some studies report that there is also a sex difference in LRC tasks favouring men, others report that men and women perform equally well. Recently, it was suggested that sex differences only emerge in LRC tasks when they…
Oosterloo, M.; Lammers, G.; Overeem, S.; Noord, I. de; Kooij, J.J.S.
We explored the possibility of diagnostic confusion between hypersomnias of central origin (narcolepsy and idiopathic hypersomnia, IH) and the adult form of attention-deficit/hyperactivity disorder (ADHD). We included 67 patients with narcolepsy, 7 with IH and 61 with ADHD. All patients completed
Richard G. Erskine
Full Text Available Part 2 of a case study trilogy on early affect-confusion describes the psychotherapy relationship between an angry/helpless client and the psychotherapist’s skill in balancing the “borderline” between behavioral management and affect attunement, historical inquiry and normalization, validation and shame. The therapeutic use of bifurcated questions and juxtaposition reactions is illustrated.
... 20 mg* Milk chocolate 1 ounce 6 mg* Cocoa beverage 5 ounces 4 mg* Chocolate milk beverage 8 ounces 5 mg* Cold relief medication 1 tablet 30 mg* *This is an average amount of caffeine. That means some of these products may contain a little more caffeine; some may ...
One of the special characters of public discussion on nuclear energy is the aggressivity. This writing tries to point out some arguments defending the use of nuclear energy also in the future. Although nuclear energy is very unfashionable at the moment, especially among youth, it still remains as a remarkable option to meet the increasing demand of energy. All the renewables and other production forms seem to leave a gap in the required energy supply. Some conventional forms of energy should be excluded because of the green house emission limitations. Fusion energy and other futuristic options do not seem to be near enough in the future. This means, that there still seems to be need for nuclear energy in the future. One of the topical problems in the nuclear field is the soon forthcoming collapse of experience and expertise due to the retirement of the current establishment. This urges to encourage the young generation to join and to stay in the nuclear field. As well it sets demand for public acceptance for nuclear energy among the youth. This seems to be a problem, but how to cope with it
Lindeman, Marjaana; Svedholm-Häkkinen, Annika M; Lipsanen, Jari
The current research tested the hypothesis that the abilities for understanding other people's minds give rise to the cognitive biases that underlie supernatural beliefs. We used structural equation modeling (N=2789) to determine the roles of various mentalizing tendencies, namely self-reported affective and cognitive empathy (i.e., mind reading), actual cognitive and affective empathic abilities, hyper-empathizing, and two cognitive biases (core ontological confusions and promiscuous teleology) in giving rise to supernatural beliefs. Support for a path from mentalizing abilities through cognitive biases to supernatural beliefs was weak. The relationships of mentalizing abilities with supernatural beliefs were also weak, and these relationships were not substantially mediated by cognitive biases. Core ontological confusions emerged as the best predictor, while promiscuous teleology predicted only a small proportion of variance. The results were similar for religious beliefs, paranormal beliefs, and for belief in supernatural purpose. Copyright © 2014 Elsevier B.V. All rights reserved.
Simon, J L
Lack of careful attention to the language used in the discussion of economic concepts has resulted in considerable confusion and error. 2 frequent sources of confusion include tautology and the absence of operational definitions of concepts. This paper outlines a more effective scientific practice through reference to 2 economic examples: 1) the concept of utility, where it is demonstrated that choice of an operational definition of the concept facilitates interpersonal comparisons; and 2) causality, where a multidimensional operational definition is needed to discriminate among the various meanings of the term in theoretical, empirical, and policy contexts. The paper further discusses the example of natural resource scarcity, where application of the term "finite" reveals that there is no empirical evidence of physical limits to growth in the use of resources. A more appropriate measure of scarcity is the economic concept of price.
Stensson, Patrik; Jansson, Anders
Today, autonomous is often used for technology with a more intelligent self-management capability than common automation. This concept usage is maladaptive, ignoring both the distinction between autonomy and heteronomy according to Kant's categorical imperative and that the meaning of autonomy implies qualities technology cannot have. Being autonomous is about having the right to be wrong, a right justified by accountability and insightful understanding of real-life values, and it is about being externally uncontrollable. The contemporary use of autonomy as well as similar concepts is discussed and a model is presented showing how six sources of confusion interact in a vicious circle that impede human authority and autonomy. Our goal is to sort out these confusions and contribute to a development in which the different roles of machines and people, and human responsibilities, are explicated rather than blurred, which should facilitate the forming of truly beneficial and complementary systems.
Full Text Available The Gerstmann syndrome of dyscalculia, dysgraphia, left-right confusion, and finger agnosia is generally attributed to lesions near the angular gyrus of the dominant hemisphere. A 68-year-old right-handed woman presented with sudden difficulty completing a Sudoku grid and was found to have dyscalculia, dysgraphia, and left-right confusion. Magnetic resonance imaging (MRI showed a focus of abnormal reduced diffusivity in the left posterior insula and temporoparietal operculum consistent with acute infarct. Gerstmann syndrome from an insular or peri-insular lesion has not been described in the literature previously. Pathological and functional imaging studies show connections between left posterior insular region and inferior parietal lobe. We postulate that the insula and operculum lesion disrupted key functional networks resulting in a pseudoparietal presentation.
Fiksenbaum, Lisa; Marjanovic, Zdravko; Greenglass, Esther; Garcia-Santos, Francisco
The present study tested the extent to which perceived economic hardship is associated with psychological distress (suicide ideation and confusion) after controlling for personal characteristics. It also explored whether perceived financial threat (i.e., fearful anxious-uncertainty about the stability and security of one's personal financial situation) mediates the relationship between economic hardship and psychological distress outcomes. The theoretical model was tested in a sample of Canadian students (n = 211) and was validated in a community sample of employed Portuguese adults (n = 161). In both samples, the fit of the model was good. Parameter estimates indicated that greater experience of economic hardship increased with financial threat, which in turn increased with levels of suicide ideation and confusion. We discuss the practical implications of these results, such as for programs aimed at alleviating the burden of financial hardship, in our concluding remarks.
Bhattacharyya, S; Cai, X; Klein, J P
The Gerstmann syndrome of dyscalculia, dysgraphia, left-right confusion, and finger agnosia is generally attributed to lesions near the angular gyrus of the dominant hemisphere. A 68-year-old right-handed woman presented with sudden difficulty completing a Sudoku grid and was found to have dyscalculia, dysgraphia, and left-right confusion. Magnetic resonance imaging (MRI) showed a focus of abnormal reduced diffusivity in the left posterior insula and temporoparietal operculum consistent with acute infarct. Gerstmann syndrome from an insular or peri-insular lesion has not been described in the literature previously. Pathological and functional imaging studies show connections between left posterior insular region and inferior parietal lobe. We postulate that the insula and operculum lesion disrupted key functional networks resulting in a pseudoparietal presentation.
strategies, and even tactics, were seriously flawed systemically. But the urge to categorize and clarify, after the fashion of Victorian entomologists...strategic think- ing today is a confused jumble of briefly fashionable buzzwords of uncertain authority or merit. This con- 2 fusion of ideas rests and...concep- tual subject permits. 1. Clarity in definition matters greatly. It may be fashionable and expedient to deploy fuzzy blurring descriptors like
Abraham Ivo L
Full Text Available Abstract Background Determination of a patient's cognitive status by use of a valid and reliable screening instrument is of major importance as early recognition and accurate diagnosis of delirium is necessary for effective management. This study determined the reliability, validity and diagnostic value of the Flemish translation of the NEECHAM Confusion Scale. Methods A sample of 54 elderly hip fracture patients with a mean age of 80.9 years (SD = 7.85 were included. To test the psychometric properties of the NEECHAM Confusion Scale, performance on the NEECHAM was compared to the Confusion Assessment Method (CAM and the Mini-Mental State Examination (MMSE, by using aggregated data based on 5 data collection measurement points (repeated measures. The CAM and MMSE served as gold standards. Results The alpha coefficient for the total NEECHAM score was high (0.88. Principal components analysis yielded a two-component solution accounting for 70.8% of the total variance. High correlations were found between the total NEECHAM scores and total MMSE (0.75 and total CAM severity scores (-0.73, respectively. Diagnostic values using the CAM algorithm as gold standard showed 76.9% sensitivity, 64.6% specificity, 13.5% positive and 97.5% negative predictive values, respectively. Conclusion This validation of the Flemish version of the NEECHAM Confusion Scale adds to previous evidence suggesting that this scale holds promise as a valuable screening instrument for delirium in clinical practice. Further validation studies in diverse clinical populations; however, are needed.
Full Text Available The simplest and likeliest assumption concerning the cognitive bases of absolute pitch (AP is that at its origin there is a particularly skilled function which matches the height of the perceived pitch to the verbal label of the musical tone. Since there is no difference in sound frequency resolution between AP and non-AP (NAP musicians, the hypothesis of the present study is that the failure of NAP musicians in pitch identification relies mainly in an inability to retrieve the correct verbal label to be assigned to the perceived musical note. The primary hypothesis is that, when asked to identify tones, NAP musicians confuse the verbal labels to be attached to the stimulus on the basis of their phonetic content. Data from two AP tests are reported, in which subjects had to respond in the presence or in the absence of visually presented verbal note labels (fixed Do solmization. Results show that NAP musicians confuse more frequently notes having a similar vowel in the note label. They tend to confuse e.g. a 261 Hz tone (Do more often with Sol than, e.g., with La. As a second goal, we wondered whether this effect is lateralized, i.e. whether one hemisphere is more responsible than the other in the confusion of notes with similar labels. This question was addressed by observing pitch identification during dichotic listening. Results showed that there is a right hemispheric disadvantage, in NAP but not AP musicians, in the retrieval of the verbal label to be assigned to the perceived pitch. The present results indicate that absolute pitch has strong verbal bases, at least from a cognitive point of view.
Richard G. Erskine
Full Text Available This article is a rejoinder and elaboration on the article “Early Affect-Confusion: The ‘Borderline’ Between Despair and Rage: Part 1 of a Case Study Trilogy” and addresses the distinction between personality style, pattern, and disorder. It describes the pacing of a time-limited psychotherapy, the use of phenomenological inquiry in resolving transferential enactments, and the psychological function of idealization.
Laura Virginia Gonzalez
Full Text Available An 81-year-old female patient required numerous admissions for symptoms of confusion, visual hallucinations, myoclonus and seizures, which were treated as stroke, infections and viral encephalitis with some improvement after treatment but with recurrence that caused her to be readmitted to hospital. On the last admission, she was found to have very high antithyroid antibodies and a diagnosis of Hashimoto’s encephalopathy was made, with an overwhelming response to steroids.
Griffiths, Amanda; Knight, Alec; Harwood, Rowan; Gladman, John R F
in the UK, two-thirds of patients in general hospitals are older than 70, of whom half have dementia or delirium or both. Our objective was to explore doctors, nurses and allied health professionals' perceptions of their preparation to care for confused older patients on general hospital wards. : using a quota sampling strategy across 11 medical, geriatric and orthopaedic wards in a British teaching hospital, we conducted 60 semi-structured interviews with doctors, nurses and allied healthcare professionals and analysed the data using the Consensual Qualitative Research approach. : there was consensus among participants that education, induction and in-service training left them inadequately prepared and under-confident to care for confused older patients. Many doctors reported initial assessments of confused older patients as difficult. They admitted inadequate knowledge of mental health disorders, including the diagnostic features of delirium and dementia. Handling agitation and aggression were considered top priorities for training, particularly for nurses. Multidisciplinary team meetings were highly valued but were reported as too infrequent. Participants valued specialist input but reported difficulties gaining such support. Communication with confused patients was regarded as particularly challenging, both in terms of patients making their needs known, and staff conveying information to patients. Participants reported emotional and behavioural responses including frustration, stress, empathy, avoidance and low job satisfaction. : our findings indicate that a revision of training across healthcare professions in the UK is required, and that increased specialist support should be provided, so that the workforce is properly prepared to care for older patients with cognitive problems. © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society.
Cárdenas, Micha; Greci, Laura S.; Hurst, Samantha; Garman, Karen; Hoffman, Helene; Huang, Ricky; Gates, Michael; Kho, Kristen; Mehrmand, Elle; Porteous, Todd; Calvitti, Alan; Higginbotham, Erin; Agha, Zia
Users of immersive virtual reality environments have reported a wide variety of side and after effects including the confusion of characteristics of the real and virtual worlds. Perhaps this side effect of confusing the virtual and real can be turned around to explore the possibilities for immersion with minimal technological support in virtual world group training simulations. This paper will describe observations from my time working as an artist/researcher with the UCSD School of Medicine (SoM) and Veterans Administration San Diego Healthcare System (VASDHS) to develop trainings for nurses, doctors and Hospital Incident Command staff that simulate pandemic virus outbreaks. By examining moments of slippage between realities, both into and out of the virtual environment, moments of the confusion of boundaries between real and virtual, we can better understand methods for creating immersion. I will use the mixing of realities as a transversal line of inquiry, borrowing from virtual reality studies, game studies, and anthropological studies to better understand the mechanisms of immersion in virtual worlds. Focusing on drills conducted in Second Life, I will examine moments of training to learn the software interface, moments within the drill and interviews after the drill.
Full Text Available The objective is to develop a method of defining color confusion lines in the display RGB color space through color discrimination tasks. In the experiment, reference and test square patches were presented side by side on a CRT display. The subject's task is to set the test color where the color difference from the reference is just noticeable to him/her. In a single trial, the test color was only adjustable along one of 26 directions around the reference. Thus 26 colors with just noticeable difference (JND were obtained and made up a tube-like or an ellipsoidal shape around each reference. With color-anomalous subjects, the major axes of these shapes should be parallel to color confusion lines that have a common orientation vector corresponding to one of the cone excitation axes L, M, or S. In our method, the orientation vector was determined by minimizing the sum of the squares of the distances from JND colors to each confusion line. To assess the performance the method, the orientation vectors obtained by pseudo-dichromats (color normal observers with a dichromat simulator were compared to those theoretically calculated from the color vision model used in the simulator.
Costa, Marcelo F; Goulart, Paulo R K; Barboni, Mirella T S; Ventura, Dora F
In congenital color blindness the red-green discrimination is impaired resulting in an increased confusion between those colors with yellow. Our post-receptoral physiological mechanisms are organized in two pathways for color perception, a red-green (protanopic and deuteranopic) and a blue-yellow (tritanopic). We argue that the discrimination losses in the yellow area in congenital color vision deficiency subjects could generate a subtle loss of discriminability in the tritanopic channel considering discrepancies with yellow perception. We measured color discrimination thresholds for blue and yellow of tritanopic channel in congenital color deficiency subjects. Chromaticity thresholds were measured around a white background (0.1977 u', 0.4689 v' in the CIE 1976) consisting of a blue-white and white-yellow thresholds in a tritanopic color confusion line of 21 congenital colorblindness subjects (mean age = 27.7; SD = 5.6 years; 14 deuteranomalous and 7 protanomalous) and of 82 (mean age = 25.1; SD = 3.7 years) normal color vision subjects. Significant increase in the whole tritanopic axis was found for both deuteranomalous and protanomalous subjects compared to controls for the blue-white (F 2,100 = 18.80; p color confusion axis is significantly reduced in congenital color vision deficiency compared to normal subjects. Since yellow discrimination was impaired the balance of the blue-yellow channels is impaired justifying the increased thresholds found for blue-white discrimination. The weighting toward the yellow region of the color space with the deuteranomalous contributing to that perceptual distortion is discussed in terms of physiological mechanisms.
Marcelo Fernandes Costa
Full Text Available In congenital color blindness the red-green discrimination is impaired resulting in an increased confusion between those colors with yellow. Our post-receptoral physiological mechanisms are organized in two pathways for color perception, a red-green (protanopic and deuteranopic and a blue-yellow (tritanopic. We argue that the discrimination losses in the yellow area in congenital color vision deficiency subjects could generate a subtle loss of discriminability in the tritanopic channel considering discrepancies with yellow perception. We measured color discrimination thresholds for blue and yellow of tritanopic channel in congenital color deficiency subjects. Chromaticity thresholds were measured around a white background (0.1977 u’, 0.4689 v’ in the CIE 1976 consisting of a blue-white and white-yellow thresholds in a tritanopic color confusion line of 21 congenital colorblindness subjects (mean age = 27.7; SD= 5.6 years; 14 deuteranomalous and 7 protanomalous and of 82 (mean age = 25.1; SD= 3.7 years normal color vision subjects. Significant increase in the whole tritanopic axis was found for both deuteranomalous and protanomalous subjects compared to controls for the blue-white (F2,100= 18.80; p< 0.0001 and white-yellow (F2,100= 22.10; p< 0.0001 thresholds. A Principal Component Analysis found a weighting toward to the yellow thresholds induced by deuteranomalous subjects. In conclusion, the discrimination in the tritanopic color confusion axis is significantly reduced in congenital color vision deficiency compared to normal subjects. Since yellow discrimination was impaired the balance of the blue-yellow channels is impaired justifying the increased thresholds found for blue-white discrimination. The weighting toward the yellow region of the color space with the deuteranomalous contributing to that perceptual distortion is discussed in terms of physiological mechanisms.
Full Text Available This paper presents an analysis of dream-reality confusion (DRC in relation to the characteristics of borderline personality disorder (BPD, based on research findings and theoretical considerations. It is hypothesized that people with BPD are more likely to experience DRC compared to people in non-clinical population. Several variables related to this hypothesis were identified through a theoretical analysis of the scientific literature. Sleep disturbances: Problems with sleep are found in 15-95.5% of people with BPD (Hafizi, 2013, and unstable sleep and wake cycles, which occur in BPD (Fleischer et al., 2012, are linked to DRC. Dissociation: Nearly two-thirds of people with BPD experience dissociative symptoms (Korzekwa and Pain, 2009 and dissociative symptoms are correlated with a fantasy proneness; both dissociative symptoms and fantasy proneness are related to DRC (Giesbrecht and Merckelbach, 2006. Negative dream content: People with BPD have nightmares more often than other people (Semiz et al., 2008; dreams that are more likely to be confused with reality tend to be more realistic and unpleasant, and are reflected in waking behavior (Rassin et al., 2001. Cognitive disturbances: Many BPD patients experience various cognitive disturbances, including problems with reality testing (Fiqueierdo, 2006; Mosquera et al., 2011, which can foster DRC. Thin boundaries: People with thin boundaries are more prone to DRC than people with thick boundaries, and people with BPD tend to have thin boundaries (Hartmann, 2011. The theoretical analysis on the basis of these findings suggests that people who suffer from BPD may be more susceptible to confusing dream content with actual waking events.
Yeui Seok Seo
Full Text Available Since the time of its inception within facial anatomy, wide variability in the terminology as well as the location and extent of retaining ligaments has resulted in confusion over nomenclature. Confusion over nomenclature also arises with regard to the subcutaneous ligamentous attachments, and in the anatomic location and extent described, particularly for zygomatic and masseteric ligaments. Certain historical terms—McGregor’s patch, the platysma auricular ligament, parotid cutaneous ligament, platysma auricular fascia, temporoparotid fasica (Lore’s fascia, anterior platysma-cutaneous ligament, and platysma cutaneous ligament—delineate retaining ligaments of related anatomic structures that have been conceptualized in various ways. Confusion around the masseteric cutaneous ligaments arises from inconsistencies in their reported locations in the literature because the size and location of the parotid gland varies so much, and this affects the relationship between the parotid gland and the fascia of the masseter muscle. For the zygomatic ligaments, there is disagreement over how far they extend, with descriptions varying over whether they extend medially beyond the zygomaticus minor muscle. Even the ‘main’ zygomatic ligament’s denotation may vary depending on which subcutaneous plane is used as a reference for naming it. Recent popularity in procedures using threads or injectables has required not only an accurate understanding of the nomenclature of retaining ligaments, but also of their location and extent. The authors have here summarized each retaining ligament with a survey of the different nomenclature that has been introduced by different authors within the most commonly cited published papers.
Vedantham, Harish; Udaya Shankar, N.; Subrahmanyan, Ravi
Tomography of redshifted 21 cm transition from neutral hydrogen using Fourier synthesis telescopes is a promising tool to study the Epoch of Reionization (EoR). Limiting the confusion from Galactic and extragalactic foregrounds is critical to the success of these telescopes. The instrumental response or the point-spread function (PSF) of such telescopes is inherently three dimensional with frequency mapping to the line-of-sight (LOS) distance. EoR signals will necessarily have to be detected in data where continuum confusion persists; therefore, it is important that the PSF has acceptable frequency structure so that the residual foreground does not confuse the EoR signature. This paper aims to understand the three-dimensional PSF and foreground contamination in the same framework. We develop a formalism to estimate the foreground contamination along frequency, or equivalently LOS dimension, and establish a relationship between foreground contamination in the image plane and visibility weights on the Fourier plane. We identify two dominant sources of LOS foreground contamination—'PSF contamination' and 'gridding contamination'. We show that PSF contamination is localized in LOS wavenumber space, beyond which there potentially exists an 'EoR window' with negligible foreground contamination where we may focus our efforts to detect EoR. PSF contamination in this window may be substantially reduced by judicious choice of a frequency window function. Gridding and imaging algorithms create additional gridding contamination and we propose a new imaging algorithm using the Chirp Z Transform that significantly reduces this contamination. Finally, we demonstrate the analytical relationships and the merit of the new imaging algorithm for the case of imaging with the Murchison Widefield Array.
Hogan, Benedict G; Cuthill, Innes C; Scott-Samuel, Nicholas E
The formation of groups is a common strategy to avoid predation in animals, and recent research has indicated that there may be interactions between some forms of defensive coloration, notably high-contrast 'dazzle camouflage', and one of the proposed benefits of grouping: the confusion effect. However, research into the benefits of dazzle camouflage has largely used targets moving with constant speed. This simplification may not generalize well to real animal systems, where a number of factors influence both within- and between-individual variation in speed. Departure from the speed of your neighbours in a group may be predicted to undermine the confusion effect. This is because individual speed may become a parameter through which the observer can individuate otherwise similar targets: an 'oddity effect'. However, dazzle camouflage patterns are thought to interfere with predator perception of speed and trajectory. The current experiment investigated the possibility that such patterns could ameliorate the oddity effect caused by within-group differences in prey speed. We found that variation in speed increased the ease with which participants could track targets in all conditions. However, we found no evidence that motion dazzle camouflage patterns reduced oddity effects based on this variation in speed, a result that may be informative about the mechanisms behind this form of defensive coloration. In addition, results from those conditions most similar to those of published studies replicated previous results, indicating that targets with stripes parallel to the direction of motion are harder to track, and that this pattern interacts with the confusion effect to a greater degree than background matching or orthogonal-to-motion striped patterns.
A survey of the general public in the UK, conducted in 2008, suggested that more than half of the British population are unconvinced by Darwinism. That survey, conducted by the polling company ComRes on behalf of the theological think-tank Theos, reported its full findings in March 2009 and found them to be "complex and confused." This paper argues that the confusion identified may have been partly engendered by the way in which the survey questionnaire was constructed and that the survey itself, not simply its respondents, was confused. A source of the confusion, it is argued, could be found, first, in the definitions used for the four positions of young earth creationism, theistic evolution, atheistic evolution and intelligent design. Second, a failure to define the key terms "evolution" and "science," used in some of the survey questions, resulted in responses that were difficult to interpret.
Riekki, Tapani; Lindeman, Marjaana; Lipsanen, Jari
We examined lay people's conceptions about the relationship between mind and body and their correlates. In Study 1, a web survey (N = 850) of reflective dualistic, emergentistic, and monistic perceptions of the mind-body relationship, afterlife beliefs (i.e., common sense dualism), religiosity, paranormal beliefs, and ontological confusions about physical, biological, and psychological phenomena was conducted. In Study 2 (N = 73), we examined implicit ontological confusions and their relations to afterlife beliefs, paranormal beliefs, and religiosity. Correlation and regression analyses showed that reflective dualism, afterlife beliefs, paranormal beliefs, and religiosity were strongly and positively related and that reflective dualism and afterlife beliefs mediated the relationship between ontological confusions and religious and paranormal beliefs. The results elucidate the contention that dualism is a manifestation of universal cognitive processes related to intuitions about physical, biological, and psychological phenomena by showing that especially individuals who confuse the distinctive attributes of these phenomena tend to set the mind apart from the body.
Have you been putting bullion in your soup? Is incorrect spelling starting to have a negative affect on your term papers? Do you wonder what someone is inferring when they tell you to pick up a dictionary? These are just a few of the commonly misunderstood words discussed and explained in Abused, Confused, and Misused Words, an entertaining and informative look at the ever-changing nature of the English language. An alphabetical list of words that are frequently misspelled or misused is accompanied by a style guide to usage rules that tells you how and why
Full Text Available The latest European Society of Cardiology (ESC guidelines for the diagnosis and management of heart failure include a new patient group for those with heart failure with mildly reduced ejection fraction (HFmrEF. By defining this group of patients as a separate entity, the ESC hope to encourage more research focusing on patients with HFmrEF. Previously, patients with this condition were caught between two classifications—heart failure with reduced ejection fraction and heart failure with preserved ejection fraction. Hopefully, the inclusion of new terminology will not increase confusion, but rather aid our understanding of heart failure, a complex clinical syndrome.
Sara R. D. Gamelas
Full Text Available In this work, the N-confused porphyrin 5,10,15,20-tetraphenyl-2-aza-21-carbaporphyrin (NCTPP was immobilized on neutral or cationic supports based on silica and on Merrifield resin. The new materials were characterized by appropriate techniques (UV-Vis spectroscopy, SEM, and zeta potential analysis. Piezoelectric quartz crystal gold electrodes were coated with the different hybrids and their ability to interact with heavy metals was evaluated. The preliminary results obtained showed that the new materials can be explored for metal cations detection and the modification of the material surface is a key factor in tuning the metal selectivity.
Ruuska, Salla; Hämäläinen, Wilhelmiina; Kajava, Sari; Mughal, Mikaela; Matilainen, Pekka; Mononen, Jaakko
The aim of the present study was to evaluate empirically confusion matrices in device validation. We compared the confusion matrix method to linear regression and error indices in the validation of a device measuring feeding behaviour of dairy cattle. In addition, we studied how to extract additional information on classification errors with confusion probabilities. The data consisted of 12 h behaviour measurements from five dairy cows; feeding and other behaviour were detected simultaneously with a device and from video recordings. The resulting 216 000 pairs of classifications were used to construct confusion matrices and calculate performance measures. In addition, hourly durations of each behaviour were calculated and the accuracy of measurements was evaluated with linear regression and error indices. All three validation methods agreed when the behaviour was detected very accurately or inaccurately. Otherwise, in the intermediate cases, the confusion matrix method and error indices produced relatively concordant results, but the linear regression method often disagreed with them. Our study supports the use of confusion matrix analysis in validation since it is robust to any data distribution and type of relationship, it makes a stringent evaluation of validity, and it offers extra information on the type and sources of errors. Copyright © 2018 Elsevier B.V. All rights reserved.
Goswami, Mohar; Murdoch, Alison P; Haimes, Erica
Although embryo freezing is a routine clinical practice, there is little contemporary evidence on how couples make the decision to freeze their surplus embryos, or of their perceptions during that time. This article describes a qualitative study of 16 couples who have had in vitro fertilisation (IVF) treatment. The study question was 'What are the personal and social factors that patients consider when deciding whether to freeze embryos?' We show that while the desire for a baby is the dominant drive, couples' views revealed more nuanced and complex considerations in the decision-making process. It was clear that the desire to have a baby influenced couples' decision-making and that they saw freezing as 'part of the process'. However, there were confusions associated with the term 'freezing' related to concerns about the safety of the procedure. Despite being given written information, couples were confused about the practical aspects of embryo freezing, which suggests they were preoccupied with the immediate demands of IVF. Couples expressed ethical conflicts about freezing 'babies'. We hope the findings from this study will inform clinicians and assist them in providing support to couples confronted with this difficult decision-making.
Spangler, S.R.; Cordes, J.M.; Meyers, K.A.
An attractive scheme for investigating compact structure in weak radio sources is to study the scintillation properties of confusion in a large single-dish radio telescope. We have investigated the utility of this technique by observing the scintillations of 860-MHz confusion of the NRAO 300' (91 m) telescope. Analysis of these data indicated a reduction in the mean scintillation index with decreasing flux density which implied that weaker sources possessed less compact structure. More direct observations indicated that the weak sources of interest were not significantly deficient in compact structure, so the first result is probably due to properties of the IPS process in the strong scintillation regime. Our results may be due to overresolution (by the IPS process in the strong scintillation regime) of the ''hot spots'' responsible for scintillation in most strong sources at frequencies below 1000 MHz, or may indicate abnormally strong turbulence in the solar wind during August, 1977. Future applications of this method would be best conducted at lower frequencies with larger reflectors or short-spacing interferometers
Soto-Insuga, V; López-Villanueva, L; Rodrigo, M; Mois Aroyo, I; Losada, R; Soriano-Guillén, L
Transient headache and neurological deficits with cerebrospinal fluid lymphocytic pleocytosis (Handl) syndrome is a rare condition of unknown origin that is characterized by episodes of severe headache, transient neurological deficits that recur over less than 3 months, and lymphocytic pleocytosis in CSF. We report the case of a 14 year-old girl who presented with headache and vomiting that lasted 4 days, later combined with a clinical presentation of confusion, with a decrease in the level of consciousness, aphasia, peripheral facial paralysis, ataxia and fever for 24 hours. CSF analysis showed pleocytosis (110 cells/ml) and proteinorrachia (87 mg/dl). Electroencephalogram in the acute time showed generalized slowing, and later a focal slowing in the left hemisphere. She suffered 7 episodes of migraine (severe headache and vomiting) in the following two months, remaining asymptomatic thereafter. This is the first pediatric case published in the literature that presents with an agitated and/or confused state. This condition must be considered in the differential diagnosis of patients with headache and acute altered level of consciousness, in order to avoid prolonged treatments or unnecessary invasive testing. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.
In this paper we explore the results of a large-scale online game called ‘the Great Language Game’, in which people listen to an audio speech sample and make a forced-choice guess about the identity of the language from 2 or more alternatives. The data include 15 million guesses from 400 audio recordings of 78 languages. We investigate which languages are confused for which in the game, and if this correlates with the similarities that linguists identify between languages. This includes shared lexical items, similar sound inventories and established historical relationships. Our findings are, as expected, that players are more likely to confuse two languages that are objectively more similar. We also investigate factors that may affect players’ ability to accurately select the target language, such as how many people speak the language, how often the language is mentioned in written materials and the economic power of the target language community. We see that non-linguistic factors affect players’ ability to accurately identify the target. For example, languages with wider ‘global reach’ are more often identified correctly. This suggests that both linguistic and cultural knowledge influence the perception and recognition of languages and their similarity. PMID:28379970
Full Text Available In this paper we explore the results of a large-scale online game called 'the Great Language Game', in which people listen to an audio speech sample and make a forced-choice guess about the identity of the language from 2 or more alternatives. The data include 15 million guesses from 400 audio recordings of 78 languages. We investigate which languages are confused for which in the game, and if this correlates with the similarities that linguists identify between languages. This includes shared lexical items, similar sound inventories and established historical relationships. Our findings are, as expected, that players are more likely to confuse two languages that are objectively more similar. We also investigate factors that may affect players' ability to accurately select the target language, such as how many people speak the language, how often the language is mentioned in written materials and the economic power of the target language community. We see that non-linguistic factors affect players' ability to accurately identify the target. For example, languages with wider 'global reach' are more often identified correctly. This suggests that both linguistic and cultural knowledge influence the perception and recognition of languages and their similarity.
Skirgård, Hedvig; Roberts, Seán G; Yencken, Lars
In this paper we explore the results of a large-scale online game called 'the Great Language Game', in which people listen to an audio speech sample and make a forced-choice guess about the identity of the language from 2 or more alternatives. The data include 15 million guesses from 400 audio recordings of 78 languages. We investigate which languages are confused for which in the game, and if this correlates with the similarities that linguists identify between languages. This includes shared lexical items, similar sound inventories and established historical relationships. Our findings are, as expected, that players are more likely to confuse two languages that are objectively more similar. We also investigate factors that may affect players' ability to accurately select the target language, such as how many people speak the language, how often the language is mentioned in written materials and the economic power of the target language community. We see that non-linguistic factors affect players' ability to accurately identify the target. For example, languages with wider 'global reach' are more often identified correctly. This suggests that both linguistic and cultural knowledge influence the perception and recognition of languages and their similarity.
This study was designed to know dose-response relationship and age-dependence for two types of confusion of the cerebellar cortex architecture. The first is inhibition of the laminar-pattern development, and the second is persistent remaining of granule cells in the molecular and Purkinje layer which implies disturbance of cell migration. Male B6C3F 1 mice were used. Animals were irradiated at day 0 to 6 of the postnatal age or day 17 of the prenatal age with doses ranging from 50 to 700 rad of γ-rays, and killed at 60 days of age. Confusion of architecture was analysed using microscopic photographs. Development of the laminar-pattern was inhibited by irradiation with 100 rad or higher doses at day 0 to 3. There was a distinct regional difference in inhibition of the laminar-pattern development. Remaining of granule cells was detected after irradiation with 50 or higher doses at day 0 or 2. Irradiation at day 1 to 4 was most effective to disturb cell migration, though ectopic granule cells were detected in all irradiated groups. (orig.)
Yezerski, D.; Greene, D. C.
The Confusion Range is a topographically low mountain range in the Basin and Range of west-central Utah, located east of and in the hanging wall of the Snake Range core complex. Previous workers have used a gravity sliding model to interpret the Confusion Range as a large structural trough or synclinorium (e.g. Hose, 1977). Based on existing mapping (Hose, 1965; Hintze, 1974) and new field data, we use balanced and restored cross sections to reinterpret the structure of the Confusion Range as an east-vergent fold-and-thrust belt formed during the Sevier Orogeny. The Confusion Range consists of Cambro-Ordovician through Triassic strata, with predominantly thick-bedded, competent carbonate rocks in the lower Paleozoic (lPz) section and incompetent shales and thin-bedded carbonates in the upper Paleozoic (uPz) section. The contrasting mechanical behavior of these stratigraphic sections results in faulted folds within uPz carbonates above detachments in shale-rich units, deforming in response to ramp-flat thrust faulting of the underlying lPz units. East of the axis of the Conger Mountain (Mtn) syncline, we attribute the increase in structural elevation of lPz rocks to a subsurface thrust sheet consisting of lPz strata that advanced eastward via a high-angle ramp from a lower detachment in the Kanosh Shale to an upper detachment in the Pilot Shale. The doubling of lPz strata that resulted continues through the eastern Confusion Range where a series of small-displacement thrust faults comprising the Kings Canyon thrust system gently tilt strata to the west. In the Conger Range, west of the Conger Mtn syncline, our analysis focuses on reinterpreting the geometrically unlikely folding depicted in previous cross sections as more admissible, fault-cored, asymmetric, detached folding. In our interpretation, resistance created by a steeply-dipping thrust ramp in the lPz section west of Conger Mtn resulted in folding of uPz strata into an east-vergent anticline. Continued east
Gallagher, Steven B
A United Kingdom bereavement advice group has expressed concern that hospitals in Britain may be acting "illegally" in refusing to release dead bodies to relatives unless they provide evidence that funeral arrangements have been made. In some cases, hospitals may have refused to release a body to anyone other than an undertaker. The charity argues that this behaviour constitutes the common law offence of preventing the lawful burial of a body. This article considers the confusion that may occur between this offence and interference with the right to possession of a body for lawful burial. The conclusion is that it is extremely unlikely a hospital or its employees would fall foul of the criminal law in refusing to release a dead body and may be liable in the civil courts if they release a body to someone who does not have the duty and consequent right to possession of the body for lawful burial.
A number of recent articles have appeared on the Denisova fossil remains and attempts to produce DNA sequences from them. One of these recently appeared in Science by Vernot et al. (Science 352:235-239, 2016). We would like to advance an alternative interpretation of the data presented. One concerns the problem of contamination/degradation of the determined DNA sequenced. Just as the publication of the first Neandertal sequence included an interpretation that argued that Neandertals had not contributed any genes to modern humans, the Denisovan interpretation has considerable influence on ideas regarding human evolution. The new papers, however, confuse established ideas concerning the nature of species, as well as the use of terms like premodern, Archaic Homo, and Homo heidelbergensis. Examination of these problems presents a solution by means of reinterpreting the results. Given the claims for gene transfer among a number of Mid Pleistocene hominids, it may be time to reexamine the idea of anagenesis in hominid evolution.
Sheeja T. Pullarkat
Full Text Available Myeloid sarcomas are tumor masses composed of aggregates of malignant myeloid precursors in extramedullary sites including the skin. We report a case of myeloid sarcoma in a patient who presented with an ear lobe mass and facial nerve paralysis. Expression of CD56 by the malignant cells led to an initial misdiagnosis as Merkel cell tumor. Comprehensive pathological evaluation confirmed the diagnosis of myeloid sarcoma with aberrant expression of CD56 and carrying the translocation t(8;21 (q22;q22. Aberrant antigen expression by cutaneous myeloid sarcomas can cause diagnostic confusion with other cutaneous neoplasms. This is especially relevant when myeloid sarcoma is the sole manifestation of acute myeloid leukemia.
Legendre, Claire-Marie; Charpentier-Côté, Catherine; Drouin, Régen; Bouffard, Chantal
In 1986, two Canadian geneticists had demonstrated that Joseph Merrick, better known as the Elephant Man, suffered from the Proteus syndrome and not from neurofibromatosis type 1 (NF1), as was alleged by dermatologist Parkes in 1909. Despite this and although the two diseases differ at several levels: prevalence, diagnostic criteria, clinical manifestations and transmission, the confusion between NF1 and the "elephant man's" disease continues in medical and social representations by current linguistic usage, and in some media reports. With this article, we want to 1) document the persistence and extent of this fallacy, 2) identify certain critical factors that contribute to its persistence, and 3) evaluate its impact on the health and well being of patients with NF1 and their family members. Participant observation in the course of an ethnographic study on intergenerational dialogue between individuals with neurofibromatosis and their parents - Analysis of the scientific literature and of pinpoint articles in the print and online news media. Our findings show that because physicians have little knowledge about NF1, several print and online news media and a lot of physicians continue to make the confusion between NF1 and the disease the "elephant man". This misconception contributes to misinformation about the disease, feeding prejudices against affected patients, exacerbating the negative impacts of the disease on their quality of life, their cognitive development, their reproductive choices, as well as depriving them of proper care and appropriate genetic counseling. If family physicians and pediatricians were properly informed about the disease, they could refer their patients with NF1 to NF clinics and to specialists. Thus, patients and their family members would benefit from better-tailored clinical management of their cases, perhaps even optimal management. [corrected
Full Text Available In 1986, two Canadian geneticists had demonstrated that Joseph Merrick, better known as the Elephant Man, suffered from the Proteus syndrome and not from neurofibromatosis type 1 (NF1, as was alleged by dermatologist Parkes in 1909. Despite this and although the two diseases differ at several levels: prevalence, diagnostic criteria, clinical manifestations and transmission, the confusion between NF1 and the "elephant man's" disease continues in medical and social representations by current linguistic usage, and in some media reports. With this article, we want to 1 document the persistence and extent of this fallacy, 2 identify certain critical factors that contribute to its persistence, and 3 evaluate its impact on the health and well being of patients with NF1 and their family members.Participant observation in the course of an ethnographic study on intergenerational dialogue between individuals with neurofibromatosis and their parents - Analysis of the scientific literature and of pinpoint articles in the print and online news media.Our findings show that because physicians have little knowledge about NF1, several print and online news media and a lot of physicians continue to make the confusion between NF1 and the disease the "elephant man". This misconception contributes to misinformation about the disease, feeding prejudices against affected patients, exacerbating the negative impacts of the disease on their quality of life, their cognitive development, their reproductive choices, as well as depriving them of proper care and appropriate genetic counseling.If family physicians and pediatricians were properly informed about the disease, they could refer their patients with NF1 to NF clinics and to specialists. Thus, patients and their family members would benefit from better-tailored clinical management of their cases, perhaps even optimal management. [corrected
Carabez, Rebecca; Pellegrini, Marion; Mankovitz, Andrea; Eliason, Mickey; Scott, Megan
To describe nurses confusion around trans* terminology and to provide a lesson in Trans* 101 for readers. Of the estimated 9 million persons in the United States of America who are identified as lesbian, gay, bisexual and transgender, about 950,000 (0.2-0.5% of adult population) are identified as trans* (a term that encompasses the spectrum, including transgender, transsexual, trans man, trans woman and other terms). The Institute of Medicine (2011, The health of lesbian, gay, bisexual and transgender people: Building a foundation for better understanding. The National Academies Press, Washington, DC) identified transgender persons as an understudied population with significant need for health research, yet the nursing literature contains little guidance for educating nurses on trans* issues. This is a mixed methods structured interview design with nurse key informants. The scripted interview was based on the Health Care Equality Index, which evaluates patient-centred care to lesbian, gay, bisexual and transgender patients and families. These data were part of a larger research study that explored the current state of lesbian, gay, bisexual and transgender-sensitive nursing practice. Undergraduate nursing students recruited and interviewed 268 nurse key informants about gender inclusive forms (capable of identifying trans* patients) at their agencies. Only 5% reported use of gender inclusive forms, 44% did not know about inclusive forms, 37% did not understand what a gender inclusive form was and 14% confused gender with sexual orientation. The study demonstrated a critical need for education in gender identity and sexual orientation terminology. The lack of understanding of concepts and terminology may affect basic care of lesbian, gay, bisexual and transgender patients especially those who identify as transgender. © 2015 John Wiley & Sons Ltd.
Conte-Grand, Cecilia; Britz, Ralf; Dahanukar, Neelesh; Raghavan, Rajeev; Pethiyagoda, Rohan; Tan, Heok Hui; Hadiaty, Renny K.; Yaakob, Norsham S.
Snakehead fishes of the family Channidae are predatory freshwater teleosts from Africa and Asia comprising 38 valid species. Snakeheads are important food fishes (aquaculture, live food trade) and have been introduced widely with several species becoming highly invasive. A channid barcode library was recently assembled by Serrao and co-workers to better detect and identify potential and established invasive snakehead species outside their native range. Comparing our own recent phylogenetic results of this taxonomically confusing group with those previously reported revealed several inconsistencies that prompted us to expand and improve on previous studies. By generating 343 novel snakehead coxI sequences and combining them with an additional 434 coxI sequences from GenBank we highlight several problems with previous efforts towards the assembly of a snakehead reference barcode library. We found that 16.3% of the channid coxI sequences deposited in GenBank are based on misidentifications. With the inclusion of our own data we were, however, able to solve these cases of perpetuated taxonomic confusion. Different species delimitation approaches we employed (BIN, GMYC, and PTP) were congruent in suggesting a potentially much higher species diversity within snakeheads than currently recognized. In total, 90 BINs were recovered and within a total of 15 currently recognized species multiple BINs were identified. This higher species diversity is mostly due to either the incorporation of undescribed, narrow range, endemics from the Eastern Himalaya biodiversity hotspot or the incorporation of several widespread species characterized by deep genetic splits between geographically well-defined lineages. In the latter case, over-lumping in the past has deflated the actual species numbers. Further integrative approaches are clearly needed for providing a better taxonomic understanding of snakehead diversity, new species descriptions and taxonomic revisions of the group. PMID
Informal caregivers and detection of delirium in postacute care: a correlational study of the confusion assessment method (CAM), confusion assessment method-family assessment method (CAM-FAM) and DSM-IV criteria.
Flanagan, Nina M; Spencer, Gale
Delirium is a common, serious and potentially life-threatening syndrome affecting older adults. This syndrome continues to be under-recognised and under treated by healthcare professionals across all care settings. Older adults who develop delirium have poorer outcomes, higher mortality and higher care costs. The purposes of this study were to correlate the confusion assessment method-family assessment method and confusion assessment method in the detection of delirium in postacute care, to correlate the confusion assessment method-family assessment method and diagnostic and statistical manual of mental disorders text revision criteria in detection of delirium in postacute care, to determine the prevalence of delirium in postacute care elders and to describe the relationship of level of cognitive impairment and delirium in the postacute care setting. Implications for Practice Delirium is disturbing for patients and caregivers. Frequently . family members want to provide information about their loved one. The use of the CAM-FAM and CAM can give a more definitive determination of baseline status. Frequent observations using both instruments may lead to better recognition of delirium and implementation of interventions to prevent lasting sequelae. Descriptive studies determined the strengths of relationship between the confusion assessment method, confusion assessment method-family assessment method, Mini-Cog and diagnostic and statistical manual of mental disorders text revision criteria in detection of delirium in the postacute care setting. Prevalence of delirium in this study was 35%. The confusion assessment method-family assessment method highly correlates with the confusion assessment method and diagnostic and statistical manual of mental disorders text revision criteria for detecting delirium in older adults in the postacute care setting. Persons with cognitive impairment are more likely to develop delirium. Family members recognise symptoms of delirium when
Sharif, Saeed Pahlevan; Khanekharab, Jasmine
This study investigates the mediating role of identity confusion and materialism in the relationship between social networking site (SNS) excessive usage and online compulsive buying among young adults. A total of 501 SNS users aged 17 to 23 years (M = 19.68, SD = 1.65) completed an online survey questionnaire. A serial multiple mediator model was developed and hypotheses were tested using structural equation modeling. The results showed that excessive young adult SNS users had a higher tendency toward compulsive buying online. This was partly because they experienced higher identity confusion and developed higher levels of materialism. Targeted psychological interventions seeking to gradually increase identity clarity to buffer the detrimental effects of SNS usage and identity confusion in young adults are suggested.
Sripothongnak, Saovalak; Ziegler, Christopher J; Dahlby, Michael R; Nemykin, Victor N
Nickel N-confused tetraphenylporphyrin, 1, and nickel 2-N-methyl-N-confused tetraphenylporphyrin, 1-Me, exhibit unusual sign-reversed (positive-to-negative intensities in ascending energy) MCD spectra in the Q-type band region, suggesting a rare ΔHOMO ΔLUMO combination characteristic for the meso-(tetraaryl)porphyrins. DFT, time-dependent DFT, and semiempirical ZINDO/S calculations on 1, 1-Me, and 1(-) confirm the experimental finding and successfully explain the MCD pattern in the target compounds. © 2011 American Chemical Society
Rudowicz, Czesław, E-mail: email@example.com [Institute of Physics, West Pomeranian University of Technology, Al. Piastów 17, 70-310 Szczecin (Poland); Karbowiak, Mirosław [Faculty of Chemistry, University of Wrocław, ul. F. Joliot-Curie 14, 50-383 Wrocław (Poland)
The single transition ions in various crystals or molecules as well as the exchange coupled systems (ECS) of transition ions, especially the single molecule magnets (SMM) or molecular nanomagnets (MNM), have been extensively studied in recent decades using electron magnetic resonance (EMR), optical spectroscopy, and magnetic measurements. Interpretation of magnetic and spectroscopic properties of transition ions is based on two physically distinct types of Hamiltonians: the physical crystal field (CF), or equivalently ligand field (LF), Hamiltonians and the effective spin Hamiltonians (SH), which include the zero-field splitting (ZFS) Hamiltonians. Survey of recent literature has revealed a number of terminological confusions and specific problems occurring at the interface between these Hamiltonians (denoted CF (LF)↔SH (ZFS)). Elucidation of sloppy or incorrect usage of crucial notions, especially those describing or parameterizing crystal fields and zero field splittings, is a very challenging task that requires several reviews. Here we focus on the prevailing confusion between the CF (LF) and SH (ZFS) quantities, denoted as the CF=ZFS confusion, which consists in referring to the parameters (or Hamiltonians), which are the true ZFS (or SH) quantities, as purportedly the CF (LF) quantities. The inverse ZFS=CF confusion, which pertains to the cases of labeling the true CF (LF) quantities as purportedly the ZFS quantities, is considered in a follow-up paper. The two reviews prepare grounds for a systematization of nomenclature aimed at bringing order to the zoo of different Hamiltonians. Specific cases of the CF=ZFS confusion identified in the recent textbooks, review articles, and SMM (MNM)- and EMR-related papers are surveyed and the pertinent misconceptions are outlined. The consequences of the terminological confusions go far beyond simple semantic issues or misleading keyword classifications of papers in journals and scientific databases. Serious
Svedholm, Annika M; Lindeman, Marjaana
Intuitive thinking is known to predict paranormal beliefs, but the processes underlying this relationship, and the role of other thinking dispositions, have remained unclear. Study 1 showed that while an intuitive style increased and a reflective disposition counteracted paranormal beliefs, the ontological confusions suggested to underlie paranormal beliefs were predicted by individual differences in involuntary inhibitory processes. When the reasoning system was subjected to cognitive load, the ontological confusions increased, lost their relationship with paranormal beliefs, and their relationship with weaker inhibition was strongly accentuated. These findings support the argument that the confusions are mainly intuitive and that they therefore are most discernible under conditions in which inhibition is impaired, that is, when thinking is dominated by intuitive processing. Study 2 replicated the findings on intuitive and reflective thinking and paranormal beliefs. In Study 2, ontological confusions were also related to the same thinking styles as paranormal beliefs. The results support a model in which both intuitive and non-reflective thinking styles and involuntary inhibitory processes give way to embracing culturally acquired paranormal beliefs. ©2012 The British Psychological Society.
Kyllingsbaek, Soren; Markussen, Bo; Bundesen, Claus
The authors propose and test a simple model of the time course of visual identification of briefly presented, mutually confusable single stimuli in pure accuracy tasks. The model implies that during stimulus analysis, tentative categorizations that stimulus i belongs to category j are made at a constant Poisson rate, v(i, j). The analysis is…
Patrick H. Brose; Thomas A. Waldrop
The existing fire-oak literature is contradictory on whether fire helps or hinders the oak regeneration process. This confusion occurs because the fire-oak studies have been conducted under a wide variety of conditions. In this paper, we review the fire-oak literature by stand age class, season of burn, and number of burns to identify commonalities and trends. Overall...
Bireta, Tamra J; Fine, Hope C; Vanwormer, Lisa A
The effects of acoustic confusion (phonological similarity), word length, and concurrent articulation (articulatory suppression) are cited as support for Working Memory's phonological loop component (e.g., Baddeley, 2000 , Psychonomic Bulletin and Review, 7, 544). Research has focused on younger adults, with no studies examining whether concurrent articulation reduces the word length and acoustic confusion effects among older adults. In the current study, younger and older adults were given lists of similar and dissimilar letters (Experiment 1) or long and short words (Experiment 2) for immediate serial reconstruction of order. Items were presented visually or auditorily, with or without concurrent articulation. As expected, younger and older adults demonstrated effects of acoustic confusion, word length, and concurrent articulation. Further, concurrent articulation reduced the effects of acoustic confusion and word length equally for younger and older adults. This suggests that age-related differences occur in overall performance, but do not reflect an age-related deficiency in the functioning of the phonological loop component of working memory.
S. Verrill; D. Kretschmann
It is generally accepted that there should be an upward repetitive member allowable property adjustment. ASTM D245 (2011c) and ASTM D1990 (2011b) specify a 1.15 factor for allowable bending stress. This factor is also listed in ASTM D6555 (2011a, Table 1). In this technical note, sources of confusion regarding appropriate repetitive member factors are identified. This...
Full Text Available This article provides four responses from senior psychotherapists and supervisors to Erskine’s articleRelational Healing of Early Affect-Confusion. The authors approach the third part of case study trilogy from their particular perspective and provide both challenge and respect for the author’s work.
Riekki, Tapani; Lindeman, Marjaana; Lipsanen, Jari
We examined lay people’s conceptions about the relationship between mind and body and their correlates. In Study 1, a web survey (N = 850) of reflective dualistic, emergentistic, and monistic perceptions of the mind-body relationship, afterlife beliefs (i.e., common sense dualism), religiosity, paranormal beliefs, and ontological confusions about physical, biological, and psychological phenomena was conducted. In Study 2 (N = 73), we examined implicit ontological confusions and their relations to afterlife beliefs, paranormal beliefs, and religiosity. Correlation and regression analyses showed that reflective dualism, afterlife beliefs, paranormal beliefs, and religiosity were strongly and positively related and that reflective dualism and afterlife beliefs mediated the relationship between ontological confusions and religious and paranormal beliefs. The results elucidate the contention that dualism is a manifestation of universal cognitive processes related to intuitions about physical, biological, and psychological phenomena by showing that especially individuals who confuse the distinctive attributes of these phenomena tend to set the mind apart from the body. PMID:25247011
Petitto, Laura Ann; Holowka, Siobhan
Examines whether early simultaneous bilingual language exposure causes children to be language delayed or confused. Cites research suggesting normal and parallel linguistic development occurs in each language in young children and young children's dual language developments are similar to monolingual language acquisition. Research on simultaneous…
Skillicorn, C J
To investigate the use of the terms "proximal" and "distal", and what respondents think the terms mean, when applied to certain structures within the trunk, notably the veins and the biliary tract. Fifty-three respondents were interviewed using simplified anatomical diagrams. Respondents were asked what terms they would use to describe sites at opposite ends of the superior vena cava (SVC), internal jugular vein (IJV), common bile duct (CBD), and pancreatic duct. They were also asked which end of each of these structures they would think was being referred to if they read a radiological report that used these terms. The terms "proximal" and "distal" were used by at least 50% of all respondents, and, specifically, at least 60% of radiologists at all four anatomical sites. Eighty-five percent (n=45) of all respondents and 100% (n=24) of radiologists agreed that the term "proximal" CBD referred to its superior end. However, at the other sites there was marked disagreement, 67% (n=16) of radiologists thought the superior SVC and superior IJV were "proximal", 33% (n=8) thought they were "distal". There was a 54% (n=13) to 46% (n=11) split amongst radiologists as to which end of the pancreatic duct was "proximal". The terms "proximal" and "distal" are the most frequently used terms to describe positions in veins and the biliary system, but there is widespread confusion about their meaning, which could lead to medical error and ultimately patient harm. The use of alternative terms is advised.
Full Text Available Two myths persist concerning the role played by Charles Darwin as a geologist in Africa during his epic voyage around the world (1831–1836. The first myth is that Darwin was a completely self-taught geologist, with no formal training. The second myth is that it was Darwin who finally solved the problem of the granite–schist contact at the famous Sea Point coastal exposures in Cape Town, after deliberately setting out to prove his predecessors wrong. These myths are challenged by the now ample evidence that Darwin had excellent help in his geological education from the likes of Robert Jameson, John Henslow and Adam Sedgwick. The story of Darwin and his predecessors at the Sea Point granite contact has become confused, and even conflated, with previous descriptions by Basil Hall (1813 and Clark Abel (1818. Here, the historical record is unravelled and set straight, and it is shown from the evidence of his notebooks that Darwin was quite unaware of the outcrops in Cape Town. His erudite account of the contact was a result of the 8 years spent in writing and correspondence after his return to England and not because of his brilliant insights on the outcrop, as the myth would have it. While there has been little to indicate Darwin’s landfalls in Africa, a new plaque now explains the geology of the Sea Point Contact, and includes a drawing of Darwin’s ship, the Beagle, and quotes from his work.
Green, J A
The purposes and applications of informed consent are the subject of confusion and controversy according to a President's Commission report. The Commission suggests shared decision making as the new ideal for physician-patient relationships, but notes that such a changed ideal will not be initiated by court action. The four models of decision making are the traditional model, informed consent, collaboration, and patient choice. Misunderstandings about these and other terms arise when they are implied; therefore, they should be defined expressly. Mutual expectations should be ascertained and common misunderstandings that erode relationships and lead to litigation should be clarified. Without agreements, different models may be selected and expectations about responsibility may differ. Such agreements may be documented by notes in patients' charts, supported by intake procedures that teach patients about defining responsibility, and questionnaires that elicit values, needs, and preferences. The literature on the evolution of contract principles in health care is reviewed, with informed consent viewed as a judicial stepping stone from tort to contract. A framework for defining mutual expectations is presented. Physicians' patterns of allocating responsibility by express and implied agreements should be evaluated and changes made where needed.
The author hypothesizes that the papers Freud wrote in the period 1934-9 constitute a final turning point in his work resulting from an attempt to work through, by means of self-analysis, early traumatic elements reactivated by the conditions of his life in the 1930s. The author emphasizes that the ups and downs of Freud's relationship with Sándor Ferenczi and the mourning which followed his death in 1933 played an important role in this traumatic situation. He suggests that through these last works, Freud pursued a posthumous dialogue with Ferenczi. This working through led Freud, in Moses and monotheism, to an ultimate revision of his theory of trauma, a revision which the author examines in full, in the light of the works of the Egyptologist, Jan Assmann. A new analytical paradigm emerges: that of constructions in analysis developed in the article of the same name. The activity of construction appears as an alternative to the mutual analysis proposed by Ferenczi and is closely bound up with the notion of historical truth. In psychoanalysis, it would mean constructing a historical truth whose anchoring in the material truth of the past is essential, though it should not be confused with it.
Somashekhar V. Hiremath
Full Text Available BACKGROUND Benign Breast diseases are of unknown aetiology, they could be inflammatory or non-inflammatory disorders of breast disease. Among these, NIBBD is a most confusing surgical disorder, diagnosis should be made at least after three assessments. AIM To evaluate the prevalence of NIBBD. Clinical analysis of NIBBD in women and reproductive age group between 20-40 years. To prevent radical breast surgery in NIBBD. To know about benign breast lesions in males excluding gynaecomastia. MATERIALS AND METHODS A clinicopathological study of NIBBD was taken in KIMS Hospital, Hubli, a tertiary care government hospital between June 2014 to June 2015. A total of 56 cases were selected of which 51 cases were submitted for clinicopathological study. RESULTS Increase incidents of fibroadenoma in females, in young age group, is noticed due to early menarche, early marriage, multiparity, fibrocystic diseases involvement at the age of 35 years, usually appear on either side of the breast. Moderate loss of glandular tissue is accelerated and replaced by connective tissue, hence fibrocystic diseases appear at late age group. Gynaecomastia is the only NIBBD, seen unilaterally in males. CONCLUSION NIBBD is more common in childbearing age group i.e. 15 to 45 years of age. Triple assessment is the choice of diagnosis, imaging modality being USG of the breast and mammography in suspected cases of malignancy. Most of the patients require surgical intervention and remodelling of the Breast, according to the volume loss of breast tissue.
We have analysed control region (mitochondrial non coding DNA of gudgeon populations from all larger river drainages from the west Aegean region (Pinios to Marica basins. Included were also several populations from surrounding areas of the Danube River drainage and from the Black Sea rivers. The results are not at all congruent with the proposed taxonomy. MtDNA haplotypes of Romonagobio banarescui were found not only in the Vardar, but also in the lower Aliakmon River. Haplotypes of Romanogibo elimeus were found in the Pinios, upper Aliakmon and Loudias rivers. Situation of genus Gobio is completely confusing; there is no geographic structure in the distribution of haplotypes. Many different haplogroups are shared in some basins, especially in the drainages of the Struma, Mesta and Marica rivers. This indicates complicated evolutionary history of gudgeons in the region, probably having several historical refugia, and with multiple recent contacts of lineages. Our data indicate a contact between the Danubian, Black Sea and Aegean rivers. The taxonomic status of most of the populations of Gobio from the west Aegean area remains unclear.
Jones, Jenny; Strube, Petra; Mitchell, Marion; Henderson, Amanda
Compassion, understood as empathy for another who is experiencing physical, mental, emotional and/or spiritual suffering, is an essential element of our shared understandings of nursing and the constitution of the professional nurse. Theoretical foundation: Charles Taylor account of ethics which concerns 'what or who is it good to be' rather than the predominant analytical moral philosophy approach which concentrates on 'what ought one to do' is the core concern of this discussion. An ontological appreciation of our shared human condition is the premise upon which the discussion is based. This article proposes that concept by opening a dialogical space, nurses can engage in reflection and sense making wherein they explore individually and collectively the conflicts and confusions encountered in their day-to-day work. Through their dialogues, nurses - individually and collectively - orient and reorient themselves and each other towards what they see as meaningful and purposeful in their lives and in doing so they are well positioned to reaffirm their commitment to compassion as a value which both anchors and orients their day-to-day work. The provision of opportunities in the workplace, in the form of dialogue, to articulate often unspoken assumptions and frameworks in which nursing work is carried out can not only initiate the building of pathways of support but also assist nurses reaffirm their compassion - arguably the essence of their nursing practice.
E. H. (Dineke Smit
Full Text Available The average primary care psychologist feels an ever-widening gap between objective, measurable reality as described and the complex and dynamic reality they experience. To obtain a better understanding of this complex dynamic reality, we conducted an exploratory mixed-method study of primary care psychologists. We asked our participants to write vignettes about messy and confusing problems in the complex context of mental healthcare. We then examined the data in portions, exposed the patterns in the data, and subsequently analysed all in conjunction. The 113 vignettes showed experiences of psychologists dealing not only with the patient, but also with the family of the patient and/or employers, working together with other healthcare professionals, struggling with dilemmas and having mixed feelings. However, using the Cynafin Framework, 36% of the vignettes were still rated as simple. Was it because those vignettes contained fewer words (p = .006? Or because it is difficult to grasp complexity when cause and effect are intertwined with emotions, norms and values? In the discussion, we suggest examining a complex dynamic system in terms of both the consistency of its various elements and the dynamics of the system. We also discuss how to optimize the system’s adaptive self-organizing ability and how to challenge ourselves to invent negative feedback loops that can keep the complex system in equilibrium.
Full Text Available Automatic urban objects extraction from airborne remote sensing data is essential to process and efficiently interpret the vast amount of airborne imagery and Lidar data available today. The aim of this study is to propose a new approach for the integration of high-resolution aerial imagery and Lidar data to improve the accuracy of classification in the city complications. In the proposed method, first, the classification of each data is separately performed using Support Vector Machine algorithm. In this case, extracted Normalized Digital Surface Model (nDSM and pulse intensity are used in classification of LiDAR data, and three spectral visible bands (Red, Green, Blue are considered as feature vector for the orthoimage classification. Moreover, combining the extracted features of the image and Lidar data another classification is also performed using all the features. The outputs of these classifications are integrated in a decision level fusion system according to the their confusion matrices to find the final classification result. The proposed method was evaluated using an urban area of Zeebruges, Belgium. The obtained results represented several advantages of image fusion with respect to a single shot dataset. With the capabilities of the proposed decision level fusion method, most of the object extraction difficulties and uncertainty were decreased and, the overall accuracy and the kappa values were improved 7% and 10%, respectively.
Chiranthi Kongala Liyanage
Full Text Available Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis (SREAT is a diagnostic conundrum as it may present with a myriad of nonspecific clinical features and laboratory and neuroimaging investigations are not diagnostic. We report a case of a 65-year-old female who presented with an acute febrile illness associated with headache and confusion, tangential thoughts, and loose association. Based on neutrophil leukocytosis in the full blood count and elevated inflammatory markers, she was commenced on empirical intravenous antibiotics suspecting meningoencephalitis. Further evaluation found a very high titer of both anti-thyroid peroxidase (anti-TPO antibodies and anti-thyroid globulin antibodies. She was clinically and biochemically euthyroid. EEG showed right sided frontal intermittent rhythmic delta activity (FIRDA. Cranial MRI revealed age related cerebral atrophy and nonspecific periventricular white matter changes. A diagnosis of SREAT was made and she was treated with intravenous methylprednisolone followed by oral prednisolone. Her condition improved dramatically within 48 hours of starting steroids. SREAT is a diagnosis of exclusion in patients with a central nervous system disorder. There are no specific clinical features or investigative findings. Elevated anti-TPO antibodies are considered a hallmark of SREAT and steroid responsiveness supports the diagnosis. Prompt diagnosis and treatment reverses the neurological dysfunction in most cases.
Aim: To investigate the use of the terms 'proximal' and 'distal', and what respondents think the terms mean, when applied to certain structures within the trunk, notably the veins and the biliary tract. Materials and Methods: Fifty-three respondents were interviewed using simplified anatomical diagrams. Respondents were asked what terms they would use to describe sites at opposite ends of the superior vena cava (SVC), internal jugular vein (IJV), common bile duct (CBD), and pancreatic duct. They were also asked which end of each of these structures they would think was being referred to if they read a radiological report that used these terms. Results: The terms 'proximal' and 'distal' were used by at least 50% of all respondents, and, specifically, at least 60% of radiologists at all four anatomical sites. Eighty-five percent (n = 45) of all respondents and 100% (n = 24) of radiologists agreed that the term 'proximal' CBD referred to its superior end. However, at the other sites there was marked disagreement, 67% (n = 16) of radiologists thought the superior SVC and superior IJV were 'proximal', 33% (n = 8) thought they were 'distal'. There was a 54% (n = 13) to 46% (n = 11) split amongst radiologists as to which end of the pancreatic duct was 'proximal'. Conclusion: The terms 'proximal' and 'distal' are the most frequently used terms to describe positions in veins and the biliary system, but there is widespread confusion about their meaning, which could lead to medical error and ultimately patient harm. The use of alternative terms is advised
Full Text Available Larry E Miller,1 Roy D Altman,2 Louis F McIntyre3 1Miller Scientific Consulting, Inc., Asheville, NC, 2Department of Rheumatology, University of California Los Angeles, Los Angeles, CA, 3Northwell Physician Partners, Sleepy Hollow, NY, USA Abstract: Hyaluronic acid (HA is a commonly prescribed treatment for knee pain resulting from osteoarthritis (OA. Although numerous HA products have been approved for use by the US Food and Drug Administration, the efficacy of HA injections for knee OA remains disputed with meta-analyses and societal clinical guidelines drawing disparate conclusions. The American Academy of Orthopaedic Surgeons (AAOS recently published a best-evidence systematic review and concluded that available data did not support the routine use of HA for knee OA. The purpose of the current article is to highlight issues that confound interpretation of meta-analyses on HA for knee OA, to provide realistic estimates of the true efficacy of HA injections in knee OA, and to provide commentary on the methods and conclusions from the AAOS systematic review. In general, the clinical benefit of HA is underestimated using conventional meta-analytic techniques. When accounting for differential control group effects in HA studies, it can be reasonably concluded that HA injections may be beneficial to an appreciable number of patients with knee OA. In addition, the systematic review methodology used by AAOS was questionable due to exclusion of numerous relevant studies and inclusion of studies that used HAs not approved for use in the US, both of which underestimated the true efficacy of HA injections. Overall, the efficacy of HA injections for knee OA is likely better than previously reported. Future clinical trials and meta-analyses should account for differential control group effects in order to avoid the continued confusion surrounding HA injection efficacy. Keywords: effect size, hyaluronic acid, injection, knee, minimal important difference
Giberson, Brandon; Uber, Amy; F Gaieski, David; Miller, Joseph B; Wira, Charles; Berg, Katherine; Giberson, Tyler; Cocchi, Michael N; S Abella, Benjamin; Donnino, Michael W
Health care providers nationwide are routinely trained in Advanced Cardiac Life Support (ACLS), an American Heart Association program that teaches cardiac arrest management. Recent changes in the ACLS approach have de-emphasized routine pulse checks in an effort to promote uninterrupted chest compressions. We hypothesized that this new ACLS algorithm may lead to uncertainty regarding the appropriate action following detection of a pulse during a cardiac arrest. We conducted an observational study in which a Web-based survey was sent to ACLS-trained medical providers at 4 major urban tertiary care centers in the United States. The survey consisted of 5 multiple-choice, scenario-based ACLS questions, including our question of interest. Adult staff members with a valid ACLS certification were included. A total of 347 surveys were analyzed. The response rate was 28.1%. The majority (53.6%) of responders were between 18 and 32 years old, and 59.9% were female. The majority (54.2%) of responders incorrectly stated that they would continue CPR and possibly administer additional therapies when a team member detects a pulse immediately following defibrillation. Secondarily, only 51.9% of respondents correctly chose to perform a rhythm check following 2 minutes of CPR. The other 3 survey questions were correctly answered an average of 89.1% of the time. Confusion exists regarding whether or not CPR and cardiac medications should be continued in the presence of a pulse. Education may be warranted to emphasize avoiding compressions and medications when a palpable pulse is detected. © The Author(s) 2014.
Netting, Merryn J; Allen, Katrina J
Early feeding plays an important role in programming the immune system, particularly the risk of food allergy. There are many infant feeding guides published for consumers available in Australia, with most based on the National Health and Medical Research Council (NHMRC) 2012 Infant Feeding Guidelines for Health Workers and the Australasian Society of Clinical Immunology and Allergy (ASCIA) Infant Feeding Advice for allergy prevention. We sought to compare allergy-specific content of infant feeding educational material written for parents with these two documents. Australian websites of children's hospitals, early child health organisations and consumer groups providing information about diet during pregnancy, breastfeeding and early infancy were compared with NHMRC and ASCIA guidelines. Twenty-five sets of infant feeding information were identified. Food allergy was discussed in 18 resources. Recommended length of exclusive breastfeeding and timing of commencing solid foods was consistently around 6 months, with some variation in wording. Advice regarding to include and not delay introduction of common allergens into babies' diets was generally consistent with NHMRC and ASCIA recommendations, however the audit identified some resources that still recommended delayed introduction of common allergens. As consumers have access to a plethora of health information it is imperative that information about infant feeding from health-care authorities is simple, evidence-based and consistent to avoid confusion. Use of consensus wording related to infant feeding guidelines to prevent allergies will provide clear messages related to the timing of introduction to solid foods and inclusion of allergens in the early diet. © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Erozgen, Fazilet; Ersoy, Yeliz E; Akaydin, Murat; Memmi, Naim; Celik, Aysun Simsek; Celebi, Fatih; Guzey, Deniz; Kaplan, Rafet
Idiopathic granulomatous mastitis (IGM) is an uncommon chronic inflammatory lesion of the breast with an uncertain optimal treatment regimen, the physical examination, and radiologic features of which may be confused with breast carcinoma. In this study, we aimed to describe the clinicopathologic characteristics of 33 patients who admitted to our breast policlinic and took the diagnosis of granulomatous (idiopathic and non-idiopathic) mastitis, and report the place of corticosteroids and the timing of surgery in the treatment of patients with IGM. The clinical features of 33 patients who presented to our breast policlinic with the complaint of breast mass and reached the final diagnosis of GM between March 2005 and October 2009 were reported. The most common symptoms were mass (n: 27) and pain (n: 11). Ultrasonography (USG) and biopsy were performed in all of the patients. Mammography (MMG) was performed in 9, and magnetic resonance imaging (MRI) in 10 patients. The diagnosis of idiopathic lobular granulomatous mastitis (ILGM) was made in 25 patients and tuberculous mastitis (non-idiopathic GM) in the remaining 8 patients. Twenty-four patients received steroid treatment except one who was pregnant. After giving birth, she also received steroids. One of the patients who developed recurrence after 11 months repeated the steroid therapy. Eight patients with tuberculous mastitis were placed on a regimen of antituberculosis therapy for 6 months. In the diagnosis of IGM, physical examination, USG, MMG, and even MRI alone may sometimes not be enough. They should be discussed altogether and the treatment should begin after definitive histopathologic result. Fine needle aspiration biopsy for cytology will result in a high level of diagnostic accuracy, however, core biopsy will reinforce the exact result. Corticosteroid therapy has been shown to be efficacious for IGM, but in the existence of complications such as abscess formation, fistulae, and persistent wound infection
Full Text Available Neste trabalho discutimos as ideias de confusão de línguas, de trauma e de hospitalidade no campo psicanalítico. Para Ferenczi, a relação adulto-criança é marcada por uma confusão decorrente de uma diferença de línguas, de forma que muitas vezes um não entende o outro. Nesse contexto, é possível a emergência do trauma patogênico. A experiência analítica, ao invés de levar o acontecimento traumático a domínios psíquicos melhores, pode reproduzir e até agravar o que foi vivido como catastrófico na infância. Neste sentido, o princípio de hospitalidade na clínica analítica é de suma importância para se evitar uma possível reprodução do trauma entre analista e analisando. Neste artigo utilizamos como referência principal a obra de Sándor Ferenczi, estabelecendo relações em alguns pontos com textos de Jacques Derrida e de Walter Benjamin, que discutem a origem da confusão de línguas e o problema da possibilidade da tradução.
Full Text Available Background: It has been estimated that 10,000 patient injuries occur in the US annually due to confusion involving drug names. An unexplored source of patient misunderstandings may be medication salt forms. Objective: The objective of this study was to assess patient knowledge and comprehension regarding the salt forms of medications as a potential source of medication errors. Methods: A 12 item questionnaire which assessed patient knowledge of medication names on prescription labels was administered to a convenience sample of patients presenting to a family practice clinic. Descriptive statistics were calculated and multivariate analyses were performed. Results: There were 308 responses. Overall, 41% of patients agreed they find their medication names confusing. Participants correctly answered to salt form questions between 12.1% and 56.9% of the time. Taking more prescription medications and higher education level were positively associated with providing more correct answers to 3 medication salt form knowledge questions, while age was negatively associated. Conclusions: Patient misconceptions about medication salt forms are common. These findings support recommendations to standardize the inclusion or exclusion of salt forms. Increasing patient education is another possible approach to reducing confusion.
Bertrand H Lemasson
Full Text Available Social animals are capable of enhancing their awareness by paying attention to their neighbors, and prey found in groups can also confuse their predators. Both sides of these sensory benefits have long been appreciated, yet less is known of how the perception of events from the perspectives of both prey and predator can interact to influence their encounters. Here we examined how a visual sensory mechanism impacts the collective motion of prey and, subsequently, how their resulting movements influenced predator confusion and capture ability. We presented virtual prey to human players in a targeting game and measured the speed and accuracy with which participants caught designated prey. As prey paid more attention to neighbor movements their collective coordination increased, yet increases in prey coordination were positively associated with increases in the speed and accuracy of attacks. However, while attack speed was unaffected by the initial state of the prey, accuracy dropped significantly if the prey were already organized at the start of the attack, rather than in the process of self-organizing. By repeating attack scenarios and masking the targeted prey's neighbors we were able to visually isolate them and conclusively demonstrate how visual confusion impacted capture ability. Delays in capture caused by decreased coordination amongst the prey depended upon the collection motion of neighboring prey, while it was primarily the motion of the targets themselves that determined capture accuracy. Interestingly, while a complete loss of coordination in the prey (e.g., a flash expansion caused the greatest delay in capture, such behavior had little effect on capture accuracy. Lastly, while increases in collective coordination in prey enhanced personal risk, traveling in coordinated groups was still better than appearing alone. These findings demonstrate a trade-off between the sensory mechanisms that can enhance the collective properties that
Richard G. Erskine
Full Text Available This three part case study illustrates the principles, theoretical concepts, and relational methods of Integrative Psychotherapy in the treatment of a client who continually experienced early affect-confusion and lived on a “borderline” between intense neediness and rage, despair and self-reliance, impulsivity and manipulation. Part 1 describes the behavioral dynamics of a 38 year old female client who required a two-part treatment approach that emphasized an inter-subjective relationship, consistency, and respect while helping her to acknowledge and value her relational-needs and to engage in a relationally contactful form of anger.
Malaquias de Lima Maciel, Josilene
O solo é considerado um dos principais habitats para a comunidade de microrganismos, dentre os quais os fungos. O Parque Nacional Serra das Confusões, Estado do Piauí, Brasil, é considerado área prioritária para a conservação da biodiversidade da Caatinga, devido à sua extrema importância biológica. Com objetivo de isolar e identificar fungos filamentos da Caatinga de modo a ampliar o conhecimento sobre a micota deste bioma, 20 amostras de solo foram coletadas até 20 cm de prof...
implementers warn strongly against; 5 lacking the future-focused grounding of OBE designs that are legitimately called “transformational;” and 6 falling into the familiar pattern of calling its “CBO” thinking and practices “OBE.”The latter relates to an almost universal constellation of practices that make educational systems virtually unchangeable from an OBE perspective: Curriculum Based Outcomes, Content Bound Objectives, Calendar Based Opportunities, Cellular Based Organization, Contest Biased Orientations, Convenience Based Operations, and Convention Bound Obsolescence. Unfortunately, Curriculum 2005 and its key advocates appeared to take these seven CBO’s as givens, which made their continuous reference to OBE incongruous at best. Consequently, the paper argues that, had South Africa’s key educational policy makers in1997, and since, taken the time to understand the six key points above, they would have been able to make a more constructive choice about the educational reforms they sought to bring about. First, recognizing these major disparities between their Curriculum 2005 strategies and the fundamentals of genuine OBE, they could have chosen to bring C2005 more strongly into alignment with OBE and modified their initial course of action considerably. Or, recognizing these major disparities, they could have chosen to drop the OBE label altogether and thereby reduced or avoided a lot of the confusion generated by implying that Curriculum 2005 required significant changes in familiar practice. For example, by maintaining the very “non-OBE” Matric and annual examination systems that had always been in place, the government kept everyone locked into traditional/conventional modes of thinking about learning, curriculum, achievement, assessment, and qualifications. Conclusion: South Africa should stop referring to OBE in any form. OBE never existed in1997, and has only faded farther from the scene as C2005 was replaced by the Revised National Curriculum
Rudowicz, Czesław, E-mail: firstname.lastname@example.org [Institute of Physics, West Pomeranian University of Technology, Al. Piastów 17, 70-310 Szczecin (Poland); Karbowiak, Mirosław [Faculty of Chemistry, University of Wrocław, ul. F. Joliot-Curie 14, 50-383 Wrocław (Poland)
Survey of recent literature has revealed a doubly-worrying tendency concerning the treatment of the two distinct types of Hamiltonians, namely, the physical crystal field (CF), or equivalently ligand field (LF), Hamiltonians and the zero-field splitting (ZFS) Hamiltonians, which appear in the effective spin Hamiltonians (SH). The nature and properties of the CF (LF) Hamiltonians have been mixed up in various ways with those of the ZFS Hamiltonians. Such cases have been identified in a rapidly growing number of studies of the transition-ion based systems using electron magnetic resonance (EMR), optical spectroscopy, and magnetic measurements. These findings have far ranging implications since these Hamiltonians are cornerstones for interpretation of magnetic and spectroscopic properties of the single transition ions in various crystals or molecules as well as the exchange coupled systems (ECS) of transition ions, e.g. single molecule magnets (SMM) or single ion magnets (SIM). The seriousness of the consequences of such conceptual problems and related terminological confusions has reached a level that goes far beyond simple semantic issues or misleading keyword classifications of papers in journals and scientific databases. The prevailing confusion, denoted as the CF=ZFS confusion, pertains to the cases of labeling the true ZFS quantities as purportedly the CF (LF) quantities. Here we consider the inverse confusion between the CF (LF) quantities and the SH (ZFS) ones, denoted the ZFS=CF confusion, which consists in referring to the parameters (or Hamiltonians), which are the true CF (LF) quantities, as purportedly the ZFS (or SH) quantities. Specific cases of the ZFS=CF confusion identified in recent textbooks, reviews and papers, especially SMM- and SIM-related ones, are surveyed and the pertinent misconceptions are clarified. The serious consequences of the terminological confusions include misinterpretation of data from a wide range of experimental techniques and
Gregersen, Keld; Karsholt, Ole
A new species of Gelechiidae is described as Anarsia innoxiella sp. n., based on differences in morphology and biology. It is closely related to and has hitherto been confused with the Peach Twig Borer, Anarsia lineatella Zeller, 1839. Whereas larvae of the latter feed on – and are known...... study has shown no evidence for changing the present taxonomic status of these two taxa. We discuss also the status of the genus Ananarsia Amsel, 1957. The new species A. innoxiella is widely distributed in Europe and is often found in the same areas as A. lineatella, but the latter species does...... to be a pest of – Prunus species (Rosaceae), the larva of A. innoxiella feeds on Acer species (Sapindaceae). All known synonyms of A. lineatella are discussed in detail, including Anarsia lineatella subsp. heratella Amsel, 1967, from Afghanistan and A. lineatella subsp. tauricella Amsel, 1967, from Turkey. Our...
Full Text Available After Romania joined the European Union in 2007, a massive wave of Romanian immigrants reached the Western countries in search for work, and the most significant migration took place in the Spanish kingdom. They were not the first Romanians to arrive in Spain, so they added their number to that of those who immigrated before, in the two decades after the fall of the Communist regime. Many Romanian children were born in Spain, so when they reached school age, they were at best bilingual; nevertheless, there are children who need to take Romanian classes in school, as they chose not to learn their native tongue at home. Our article analyzes the ways Spanish influence their pronunciation and orthography of Romanian, based on test papers and homework that demonstrate the level of confusion produced in these children by their bilingualism, with Castilian being their first choice of language.
Full Text Available Decentralisation system in Indonesia was introduced after the fall of the former President Soeharto with the objective of ensuring good governance and equitable development across all regions in the country. Unfortunately, the implementation of desentralisasi has been complicated. Some scholars have suggested that the model was flawed as it did not consider Indonesia’s context of less developed administrative institutions in the regions. Not only did desentralisasi cause headaches for the government, it also created confusion for foreign investors. Consequently, it affects the investment climate in the country and undermines the perception of Indonesia as an attractive place to invest in. In certain cases, desentralisasi has also led to claims by foreign investors for investor-State arbitration under Indonesia’s international investment agreements (IIAs. This paper analyses the problems of desentralisasi in Indonesia, its effects to foreign investors and suggests ways to alleviate the problems by modifying and using Indonesia’s IIAs effectively.
Recent social policy reforms in South Korea indicate a progressive shift by a conservative government to modify the familialistic male breadwinner model that informs its welfare regime. The Korean government has demonstrated support for women through an increase in the provision, regulation and coordination of childcare and workplace support programmes for working parents. At the same time, labour market reforms have also created more pressures on women to seek and maintain paid work outside the home. Conflicting social and economic policy objectives have resulted in a confusing mix of policies, advancing and impeding gender equality at the same time. This contribution examines the recent family–work reconciliation policy reforms in Korea and discusses why these reforms may be good politics but a bad deal for women.
Kyllingsbæk, Søren; Markussen, Bo; Bundesen, Claus
The authors propose and test a simple model of the time course of visual identification of briefly presented, mutually confusable single stimuli in pure accuracy tasks. The model implies that during stimulus analysis, tentative categorizations that stimulus i belongs to category j are made at a constant Poisson rate, v(i, j). The analysis is continued until the stimulus disappears, and the overt response is based on the categorization made the greatest number of times. The model was evaluated by Monte Carlo tests of goodness of fit against observed probability distributions of responses in two extensive experiments and also by quantifications of the information loss of the model compared with the observed data by use of information theoretic measures. The model provided a close fit to individual data on identification of digits and an apparently perfect fit to data on identification of Landolt rings.
Scott O Lilienfeld
Full Text Available The goal of this article is to promote clear thinking and clear writing among students and teachers of psychological science by curbing terminological misinformation and confusion. To this end, we present a provisional list of 50 commonly used terms in psychology, psychiatry, and allied fields that should be avoided, or at most used sparingly and with explicit caveats. We provide corrective information for students, instructors, and researchers regarding these terms, which we organize for expository purposes into five categories: inaccurate or misleading terms, frequently misused terms, ambiguous terms, oxymorons, and pleonasms. For each term, we (a explain why it is problematic, (b delineate one or more examples of its misuse, and (c when pertinent, offer recommendations for preferable terms. By being more judicious in their use of terminology, psychologists and psychiatrists can foster clearer thinking in their students and the field at large regarding mental phenomena.
Lilienfeld, Scott O; Sauvigné, Katheryn C; Lynn, Steven Jay; Cautin, Robin L; Latzman, Robert D; Waldman, Irwin D
The goal of this article is to promote clear thinking and clear writing among students and teachers of psychological science by curbing terminological misinformation and confusion. To this end, we present a provisional list of 50 commonly used terms in psychology, psychiatry, and allied fields that should be avoided, or at most used sparingly and with explicit caveats. We provide corrective information for students, instructors, and researchers regarding these terms, which we organize for expository purposes into five categories: inaccurate or misleading terms, frequently misused terms, ambiguous terms, oxymorons, and pleonasms. For each term, we (a) explain why it is problematic, (b) delineate one or more examples of its misuse, and (c) when pertinent, offer recommendations for preferable terms. By being more judicious in their use of terminology, psychologists and psychiatrists can foster clearer thinking in their students and the field at large regarding mental phenomena.
Christiansen, Thomas Ulrich; Greenberg, Steven
The perceptual basis of consonant recognition was experimentally investigated through a study of how information associated with phonetic features (Voicing, Manner, and Place of Articulation) combines across the acoustic-frequency spectrum. The speech signals, 11 Danish consonants embedded...... in Consonant + Vowel + Liquid syllables, were partitioned into 3/4-octave bands (“slits”) centered at 750 Hz, 1500 Hz, and 3000 Hz, and presented individually and in two- or three-slit combinations. The amount of information transmitted (IT) was calculated from consonant- confusion matrices for each feature...... the bands are essentially independent in terms of decoding this feature. Because consonant recognition and Place decoding are highly correlated (correlation coefficient r2 = 0.99), these results imply that the auditory processes underlying consonant recognition are not strictly linear. This may account...
Rudowicz, Czesław; Karbowiak, Mirosław
Survey of recent literature has revealed a doubly-worrying tendency concerning the treatment of the two distinct types of Hamiltonians, namely, the physical crystal field (CF), or equivalently ligand field (LF), Hamiltonians and the zero-field splitting (ZFS) Hamiltonians, which appear in the effective spin Hamiltonians (SH). The nature and properties of the CF (LF) Hamiltonians have been mixed up in various ways with those of the ZFS Hamiltonians. Such cases have been identified in a rapidly growing number of studies of the transition-ion based systems using electron magnetic resonance (EMR), optical spectroscopy, and magnetic measurements. These findings have far ranging implications since these Hamiltonians are cornerstones for interpretation of magnetic and spectroscopic properties of the single transition ions in various crystals or molecules as well as the exchange coupled systems (ECS) of transition ions, e.g. single molecule magnets (SMM) or single ion magnets (SIM). The seriousness of the consequences of such conceptual problems and related terminological confusions has reached a level that goes far beyond simple semantic issues or misleading keyword classifications of papers in journals and scientific databases. The prevailing confusion, denoted as the CF=ZFS confusion, pertains to the cases of labeling the true ZFS quantities as purportedly the CF (LF) quantities. Here we consider the inverse confusion between the CF (LF) quantities and the SH (ZFS) ones, denoted the ZFS=CF confusion, which consists in referring to the parameters (or Hamiltonians), which are the true CF (LF) quantities, as purportedly the ZFS (or SH) quantities. Specific cases of the ZFS=CF confusion identified in recent textbooks, reviews and papers, especially SMM- and SIM-related ones, are surveyed and the pertinent misconceptions are clarified. The serious consequences of the terminological confusions include misinterpretation of data from a wide range of experimental techniques and
Full Text Available Tanyong Pipanmekaporn,1 Nahathai Wongpakaran,2 Sirirat Mueankwan,3 Piyawat Dendumrongkul,2 Kaweesak Chittawatanarat,3 Nantiya Khongpheng,3 Nongnut Duangsoy31Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 2Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 3Division of Surgical Critical Care and Trauma, Department of Surgery, Chiang Mai University Hospital, Chiang Mai, ThailandPurpose: The purpose of this study was to determine the validity and reliability of the Thai version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU, when compared to the diagnoses made by delirium experts.Patients and methods: This was a cross-sectional study conducted in both surgical intensive care and subintensive care units in Thailand between February–June 2011. Seventy patients aged 60 years or older who had been admitted to the units were enrolled into the study within the first 48 hours of admission. Each patient was randomly assessed as to whether they had delirium by a nurse using the Thai version of the CAM-ICU algorithm (Thai CAM-ICU or by a delirium expert using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision.Results: The prevalence of delirium was found to be 18.6% (n=13 by the delirium experts. The sensitivity of the Thai CAM-ICU’s algorithms was found to be 92.3% (95% confidence interval [CI] =64.0%-99.8%, while the specificity was 94.7% (95% CI =85.4%-98.9%. The instrument displayed good interrater reliability (Cohen’s κ=0.81; 95% CI =0.64-0.99. The time taken to complete the Thai CAM-ICU was 1 minute (interquatile range, 1-2 minutes.Conclusion: The Thai CAM-ICU demonstrated good validity, reliability, and ease of use when diagnosing delirium in a surgical intensive care unit setting. The use of this diagnostic tool should be encouraged for daily, routine use, so as to promote the early detection
Full Text Available During the 1980s Westminster City Council and its then Leader, Shirley Porter were hailed as being model examples of local government in action. The picture portrayed in this article is one of chaos and confusion within the strategic leadership of the authority as the managerial/ political interface was constantly ignored by Porter as she sought to implement her own agenda.
Full Text Available The gall-forming aphid Tetraneura fusiformis is recorded for the first time for Northern South America. Its identity is clarified, and descriptions of this species and that of T. nigriabdominalis, with which it is commonly confused, are offered. The association of this sap sucking insect with the ant Linepithema angulatum (Hymenoptera: Formicidae is recorded for the first time as well
Ledden, J.E.; Broderick, J.J.; Condon, J.J.; Brown, R.L.
A confusion-limited 4.755-GHz survey covering 0.00 956 sr between right ascensions 07/sup h/05/sup m/ and 18/sup h/ near declination +35 0 has been made with the NRAO 91-m telescope. The survey found 237 sources and is complete above 15 mJy. Source counts between 15 and 100 mJy were obtained directly. The P(D) distribution was used to determine the number counts between 0.5 and 13.2 mJy, to search for anisotropy in the density of faint extragalactic sources, and to set a 99%-confidence upper limit of 1.83 mK to the rms temperature fluctuation of the 2.7-K cosmic microwave background on angular scales smaller than 7.3 arcmin. The discrete-source density, normalized to the static Euclidean slope, falls off sufficiently rapidly below 100 mJy that no new population of faint flat-spectrum sources is required to explain the 4.755-GHz source counts
Kuss, Daria J; Griffiths, Mark D; Pontes, Halley M
Background The umbrella term "Internet addiction" has been criticized for its lack of specificity given the heterogeneity of potentially problematic behaviors that can be engaged in online as well as different underlying etiological mechanisms. This has led to the naming of specific online addictions, the most notable being Internet Gaming Disorder (IGD). Methods Using the contemporary literature concerning IGD and cognate topics, issues and concerns relating to the concept of IGD are examined. Results Internet addiction and IGD are not the same, and distinguishing between the two is conceptually meaningful. Similarly, the diagnosis of IGD as proposed in the appendix of the latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) remains vague regarding whether or not games need to be engaged in online, stating that IGD typically involves specific Internet games, but can also include offline games, adding to the lack of clarity. A number of authors have voiced concerns regarding the viability of including the word "Internet" in IGD, and instead proposed to use the term "video gaming disorder" or simply "gaming disorder," suggesting addiction to video gaming can also occur offline. Conclusion The DSM-5 has caused more confusion than clarity regarding the disorder, reflected by researchers in the field contesting a supposedly reached consensus for IGD diagnosis.
Caverly, Tanner J; Prochazka, Allan V; Binswanger, Ingrid A; Kutner, Jean S; Matlock, Daniel D
Reviews of how data are presented in medical literature document that the benefit from an intervention is often exaggerated relative to the harm (e.g., relative risk for benefit and absolute risk for harm). Such mismatched presentations may create unwarranted enthusiasm, especially among those who misinterpret the statistics presented. The objective was to determine whether misinterpretation of risk data predicts enthusiasm for cancer screening. The authors administered a survey with 14 items assessing beliefs about cancer screening and 6 items measuring data interpretation ability. Multiple linear regression was used to evaluate the association between data interpretation and enthusiasm for cancer screening, with adjustment for gender and year graduated from medical school. Eighty-eight of 139 physicians at a state-wide professional meeting returned completed surveys (63% response rate). Lower data interpretation scores were associated with higher enthusiasm for cancer screening scores (P = 0.004) in the adjusted primary analysis. Confusing relative risk with absolute risk appeared to drive the overall association. Biased presentations of risk data could affect general beliefs about the value of cancer screening, especially among physicians who uncritically accept mismatched presentations of data. © The Author(s) 2014.
of 'getting lost' at the limits of representation and her ideas about dwelling at the researcher's 'stuck place'. From this vantage point the paper presents a chosen stuck place in the research project Cyber@bullying : This stuck place can be described as a discrepancy between a theoretical informed...
The classification of objects and phenomena in science and nature has fascinated academics since Carl Linnaeus, the Swedish botanist and zoologist, created his binomial description of living things in the 1700s and probably long before in accounts of others in textbooks long since gone. It must have concerned human ...
Bailey, T.M.; Hahn, U.
Similarity between component speech sounds influences language processing in numerous ways. Explanation and detailed prediction of linguistic performance consequently requires an understanding of these basic similarities. The research reported in this paper contrasts two broad classes of approach to the issue of phoneme similarity-theoretically…
The three most commonly used methods of calculating electricity generating costs of new power stations are described. These involve either annual generating cost figures, single station comparisons or systems cost studies. Each of these methods can have either a constant money or a current money basis. (U.K.)
Gilham, Chris; Williamson, W. John
This hermeneutic paper interprets a recent series of reforms to inclusive education policy undertaken by the ministry of education in the province of Alberta, Canada. A 2007 Alberta Education review of the 16,000 student files in the province that school boards had claimed met the criteria for severe disability codification status -- the level of…
Delirium in intensive care: use of the ‘Confusion Assessment Method for the Intensive Care Unit’ by the nurse / Delirium em terapia intensiva: utilização do Confusion Assessment Method for the Intensive Care Unit pelo enfermeiro
Isabel Cristina Gomes de Oliveira Tostes
Full Text Available Objetivo: compreender o conhecimento dos enfermeiros sobre o delirium no paciente crítico e a utilização do Confusion Assessment Method for the Intensive Care Unit. Métodos: Estudo exploratório-descritivo, prospectivo, com abordagem mista. Teve-se como população os enfermeiros de uma unidade de terapia intensiva, a amostra constituiu-se de 16 enfermeiros que aceitaram participar de todas as etapas da pesquisa. Realizou-se um pré e pós-teste aplicando-se o instrumento de coleta de dados constituído de 1 pergunta discursiva e 8 objetivas, para análise usou-se análise e conteúdo e estatística básica. A pesquisa foi aprovada pelo comitê de ética em pesquisa do Hospital Universitário Pedro Ernesto, sob o parecer de nº1.360.441. Resultados: Num comparativo entre o pré e pós-teste, o grupo se mostrou mais preparado para identificar o delirium e com maior grau de conhecimento acerca da temática. Conclusão: atualização mostrou-se como uma ferramenta de transformação da prática clínica. Destacando-se a importância da educação permanente para garantir a qualidade na assistência de enfermagem. Descritores: Terapia Intensiva, Enfermagem, Transtornos Cognitivos.
The radiation doses applied for quarantine treatment does not generally cause immediate death of insects and mites. Alive pests may be present in the agricultural commodities for several days. This can be a disadvantage if the product is for immediate export and there is a nil insect requirement. A simple test is needed to ensure the quarantine personnel that a pest of quarantine importance has been irradiated and it does not pose a quarantine risk. Development of a practical technique for identification of irradiated pests was recommended by the ICGFI Task Force Meeting on Irradiation as Quarantine Treatment. The midgut, metabolically very active tissue, is the main site for digestion and absorption of the products of digestion. The old epithelium is replaced by new cells produced by the regenerative nidi. Regenerative cells are very sensitive to radiation. Its damage results in loss of the midgut epithelium in irradiated insects. The following changes in the midgut structure of the confused flour beetle were observed: 1. destruction of the regenerative nidi; 2. elongation and enlargement of epithelial cells; 3. vacuolization of the epithelial cells; 4. fading of cells boundaries in the epithelium; 5. damage of the nuclei (chromatin grains scattered throughout the cytoplasm of epithelial cells); 6. loss of the brush border; 7. disintegration and further loss of epithelium. The most expressed effect of the irradiation treatment was the destruction of regenerative cells of the midgut. Their destruction prevented the replacement of the secretory cells of the epithelium. As a result the epithelium disappeared and the gut lumen enlarged. Causes other than ionizing radiation resulting in disintegration of the midgut epithelium of insects are unknown. Since the degenerative changes in the midgut are positively correlated with both dose and time elapsed after irradiation exposure, a pathological syndrome of irradiation effects on the midgut may be used for a rapid and
Bigard, Charlotte; Pioch, Sylvain; Thompson, John D
Natural habitat loss and fragmentation, as a result of development projects, are major causes of biodiversity erosion. Environmental impact assessment (EIA) is the most commonly used site-specific planning tool that takes into account the effects of development projects on biodiversity by integrating potential impacts into the mitigation hierarchy of avoidance, reduction, and offset measures. However, the extent to which EIA fully address the identification of impacts and conservation stakes associated with biodiversity loss has been criticized in recent work. In this paper we examine the extent to which biodiversity criteria have been integrated into 42 EIA from 2006 to 2016 for small development projects in the Montpellier Metropolitan territory in southern France. This study system allowed us to question how EIA integrates biodiversity impacts on a scale relevant to land-use planning. We examine how biodiversity inclusion has changed over time in relation to new policy for EIA and how the mitigation hierarchy is implemented in practice and in comparison with national guidelines. We demonstrate that the inclusion of biodiversity features into EIA has increased significantly in relation to policy change. Several weaknesses nevertheless persist, including the continued absence of substitution solution assessment, a correct analysis of cumulative impacts, the evaluation of impacts on common species, the inclusion of an ecological network scale, and the lack of monitoring and evaluation measures. We also show that measures for mitigation hierarchy are primarily associated with the reduction of impacts rather than their avoidance, and avoidance and offset measures are often misleadingly proposed in EIA. There is in fact marked semantic confusion between avoidance, reduction and offset measures that may impair stakeholders' understanding. All in all, reconsideration of stakeholders routine practices associated with a more strategic approach towards impact anticipation
Yamamoto, Takaaki; Mitsuno, Koki; Mori, Shigeki; Itoyama, Shuhei; Shiota, Yoshihito; Yoshizawa, Kazunari; Ishida, Masatoshi; Furuta, Hiroyuki
Complexation of a RuCp* cation with N-confused tetraarylporphyrins (NCPs) forms directly bound ruthenium(II) pentamethylcyclopentadienyl (Cp*) π-complex on a specific meso-aryl group (e.g., phenyl) neighboring peripheral imino nitrogen of NCPs in high yields. In contrast, in the case of NCPs bearing bulky meso-substituents (e.g., 3,5-di-tert-butylphenyl), new ruthenocenophane-like complex embedded on an N-confused calixphyrin was formed through multiple C-H bond activation of methyl groups of Cp* ligand. The mechanistic insight into the formation of the ruthenocenophane was derived from DFT calculations. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.
Chan, Lik Sam
Mobile dating apps are now a popular platform for men who have sex with men (MSM) to connect with others. Based on the uses and gratifications (U&G) theory, this study explores the relationship between sex-seeking and the number of casual sex partners met through MSM-based mobile dating apps (Grindr, Jack'd, and SCRUFF). The conditional process analysis (N = 401) shows that this relationship was significant and was mediated by the intensity of app use. That is, sex-seeking indirectly affected the number of casual sex partners through the intensity of app use. Furthermore, gay identity confusion and outness to the world moderated this indirect effect: it was stronger when the user was either more confused about his sexuality or was less out to the world. This research introduces an alternative way to incorporate psychographics variables into the U&G framework.
José Eudes de Morais Oliveira
Full Text Available O objetivo deste trabalho foi avaliar a eficiência da técnica de confusão sexual, com o feromônio sexual sintético composto (Z-11-hexadecenal (Z11-16: Ald a 1,8% e (Z-13-octadecenal (Z13-18: Ald a 1,8%, no controle da população de traça-dos-cachos, Cryptoblabes gnidiella (Lepidoptera: Pyralidae, em cultivares de videiras (Vitis vinifera destinadas à produção de vinhos. Os experimentos foram realizados em duas localidades na região do Vale do São Francisco, em áreas comerciais de produção de uva para processamento, com as cultivares Cabernet Sauvignon, Petit Verdot, Tempranillo e Chenin Blanc. Os tratamentos avaliados foram os seguintes: confusão sexual com uso de liberadores Splat ("specialized pheromone and lure application technology", aplicados com pistola manual a 500 pontos por hectare (2 g por ponto; e testemunha sem aplicação. O efeito da técnica sobre os adultos de C. gnidiella foi avaliado com uso de armadilha tipo Delta, iscada em um septo com 2 g de feromônio sintético da mesma formulação. Os danos nos cachos foram avaliados à colheita. O uso da técnica de confusão sexual reduziu a captura de adultos de C. gnidiella em mais de 59% na 'Tempranillo', 68% na 'Chenin Blanc', 80% na 'Cabernet Sauvignon' e 97% na 'Petit Verdot'. À época da colheita, os danos nos frutos foram reduzidos de 65 a 100% nas áreas tratadas. O feromônio sexual sintético é eficaz para reduzir o acasalamento de C. gnidiella em vinhedos, com o uso da técnica de confusão sexual.
The paper focuses on website vendors and three fundamental aspects, which influence price quality and trust, the major factors that affect purchasing intentions amongst online consumers. The three fundamental aspects in question are: perceived benefits, risks and confusion due to over-choice. The purpose of the study is to examine the influence of these three aspects on consumers' trust and their online purchasing intentions, and also to evaluate their interrelationship with marketing activit...
Mitasova, Adela; Kostalova, Milena; Bednarik, Josef; Michalcakova, Radka; Kasparek, Tomas; Balabanova, Petra; Dusek, Ladislav; Vohanka, Stanislav; Ely, E Wesley
To describe the epidemiology and time spectrum of delirium using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria and to validate a tool for delirium assessment in patients in the acute poststroke period. A prospective observational cohort study. The stroke unit of a university hospital. A consecutive series of 129 patients with stroke (with infarction or intracerebral hemorrhage, 57 women and 72 men; mean age, 72.5 yrs; age range, 35-93 yrs) admitted to the stroke unit of a university hospital were evaluated for delirium incidence. None. Criterion validity and overall accuracy of the Czech version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) were determined using serial daily delirium assessments with CAM-ICU by a junior physician compared with delirium diagnosis by delirium experts using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria that began the first day after stroke onset and continued for at least 7 days. Cox regression models using time-dependent covariate analysis adjusting for age, gender, prestroke dementia, National Institutes of Stroke Health Care at admission, first-day Sequential Organ Failure Assessment, and asphasia were used to understand the relationships between delirium and clinical outcomes. An episode of delirium based on reference Diagnostic and Statistical Manual assessment was detected in 55 patients with stroke (42.6%). In 37 of these (67.3%), delirium began within the first day and in all of them within 5 days of stroke onset. A total of 1003 paired CAM-ICU/Diagnostic and Statistical Manual of Mental Disorders daily assessments were completed. Compared with the reference standard for diagnosing delirium, the CAM-ICU demonstrated a sensitivity of 76% (95% confidence interval [CI] 55% to 91%), a specificity of 98% (95% CI 93% to 100%), an overall accuracy of 94% (95% CI 88% to 97%), and high interrater reliability (κ = 0.94; 95% CI 0
Netuschil, Lutz; Auschill, Thorsten M; Sculean, Anton; Arweiler, Nicole B
There is confusion over the definition of the term "viability state(s)" of microorganisms. "Viability staining" or "vital staining techniques" are used to distinguish live from dead bacteria. These stainings, first established on planctonic bacteria, may have serious shortcomings when applied to multispecies biofilms. Results of staining techniques should be compared with appropriate microbiological data. Many terms describe "vitality states" of microorganisms, however, several of them are misleading. Authors define "viable" as "capable to grow". Accordingly, staining methods are substitutes, since no staining can prove viability.The reliability of a commercial "viability" staining assay (Molecular Probes) is discussed based on the corresponding product information sheet: (I) Staining principle; (II) Concentrations of bacteria; (III) Calculation of live/dead proportions in vitro. Results of the "viability" kit are dependent on the stains' concentration and on their relation to the number of bacteria in the test. Generally this staining system is not suitable for multispecies biofilms, thus incorrect statements have been published by users of this technique.To compare the results of the staining with bacterial parameters appropriate techniques should be selected. The assessment of Colony Forming Units is insufficient, rather the calculation of Plating Efficiency is necessary. Vital fluorescence staining with Fluorescein Diacetate and Ethidium Bromide seems to be the best proven and suitable method in biofilm research.Regarding the mutagenicity of staining components users should be aware that not only Ethidium Bromide might be harmful, but also a variety of other substances of which the toxicity and mutagenicity is not reported. - The nomenclature regarding "viability" and "vitality" should be used carefully.- The manual of the commercial "viability" kit itself points out that the kit is not suitable for natural multispecies biofilm research, as supported by an
Kasparian, Kristina; Steinhauer, Karsten
First language (L1) attrition is a socio-linguistic circumstance where second language (L2) learning coincides with changes in exposure and use of the native-L1. Attriters often report experiencing a decline in automaticity or proficiency in their L1 after a prolonged period in the L2 environment, while their L2 proficiency continues to strengthen. Investigating the neurocognitive correlates of attrition alongside those of late L2 acquisition addresses the question of whether the brain mechanisms underlying both L1 and L2 processing are strongly determined by proficiency, irrespective of whether the language was acquired from birth or in adulthood. Using event-related-potentials (ERPs), we examined lexical-semantic processing in Italian L1 attriters, compared to adult Italian L2 learners and to Italian monolingual native speakers. We contrasted the processing of classical lexical-semantic violations (Mismatch condition) with sentences that were equally semantically implausible but arguably trickier, as the target-noun was "swapped" with an orthographic neighbor that differed only in its final vowel and gender-marking morpheme (e.g., cappello (hat) vs. cappella (chapel)). Our aim was to determine whether sentences with such "confusable nouns" (Swap condition) would be processed as semantically correct by late L2 learners and L1 attriters, especially for those individuals with lower Italian proficiency scores. We found that lower-proficiency Italian speakers did not show significant N400 effects for Swap violations relative to correct sentences, regardless of whether Italian was the L1 or the L2. Crucially, N400 response profiles followed a continuum of "nativelikeness" predicted by Italian proficiency scores - high-proficiency attriters and high-proficiency Italian learners were indistinguishable from native controls, whereas attriters and L2 learners in the lower-proficiency range showed significantly reduced N400 effects for "Swap" errors. Importantly, attriters
Baten, Verena; Busch, Hans-Jörg; Busche, Caroline; Schmid, Bonaventura; Heupel-Reuter, Miriam; Perlov, Evgeniy; Brich, Jochen; Klöppel, Stefan
Delirium is frequent in elderly patients presenting in the emergency department (ED). Despite the severe prognosis, the majority of delirium cases remain undetected by emergency physicians (EPs). At the time of our study there was no valid delirium screening tool available for EDs in German-speaking regions. We aimed to evaluate the brief Confusion Assessment Method (bCAM) for a German ED during the daily work routine. We implemented the bCAM into practice in a German interdisciplinary high-volume ED and evaluated the bCAM's validity in a convenience sample of medical patients aged ≥ 70 years. The bCAM, which assesses four core features of delirium, was performed by EPs during their daily work routine and compared to a criterion standard based on the criteria for delirium as described in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Compared to the criterion standard, delirium was found to be present in 46 (16.0%) of the 288 nonsurgical patients enrolled. The bCAM showed 93.8% specificity (95% confidence interval [CI] = 90.0%-96.5%) and 65.2% sensitivity (95% CI = 49.8%-78.7%). Positive and negative likelihood ratios were 10.5 and 0.37, respectively, while the odds ratio was 28.4. Delirium was missed in 10 of 16 cases, since the bCAM did not indicate altered levels of consciousness and disorganized thinking. The level of agreement with the criterion standard increased for patients with low cognitive performance. This was the first study evaluating the bCAM for a German ED and when performed by EPs during routine work. The bCAM showed good specificity, but only moderate sensitivity. Nevertheless, application of the bCAM most likely improves the delirium detection rate in German EDs. However, it should only be applied by trained physicians to maximize diagnostic accuracy and hence improve the bCAM's sensitivity. Future studies should refine the bCAM. © 2018 by the Society for Academic Emergency Medicine.
What causes an ice skater to accelerate? Hugh Fricker Note on the definitions of weight Nenad Stojilovic A-level physics is mathematical enough Helen Hare Correction to 'Confusion over the physics of circular motion'
Maria Helena M. Galileo
Full Text Available Três novas espécies são descritas do Piauí, em Cerambycinae: Compsibidion pictum, sp. nov. (Neoibidionini; em Lamiinae: Adetus differentis sp. nov. (Apomecynini e Mimasyngenes piauiensis sp. nov. (Desmiphorini. De 75 espécies procedentes do Riacho dos Bois (Parque Nacional da Serra das Confusões, 50 são novos registros para o Piauí. Três subfamílias são reconhecidas: uma espécie de Prioninae, 46 espécies de Cerambycinae e 28 espécies de Lamiinae.
Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta
Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams. A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes. 13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories. The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs of all healthcare professionals.
Clarification of the confusion concerning the crystal-field quantities vs the zero-field splitting quantities in magnetism studies: Part II-Survey of literature dealing with model studies of spin systems
For respective quantities, i.e., Hamiltonians, parameters, and energy level splittings, related to two physically distinct notions X and Y, various cases of confused terminology have been identified in literature. Referring to a quantity related actually to the notion Y using incorrectly the name of another well-defined notion X constitutes, what may be defined for short as, the type X=Y confusion. An ongoing survey of magnetism literature indicates that quantities related to zero-field splitting (ZFS) or equivalently fine structure (FS) are most often confused with those related to crystal-field (CF) or equivalently ligand field (LF). In this review the CF=ZFS confusion cases, i.e., labelling actual ZFS/FS quantities as purportedly 'CF/LF' ones, appearing in magnetism studies are surveyed and clarified. Part I covers the cases occurring in literature dealing with specific compounds. In this part model studies of spin systems are surveyed. The cases of terminology mixing up actual ZFS/FS quantities with purported CF/LF ones are identified and presented comprehensively in tabular form. To facilitate discussion, problems pertinent for the CF=ZFS confusion are categorized into several groups, including origin of the two notions, physical consequences, usage of specific numerical values, invoking real magnetic spin systems, and properties of spin S=1/2 systems. Physical implications of this confusion for interpretation of model results are also considered. Overall implications of incorrect terminology go beyond simple semantic issues and concern possible misinterpretation of data describing various physical properties of models studied. Such terminology contributes also to misleading keyword classifications of papers in journals and scientific databases. Other types of confusion identified in survey of magnetism literature will be discussed in separate reviews
Weinrebe, W; Moutaouakil, A; Risz, K; Martin, M; Jeckelmann, K; Goetz, S
A case study of an 89-year-old patient is reported, who was admitted to hospital because of immobility due to pain. After the cause of the pain could initially be clarified and treated, the further clinical course in this very old woman showed an alarming symptom complex of agitation, confusion and cognitive deterioration, which took on grave forms. The work-up of this case showed a typical constellation of pain and depression in old age; however, the pharmaceutical treatment in this case is not atypical and could lead to a severe serotonin syndrome. The interaction, diagnostics, differential diagnosis, pharmacological, functional, codification and economic aspects of the course of the disease are discussed.
Full Text Available Apesar dos problemas e dos riscos associados à Confusão Aguda (CA, a literatura sugere grandes dificuldades no seu diagnóstico, por parte dos profissionais de saúde, nomeadamente, pelos enfermeiros. O uso de instrumentos de avaliação que, através da aplicação de critérios, permitam uma avaliação rigorosa sistematizada e que conduza a níveis de detecção mais eficazes, torna-se necessário. Com este estudo pretendeu-se traduzir e validar uma escala capaz de diagnosticar a CA de forma a promover a saúde e segurança do doente confuso. Após uma revisão sistemática da literatura optou-se pelo uso da escala NEECHAM Confusion Scale. O processo de tradução utilizado baseou-se no método recomendado pela International Society for Pharmacoeconomics and Outcomes Research (ISPOR. Após a utilização da NEECHAM Confusion Scale observou-se uma elevada consistência interna (Alpha Cronbach=0,913, uma boa correlação com os scores da Escala de Glasgow (r=0,866 p=0,000 e divisão da escala em duas dimensões pela análise das cargas factoriais e pela análise da rotação varimax. Sugerimos e defendemos a importância da utilização da NEECHAM, associada a formação sobre o fenómeno, o que permitirá produzir melhores índices de reconhecimento, ao mesmo tempo que permitirá a validação de intervenções adequadas ao doente confuso.A pesar de los problemas y de los riesgos asociados a la Confusión Aguda (CA, la literatura sugiere grandes dificultades en su diagnóstico, por parte de los profesionales de salud, en particular por parte de los enfermeros. El uso de instrumentos de evaluación que, mediante la aplicación de criterios, permitan una evaluación rigurosa sistematizada y que conduzca a niveles de detección más eficaces es una necesidad. Con este estudio se pretendió traducir y validar una escala capaz de diagnosticar la CA de forma a promover la salud y la seguridad del enfermo con delirium. Tras una revisión sistem
Carmen Carrera Castro
Full Text Available Objetivo: El objetivo de la revisión literaria fue mostrar los estudios originales publicados en los últimos 5 años, que evalúan la sensibilidad, la especificidad y la fiabilidad de la escala Confusion Assessment Method (CAM y toman como patrón referencia al Manual Diagnóstico y Estadístico de los Trastornos Mentales (DMS para obtener una visión global y actual de la validez y confiabilidad de esta herramienta diagnóstica. Metodología: Se procedió a una búsqueda genérica en pubmed con los descriptores del MESH Confusión, sensibilidad y especificidad, Técnicas y procedimientos diagnósticos y los términos libres CAM o Confusion Assessment Method, generando 995 artículos originales, tras revisión y clasificación con tablas estructuradas, de forma independiente por cada autor. Resultados: Se hallaron 4 estudios: 2 de validación, traducción y adaptación cultural al alemán y al tailandés, 1 de validación en pacientes paliativos y 1 de un estudio de cohorte comparativo de evaluación sobre el rendimiento de la CAM con el DSM-IV y el CIE-10 (Clasificación Estadística Internacional de Enfermedades, 10ª revisión. Aunque los trabajos hallados han sido escasos y se precisa de más investigaciones, en comparación proporcional con años anteriores se han llevado a cabo más estudios. El patrón de referencia más utilizado ha sido la DSM-IV. Conclusión : La CAM es una herramienta diagnóstica válida con alta sensibilidad y especificidad cuando es manejada por personal previamente adiestrado. Es precisa, fiable, segura, rápida y económica en el ámbito de la investigación. Sin embargo, se necesitan más investigaciones.
Jeffrey C. Ruff
Full Text Available Several recent publications in the study of esoteric traditions have drawn together insights from scholars of religions and philosophy, contemplative communities, metaphor and conceptual blend theories, cognitive sciences, neurosciences, and physical anthropology. These interdisciplinary explorations revolve around contemplative practices (meditation, mindfulness, ritual traditions, etc.. This includes both ethnographic and textual expressions of these traditions. This paper is a response to the questions and insights of some recent articles, books, and two 2015 conference papers, with the specific purpose of contributing to what Glen Hayes (2014 called “the need to develop and ‘new vocabulary’ for this interdisciplinary study” of contemplative and esoteric traditions (Hayes’ call was specifically in reference to Hindu Tantra. To do this, I have referred to some other scientific approaches to which the scholars of esoteric and contemplative communities have not made much mention, and then to offer a form of reflection and meditation on what this new vocabulary and these research projects call us to do: their concepts, logic, and meaning. To this end, I have given some careful attention to the concepts of confusion, mindfulness, humor, and dispassionate vulnerability to help us better understand what we are doing, and where we should go from here.
Ganasegeran, Kurubaran; Selvaraj, Kamaraj; Rashid, Abdul
The six item Confusion, Hubbub and Order Scale (CHAOS-6) has been validated as a reliable tool to measure levels of household disorder. We aimed to investigate the goodness of fit and reliability of a new Malay version of the CHAOS-6. The original English version of the CHAOS-6 underwent forward-backward translation into the Malay language. The finalised Malay version was administered to 105 myocardial infarction survivors in a Malaysian cardiac health facility. We performed confirmatory factor analyses (CFAs) using structural equation modelling. A path diagram and fit statistics were yielded to determine the Malay version's validity. Composite reliability was tested to determine the scale's reliability. All 105 myocardial infarction survivors participated in the study. The CFA yielded a six-item, one-factor model with excellent fit statistics. Composite reliability for the single factor CHAOS-6 was 0.65, confirming that the scale is reliable for Malay speakers. The Malay version of the CHAOS-6 was reliable and showed the best fit statistics for our study sample. We thus offer a simple, brief, validated, reliable and novel instrument to measure chaos, the Skala Kecelaruan, Keriuhan & Tertib Terubahsuai (CHAOS-6) , for the Malaysian population.
Ochoa-Gondar, O; Vila-Corcoles, A; Rodriguez-Blanco, T; Hospital, I; Salsench, E; Ansa, X; Saun, N
This study compares the ability of two simpler severity rules (classical CRB65 vs. proposed CORB75) in predicting short-term mortality in elderly patients with community-acquired pneumonia (CAP). A population-based study was undertaken involving 610 patients ≥ 65 years old with radiographically confirmed CAP diagnosed between 2008 and 2011 in Tarragona, Spain (350 cases in the derivation cohort, 260 cases in the validation cohort). Severity rules were calculated at the time of diagnosis, and 30-day mortality was considered as the dependent variable. The area under the receiver operating characteristic curves (AUC) was used to compare the discriminative power of the severity rules. Eighty deaths (46 in the derivation and 34 in the validation cohorts) were observed, which gives a mortality rate of 13.1 % (15.6 % for hospitalized and 3.3 % for outpatient cases). After multivariable analyses, besides CRB (confusion, respiration rate ≥ 30/min, systolic blood pressure AUC statistics for predicting mortality in the derivation and validation cohorts were 0.79 and 0.82, respectively. In the derivation cohort, a CORB75 score ≥ 2 showed 78.3 % sensitivity and 65.5 % specificity for mortality (in the validation cohort, these were 82.4 and 71.7 %, respectively). The proposed CORB75 scoring system has good discriminative power in predicting short-term mortality among elderly people with CAP, which supports its use for severity assessment of these patients in primary care.
Australia is the world's largest supplier of the mineral sands rutile, ilmenite, zircon and monazite. A combined total of two million tonnes are mined annually, most of which is exported. Western Australia accounts for about 75% of Australia's mineral sands production, worth about $343 million. The remainder is mined along an eastern coastal strip between the New South Wales central coast and Fraser Island in southern Queensland where there has been a revival of past controversies over environmental and radiation concerns. The NSW Government has approved a proposal by Australmin Holdings to mine mineral sands at Newrybar on the far north coast. It has also issued draft guidelines which will exclude sand mining from national parks, nature reserves, sites designated as coastal wetlands and littoral rainforest, beaches and frontal dunes. These guidelines which miners say will make about 50% of east coast reserves, an estimated $6 billion worth of mineral sands untouchable, have been attacked by the mining industry which argues that sand mining and environmental protection are not incompatible and which warns of a loss of economic opportunities for NSW
Benjamin B. Albert
Full Text Available Marine oils gained prominence following the report that Greenland Inuits who consumed a high-fat diet rich in long-chain n-3 polyunsaturated fatty acids (PUFAs also had low rates of cardiovascular disease. Marine n-3 PUFAs have since become a billion dollar industry, which will continue to grow based on current trends. However, recent systematic reviews question the health benefits of marine oil supplements, particularly in the prevention of cardiovascular disease. Marine oils constitute an extremely complex dietary intervention for a number of reasons: i the many chemical compounds they contain; ii the many biological processes affected by n-3 PUFAs; iii their tendency to deteriorate and form potentially toxic primary and secondary oxidation products; and iv inaccuracy in the labelling of consumer products. These complexities may confound the clinical literature, limiting the ability to make substantive conclusions for some key health outcomes. Thus, there is a pressing need for clinical trials using marine oils whose composition has been independently verified and demonstrated to be minimally oxidised. Without such data, it is premature to conclude that n-3 PUFA rich supplements are ineffective.
The progress of nuclear power reactor development in the UK during the past two decades is outlined. The early lead established in the construction of nuclear power plants is now lost and an impression is given that the UK lags behind other countries. The economics of the nuclear power industry are considered and the idea of abandoning reactor development in Britain and buying licences when reactors are required is explored. Reasons for this lack of success are debated. (U.K.)
With its unique ability to investigate tissue architecture and microstructure in vivo, diffusion MRI (dMRI) has gained tremendous interest and the society has been continuously triggered to develop novel dMRI image analysis approaches. With the overwhelming amount of strategies currently available
Christopher R Duncan
Full Text Available When does an IDP stop being an IDP? In Indonesiathe answer was supposed to be: on 31 December2002. This was the deadline announced in late 2001when the government released its plan describing howit would solve the ‘problem’ of the more than onemillion IDPs spread across the country.1
Computers are very good at solving certain types combinatorial problems, such as fitting sets of polyomino pieces into square or rectangular trays of a given size. However, most puzzle-solving programs now in use assume orthogonal arrangements. When one departs from the usual square grid layout, complications arise. The author--using a computer,…
Le Bihan, Denis
Diffusion MRI has been introduced in 1985 and has had a very successful life on its own. While it has become a standard for imaging stroke and white matter disorders, the borders between diffusion MRI and the general field of fMRI have always remained fuzzy. First, diffusion MRI has been used to obtain images of brain function, based on the idea that diffusion MRI could also be made sensitive to blood flow, through the intra-voxel incoherent motion (IVIM) concept. Second, the IVIM concept helped better understand the contribution from different vasculature components to the BOLD fMRI signal. Third, it has been shown recently that a genuine fMRI signal can be obtained with diffusion MRI. This 'DfMRI' signal is notably different from the BOLD fMRI signal, especially for its much faster response to brain activation both at onset and offset, which points out to structural changes in the neural tissues, perhaps such as cell swelling, occurring in activated neural tissue. This short article reviews the major steps which have paved the way for this exciting development, underlying how technical progress with MRI equipment has each time been instrumental to expand the horizon of diffusion MRI toward the field of fMRI. (authors)
Indelpro - the Grupo Alfa/Himont joint venture 150,000-m.t./year polypropylene (PP) plant in Altamira, Mexico - has been working to find its place in the Mexican market since coming onstream in March. At the same time, that market has been complicated by the imposition of import and export tariffs by the U.S. Department of Commerce early this fall. Commerce's accession to a 10% ad valorem tax on US PP exports to Mexico surprised some industry observers. The tariff is scheduled to be phased out within 10 years and is partly countermanded by a 5% tariff over a five-year period on Mexican PP exports to the US. But some market analysts say the arrangement is baffling
Clemens de Grahl
Full Text Available Purpose: To date there are only a few studies published, dealing with delirium in critically ill patients. The problem with these studies is that prevalence rates of delirium could only be estimated because of the lack of validated delirium assessment tools for the paediatric intensive care unit (PICU. The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU was specifically developed and validated for the detection of delirium in PICU patients. The purpose of this study was the translation of the English pCAM-ICU into German according to international validated guidelines. Methods: The translation process was performed according to the principles of good practice for the translation and cultural adaptation process for patient reported outcomes measures: From three independently created German forward-translation versions one preliminary German version was developed, which was then retranslated to English by a certified, state-approved translator. The back-translated version was submitted to the original author for evaluation. The German translation was evaluated by clinicians and specialists anonymously (German grades in regards to language and content of the translation. Results: The results of the cognitive debriefing revealed good to very good results. After that the translation process was successfully completed and the final version of the German pCAM-ICU was adopted by the expert committee. Conclusion: The German version of the pCAM-ICU is a result of a translation process in accordance with internationally acknowledged guidelines. Particularly, with respect to the excellent results of the cognitive debriefing, we could finalise the translation and cultural adaptation process for the German pCAM-ICU.
Kasai, Mari; Meguro, Kenichi
Many elderly people with cognitive dysfunction may observe a decrease in their health levels and quality of life (QOL). The basic concept of QOL consists of several categories including physical functions and mental health. The QOL domain that is most important for elderly people is physical health and, to a lesser extent, psychological health, social relationships, and/ or the environment. Our aim was to explore the relationships between the subjective measure of QOL, an abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) scale, and the objective measure of impairment, Clinical Dementia Rating (CDR), among elderly people in a community. Totally, 178 community dwellers aged 75 years and above agreed to participate and completed the WHOQOL-BREF; 66 (32 males, 34 females) scored a CDR of 0 (healthy), 86 (33, 53) scored a CDR of 0.5 (questionable dementia or very mild dementia), and 26 (12, 14) scored a CDR of 1 and above (dementia). According to Pearson’s correlation coefficient analysis (significance level, p hobbies impairment had significant statistical negative correlations with all WHOQOL-BREF subscales including the physical (r = -0.226, p = 0.002), psychological (r = -0.226, p = 0.002), social (r = -0.167, p = 0.026), and environmental (r = -0.204, p = 0.006) domains. Patients with very mild dementia may confuse cognitive impairment and physical disabilities. In the future, we need to systematically combine memory clinics and all departments related to the elderly for the successful early detection and rehabilitation of, and long-term care for, dementia. PMID:29706921
Kasai, Mari; Meguro, Kenichi
Many elderly people with cognitive dysfunction may observe a decrease in their health levels and quality of life (QOL). The basic concept of QOL consists of several categories including physical functions and mental health. The QOL domain that is most important for elderly people is physical health and, to a lesser extent, psychological health, social relationships, and/ or the environment. Our aim was to explore the relationships between the subjective measure of QOL, an abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) scale, and the objective measure of impairment, Clinical Dementia Rating (CDR), among elderly people in a community. Totally, 178 community dwellers aged 75 years and above agreed to participate and completed the WHOQOL-BREF; 66 (32 males, 34 females) scored a CDR of 0 (healthy), 86 (33, 53) scored a CDR of 0.5 (questionable dementia or very mild dementia), and 26 (12, 14) scored a CDR of 1 and above (dementia). According to Pearson's correlation coefficient analysis (significance level, p < 0.05), the physical domain of the WHOQOL-BREF had significant statistical negative correlations with all CDR subscales. The CDR subscale of memory impairment had a significant statistical negative correlation with the WHOQOL-BREF subscales of the physical ( r = -0.151, p = 0.044) and psychological ( r = -0.232, p < 0.002) domains. The CDR subscale of home and hobbies impairment had significant statistical negative correlations with all WHOQOL-BREF subscales including the physical ( r = -0.226, p = 0.002), psychological ( r = -0.226, p = 0.002), social ( r = -0.167, p = 0.026), and environmental ( r = -0.204, p = 0.006) domains. Patients with very mild dementia may confuse cognitive impairment and physical disabilities. In the future, we need to systematically combine memory clinics and all departments related to the elderly for the successful early detection and rehabilitation of, and long-term care for, dementia.
Abisheganaden, John; Ding, Yew Yoong; Chong, Wai-Fung; Heng, Bee-Hoon; Lim, Tow Keang
Pneumonia Severity Index (PSI) predicts mortality better than Confusion, Urea >7 mmol/L, Respiratory rate >30/min, low Blood pressure: diastolic blood pressure blood pressure 65 years (CURB-65) for community-acquired pneumonia (CAP) but is more cumbersome. The objective was to determine whether CURB enhanced with a small number of additional variables can predict mortality with at least the same accuracy as PSI. Retrospective review of medical records and administrative data of adults aged 55 years or older hospitalized for CAP over 1 year from three hospitals. For 1052 hospital admissions of unique patients, 30-day mortality was 17.2%. PSI class and CURB-65 predicted 30-day mortality with area under curve (AUC) of 0.77 (95% confidence interval (CI): 0.73-0.80) and 0.70 (95% CI: 0.66-0.74) respectively. When age and three co-morbid conditions (metastatic cancer, solid tumours without metastases and stroke) were added to CURB, the AUC improved to 0.80 (95% CI: 0.77-0.83). Bootstrap validation obtained an AUC estimate of 0.78, indicating negligible overfitting of the model. Based on this model, a clinical score (enhanced CURB score) was developed that had possible values from 5 to 25. Its AUC was 0.79 (95% CI: 0.76-0.83) and remained similar to that of PSI class. An enhanced CURB score predicted 30-day mortality with at least the same accuracy as PSI class did among older adults hospitalized for CAP. External validation of this score in other populations is the next step to determine whether it can be used more widely. © 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.
Schroeder, Scott R; Salomon, Meghan M; Galanter, William L; Schiff, Gordon D; Vaida, Allen J; Gaunt, Michael J; Bryson, Michelle L; Rash, Christine; Falck, Suzanne; Lambert, Bruce L
Drug name confusion is a common type of medication error and a persistent threat to patient safety. In the USA, roughly one per thousand prescriptions results in the wrong drug being filled, and most of these errors involve drug names that look or sound alike. Prior to approval, drug names undergo a variety of tests to assess their potential for confusability, but none of these preapproval tests has been shown to predict real-world error rates. We conducted a study to assess the association between error rates in laboratory-based tests of drug name memory and perception and real-world drug name confusion error rates. Eighty participants, comprising doctors, nurses, pharmacists, technicians and lay people, completed a battery of laboratory tests assessing visual perception, auditory perception and short-term memory of look-alike and sound-alike drug name pairs (eg, hydroxyzine/hydralazine). Laboratory test error rates (and other metrics) significantly predicted real-world error rates obtained from a large, outpatient pharmacy chain, with the best-fitting model accounting for 37% of the variance in real-world error rates. Cross-validation analyses confirmed these results, showing that the laboratory tests also predicted errors from a second pharmacy chain, with 45% of the variance being explained by the laboratory test data. Across two distinct pharmacy chains, there is a strong and significant association between drug name confusion error rates observed in the real world and those observed in laboratory-based tests of memory and perception. Regulators and drug companies seeking a validated preapproval method for identifying confusing drug names ought to consider using these simple tests. By using a standard battery of memory and perception tests, it should be possible to reduce the number of confusing look-alike and sound-alike drug name pairs that reach the market, which will help protect patients from potentially harmful medication errors. Published by the BMJ
Confusões e ambigüidades na classificação de eventos adversos em pesquisa clínica Confusiones y ambigüedades en la clasificación de eventos adversos en investigación clínica Confusions and ambiguities in the classification of adverse events in the clinical research
Full Text Available É comum considerar ambíguo como sinônimo de confuso. Em uma informação confusa, várias informações têm um mesmo significado. Na informação ambígua, ao contrário, vários significados são atribuídos a uma mesma palavra. Informações excessivas também geram ambiguidade, daí a necessidade de concisão e clareza na linguagem. O termo evento adverso (EA é definido como qualquer ocorrência médica inconveniente, sofrida por um sujeito da pesquisa em investigação clínica. A confusão e a ambiguidade no uso de palavras podem gerar conseqüências importantes na valorização de EAs. O objetivo deste estudo, de natureza teórica, é harmonizar o vocabulário utilizado na caracterização dos riscos e na comunicação de EAs na pesquisa clínica. Os EAs podem ser classificados quanto à previsibilidade, frequência, gravidade, causalidade e seriedade. Muitas vezes, em documentos regulatórios, os EAs são definidos em função da seriedade e causalidade. A harmonização do vocabulário na comunicação de EAs é fundamental para evitar a utilização equivocada de palavras com sentido confuso, ou ambíguo.Es común considerar ambiguo como siendo sinónimo de confuso. En una información confusa, varias informaciones tienen un mismo significado. En la información ambigua, al contrario, varios significados son atribuidos a una misma palabra. Informaciones excesivas también generan ambigüedad, por esa razón es necesario ser conciso y claro en el lenguaje. El término evento adverso (EA es definido como cualquier ocurrencia médica inconveniente, sufrida por un sujeto participante del estudio, en investigación clínica. La confusión y la ambigüedad en el uso de las palabras pueden generar consecuencias importantes en la valorización de los EAs. El objetivo de este estudio, de naturaleza teórica, es armonizar el vocabulario utilizado en la caracterización de los riesgos y en la comunicación de los EAs en la investigación cl
Dima, G. I.; Kuhn, J. R.; Berdyugina, S.
Measurements of the coronal magnetic field are difficult because of the intrinsically faint emission of coronal plasma and the large spurious background due to the bright solar disk. This work addresses the problem of resolving the confusion of the line-of-sight (LOS) integration through the optically-thin corona being observed. Work on developing new measuring techniques based on single-point inversions using the Hanle effect has already been described (Dima et al. 2016). It is important to develop a technique to assess when the LOS confusion makes comparing models and observations problematic. Using forward integration of synthetic emission through magnetohydrodynamic (MHD) models together with simultaneous linearly polarized observations of the FeXIII 1075nm and SiX 1430nm emission lines allows us to assess LOS confusion. Since the lines are both in the Hanle saturated regime their polarization angles are expected to be aligned as long as the gas is sampling the same magnetic field. If significant contributions to the emission is taking place from different regions along the LOS due to the additive nature of the polarized brightness the measured linear polarization between the two lines will be offset. The size of the resolution element is important for this determination since observing larger coronal regions will confuse the variation along the LOS with that in the plane-of-sky. We also present comparisons between synthetic linearly polarized emission through a global MHD model and observations of the same regions obtained using the 0.5m Scatter-free Observatory for Limb Active Regions and Coronae (SOLARC) telescope located on Haleakala, Maui. This work is being done in preparation for the type of observations that will become possible when the next generation 4m DKIST telescope comes online in 2020.
PERFECTED enhanced recovery (PERFECT-ER) care versus standard acute care for patients admitted to acute settings with hip fracture identified as experiencing confusion: study protocol for a feasibility cluster randomized controlled trial.
Hammond, Simon P; Cross, Jane L; Shepstone, Lee; Backhouse, Tamara; Henderson, Catherine; Poland, Fiona; Sims, Erika; MacLullich, Alasdair; Penhale, Bridget; Howard, Robert; Lambert, Nigel; Varley, Anna; Smith, Toby O; Sahota, Opinder; Donell, Simon; Patel, Martyn; Ballard, Clive; Young, John; Knapp, Martin; Jackson, Stephen; Waring, Justin; Leavey, Nick; Howard, Gregory; Fox, Chris
Health and social care provision for an ageing population is a global priority. Provision for those with dementia and hip fracture has specific and growing importance. Older people who break their hip are recognised as exceptionally vulnerable to experiencing confusion (including but not exclusively, dementia and/or delirium and/or cognitive impairment(s)) before, during or after acute admissions. Older people experiencing hip fracture and confusion risk serious complications, linked to delayed recovery and higher mortality post-operatively. Specific care pathways acknowledging the differences in patient presentation and care needs are proposed to improve clinical and process outcomes. This protocol describes a multi-centre, feasibility, cluster-randomised, controlled trial (CRCT) to be undertaken across ten National Health Service hospital trusts in the UK. The trial will explore the feasibility of undertaking a CRCT comparing the multicomponent PERFECTED enhanced recovery intervention (PERFECT-ER), which acknowledges the differences in care needs of confused older patients experiencing hip fracture, with standard care. The trial will also have an integrated process evaluation to explore how PERFECT-ER is implemented and interacts with the local context. The study will recruit 400 hip fracture patients identified as experiencing confusion and will also recruit "suitable informants" (individuals in regular contact with participants who will complete proxy measures). We will also recruit NHS professionals for the process evaluation. This mixed methods design will produce data to inform a definitive evaluation of the intervention via a large-scale pragmatic randomised controlled trial (RCT). The trial will provide a preliminary estimate of potential efficacy of PERFECT-ER versus standard care; assess service delivery variation, inform primary and secondary outcome selection, generate estimates of recruitment and retention rates, data collection difficulties, and
Striking a balance of abberations and confusion. Information, reports and arguments in view of the changed situation after the Chernobyl reactor accident. Bilanz einer Ver(w)irrung. Informationen, Berichte und Argumente zum Umdenken nach Tschernobyl
The author is striking a balance of abberations and confusion. While throwing light on the general disinformedness, the neglect of urgent measures and non-observance of existing laws he also explains why nuclear energy cannot be considered an economic energy source, why alternative energy sources are cheaper and that the nuclear power industry is to be made responsible for social conflicts which are threatening to seriously affect the basic political consensus.
Full Text Available Many elderly people with cognitive dysfunction may observe a decrease in their health levels and quality of life (QOL. The basic concept of QOL consists of several categories including physical functions and mental health. The QOL domain that is most important for elderly people is physical health and, to a lesser extent, psychological health, social relationships, and/ or the environment. Our aim was to explore the relationships between the subjective measure of QOL, an abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF scale, and the objective measure of impairment, Clinical Dementia Rating (CDR, among elderly people in a community. Totally, 178 community dwellers aged 75 years and above agreed to participate and completed the WHOQOL-BREF; 66 (32 males, 34 females scored a CDR of 0 (healthy, 86 (33, 53 scored a CDR of 0.5 (questionable dementia or very mild dementia, and 26 (12, 14 scored a CDR of 1 and above (dementia. According to Pearson’s correlation coefficient analysis (significance level, p < 0.05, the physical domain of the WHOQOL-BREF had significant statistical negative correlations with all CDR subscales. The CDR subscale of memory impairment had a significant statistical negative correlation with the WHOQOL-BREF subscales of the physical (r = -0.151, p = 0.044 and psychological (r = -0.232, p < 0.002 domains. The CDR subscale of home and hobbies impairment had significant statistical negative correlations with all WHOQOL-BREF subscales including the physical (r = -0.226, p = 0.002, psychological (r = -0.226, p = 0.002, social (r = -0.167, p = 0.026, and environmental (r = -0.204, p = 0.006 domains. Patients with very mild dementia may confuse cognitive impairment and physical disabilities. In the future, we need to systematically combine memory clinics and all departments related to the elderly for the successful early detection and rehabilitation of, and long-term care for, dementia.
Estrutura fitossociológia de um fragmento natural de floresta inundável em área de orizicultura irrigada, município de Lagoa da Confusão, Tocantins Phytosociologial structure of a natural fragment of floodplain forest in area of irrigated rice cultivation, municipal district of Lagoa da Confusão, Tocantins, Brazil
Elizabeth Rodrigues Brito
Full Text Available Os fragmentos naturais de florestas inundáveis conhecidos como ipucas localizam-se na planície do Araguaia, sob a forma de depressões naturais, que no Estado do Tocantins estão situados em áreas de planícies de inundação, que favorece seu alagamento e, conseqüentemente, o maior tempo de retenção da água em épocas de elevada precipitação. O presente estudo foi desenvolvido na fazenda Lago Verde, Município de Lagoa da Confusão, Tocantins, situado entre as coordenadas UTM: 643586 e 644060 leste e 8792795 e 8799167 norte. O objetivo do trabalho foi caracterizar a estrutura de um fragmento de floresta inundável de aproximadamente um hectare, inserido em área de orizicultura irrigada. Para o levantamento fitossociológico, foram amostrados todos os indivíduos arbustivo-arbóreos com perímetro a 1,30 m do solo (PAP > 15 cm. Ao todo, foram encontrados 807 indivíduos, 35 famílias e 70 espécies. As espécies com maior VC, em ordem decrescente, foram Hirtella racemosa Lam., Qualea multiflora Mart. e Cecropia pachystachya Trécul. As famílias mais ricas em espécies foram Fabaceae (9, Vochysiaceae (6, Annonaceae e Malvaceae (4. O índice de diversidade de Shannon (H' foi de 3,44. A distribuição de classes de diâmetro apresentou curva na forma de "J" invertido, estando a maioria dos indivíduos na primeira classe.The natural fragments of floodplain forests known as "ipucas" are located in the Araguaia plain, in form of natural depressions, which are located in areas of floodplains in the State of Tocantins, favoring its flooding and, consequently, the largest period of water retention during periods of high precipitation. The present study was developed at Lagoa Verde farm, municipal district of Lagoa da Confusão, Tocantins between the coordinates UTM: 643586 and 644060 east and 8792795 and 8799167 north. The objective of the work was to characterize the structure of a floodplain forest fragment of approximately one-hectare area
Nielsen, Carsten Søren; Kyllingsbæk, Søren; Markussen, Bo
The article “Testing a Poisson Counter Model for Visual Identification of Briefly Presented, Mutually Confusable Single Stimuli in Pure Accuracy Tasks” by Søren Kyllingsbæk, Bo Markussen and Claus Bundesen (Journal of Experimental Psychology: Human Perception and Performance, 2012, Vol. 38, No. 3......, pp. 628–642. http://dx.doi.org/10.1037/a0024751) used a computational shortcut (Equation A5) that strongly reduced the time needed to fit the Poisson counter model to experimental data. Unfortunately, the computational shortcut built on an approximation that was not well-founded in the Poisson...... counter model. To measure the actual deviation, the authors refitted both the computational shortcut and the Poisson counter model (Equations A1-A4) to the experimental data reported in the article. The Poisson counter model fits did, fortunately, not deviate noticeably from those produced...
Sabeeha Hamza Dehham Al- Jobouri أ.م. صبيحة حمزة دحام
Full Text Available The present study is an attempt to identify the errors made by Iraqi EFL learners in the Department of English / College of Basic Education, University of Babylon in using confusing nouns .The Classification of English Nouns is as diverse and varied as English Grammar. The researcher in the paper under review has sought to examine in details how nouns are a source of confusion for EFL learners. This study aims at (1 investigating the difficulties faced Iraqi EFL university learners in using confusing nouns and (2 identifying the errors made by EFL learners in using confusing nouns . To achieve the two goals mentioned above, the study hypothesizes that Iraqi EFL University Learners committed errors in using confusing nouns because of their intralingual transference. The Hypothesis has been verified through adopted a diagnostic test of two questions .The test has been applied to a sample of 100 Iraqi EFL university learners at their fourth year from Department of English, College of Basic Education, University of Babylon during the academic year 2014-2015. Errors have been pointed and results have been analyzed statistically. The analysis gives the following results: (1 EFL University learners face difficulties in recognizing and producing confusing nouns . This is indicated by their low performance in the test as the, rate. of their correct responses (782, 39.1% is lower significantly than that of their incorrect ones (1218, 60.9 %. (2 The subjects' performance in the test has also revealed that EFL university learners encounter more difficulties in using confusing nouns at the production level than at the recognition one. This is due to the fact that the total number and the percentage of the correct responses at the production level (349, 34.9 % is lower than the total the total number and the percentage of the correct responses at the recognition level which are equal (433, 43.3 % and (3 Some of errors are due to the student's lack knowledge
Ballenger, Jesse F
This essay will briefly sketch historical changes in the framing of dementia since the late nineteenth century. In broad terms, this period has seen a shift from viewing dementia as a pathological variant of normal aging to viewing it as a distinct disease. Although this broad reframing of dementia was clearly positive in raising awareness and funding for research, it had some negative aspects that should be considered. Caregiving came to seem less important than research aimed at a cure, and the stigma surrounding dementia has, if anything, increased. © 2017 American Medical Association. All Rights Reserved.
Haller, Istvan; Jeon, Yuseok; Peng, Hui; Payer, Mathias; Giuffrida, Cristiano; Bos, Herbert; Van Der Kouwe, Erik
The low-level C++ programming language is ubiquitously used for its modularity and performance. Typecasting is a fundamental concept in C++ (and object-oriented programming in general) to convert a pointer from one object type into another. However, downcasting (converting a base class pointer to a
Beck, Jerome; Morgan, Patricia A.
Discusses the competing definitions and issues surrounding various designer drugs, primarily 3, 4-methylenedioxy-methamphetamine (MDMA). Offers a rationale for why interest in MDMA, which possesses both stimulant and psychedelic properties, will continue to grow despite the drug's recent illegality and increasing evidence of neurotoxicity.…
... to be influenced by their identification with the males and females in their lives, the sense of being a girl or a boy (i.e. gender identity) cannot be changed. Gender Stereotypes Over time, society has recognized that stereotypes of ...
The ability to remain focused on goal-relevant stimuli in the presence of potentially interfering distractors is crucial for any coherent cognitive function. However, simply instructing people to ignore goal-irrelevant stimuli is not sufficient for preventing their processing. Recent research reveals that distractor processing depends critically on the level and type of load involved in the processing of goal-relevant information. Whereas high perceptual load can eliminate distractor processing, high load on "frontal" cognitive control processes increases distractor processing. These findings provide a resolution to the long-standing early and late selection debate within a load theory of attention that accommodates behavioural and neuroimaging data within a framework that integrates attention research with executive function.
Zeuthen, Katrine Egede; Gammelgård, Judy
love to Bowlby's concept of attachment we examine the theories that, inspired by Laplanche, once more have taken up the discussion of infantile sexuality. In the light of these discussions and through clinical examples we argue that the concept of infantile sexuality could be clarified by combining...
Shaheen Borna; Joseph Chapman
This article examines two common marketing terms: product positioning and product differentiation. Many authors use these terms interchangeably, yet most marketing texts treat product positioning and product differentiation as two seperate concepts. This article attempts to identify the underlying concepts of both product differentiation and product positioning. Product differentiation is shown to be a special case of product positioning: therefore, it is suggested that marketers may want to ...
Boynton, Robert M.
1.1. Three functions of color vision. Setting aside the complex psychological effects of color, related to esthetics, fashion, and mood, three relatively basic functions of color vision, which can be examined scientifically, are discernable. (1) With the eye in a given state of adaptation, color vision allows the perception of signals that otherwise would be below threshold, and therefore lost to perception. Evidence for this comes from a variety of two-color threshold experiments. (2) Visible contours can be maintained by color differences alone, regardless of the relative radiances of the two parts of the field whose junction defines the border. For achromatic vision, contour disappears at the isoluminant point. (3) Color specifies what seems to be an absolute property of a surface, one that enhances its recognizability and allows a clearer separation and classification of non-contiguous elements in the visual field.
Fishel, Laurence A.
Two conventions for preparing dilutions are used in clinical laboratories. The first convention defines an "a:b" dilution as "a" volumes of solution A plus "b" volumes of solution B. The second convention defines an "a:b" dilution as "a" volumes of solution A diluted into a final volume of "b". Use of the incorrect dilution convention could affect…
that contributes to both business formation and the ultimate expansion or growth of the business. The entrepreneurial actions related to these business activities are analysed in this study. The differential application of these actions in the formal and informal business panels is of particular importance for this study. Although ...
Lysgaard, Jonas Andreasen; Læssøe, Jeppe
respond to it. While the techno-sciences often are accused for being affirmative and technocratic, they at least offer their students opportunities for working with concrete innovative problem solutions. SSH, has mostly taken the cultural role (Biesta, 2009) of deconstructing, relativizing, complicating...... and criticizing socio-cultural systems, discourses and practices. This is indeed a much needed way of addressing the political. However, at the same time it risks to oppose and exclude the hopeful search for sustainable ways forward rather than to qualify and empower it. Looking for potential ways to rethink SSH...
South African Journal of Obstetrics and Gynaecology. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 23, No 1 (2017) >. Log in or Register to get access to full text downloads.
ENERGY. ·•1•·•1•· ~ CISCO ~ ~ ~~ Carolinas HcalthCarc System ........•••••••............•••••••••••••••••••••.......................•. 12th Annual...making operational efficiency • Generating new data sources • Predictive analytics • Market research (AMA Survey top 5) 12th Annual
Purdy, Noel; Morrison, Hugh
This paper critically examines the application of research into cognitive neuroscience to educational contexts. It first considers recent warnings from within the neuroscientific community itself about the limitations of current neuroscientific knowledge and the urgent need to dispel popular "neuromyths" which have become accepted in…
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Full Text Available Souphiyeh Samizadeh,1 Koenraad De Boulle2 1Great British Academy of Aesthetic Medicine, London, UK; 2Aalst Dermatology Clinic, Aalst, Belgium Abstract: Botulinum toxin A is produced by anaerobic spore-forming bacteria and is used for various therapeutic and cosmetic purposes. Botulinum toxin A injections are the most popular nonsurgical procedure worldwide. Despite an increased demand for botulinum toxin A injections, the clinical pharmacology and differences in formulation of commonly available products are poorly understood. The various products available in the market are unique and vary in terms of units, chemical properties, biological activities, and weight, and are therefore not interchangeable. For safe clinical practice and to achieve optimal results, the practitioners need to understand the clinical issues of potency, conversion ratio, and safety issues (toxin spread and immunogenicity. In this paper, the basic clinical pharmacology of botulinum toxin A and differences between onabotulinum toxin A, abobotulinum toxin A, and incobotulinum toxin A are discussed. Keywords: botulinum toxin, botulinum neurotoxin, moiety, protein complexes
In this paper we examine the connection between unambiguity of cellular systems and the existence of Garden of Eden configurations in cellular automata. The examination includes both finite and infinite configurations. The connections are found by examining various properties of the global...
The question of whether and how much gas carrying capacity is required beyond Chicago was examined. Assuming that the answer is 'yes', how much of the gas should be moved beyond Chicago, and which of the many pipeline options currently available should be chosen, was discussed. PanEnergy, one of the United States' five-largest transporters of natural gas and producers of natural gas liquids, with a base of 37,000 miles of natural gas pipelines, decided to get involved with Spectrum which takes gas away from Chicago, and Excelsior which gets gas into New York City. The Spectrum pipeline is designed to phase-in transport of up to 500,000 Dth/d from the Chicago area to the east coast and other markets served by the PanEnergy pipelines, such as southern Ontario, Kansas City and Memphis. The Excelsior pipeline project has been proposed to get gas into New York City. It is a long term solution designed to meet several years of strong historical and forecasted market growth. At the same time, it is not a new pipeline; it is backed by existing assets and will provide service as early as 1998. 15 figs
A focus on supply-side economics and on factors determining economic growth is prominent in seeking sustainable solutions to sluggish international economic growth. There is renewed interest in entrepreneurship, business formation and growth. This paper is aimed at contrasting the growth performance and prospects of ...
The 2014 updated version of the Confusion Assessment Method for the Intensive Care Unit compared to the 5th version of the Diagnostic and Statistical Manual of Mental Disorders and other current methods used by intensivists.
Chanques, Gérald; Ely, E Wesley; Garnier, Océane; Perrigault, Fanny; Eloi, Anaïs; Carr, Julie; Rowan, Christine M; Prades, Albert; de Jong, Audrey; Moritz-Gasser, Sylvie; Molinari, Nicolas; Jaber, Samir
One third of patients admitted to an intensive care unit (ICU) will develop delirium. However, delirium is under-recognized by bedside clinicians without the use of delirium screening tools, such as the Intensive Care Delirium Screening Checklist (ICDSC) or the Confusion Assessment Method for the ICU (CAM-ICU). The CAM-ICU was updated in 2014 to improve its use by clinicians throughout the world. It has never been validated compared to the new reference standard, the Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5). We made a prospective psychometric study in a 16-bed medical-surgical ICU of a French academic hospital, to measure the diagnostic performance of the 2014 updated CAM-ICU compared to the DSM-5 as the reference standard. We included consecutive adult patients with a Richmond Agitation Sedation Scale (RASS) ≥ -3, without preexisting cognitive disorders, psychosis or cerebral injury. Delirium was independently assessed by neuropsychological experts using an operationalized approach to DSM-5, by investigators using the CAM-ICU and the ICDSC, by bedside clinicians and by ICU patients. The sensitivity, specificity, positive and negative predictive values were calculated considering neuropsychologist DSM-5 assessments as the reference standard (primary endpoint). CAM-ICU inter-observer agreement, as well as that between delirium diagnosis methods and the reference standard, was summarized using κ coefficients, which were subsequently compared using the Z-test. Delirium was diagnosed by experts in 38% of the 108 patients included for analysis. The CAM-ICU had a sensitivity of 83%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 91%. Compared to the reference standard, the CAM-ICU had a significantly (p DSM-5 criteria and reliable regarding inter-observer agreement in a research setting. Delirium remains under-recognized by bedside clinicians.
The CAM-ICU has now a French "official" version. The translation process of the 2014 updated Complete Training Manual of the Confusion Assessment Method for the Intensive Care Unit in French (CAM-ICU.fr).
Chanques, Gérald; Garnier, Océane; Carr, Julie; Conseil, Matthieu; de Jong, Audrey; Rowan, Christine M; Ely, E Wesley; Jaber, Samir
Delirium is common in Intensive-Care-Unit (ICU) patients but under-recognized by bed-side clinicians when not using validated delirium-screening tools. The Confusion-Assessment-Method for the ICU (CAM-ICU) has demonstrated very good psychometric properties, and has been translated into many different languages though not into French. We undertook this opportunity to describe the translation process. The translation was performed following recommended guidelines. The updated method published in 2014 including introduction letters, worksheet and flowsheet for bed-side use, the method itself, case-scenarios for training and Frequently-Asked-Questions (32 pages) was translated into French language by a neuropsychological researcher who was not familiar with the original method. Then, the whole method was back-translated by a native English-French bilingual speaker. The new English version was compared to the original one by the Vanderbilt University ICU-delirium-team. Discrepancies were discussed between the two teams before final approval of the French version. The entire process took one year. Among the 3692 words of the back-translated version of the method itself, 18 discrepancies occurred. Eight (44%) lead to changes in the final version. Details of the translation process are provided. The French version of CAM-ICU is now available for French-speaking ICUs. The CAM-ICU is provided with its complete training-manual that was challenging to translate following recommended process. While many such translations have been done for other clinical tools, few have published the details of the process itself. We hope that the availability of such teaching material will now facilitate a large implementation of delirium-screening in French-speaking ICUs. Copyright © 2017 Société française d'anesthésie et de réanimation (Sfar). All rights reserved.
簡維克 Wei-Ke Chien
Full Text Available 使用者若想在網路以有效率方式取得資訊，便需藉由在搜尋引擎中輸入關鍵字作精確地搜尋，而此也正是關鍵字議題產生的起源。當關鍵字成為網路使用者最快取得資訊的方式時，網頁擁有人也將竭盡所能的以各種方式，使自己的網頁能夠被使用者發現，進而在眾多競爭者脫穎而出。由於關鍵字帶來的新服務態樣，使得商標的使用不再必須仰賴實體物品的出現，或甚至可使用在人類無法察覺而僅供機器內部辨識之處，故也挑戰著原來美國商標法規定的「商業上使用」方式。本文便是欲探究美國司法實務中，以初始興趣混淆原則（IIC）及美國商標法規定的使用定義，作為網路環境下，因關鍵字所產生的商標侵權與否之判斷要件是妥適，並進而檢驗我國相關法制之因應作為。 Since many website operators find consumers today often use trademarks on an Internet search engine, like Google or Yahoo, seeking specific goods or services, these operators also adjust their marketing strategy to insert others’ famous trademarks in their original website HTML pages (known as meta tags or purchase the “keyword” (usually is other’s trademark from the search engine operator in order to have a better position in the search result pages. By these methods, the consumers will sometimes be referred to the advertisements for these website operators, instead of the real trademark owners. Undoubtedly, the real trademark owners are very angry with these, since they suffer economic loss. For these reasons, there are more and more lawsuits between the trademark owners and their competitor or search engine operators. The plaintiff often claims the defendant’s behavior still violates the doctrine of initial interest confusion (IIC in trademark law. The IIC doctrine is gradually developed by practices of the courts, it allowing a finding of infringement
Christensen, Gordon J
The venerable PFM crown or fixed prosthesis still dominates the tooth-colored restoration market. However, use of PFMs is declining slightly, as the many new all-ceramic and resin-based composite crowns and fixed-prosthesis products flood the market. Several situations may indicate the use of materials other than PFM. They include patients requiring a high level of esthetic acceptability, patients with proven or perceived allergies to the metals used in dentistry and bruxing or clenching patients with metal allergies or desire to eliminate metal from their mouths. PFM restorations have been proven during 40 years of successful use. They provide acceptable esthetics for most situations, minimal fracture during service, proven ability to serve in multiple-unit situations and excellent fit, and the profession has detailed knowledge of these restorations' advantages, disadvantages and physical characteristics. PFM restorations have only a few well-known negative characteristics. Be cautious as you elect to move from the reliability and positive history of PFM to relatively unknown types of restorations.
Huber-Spitzy, V; Janeba, E
With the coming into force of the new Austrian Employee Protection Act the issue of the so called "computer glasses" will also gain added importance in our country. Such glasses have been defined as vision aids to be exclusively used for the work on computer monitors and include single-vision glasses solely intended for reading computer screen, glasses with bifocal lenses for reading computer screen and hard-copy documents as well as those with varifocal lenses featuring a thickened central section. There is still a considerable controversy among those concerned as to who will bear the costs for such glasses--most likely it will be the employer. Prescription of such vision aids will be exclusively restricted to ophthalmologists, based on a thorough ophthalmological examination under adequate consideration of the specific working environment and the workplace requirements of the individual employee concerned.
Burton-Chellew, Maxwell N; El Mouden, Claire; West, Stuart A
Economic experiments are often used to study if humans altruistically value the welfare of others. A canonical result from public-good games is that humans vary in how they value the welfare of others, dividing into fair-minded conditional cooperators, who match the cooperation of others, and selfish noncooperators. However, an alternative explanation for the data are that individuals vary in their understanding of how to maximize income, with misunderstanding leading to the appearance of cooperation. We show that (i) individuals divide into the same behavioral types when playing with computers, whom they cannot be concerned with the welfare of; (ii) behavior across games with computers and humans is correlated and can be explained by variation in understanding of how to maximize income; (iii) misunderstanding correlates with higher levels of cooperation; and (iv) standard control questions do not guarantee understanding. These results cast doubt on certain experimental methods and demonstrate that a common assumption in behavioral economics experiments, that choices reveal motivations, will not necessarily hold.
Evans, J. Calvin
Highlights contemporary sexuality issues that confront children, adolescents, and the adults who care for them. Discusses teenage pregnancy, sexual abuse, HIV/AIDS, sexual orientation, and sexual harassment. States that schools and treatment programs have an important role in sexuality education and that the costs of neglecting that role is high…
Feldman, N. E.; Katuščák, Peter; Kawano, L.
Roč. 106, č. 3 (2016), s. 807-835 ISSN 0002-8282 Institutional support: PRVOUK-P23 Keywords : economic stimulus payments * real-effort experiment * income-tax Subject RIV: AH - Economics Impact factor: 4.026, year: 2016
Seed is basic to crop production. Next to its importance in production, food security and rural development, seed is a key element in many debates about technology development and transfer, biodiversity, globalisation and equity. The sustainable availability of good quality seed is thus an important
Introduction Some countries, including Switzerland, Germany, Spain, France, Greece, and Norway, ban commercial surrogacy (Patton 2010, 523). Others, such as India and the Ukraine, have actively tried to be seen as commercial surrogacy destinations (Mohapatra 2012, 412, 432–437, 441–448). Unlike either of these approaches, the United States (US) has no national stance on surrogacy. In fact, there are no national laws or regulations related to surrogacy in the US (Margalit 2014). Instea...
Smith, Martin C.; Wozniak, Przemyslaw; Mao, Shude; Sumi, Takahiro
Gravitational microlensing surveys target very dense stellar fields in the local group. As a consequence, the microlensed source stars are often blended with nearby unresolved stars. The presence of 'blending' is a cause of major uncertainty when determining the lensing properties of events towards
The author discusses the inaccurate and precipitate news of alleged successful controlled nuclear fusion in the Tokamak Fusion Test Reactor at Princeton University. The later modified published report indicated that in a first test, fractional second operation had produced plasma gas temperature of 100,000 0 C whereas 100 million degrees C is necessary for hydrogen nuclear fusion. Also power generation from nuclear fusion is still a long term goal. Problems of nuclear fusion are very briefly mentioned, and an impression of the Tokamak Fusion Test Reactor is illustrated. (H.V.H.)
Uchino, Y; Hakoda, Y; Yamada, N
Experiment 1 and 2 examined the effect of addition or deletion changes in a picture recognition test. Addition and deletion applied to original pictures were referred to deviation change, and addition to deleted pictures or deletion from added pictures was referred to restoration change. In Experiment 1 (n = 40), elaborative detailed information contained in line drawings of scenes was changed whereas one of major features in a single object was changed in Experiment 2 (n = 36). In the test phase, participants indicated whether each test picture was changed or not from the picture they had seen in the study phase. Deviation change had a greater effect on detection performance than restoration only in Experiment 2. Additions were easily detected than deletions only in deviation change in Experiment 2. In Experiment 3, 51 participants rated impression of added or deleted pictures used in Experiment 2. Impression of added pictures was significantly different from that of deleted in 3 factors. These results suggest that superiority of additions over deletions might be due to their different impression change.
Sibel Serin; Kevser Kutlu Tatar; Tayyibe Saler
Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disease resulting from immune system-mediated tissue damage. Clinical findings of SLE can involve skin, kidney, central nervous system, cardiovascular system, serosal membranes, and the hematologic and immune systems. In the differential diagnosis, other connective tissue diseases, infective endocarditis, infections such as viral hepatitis, endocrine disorders such as hypothyroidism, sarcoidosis, and some malignant tumors should...
leucotreta (Lepidoptera: Tortricidae) dans les exploitations cotonnières en. Côte d' ... En vue de mettre en place une stratégie de gestion efficace, il a été .... suivre la dynamique des populations ..... application, peuvent permettre le contrôle de.
In addition, the legal position is complicated by the fact that the latter Act not only allows both heterosexual and homosexual couples to conclude a civil union, but also provides that a civil union may take the form of either a marriage or a civil partnership, both of which enjoy the same legal recognition as, and give rise to the ...
Archdeacon, Talis Saule
Erakordselt soe talv Baltimaades võib kahjustada suusakeskuste ja põllumajandusettevõtete majandustulemusi. Baltimaade võimalused EL-i uue kasvuhoonegaaside vähendamist nõudva keskkonnastrateegia täitmiseks
The meeting ‘Inositide Signalling in Health and Disease', sponsored and organized by the National Centre for Biological Research, Bangalore, and the Indian Academy of Sciences, was held in late November 2012 in the luxurious destination of Orange County Resort, Coorg, India. PMID:23392224
In line with the broader nationalist advances currently remaking the Western political landscape, the concept of integration has witnessed a marked rehabilitation. Whilst many influential critiques of the sociology of integration are already available, this article contests the concept's renewed purchase through addressing its own internal incoherence. Based on research in Stockholm, this critique concerns the relationship between ethnic identity and cultural integration. It will be argued that integration and the production of difference are intertwined, entangled dualities, and far from being a benign entanglement, this duality is premised on the force and reach of everyday civic racisms. Of pivotal and unique analytical significance here is the observation that racism should not only be considered an exogenous process that impedes integration, but as a multifaceted phenomenon folded into integration. © London School of Economics and Political Science 2017.
Matloff, Ellen; Caplan, Arthur
Myriad Genetics holds a patent on testing for the hereditary breast and ovarian cancer genes, BRCA1 and BRCA2, and therefore has a forced monopoly on this critical genetic test. Myriad launched a Direct-to-Consumer (DTC) marketing campaign in the Northeast United States in September 2007 and plans to expand that campaign to Florida and Texas in 2008. The ethics of Myriad's patent, forced monopoly and DTC campaign will be reviewed, as well as the impact of this situation on patient access and care, physician liability, and the future of DTC campaigns for genetic testing.
Schott, Carina; Van Kleef, Daphne; Noordegraaf, Mirko
Public professionalism is increasingly subject to organizational and societal pressures, which has led to ambiguity concerning its nature. Professionals face conflicting situations due to potential clashes between multifaceted professional, organizational, and societal factors. This raises questions
Since the terrorist atrocities of September 11, 2001, Westerners have been challenged to understand the ideological and theological concepts, derived from Islam, that motivated the actions of Al-Qaida on that day and in other attacks before and since. Differences in taxonomy have proven to be a major issue. In the author's view, it is insufficient…
out? Answers. 1. The most likely cause of this presentation is a metabolic encephalopathy. ... The creatinine was 18.3mg/dL (Normal range 0.7 – 1.2mg/. dL ), potassium ... ADPKD is also associated with high circulating vasopressin levels and.
... Schizophrenia and people with OCD both may have: Strange or bizarre thoughts. Thoughts that include sexual violent ... Your gift has the power to change the life of someone living with OCD. Donate Membership International ...
G. D'Attoma, A. Giampetruzzi, V.N. Savino, D. Boscia, P. Saldarelli.
The recent findings of the plant pathogenic bacterium Xylella fastidiosa (Xf), infecting several plant species in Italy and France, raised major concerns for its potential impact on the EU and Mediterranean agriculture. In the current EU outbreaks, olive is the predominantly affected crop, in which the bacterium has been consistently associated with a new severe syndrome, denoted “Olive Quick Decline”. So far, no effective treatments are available to cure infected plants. However, several app...
Seed is basic to crop production. Next to its importance in production, food security and rural development, seed is a key element in many debates about technology development and transfer, biodiversity, globalisation and equity. The sustainable availability of good quality seed is thus an important development issue. This study deals with the impact different types of regulation have on how farmers access seed. I have analysed current regulatory frameworks in terms of their impact on differe...
Rosenberg, J; Kehlet, H
under general anesthesia, were monitored for oxygen saturation (SpO2) with a pulse oximeter on a preoperative night and on the second night after operation (11:00 PM to 7:00 AM). All patients were tested with a mental test questionnaire (the Hodkinson modification of the original Roth-Hopkins test...... major surgery had decreased mental function on the third day (p operation, whereas minor surgery did not impair mental function. There was a significant correlation between mental function on the third day after operation and mean SpO2 on the second postoperative.......04). During stepwise multiple regression analysis in patients undergoing major surgery, a significant relationship was found between postoperative mental test score and SpO2 (p mental function and other perioperative variables (age, premedication dose, duration of operation...
De Vent, I.; Rots, J.G.; Van Hees, R.P.J.; Hobbelman, G.J.
Cracks and deformatiçns in masonry are common phenomena in historical buildings. If they are interpreted correctly, they can be an extremely valuable source çf informatiçn on the load history of the premises. Nevertheless, this interpretation is not always as obvious as one may think. In the
Little, D.C.; Bush, S.R.; Belton, B.; Nguyen Thanh Phuong,; Young, J.A.; Murray, F.J.
Rapid growth in production of the farmed Vietnamese whitefish pangasius and its trade with the European Union has provoked criticism of the fish’s environmental, social and safety credentials by actors including WWF and Members of the European Parliament and associated negative media coverage. This
Kuester, Sabine; Buys, Sebastian
In einer von starkem Wettbewerb gekennzeichneten Umwelt müssen Unternehmen ihr Produktportfolio positiv von ihren Wettbewerbern differenzieren, um langfristig erfolgreich zu sein. Das Festlegen der einzelnen Produktliniengrößen ist dabei eine besonders kritische Herausforderung. Auf der einen Seite ist es wichtig, Produktvielfalt zu bieten, um die Bedürfnisse verschiedener Kundensegmente zu erfüllen. Auf der anderen Seite laufen U...
Although an adequate knowledge of growth patterns and defoliation effects in perennial grasses is a prerequisite for the rational use of veld and pastures for animal production, our knowledge of this subject is far from adequate. The results of various physiological and clipping studies on tropical and sub-tropical grasses are ...
Discusses copyright laws and litigation that have implications for online copyright. Highlights include the Sonny Bono Copyright Extension Act; the Digital Millennium Copyright Act (DMCA); Eldred v. Ashcroft; tradeoffs between private interests and the public domain; and intellectual property licensing. (LRW)
... driver's license or state ID card. Donate the gift of life. OrganDonor.gov. http://www.organdonor.gov. Accessed Feb. 11, 2016. Organ procurement and transplantation network: Uniting people and information to ...
Steinemann, Susan; Kurosawa, Gene; Wei, Alexander; Ho, Nina; Lim, Eunjung; Suares, Gregory; Bhatt, Ajay; Berg, Benjamin
Trauma care requires coordinating an interprofessional team, with formative feedback on teamwork skills. We hypothesized nurses and surgeons have different perceptions regarding roles during resuscitation; that nurses' teamwork self-assessment differs from experts', and that video debriefing might improve accuracy of self-assessment. Trauma nurses and surgeons were surveyed regarding resuscitation responsibilities. Subsequently, nurses joined interprofessional teams in simulated trauma resuscitations. After each resuscitation, nurses and teamwork experts independently scored teamwork (T-NOTECHS). After video debriefing, nurses repeated T-NOTECHS self-assessment. Nurses and surgeons assumed significantly more responsibility by their own profession for 71% of resuscitation tasks. Nurses' overall T-NOTECHS ratings were slightly higher than experts'. This was evident in all T-NOTECHS subdomains except "leadership," but despite statistical significance the difference was small and clinically irrelevant. Video debriefing did not improve the accuracy of self-assessment. Nurses and physicians demonstrated discordant perceptions of responsibilities. Nurses' self-assessment of teamwork was statistically, but not clinically significantly, higher than experts' in all domains except physician leadership. Copyright © 2016 Elsevier Inc. All rights reserved.
Bendle, Neil T.; Bagga, Charan K.
The authors review 33 cases and related materials to understand how customer lifetime value (CLV) is taught. The authors examine (a) whether CLV is calculated using something other than contribution (e.g., revenue), (b) whether discounting is used, and (c) whether acquisition costs are subtracted before reporting CLV. The authors show considerable…
Claudia Alvarado-de la Barrera
Full Text Available As a consequence of late presentation for HIV care, a significant proportion of individuals develop immune reconstitution inflammatory syndrome (IRIS soon after initiation of antiretroviral therapy. Incidence, predictors, and models of pathogenesis of IRIS vary in the literature. Here we discuss factors that may contribute to this lack of consensus. We propose that different pathogens drive different types of IRIS and suggest that these clinical conditions should be studied individually and not grouped under the general heading of “IRIS.”
Kelesbayev, Dinmukhamed; Kalykulov, Kuatbek; Yertayev, Yermek; Turlybekova, Altynay; Kamalov, Akhmet
More than twenty years on marketing, research and publications have dealt with research problems based on marketing mix and have mostly examined marketing processes. However, the types or elements of the marketing mix that are important for both the enterprises and the consumers are not analyzed too deeply, and different expressions or concepts are used in the analyzed sources. For example, when we look at the literature on marketing, which is being used as a source in our universities, the c...
Feldman, N. E.; Katuščák, Peter; Kawano, L.
Roč. 106, č. 3 (2016), s. 807-835 ISSN 0002-8282 R&D Projects: GA ČR(CZ) GBP402/12/G130 Institutional support: RVO:67985998 Keywords : economic stimulus payments * real-effort experiment * income-tax Subject RIV: AH - Economics Impact factor: 4.026, year: 2016
The modern usage of the words 'astronomy' and 'astrology' is traced back to distinctions that are largely ignored in recent scholarship. Three interpretations of celestial phenomena (in a geometrical, a substantialist and a prognostic form) co-existed during the Hellenistic Period. From Plato to Isidore of Seville, the semiotic contrast is evidenced, and its later developments are sketched. The concept of astronomy is found to be rather constant and distinct from changing views about astrology.
Selma KATLANE BEN MLOUKA
Full Text Available Quality management and project management appear as themes of strategic management today. The adoption of the project management constitutes a new way in organizing the production. It helps to cope with the complexity of the environment, to reduce the product life cycles and to make working arrangements more flexible. It should also adapt to the ICT revolution and restructuring of enterprises due to the dematerialisation of structures and transactions. Quality management, applied to more operations and strongly influenced by the quantitative approach seems compatible with project management. Indeed, the two paradigms emphasize the importance of customer satisfaction, teamwork, the role of leadership and the continuous improvement of processes and products. This paper aims to revisit the principles of relationship between total quality management and project management. Having shown the importance of incorporating fine patterns and project quality in business organization, we will explain how the ability to generate, select and conduct projects in an oriented accountability of management is able to enroll in a total quality.
Hewett, David G; Shields, Jennifer; Waring, W Stephen
Immediate management of drug overdose relies upon the patient account of what was ingested and how much. Paracetamol (acetaminophen) is involved in around 40% of intentional overdose episodes, and remains the leading cause of acute liver failure in many countries including the United Kingdom. In recent years, consumers have had increasing access to medications supplied by international retailers via the internet, which may have different proprietary or generic names than in the country of purchase. We describe a patient that presented to hospital after intentional overdose involving 'acetaminophen' purchased via the internet. The patient had difficulty recalling the drug name, which was inadvertently attributed to 'Advil', a proprietary non-steroidal anti-inflammatory drug. The error was later recognised when the drug packaging became available, but the diagnosis of paracetamol overdose and initiation of acetylcysteine antidote were delayed. This case illustrates the benefit of routinely measuring paracetamol concentrations in all patients with suspected poisoning, although this is not universally accepted in practice. Moreover, it highlights the importance of the internet as a source of medications for intentional overdose, and emphasises the need for harmonisation of international drug names to improve patient safety.
Farr, Will M.; Gair, Jonathan R.; Mandel, Ilya; Cutler, Curt
We show how to obtain a Bayesian estimate of the rates or numbers of signal and background events from a set of events when the shapes of the signal and background distributions are known, can be estimated, or approximated; our method works well even if the foreground and background event distributions overlap significantly and the nature of any individual event cannot be determined with any certainty. We give examples of determining the rates of gravitational-wave events in the presence of background triggers from a template bank when noise parameters are known and/or can be fit from the trigger data. We also give an example of determining globular-cluster shape, location, and density from an observation of a stellar field that contains a nonuniform background density of stars superimposed on the cluster stars.
Aug 12, 2010 ... desirability of the continued existence of the Civil Union Act by comparing the South ..... heterosexual marriage infringed certain individual rights and ...... the interesting comment that it is ironic that at the time of voting the.
Full Text Available In a polymicrobial community, while some bacteria are communicating with neighboring cells (quorum sensing, others are interrupting the communication (quorum quenching, thus creating a constant arms race between intercellular communication. In the past decade, numerous quorum quenching enzymes have been found and initially thought to inactivate the signalling molecules. Though this is widely accepted, the actual roles of these quorum quenching enzymes are now being uncovered. Recent evidence extends the role of quorum quenching to detoxification or metabolism of signalling molecules as food and energy source; this includes “signalling confusion”, a term coined in this paper to refer to the phenomenon of non-destructive modification of signalling molecules. While quorum quenching has been explored as a novel anti-infective therapy targeting, quorum sensing evidence begins to show the development of resistance against quorum quenching.
Hove, Sybille van den; McGlade, Jacqueline; Mottet, Pierre; Depledge, Michael H.
In this commentary we argue that innovation is a means, not an end in itself. Innovation is only desirable to the extent that it improves human health and well-being and contributes to environmental, social, and economic sustainability. If innovation is merely focussed on bringing more products to markets and delivering economic growth in the short term, as is currently the trend in the European Union and many OECD countries, it is unclear how it differs from the dominant pre-crisis approach which, notwithstanding its positive effects on living standards, led to unsustainable resource use, crippling biodiversity loss, and increasing greenhouse gas emissions. As the future European research, development and innovation policies are being defined, we should not miss an historic opportunity to concentrate on improving human health, well-being and quality of life, and to embark on a more ecologically, socially and economically sustainable path. Given the scale and irreversibility of our damaging effects on the environment and on the well-being of current and future generations, we call for these aspects to be urgently represented in European innovation discourses, policies, and actions. Re-balancing market focussed innovation and socially meaningful and responsible innovation (i.e. innovation with a human purpose) can be achieved by building on a broader concept of innovation which not only includes technological innovation, but also non-technological, social, institutional, organisational and behavioural innovation. We then discuss the importance of curiosity-driven research and of environment and health research as drivers of socially meaningful innovation in all its forms.
This is premised on the idea, arising partially from anthropological critique, that while cultural designations (e.g. Maori or Muslim) might serve as important political and identity markers, they obscure rather than reveal the actual influences the subject is exposed to, and which condition subjective experience as seen through ...
Ioannides, Demetris; Davies, Madeleine; Kluzek, Stefan
A 19-year-old man was sent to the emergency department following a pitch-side assessment for suspected concussion, unexplained upper abdominal tenderness and vomiting, following a high-impact tackle during a rugby match. A Focussed Assessment with Sonography for Trauma (FAST) scan performed in the emergency department suggested intra-abdominal free fluid, and subsequent head and abdominal CT imaging showed no intracranial lesion but confirmed a significant haemoperitoneum due to large splenic tear and bleeding. An emergency splenectomy was performed, which confirmed the rupture of an enlarged spleen with blood loss of almost 2 L into the peritoneal cavity. The patient made a full recovery following surgery. A subsequent histological examination revealed granulomatous inflammation characteristic of infectious mononucleosis. This unique case illustrates that physically fit patients with early hypovolaemic shock can present with symptoms mimicking concussion. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Journal of Computer Science and Its Application ... In this paper, an intelligent system driven by fuzzy clustering algorithm and Adaptive Neuro-Fuzzy Inference System for ... Data on patients diagnosed and confirmed by laboratory tests of viral ...
Bittner, Florian; Hanigk, Stefan
Printed circuit boards  and EEE components are the foundation block of computers. They are the basis where a fault may have fatal consequences. Modern spacecraft are heavily depending on these devices. EEE components typically make up 8-20% of the cost of a spacecraft. Their quality is essential , , , .We all use printed circuit boards everywhere, from TV to freezer to your car, but what is it actually: Just a holding place for IC's and other stuff or is there more to it?During the course of manufacturing and testing systems for use in an ATV (automated transfer vehicle) an unexpected behavior was found with a subsystem which drives ATV's propulsion. This was just the beginning of a long journey to find the root cause of failures hiding deeply in a microscopic world. Suppliers, independent laboratories, project team members and ESA specialists were searching for explanations. In the course of investigation more suspects were found. Could that jeopardize a mission? Are there similar problems in other projects?
Berridge, Virginia; Herring, Rachel; Thom, Betsy
Binge drinking is a matter of current social, political and media concern. It has a long-term, but also a recent, history. This paper discusses the contemporary history of the concept of binge drinking. In recent years there have been significant changes in how binge drinking is defined and conceptualised. Going on a ‘binge’ used to mean an extended period (days) of heavy drinking, while now it generally refers to a single drinking session leading to intoxication. We argue that the definitional change is related to the shifts in the focus of alcohol policy and alcohol science, in particular in the last two decades, and also in the role of the dominant interest groups. The paper is a case study in the relationship between science and policy. We explore key themes, raise questions and point to a possible agenda for future research.
External sulfate attack is not completely understood. Part I identifies the issues involved, pointing out disagreements, and distinguishes between the mere occurrence of chemical reactions of sulfates with hydrated cement paste and the damage or deterioration of concrete; only the latter are taken to represent sulfate attack. Furthermore, sulfate attack is defined as deleterious action involving sulfate ions; if the reaction is physical, then, it is physical sulfate attack that takes place. The discussion of the two forms of sulfate attack leads to a recommendation for distinct nomenclature. Sulfate attack on concrete structures in service is not widespread, and the amount of laboratory-based research seems to be disproportionately large. The mechanisms of attack by different sulfates--sodium, calcium, and magnesium--are discussed, including the issue of topochemical and through-solution reactions. The specific aspects of the action of magnesium sulfate are discussed, and the differences between laboratory conditions and field exposure are pointed out. Part II discusses the progress of sulfate attack and its manifestations. This is followed by a discussion of making sulfate-resisting concrete. One of the measures is to use Type V cement, and this topic is extensively discussed. Likewise, the influence of w/c on sulfate resistance is considered. The two parameters are not independent of one another. Moreover, the cation in the sulfate salt has a strong bearing on the efficiency of the Type V cement. Recent interpretations of the Bureau of Reclamation tests, both long term and accelerated, are evaluated, and it appears that they need reworking. Part III reviews the standards and guides for the classification of the severity of exposure of structures to sulfates and points out the lack of calibration of the various classes of exposure. A particular problem is the classification of soils because much depends on the extraction ratio of sulfate in the soil: there is a need for a standardized approach. Taking soil samples is discussed, with particular reference to interpreting highly variable contents of sulfates. The consequences of disturbed drainage of the soil adjacent to foundations and of excessive irrigation, coupled with the use of fertilizer, are described. Whether concrete has undergone sulfate attack can be established by determining the change in the compressive strength since the time of placing the concrete. The rejection of this method and the reliance on determining the tensile strength of concrete because of 'layered damage' are erroneous. Scanning electron microscopy (SEM) should not be the primary, and certainly not the first, method of determining whether sulfate attack has occurred. Mathematical modeling will be of help in the future but, at present, cannot provide guidance on the sulfate resistance of concrete in structures. Part IV presents conclusions and an overview of the situation, with consideration of future improvements. Appendix A contains the classification of exposure to sulfate given by various codes and guides
Lavorini, Federico; Pedersen, Søren; Usmani, Omar S.
During the past decade, there has been increasing evidence that the small airways (ie, airways < 2 mm in internal diameter) contribute substantially to the pathophysiologic and clinical expression of asthma and COPD. The increased interest in small airways is, at least in part, a result of innova......During the past decade, there has been increasing evidence that the small airways (ie, airways COPD. The increased interest in small airways is, at least in part, a result...... of innovation in small-particle aerosol formulations that better target the distal lung and also advanced physiologic methods of assessing small airway responses. Increasing the precision of drug deposition may improve targeting of specific diseases or receptor locations, decrease airway drug exposure...... benefit, compared with large-particle aerosol treatment. However, a number of questions remain unanswered about the pragmatic approach relevant for clinicians to consider the role of small airways directed therapy in the day-to-day management of asthma and COPD. We thus have tried to clarify the dilemmas...
Traces the term "logos" from the ninth to the fourth century B.C. to distinguish between its general meaning and its technical definition within classical rhetoric. Shows that Aristotle's "pistis" of "logos" refers, not to an appeal to logic, but to the argument or speech itself, which reinstates all three proofs of…
Chokshi, A.; Wright, E.L.
Chokshi and Wright presented a detailed model for simulating angular distribution of galaxy images in fields that extended to very high redshifts. Standard tools are used to analyze these simulated galaxy fields for the Omega(O) = 0 and the Omega(O) = 1 cases in order to test the discriminatory power of these tools. Classical number-magnitude diagrams and surface brightness-color-color diagrams are employed to study crowded galaxy fields. An attempt is made to separate the effects due to stellar evolution in galaxies from those due to the space time geometry. The results show that this discrimination is maximized at near-infrared wavelengths where the stellar photospheres are still visible but stellar evolution effects are less severe than those observed at optical wavelenghts. Rapid evolution of the stars on the asymptotic giant branch is easily recognized in the simulated data for both cosmologies and serves to discriminate between the two extreme values of Omega(O). Measurements of total magnitudes of individual galaxies are not essential for studying light distribution in galaxies as a function of redshift. Calculations for the extragalactic background radiation are carried out using the simulated data, and compared to integrals over the evolutionary models used. 29 refs
Sutton, Anna; Taylor, David
An increasing emphasis on developing students' transferable skills, such as group working and IT, is creating challenges in ensuring the academic integrity of individually assessed coursework. This study investigated the frequency with which students engaged in a range of study behaviours for individual assignments, with a focus on the extent to…
Brunsø, Karen; Andersen, Karina B.; Grunert, Klaus G.
for organic products, and finally the name "Minimælk", which in itself has achieved brand-like status. We measure associations by number, valence and uniqueness, and relate the to brand equity as measured by a conjoint task. We believe that this methodology is suitable to clarify how various brand components...... in a multiple branding context contribute to the overall product value as perceived by consumers, and that the word association methodology is worthwhile for diagnosing reasons for these contributions.......Multiple branding is becomming more and more common in the food sector. In this study, we use as an example Minimælk, a low fat organic milk manufactured by Arla Foods in Denmark. The product carried the Arla Foods brand, a seperate brand for Arla Foods' organic product line, a generic brand...
The incident at Bugey 5 on 14th April 1984, which is regarded as one of the most important in recent years has alas shown again that unless dealt with by the operators in good time, failure of a rectifier supplying one of the buses may soon lead to a very serious situation, in this particular instance voltage loss on the train A 48 volt supply from the two offsite electrical sources and train A diesel generator. Operating experience feedback of the past three years reveals that although the Bugey incident is undoubtedly the most serious, it is not the only where a major alarm was not taken into consideration until fairly late by the operators, and other types of error with far from negligible consequences have occurred during repair work on buses. After a brief reminder of the role and layout of buses, statistics of all incidents of this type in recent years are described and a few cases are presented in order to give some idea of the range of situations encountered. The main measures aimed at reducing the number of incidents of this type are then presented, bearing in mind that one cannot hope to remove the possibility of this type of failure entirely. It may also be noted that the large number of such errors during the night shift or at the very beginning of the morning shift is no doubt connected with the well-known fact that operators are less vigilant at such times
On this basis, Laver (1994:392) displays a matrix of English consonants showing their .... The stimuli were presented to the control group in an almost noise-free ... will facilitate the task of identifying the phonological content of their speech…”.
Previous articles in this series (Vol 7(15): 891-94; Vol 7(17): 1018-20; Vol 7(19): 1145-49; Vol 7(20): 1247-50) have explored the promotion of quality of life for people with dementia and how this can be achieved through existing interventions. This final article moves from discussing specific interventions to cover wider issues around healthcare beliefs and values. A brief historical overview of dementia care is given, outlining the inherited structures and values. Much valuable work has been carried out by the Bradford Dementia Group, who has described changes in dementia care as moving from an 'old' to a 'new' culture. This 'new culture', offering a comprehensive person-centred approach to holistic care, is explored with reference to the work of Kitwood, who has done much to promote quality of life for people suffering from dementia.
Assoc. Prof. Dr. Kerime ÜSTÜNOVA
Full Text Available The simple state which is shown with zero form unit in Turkish is a type of state incorporating language units that are at position of subject. Therefore only the language units that assume "noun” and “pronoun” functions are able to stay in simple state. Even if they are of noun origin, because adjectives, adverbs, prepositions, conjunctions and exclamations can not enter into noun state inflection, they do not show the characteristic of simple state. However the language units having assumed the function of a noun may only enter into simple state inflection if they undertake the function of indicating the work, event, rendering and one who performs the action, establishing a connection with the verb.
Milton Helfenstein Jr.
Full Text Available Este é um típico caso de ocorrência comum na rotina médica em todas as regiões do país. Envolve uma jovem profissionalmente ativa, afastada há diversos anos do trabalho, alegando total ausência de melhora de sua sintomatologia, contrariamente a uma evidência científica. Relata quadro de dor difusa pelo corpo, erroneamente interpretada como conseqüência de seu trabalho, com múltiplos diagnósticos de lesões musculoesqueléticas, que vêm piorando, apesar da retirada das incriminadas sobrecargas biomecânicas laborais. O caso foi interpretado como uma doença, lato sensu, que não é reconhecida na literatura médica. A possibilidade de fibromialgia, reumatismo psicogênico e de simulação, envolvendo litígio trabalhista, é trazida em questão.This is a typical case, extremely common on daily practice, occuring in several areas of our country, involving a young female patient, active professionally, deviated from her job for several years, arguing total lack of efficacy on her treatment, conversely to scientific evidence. She complains of diffuse pain, erroneously interpreted as consequence of her job, with multiple specific diagnosis of musculoskeletal lesions, which has becoming worse, despite of withdrawal of the incriminated biomechanical overloading. The case was interpreted as a disease, lato sensu, which is not recognized in the medical literature. The possibility of fibromyalgia, psicogenic rheumatism and simulation, involving litigation, is brought foward.
Lai, Ya-Yuan; Chang, Yu-Chang; Chen, Jyh-Horung; Wang, Shin-Shin; Tung, Jo-Yu
The inner C-benzyl- and C-o-xylyl (or m-xylyl, p-xylyl)-substituted cobalt(ii) complexes of a 2-N-substituted N-confused porphyrin were synthesized from the reaction of 2-NC3H5NCTPPH (1) and CoCl2·6H2O in toluene (or o-xylene, m-xylene, p-xylene). The crystal structures of diamagnetic chloro(2-aza-2-allyl-5,10,15,20-tetraphenyl-21-hydrogen-21-carbaporphyrinato-N,N',N'')zinc(ii) [Zn(2-NC3H5-21-H-NCTPP)Cl; 3 ] and paramagnetic chloro(2-aza-2-allyl-5,10,15,20-tetraphenyl-21-benzyl-21-carbaporphyrinato-N,N',N'')cobalt(ii) [Co(2-NC3H5-21-CH2C6H5NCTPP)Cl; 7], and chloro(2-aza-2-allyl-5,10,15,20-tetraphenyl-21-Y-xylyl-21-carbaporphyrinato-N,N',N'')cobalt(ii) [Co(2-NC3H5-21-Y-CH2C6H4CH3NCTPP)Cl] [Y = o (8), m (9), p (10)] were determined. The coordination sphere around the Zn(2+) (or Co(2+)) ion in 3 (or 7-10) is a distorted tetrahedron (DT). The free energy of activation at the coalescence temperature Tc for the exchange of phenyl ortho protons o-H (26) with o-H (22) in 3 in a CDCl3 solvent is found to be ΔG = 61.4 kJ mol(-1) through (1)H NMR temperature-dependent measurements. The axial zero-field splitting parameter |D| was found to vary from 35.6 cm(-1) in 7 (or 30.7 cm(-1) in 8) to 42.0 cm(-1) in 9 and 46.9 cm(-1) in 10 through paramagnetic susceptibility measurements. The magnitude of |D| can be related to the coordination sphere at the cobalt sites.
Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Acronym: TEAM: Trial of an Elderly Acute care Medical and mental health unit
Gladman John RF
Full Text Available Abstract Background Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences. We developed an acute geriatric medical ward into a specialist Medical and Mental Health Unit over an eighteen month period. Additional specialist mental health staff were employed, other staff were trained in the 'person-centred' dementia care approach, a programme of meaningful activity was devised, the environment adapted to the needs of people with cognitive impairment, and attention given to communication with family carers. We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective. Methods/design We will perform a controlled clinical trial comparing in-patient management on a specialist Medical and Mental Health Unit with standard care. Study participants are patients over the age of 65, admitted as an emergency to a single general hospital, and identified on the Acute Medical Admissions Unit as being 'confused'. Sample size is 300 per group. The evaluation design has been adapted to accommodate pressures on bed management and patient flows. If beds are available on the specialist Unit, the clinical service allocates patients at random between the Unit and standard care on general or geriatric medical wards. Once admitted, randomised patients and their carers are invited to take part in a follow up study, and baseline data are collected. Quality of care and patient experience are assessed in a non-participant observer study. Outcomes are ascertained at a follow up home visit 90 days after randomisation, by a researcher blind to allocation. The primary outcome is days spent at home (for those admitted from home, or days spent in the same care home (if admitted from a care home. Secondary outcomes include mortality, institutionalisation, resource use, and scaled outcome measures, including quality of
Clasificación acústica de anchoveta (Engraulis ringens y sardina común (Strangomera bentincki mediante máquinas de vectores soporte en la zona centro-sur de Chile: efecto de la calibración de los parámetros en la matriz de confusión Acoustic classification of anchovy (Engraulis ringens and sardine (Strangomera bentincki using support vector machines in central-southern Chile: effect of parameter calibration on the confusion matrix
C by analyzing the effect of the calibration on the confusion matrices resulting from the classification of the species under study. The SVM method correctly classified 95.3% of anchovy and sardine schools. The optimal parameters of the Gaussian-Kernel γ and penalty C obtained with the proposed methodology were γ = 450 and C = 0.95. These parameters have an important influence over the confusion matrix and the final classifications percentages, suggesting the development of experimental protocols for calibrating these parameters in future applications of this methodology. In all the confusion matrices, the common sardine showed the lowest classification error. The bottom depth was the descriptor that was most sensitive to the SVM, followed by school-shore distance.
Full Text Available La description de l’île de Bilāq chez le géographe al-Idrīsī, au xiie siècle, tranche nettement avec les récits de ses prédécesseurs et ne correspond que très partiellement à l’îlot de Philae auquel Bilāq est d’ordinaire identifiée. Alors qu’elle est normalement située légèrement en amont de la première cataracte, Bilāq devient chez Idrīsī une immense île localisée bien en amont de la Vallée, en plein pays nubien, au confluent du Nil et d’un fleuve provenant d’Éthiopie. Les commentateurs modernes s’accordent à reconnaître qu’il y a là un amalgame probable avec la région de l’interfluve Nil-Atbara, sans parvenir pour autant à en comprendre les raisons. Cet article s’efforce précisément d’examiner les sources et les méthodes mises en œuvre par le géographe de Sicile afin d’éclairer la généalogie de cette confusion. Celle-ci repose en dernier lieu sur la difficulté à adapter des informations hétérogènes, dont une partie au moins est issue d’entretiens oraux avec des voyageurs, au cadre ptoléméen dans lequel Idrīsī entend les fondre. L’île de Bilaq se superpose alors au souvenir rémanent de l’île de Méroé, figure majeure de la géographie ptoléméenne du Haut Nil.The 12th-century description of Bilāq Island by al-Idrisi contrasts with his predecessors’ accounts and only partly fits the small island of Philae with which Bilāq was usually identified. Bilāq, normally placed a little above the first cataract, became, for al-Idrīsī, a big island located much farther upstream in the land of Nubia, at a place where a river coming from Ethiopia flowed into the Nile. Modern commentators agree that this description probably came out of a confusion with the Nile-Atbara area but are unable to explain the reasons for this. This article inquires into al-Idrisi’s description, into both the sources and methods used by this geographer. It intends to shed light on the origins
Anatomía de una confusión: error diagnóstico de patología paranoide en víctimas de mobbing Anatomia de uma confusão: erro diagnóstico de patologia paranoide em vítimas de mobbing Anatomy of a misunderstanding: wrong diagnosis of paranoid pathology in victims of mobbing
vítimas de mobbing não é congruente com a literatura científica. Por outro lado, evidencia-se uma forte presença de sintomas vinculados ao estresse pós-traumático (até 92%, ainda que não apresente o critério A1 dessa patologia. Algumas causas de erro diagnóstico seriam a tendência a confundir a hipervigilância (critério D4 do transtorno de estresse pós-traumático do DSM-IV-TR com ideação paranoide, a existência de um perfil defensivo nas vítimas de APT e o desconhecimento do impacto estressante e traumatizante do mobbing pelos clínicos. CONCLUSÃO: São necessários estudos longitudinais e com metodologias mistas (qualitativas/quantitativas para estabelecer critérios sólidos de diagnóstico diferencial entre as manifestações clínicas atribuídas ao mobbing e os sintomas paranoides.BACKGROUND: Several studies point out the high risk of misdiagnosing delusional disorder and paranoid personality disorder in victims of mobbing or workplace harassment (WPH. OBJECTIVE: To analyze the extent to which the symptoms attributable to mobbing are misidentified with criteria for two paranoid spectrum nosologies (delusional disorder and paranoid personality disorder. METHODS: Literature review of PubMed and SciELO from 1990 to June 2009. RESULTS: The identification of paranoid spectrum symptoms in victims of mobbing is not consistent with the literature, which, by contrast, shows a notable presence of symptoms in the post-traumatic stress spectrum (as much as 92%, although they do not meet the A1 criterion for this nosology. Some of the causes of wrong diagnosis are noted, such as a tendency to confuse hypervigilance (D4 criterion for post-traumatic stress disorder in DSM-IV-TR with paranoid ideation, the existence of a defensive profile in victims of WPH, and lack of recognition on the part of clinicians of the stressful and traumatizing impact of mobbing. DISCUSSION: Longitudinal and mixed methodology (qualitative and quantitative studies are necessary
論美國關鍵字商標初始興趣混淆的民事責任與我國的議題現況評析──以網路搜尋引擎業者與資訊儲存服務提供者為中心 Civil Liability for Trademark Initial Interest Confusion to Keywords in US and Current Evaluation in Taiwan —Centering on Search Engine and Information Storage Service Provider
程法彰 Fa-Chang Cheng
Full Text Available 網路搜尋引擎業者強大的資訊蒐集能力與網路資訊儲存業者強大的資訊儲存能力，引起商標權人對初始興趣混淆議題的高度重視。本文認為美國在實務案件中出現對網路搜尋引擎業者或資訊儲存服務提供者關鍵字搜尋的商標運用行為，過度解讀為直接侵權行為。這樣的作法不但破壞了侵權行為的理論基礎，亦不當的平衡商標權人的保護與網路發展的重要性。若我國將來採取與美國相同的基調，經由美國的相關經驗，對網路搜尋引擎業者或資訊儲存服務業關於關鍵字商標初始興趣混淆責任，亦應以間接侵權行為責任相繩。在責任的具體規範上，第一步或許可以藉由通過目前電子通訊傳播法草案，對於業者宣示最低的行為準則。最終本文建議經由草案中避風港條款機制，對於商標間接侵權行為的免責實踐經驗，並參考美國對於智慧財產間接侵權行為的規範，在我國商標法中增列間接侵權行為責任條文。 The enormous data collection power in search engine providers and the tremendous data storage power in information storage service providers arouse strong concerns about initial interest confusion to trademark use among the trademark owners. This article indicates that US judicial practice overreads the trademark use to keyword search mechanism in search engine providers and storage service providers as direct trademark infringement. This phenomenon not only tears down the fundamental torts theory but also strikes the inappropriate balance between the protection of trademark owners and the importance of Internet development. This article concludes that the indirect torts liability would be the most appropriate solution to resolve the trademark dispute for keywords initial confusion regarding search engine and information storage service if Taiwan follows the US experience. To get through the
The need to evaluate curricula for sponsorship for research projects or professional promotion, has led to the search for tools that allow an objective valuation. However, the total number papers published, or citations of articles of a particular author, or the impact factor of the Journal where they are published are inadequate indicators for the evaluation of the quality and productivity of researchers. The h index, proposed by Hirsch, categorises the papers according to the number of citations per article. This tool appears to lack the limitations of other bibliometric tools but is less useful for non English-speaking authors. To propose and debate the usefulness of the existing bibliometric indicators and tools for the evaluation and categorization of researchers and scientific journals. Search for papers on bibliometric tools. There are some hot spots in the debate on the national and international evaluation of researchers' productivity and quality of scientific journals. Opinions on impact factors and h index have been discussed. The positive discrimination, using the Q value, is proposed as an alternative for the evaluation of Spanish and Iberoamerican researchers. It is very important de-mystify the importance of bibliometric indicators. The impact factor is useful for evaluating journals from the same scientific area but not for the evaluation of researchers' curricula. For the comparison of curricula from two or more researchers, we must use the h index or the proposed Q value. the latter allows positive discrimination of the task for Spanish and Iberoamerican researchers.
Grafton, B.; MacLeod, C.; Rudaizky, D.; Holmes, E.A.; Salemink, E.; Fox, E.; Notebaert, L.
If meta-analysis is to provide valuable answers, then it is critical to ensure clarity about the questions being asked. Here, we distinguish two important questions concerning cognitive bias modification research that are not differentiated in the meta-analysis recently published by Cristea et al
This paper describes and analyzes the legislative history of the Low-Level Radioactive Waste Policy Act of 1980 and discusses major issues and problems resulting from the implementation of the Act. Five specific issues addressed in this paper are: what radioactive waste constitutes ''low-level radioactive waste'' within the meaning of the Act; what responsibilities, if any, do the states have to dispose of federal radioactive waste; what liabilities and protections govern the disposal of waste not generated in a disposal-site state (hereafter, the ''host state''); to what standards of care should generators of low-level radioactive waste be held, and by what authority should such generators be licensed and inspected; which disposal-site activities should be considered ''disposal,'' and which activities should be considered ''management,'' within the meaning of the Act, and what authority do the states have, under the Act, to engage in each activity, respectively. The federal government and state governments must solve these problems in order to implement the Act, and thus, to establish equity among the 50 states, and the interstate regional compacts
Constructivism and constructionism are two distinct epistemologies. Yet, within religious education many have tended to use these terms interchangeably or as being complementary to one another. This article provides conceptual clarity in relation to both epistemologies by comparing each in terms of their origins and epistemological premises, their…
Agarwal, Mukesh M; Shah, Syed M; Al Kaabi, Juma; Saquib, Shabnam; Othman, Yusra
The aim of this study was to appraise the current regional practices of screening, diagnosis and follow-up of gestational diabetes mellitus (GDM) because the approach to GDM is frequently inconsistent. A 21-item questionnaire was distributed to physicians taking care of pregnant women in seven hospitals in the United Arab Emirates and one hospital in Oman. Besides assessing their attitudes towards testing for GDM, the questionnaire assessed familiarity with the Hyperglycemia and Pregnancy Outcome study and the International Association of Diabetes in Pregnancy Study Groups GDM guidelines. One hundred and forty-eight (93%) of the 159 questionnaires distributed to the medical doctors (106 [72%] obstetricians and 42 [28%] internists) were returned. For GDM screening, six hospitals used five different tests; two hospitals utilized one single test. For GDM diagnosis, six hospitals employed the 2-h, 75-g oral glucose tolerance test (OGTT) (four different criteria) while two hospitals used the 3-h, 100-g OGTT (single criteria). For post-delivery follow-up, the 2-h, 75-g OGTT and fasting plasma glucose were accepted by 103 (70%) and 38 (26%) of the 148 medical doctors, respectively. Ninety-eight (69%) of 143 responding physicians were aware of the Hyperglycemia and Pregnancy Outcome study, while 85 (61%) of 140 responders were familiar with the guidelines of the International Association of Diabetes in Pregnancy Study Groups; this knowledge was independent of specialty, seniority, academia, years in practice or country trained. Although this study is parochial, its implications are global; that is, further education of caregivers would make the discordant approach to GDM (within and between hospitals) more harmonious and improve the obstetric care of pregnant women. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.
Marck, K W; Martin, D
The use of eponyms honours those who have contributed to the development of medicine and facilitates communication between colleagues. Eponyms are based on historical knowledge to know who was the first to use a given technique. In the previous century, two different operative procedures have been attached to the 'so called' Bernard lower lip reconstruction. This historical literature on lip reconstruction with a focus on the years 1853-1855 elucidates the roles of Bernard, Saeman, Desgranges and Burow, and gives suggestions for eponyms that do justice to the innovating surgeons Bernard, Burow and Desgranges. Copyright © 2017. Published by Elsevier Masson SAS.
This article concludes that a "pedagogic discourse" is legitimized in school practices when power in society is actualized and exercised through the use of language as symbolic power. Under these circumstances, the classroom becomes an arena where teachers' discourse as "the regulator" collides with students' discourse as "the regulated".…
Jeanette Van Akkeren
Full Text Available The aim of this paper is to contribute to understanding of the various models used in research for the adoption and diffusion of information technology in small and medium sized enterprises (SMEs. Starting with Rogers' diffusion theory and behavioural models, technology adoption models used in IS research are discussed. Empirical research has shown that the reasons why firms choose to adopt or not adopt technology is dependent on a number of factors. These factors can be categorised as owner/manager characteristics, firm characteristics, and other characteristics. The existing models explaining IS diffusion and adoption by SMEs overlap and complement each other. This paper reviews the existing literature and proposes a comprehensive model which includes the whole array of variables from earlier models.
Oxenbøll-Collet, Marie; Egerod, Ingrid; Christensen, Vibeke
of this study was to identify nurses' and physicians' perceived professional barriers to using the CAM-ICU in Danish ICUs. Methods: This study uses a qualitative explorative multicentre design using focus groups and a semi-structured interview guide. Five focus groups with nurses (n=20) and four with physicians......-ICU screening affected nursing care, clinical judgment and professional integrity; (2) Instrument reliability: nurses and physicians expressed concerns about CAM-ICU assessment in non-sedated patients, patients with multi-organ failure or patients influenced by residual sedatives/opioids; and (3) Clinical...... consequence: after CAM-ICU assessment, physicians lacked evidence-based treatment options, and nurses lacked physician acknowledgment and guidelines for disclosing CAM-ICU results to patients. Conclusion: In this study, ICU nurses and physicians raised a number of concerns regarding the use of the CAM...
Full Text Available Social events, political and historical spent in Romania in December 1989 are too important to remain registered only in newspapers or archives era for public order and defense institutions of the political system. Their extent and the subsequent consequences for the Romanian society, these events require their depth research because succeeding generations will have access to all past historical- political as it is.
There is a century of rich literature on social learning from the fields of education, psychology, and sociology characterizing a wide variety of practical applications such as instructional techniques, consumer behavior conditioning and determining criminal motives. In social learning theory, according to Bandura, there are four fundamental…
Norman J. Temple
Full Text Available During the 1970s some investigators proposed that refined carbohydrates, especially sugar and a low intake of dietary fiber, were major factors in coronary heart disease (CHD. This suggestion was eclipsed by the belief that an excess intake of saturated fatty acids (SFA was the key dietary factor, a view that prevailed from roughly 1974 to 2014. Findings that have accumulated since 1990 inform us that the role of SFA in the causation of CHD has been much exaggerated. A switch from SFA to refined carbohydrates does not lower the ratio of total cholesterol to HDL-cholesterol in the blood and therefore does not prevent CHD. A reduced intake of SFA combined with an increased intake of polyunsaturated fatty acids lowers the ratio of total cholesterol to HDL-cholesterol; this may reduce the risk of CHD. The evidence linking carbohydrate-rich foods with CHD has been steadily strengthening. Refined carbohydrates, especially sugar-sweetened beverages, increase the risk of CHD. Conversely, whole grains and cereal fiber are protective. An extra one or 2 servings per day of these foods increases or decreases risk by approximately 10% to 20%.
Goldenholz, Daniel M; Moss, Robert; Scott, Jonathan; Auh, Sungyoung; Theodore, William H
For unknown reasons, placebos reduce seizures in clinical trials in many patients. It is also unclear why some drugs showing statistical superiority to placebo in one trial may fail to do so in another. Using Seizuretracker.com, a patient-centered database of 684,825 seizures, we simulated "placebo" and "drug" trials. These simulations were employed to clarify the sources of placebo effects in epilepsy, and to identify methods of diminishing placebo effects. Simulation 1 included 9 trials with a 6-week baseline and 6-week test period, starting at time 0, 3, 6…24 months. Here, "placebo" reduced seizures regardless of study start time. Regression-to-the-mean persisted only for 3 to 6 months. Simulation 2 comprised a 6-week baseline and then 2 years of follow-up. Seizure frequencies continued to improve throughout follow-up. Although the group improved, individuals switched from improvement to worsening and back. Simulation 3 involved a placebo-controlled "drug" trial, to explore methods of placebo response reduction. An efficacious "drug" failed to demonstrate a significant effect compared with "placebo" (p = 0.12), although modifications either in study start time (p = 0.025) or baseline population reduction (p = 0.0028) allowed the drug to achieve a statistically significant effect compared with placebo. In epilepsy clinical trials, some seizure reduction traditionally attributed to placebo effect may reflect the natural course of the disease itself. Understanding these dynamics will allow future investigations into optimal clinical trial design and may lead to identification of more effective therapies. Ann Neurol 2015;78:329-336. © 2015 American Neurological Association.
Lemmer, Miriam; Morabe, Olebogeng Nicodimus
Analogical reasoning is central to all learning, whether in daily life situations, in the classroom or while doing research. Although analogies can aid the learning process of making sense of phenomena and understanding new ideas in terms of known ideas, these should be used with care. This article reports a study of the use of analogies and the…
Vega-Franco, L; Mejía, A M; Robles, B; Moreno, L; Pérez, Y
This study gave us the opportunity to know the roles iron deficiency and the presence of lead in blood play, as confounding variables, in relation to the state of malnutrition and the intellect of those children. A sample of 169 school children were classified according to their state of nutrition, their condition in reference to serum iron and lead concentrations. In addition, their intelligence was evaluated. The results confirmed that those children with lower weights and heights registered lesser points of intelligence; in fact, iron deficiency cancels out the difference in favor of those taller and weighing more. Lead did not contribute as a confounding variable, but more than half of the children showed possible toxic levels of this metal.
Harris, Jerald D
At present, three different systems of anatomical nomenclature are available to researchers describing new tetrapod taxa: a nonstandardized traditional system erected in part by Sir Richard Owen and subsequently elaborated by Alfred Romer; a standardized system created for avians, the Nomina Anatomica Avium (NAA); and a standardized system for extant (crown-group) mammals, the Nomina Anatomica Veterinaria (NAV). Conserved homologous structures widely distributed within the Tetrapoda are often granted different names in each system. The recent shift toward a phylogenetic system based on homology requires a concomitant shift toward a single nomenclatural system also based on both evolutionary and functional morphological homology. Standardized terms employed in the NAA and NAV should be perpetuated as far as possible basally in their respective phylogenies. Thus, NAA terms apply to nonavian archosaurs (or even all diapsids) and NAV terms apply to noncrown-group mammals and more basal synapsids. Taxa equally distant from both avians and crown-group mammals may maintain the traditional nonstandardized terminology until a universal anatomical nomenclature for all tetrapods is constructed. (c) 2004 Wiley-Liss, Inc.
Gregory A. Crawford
Full Text Available This study examined the relationships between specific institutional financial variables and two library-related variables on graduation and retention rates for colleges and universities through correlations and multiple regression analysis. The analyses used data for Pennsylvania colleges and universities that were extracted from the Integrated Postsecondary Educational Data System (IPEDS and the Academic Libraries Survey (ALS. All analyses were run using IBM SPSS software. The correlations showed that both library expenses per student and library use per student were significantly correlated with both graduation and retention rates. In contrast, the multiple regression results showed that neither library budgets nor library use had significant effects on either graduation rates or retention rates. As would be expected, instructional expenses per student had the highest correlation with both graduation and retention and also yielded the strongest coefficient in the resulting regression equations.
Baudouin, Luc; Gunn, Bee F; Olsen, Kenneth M
The pre-Columbian presence of coconut on the Pacific coast of Panama is attested by a number of independent written accounts. However, recent papers question their accuracy and conclude that coconut was introduced to the region by the Spaniards after their conquests. Scope In order to examine the value of such claims, an extensive search was conducted of the relevant historical accounts of coconut in America and in the Orient. The Spanish chronicler Oviedo (1478-1557) is found to have effectively used fruit and seed size to distinguish coconut from other palms. In addition, it is shown that he has been inaccurately faulted with incorrectly representing a cluster of coconuts. The original drawing, a cluster of a native Bactris, was in the marginalia and was only assigned to coconut after Oviedo's death. Finally, the location is identified of a coastal Panamanian site described by Pedro Mártir de Anglería and where tidal dispersal of coconuts was observed. This previously overlooked evidence confirms the pre-historical presence of coconut in Panama. Genetic data indicate that it must have been brought there directly or indirectly from the Philippines. But when, where and by whom remains a subject of research. Further molecular marker studies, computer simulation of natural drift and archaeological research could contribute to this research.
Berger, Andreas; Fasshuber, Hannes; Schinnerl, Johann; Robien, Wolfgang; Brecker, Lothar; Valant-Vetschera, Karin
Several roots or rhizomes of rubiaceous species are reportedly used as the emetic and antiamoebic drug ipecac. True ipecac (Carapichea ipecacuanha) is chemically well characterized, in contrast to striated or false ipecac derived from the rhizomes of Ronabea emetica (syn. Psychotria emetica). Besides its previous use as substitute of ipecac, the latter species is applied in traditional medicine of Panama and fruits of its relative Ronabea latifolia are reported as curare additives from Colombia. Compounds of Ronabea emetica were isolated using standard chromatographic techniques, and structurally characterized by NMR spectroscopy and mass spectrometry. Organ specific distribution in Ronabea emetica as well as in Ronabea latifolia was further assessed by comparative HPLC analysis. Four iridoid-glucosides, asperuloside (1), 6α-hydroxygeniposide (2), deacetylasperulosidic acid (3) and asperulosidic acid (4) were extracted from leaves of Ronabea emetica. Rhizomes, used in traditional medicine, were dominated by 3. HPLC profiles of Ronabea latifolia were largely corresponding. These results contrast to the general tendency of producing emetine-type and indole alkaloids in species of Psychotria and closely related genera and merit chemotaxonomic significance, characterizing the newly delimited genus Ronabea. The aim of the work was to resolve the historic problem of adulteration of ipecac by establishing the chemical profile of Ronabea emetica, the false ipecac, as one of its less known sources. The paper demonstrates that different sources of ipecac can be distinguished by their phytochemistry, thus contributing to identifying adulterations of true ipecac. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Beck Jørgensen, T.; Rutgers, M.R.
This article provides the introduction to a symposium on contemporary public values research. It is argued that the contribution to this symposium represent a Public Values Perspective, distinct from other specific lines of research that also use public value as a core concept. Public administration
2 pl. 1966. Mosquitos de Venezuela. Vol. 1. Galindo, P. 1973. Experiencias epidemiolo- Ministerio de Sanidad y Asistencia Social, gicas en el Proyecto ...Heinemann, S.J. and J.N. Belkin. 1977b. Col- Facultad de Ciencias Biologia. Universidad lection records of the project "Mosquitoes Nacional Autonoma de
A Mohammed Idhrees
Full Text Available A 14-year-old girl underwent classical Blalock-Taussig shunt at 5 months of age. Computed tomography evaluation showed "Adachi type H" pattern of aortic arch vessels with the right common carotid artery being anastomosed to the right pulmonary artery mistaking it for the right subclavian artery.
Full Text Available Abstract Background Chiropractors use a variety of supine and prone leg checking procedures. Some, including the Allis test, purport to distinguish anatomic from functional leg length inequality. Although the reliability and to a lesser extent the validity of some leg checking procedures has been assessed, little is known on the Allis test. The present study mathematically models the test under a variety of hypothetical clinical conditions. In our search for historical and clinical information on the Allis test, nomenclatural and procedural issues became apparent. Methods The test is performed with the subject carefully positioned in the supine position, with the head, pelvis, and feet centered on the table. After an assessment for anatomic leg length inequality, the knees are flexed to approximately 90°. The examiner then sights the short leg side knee sequentially from both the foot and side of the table, noting its relative locations: both its height from the table and Y axis position. The traditional interpretation of the Allis test is that a low knee identifies a short tibia and a cephalad knee a short femur. Assuming arbitrary lengths and a tibio/femoral ratio of 1/1.26, and a hip to foot distance that placed the knee near 90°, we trigonometrically calculated changes in the location of the right knee that would result from hypothetical reductions in tibial and femoral length. We also modeled changes in the tibio/femoral ratio that did not change overall leg length, and also a change in hip location. Results The knee altitude diminishes with either femoral or tibial length reduction. The knee shifts cephalad when the femoral length is reduced, and caudally when the tibial length is reduced. Changes in the femur/tibia ratio also influence knee position, as does cephalad shifting of the hip. Conclusion The original Allis (aka Galeazzi test was developed to identify gross hip deformity in pediatric patients. The extension of this test to adults suspected of having anatomical leg length inequality is problematic, and needs refinement at the least. Our modeling questions whether this test can accurately identify aLLI, let alone distinguish a short tibia from a short femur.
Lilienfeld, Scott O; Patrick, Christopher J; Benning, Stephen D; Berg, Joanna; Sellbom, Martin; Edens, John F
Based on their 2011 meta-analysis of the correlates of the Psychopathic Personality Inventory (PPI), Miller and Lynam (An examination of the Psychopathic Personality Inventory's nomological network: A meta-analytic review, Personality Disorders: Theory, Research, and Treatment, 3, 305-326) conclude that its Fearless Dominance (PPI-FD) higher-order dimension exhibits weak construct validity, leading them to question the relevance of boldness to the conceptualization and assessment of psychopathy. We examine their assertions in light of the clinical, conceptual, and empirical literatures on psychopathy. We demonstrate that Miller and Lynam's assertions (a) are sharply at odds with evidence that well-validated psychopathy measures detect both secondary and primary subtypes, the latter of which is linked to social poise and immunity to psychological distress, (b) are inconsistent with most classic clinical descriptions of psychopathy, in which fearless dominance plays a key role, (c) presume an a priori nomological network of psychopathy that leaves scant room for adaptive functioning and renders psychopathy largely equivalent to antisocial personality disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders, (d) are premised on a misunderstanding of the role of Cleckley's "mask" of healthy adjustment in psychopathy, and (e) are contradicted by data-some reported elsewhere by Miller and Lynam themselves-that PPI-FD is moderately to highly associated with scores on several well-validated psychopathy measures, as well as with personality traits and laboratory markers classically associated with psychopathy. A scientific approach to psychopathy requires the question of whether its subdimensions are linked to adaptive functioning to be adjudicated by data, not by fiat. PsycINFO Database Record (c) 2012 APA, all rights reserved.
Smith, Benjamin E; Moffatt, Fiona; Hendrick, Paul
. The current consensus that best-evidence treatments consisting of hip and knee strengthening may not be adequate to address the fears and beliefs identified in the current study. Further qualitative research may be warranted on the impact and interpretation of medical terminology commonly used...
In 2004, the New Jersey Department of Education issued a mandate to the 17 leadership preparation program providers to revise their leadership preparation programs after completing a critical friends review. This case study explores the challenges, programmatic, and political experiences of one preparation program as state support dwindled.…
the mathematics and physics commu- nities to parallel developments in the Internet research arena, where the various non-rigorous and rigorous results...based Internet research in general, and Internet-specific validation efforts in particular, have to say about the popular scale-free modeling paradigm...ironically, the story starts with a highly-cited paper in the Internet research arena by Faloutsos et al. . Relying on available measure- ments and
Tatiana A. Alekseeva
Full Text Available The article deals with the "Quantum mind"hypothesis which has been elaborated in recent works of Alexander Wendt. It is ultimately significant to analyze this hypothesis and to expand on its difficulties and possible inconsistencies given Wendt's credentials in IR theorizing. It allows us to develop a new approach and promising research program on the basis of the hypothesis and its critical reflection. Wendt's quantum physicalism (or holism implies serious philosophical injury and outstanding usage of different science disciplines' apparatus including physics, biology, and psychology. Thought-provoking approach of Wendt boosts researching efforts within the field of political philosophy, world politics and international relations. The main feature of the hypothesis is the idea of quantum nature in social and political processes which appears to be the consequence of epistemological authority of current science. Alexander Wendt proposes several explanations for quantum foundations within the political and social processes including wide-known "agent-structure" dilemma. According to him, invisibility of social structures does not lead to denial of its existence. Firstly, social structures emerge from the space of possibilities and are not directly dependant on material factors. Secondly, invisibility and its acceptance in different areas are parts of science clarification in many areas including quantum physics. The article discuses how quantum physics principles such as particle-wave dualism, superposition and size absoluteness can be useful in social and political studies. This allows us to demonstrate the given hypothesi' potential in research field of social sciences with regard to international relations and world politics.
Redmond, Mark V.
The variety of terms used to describe the process of self-other differentiation in communication--empathy, role taking, decentering, and perspective taking are but a few--tend to undermine efforts to establish a consistent framework for research in this area. A review of these terms suggests that decentering is the broadest of the concepts,…
Though many studies have examined post-acquisition integration challenges, they have mainly focused on rationalistic explanations for the difficulties encountered in post-acquisition integration. There remains little knowledge of how the ‘irrational’ features of post-acquisition decision-making may impede organizational integration. This study attempts to bridge that gap by examining post-acquisition decision-making from a sensemaking perspective. The paper presents an in-depth analysis of a ...
Heinemann, P.; Rammeloo, J.
Boletus impolitus and B. depilatus are known from the Benelux; up to now the latter is found only in Belgium. Both species occur on calcareous soils; B. depilatus, however, seems to prefer soils with a higher calcium content than B. impolitus. The most reliable diagnostic characters are found in the
Boisen, Martin; Terlouw, Kees; Groote, Peter; Couwenberg, Oscar
The literature and practice of place promotion, place marketing and place branding lack a common understanding of what these three concepts mean and through what kind of policies they can be implemented. Although scholars have provided several theoretical frameworks and definitions, both scholars
Bica, Katharina; Rogers, Robin D
We present a strategy to expand the liquid and compositional ranges of ionic liquids, specifically pharmaceutically active ionic liquids, by simple mixing with a solid acid or base to form oligomeric ions.
Willumsen, Niels; Viborg, Arne L; Hillyard, Stanley D
Blood cell flow (BCF) in the water absorbing "seat patch" region of toad skin was measured with laser Doppler flow cytometry. BCF of dehydrated toads increased by a factor of 6-8 when water contact was made and declined gradually as toads rehydrated. Water absorption was initially stimulated...... and declined in parallel with BCF. Water absorption measured during the initial rehydration period did not correlate with BCF and hydrated toads injected with AVT increased water absorption without an increase in BCF indicating the lack of an obligate relation between blood flow and water absorption....... Aquaporins 1-3 were characterized by RT-PCR analysis of seat patch skin. AQP 1 was localized in the endothelium of subepidermal capillaries and serves as a pathway for water absorption in series with the apical and basolateral membranes of the epithelium. Dehydrated toads rehydrated more rapidly from dilute...
One of the main missions of CERN is education. Several programmes are dedicated to training students. Others, like the Fellowship programme, offer graduates to start a career and become professionals in their fields. All these young and fresh people provide very valuable contributions to our Organization. At the same time, it is important to remember that they (especially the students) are here to learn from our professional staff for their future career. This is the correct exchange: they bring their dedicated work to our projects and they gain experience by working with our staff. There’s no better way to learn than on-the-job. However they should not be considered as missing staff, with the exact same requirements expected from the CERN staff. Potential missing staff in some areas is a separate issue, and educational programmes are not designed to make up for it. On-the-job learning and training are not separated but dynamically linked together, benefiting to both par...
This paper discusses the early history of Walther Nernst's Heat Theorem and the first stages of its development into the Third Law of Thermodynamics. In addition to published papers, informal discussions were important in shaping the understanding of the meaning and validity of the Theorem. Special
Verônica M. Oliveira
Full Text Available The nereidid polychaete Laeonereis acuta (Treadwell, 1923 is either considered to be a valid species, or a synonym of Laeonereis culveri (Webster, 1879. The species epithet, acuta, refers to the acuminate anterior region of the body followed by a widening that is visible up to the 10th setiger. The relative width of the anterior region of the body, however, has been reported in the taxonomic literature as variable for Laeonereis Hartman, 1945, a genus known from the eastern coast of North America to Patagonia (southern South America. To test whether variations in this character are real, or whether they correspond to an artifact, we analyzed morphological changes associated with different anesthesia and fixation techniques regularly used to prepare specimens of Laeonereis from southern Brazil (formerly reported as L. acuta. Six treatments, including combinations of anesthetics and fixative agents, and a control, were evaluated in groups of 25 adult animals. A simple model II regression analysis on living specimens showed that the growth is approximately isometric. One-way ANOVA was used to compare the treatment effect on the ratio of peristome width: setiger 6 width. This ratio was smaller in non-anesthetized individuals, especially when prepared in formalin and freshwater. When anesthetized with menthol and fixed in formalin with sea water, individuals retained a shape that was closest to their in vivo shape. Consequently, our results suggest that fixation without prior anesthesia is not recommended for morphological and taxonomical studies. Since morphology and morphometrics of the anterior region are consistently influenced by preparation techniques, it is likely that inadequate fixation routines have introduced several errors in the taxonomic and ecological literature of Laeonereis.
van der Plicht, J; Bruins, HJ; Bruins, Hendrik J.; Boaretto, E.; Carmi, I.
Near-Eastern archaeology has long remained oblivious to radiocarbon dating as unique historical calendars brought about a perception that C-14 dating is superfluous. Circular chronological reasoning may occur as a result. There is now strong C-14 evidence that the early part of Egyptian history
Robb, D.B.; Riches, C.G.; O'Brian, M.J.; Riordan, F.J.
The University of Washington is a large user of radioactive material. Over 250 authorized programs are working in over 600 labs with nearly 3500 orders of radioactive material per year. The state license sets limits on the total amount of material on campus. There are also limits on sewer disposal. To meet these needs it is necessary to know the amount of material on campus at any time. A computer program was developed which covered many aspects of the radiation safety record needs including inventory control. Inventory is now managed by tracking each order from purchase to disposal. A screen menu as part of the interactive program allows immediate and detailed information about the inventory at time of purchase approval and delivery. Because of this system our knowledge and control of radionuclide work on campus has increased dramatically. A description of how this system is used during ordering, delivery and disposal will be given. Details on the methods to check limits are included along with a summary of the reports made possible by the current data files
Professional sports with high rates of concussion have become increasingly concerned about the long-term effects of multiple head injuries. In this context, return-to-play decisions about concussion generate considerable ethical tensions for sports physicians. Team doctors clearly have an obligation to the welfare of their patient (the injured athlete) but they also have an obligation to their employer (the team), whose primary interest is typically success through winning. At times, a team's interest in winning may not accord with the welfare of an injured player, particularly when it comes to decisions about returning to play after injury. Australia's two most popular professional football codes-rugby league and Australian Rules football-have adopted guidelines that prohibit concussed players from continuing to play on the same day. I suggest that conflicts of interest between doctors, patients, and teams may present a substantial obstacle to the proper adherence of concussion guidelines. Concussion management guidelines implemented by a sport's governing body do not necessarily remove or resolve conflicts of interest in the doctor-patient-team triad. The instigation of a concussion exclusion rule appears to add a fourth party to this triad (the National Rugby League or the Australian Football League). In some instances, when conflicts of interest among stakeholders are ignored or insufficiently managed, they may facilitate attempts at circumventing concussion management guidelines to the detriment of player welfare.
Whenever a government uses two major pieces of legislation to combat a single public enemy, complaints of over-regulation and questions of jurisdiction from the individuals and industries affected are inevitable. Acid mine drainage (AMD) is a harmful and elusive enemy which threatens the integrity of our nation`s waters. The threat it poses to our environment cannot be solved without the awesome power of government; however, a fair and consistent enforcement of these two acts is imperative. The mining industry`s push to exempt landowners from liability for the acid discharges from abandoned mines is questionable in light of the serious AMD problems from these sources. The burden imposed on landowners to take abatement measures under the CWA is far outweighed by the continuing threat of abandoned mine AMD. The state environmental authorities who must completely reclaim these abandoned mine lands must pursue the landowners and make them pay the costs. In order to accomplish this, the state SMCRA regulators must increase coordination with the EPA`s state counterparts. The deficit problem in the ANL trust fund likely to improve anytime soon. Since SMCRA prohibits holding landowners liable for reclamation costs, the only way the abandoned mine AMD problem can be effectively remedied is by state environmental authorities seeking sanctions under the probably correct in claiming that the current CWA laws governing in-stream impoundments are overly burdensome. The EPA`s interest in protecting the quality of industrial impoundments that have no meaningful wetlands or recreational use seems to serve no rational purpose, especially in light of the onerous burden it places on coal operators attempting to comply with the CWA.
Cliff, Ken; Wright, Jan
We suggest that recent concerns about young people's excess body weight have generally been treated quite separately to longer standing concerns about young people (particularly, young women) and eating disorders. The few papers that have addressed this connection directly have focused on how practices motivated by the obesity discourse have had…
Full Text Available Background. The use of transdermal fentanyl systems has increased over recent years, especially in patients with chronic pain. Large misuse potential and fatal outcomes have been described. Case Presentation. A 58-year-old patient presenting with clinical signs of opioid poisoning (hypoventilation, bradycardia, hypotension, and miosis was admitted to our ICU. The first body check revealed a 75 mcg per hour fentanyl patch at the patient's right scapula. Some months ago, patient's aunt died after suffering from an oncological disease. During breaking up of her household, the patches were saved by the patient. Not knowing the risk of this drug, he mistook it as a heat plaster. Investigations. Laboratory test showed an impaired renal function and metabolic acidosis. Urine drug test was negative at admittance and 12 h later. CCT scan presented a global hypoxic brain disease. Treatment and Outcome. The patient was discharged 30 days after admittance in a hemodynamic stable condition but a vegetative state and transferred to a rehabilitation center. Learning Points. With the ongoing increase in fentanyl patch prescriptions for therapeutic reasons, it is likely that misuse cases will become more relevant. Conventional urine drug screening tests are not able to exclude the diagnosis fentanyl intoxication. History taking should include family member's drug prescriptions.
Hill, Suvimol C; Dwyer, Andrew J; Kaler, Stephen G
Menkes disease is an X-linked recessive disorder of copper transport caused by mutations in ATP7A, a copper-transporting ATPase. Certain radiologic findings reported in this condition overlap with those caused by child abuse. However, cervical spine defects simulating cervical spine fracture, a known result of nonaccidental pediatric trauma, have not been reported previously in this illness. To assess the frequency of cervical spine anomalies in Menkes disease after discovery of an apparent C2 posterior arch defect in a child participating in a clinical trial. We examined cervical spine radiographs obtained in 35 children with Menkes disease enrolled in a clinical trial at the National Institutes of Health Clinical Center. Four of the 35 children with Menkes disease had apparent C2 posterior arch defects consistent with spondylolysis or incomplete/delayed ossification. Defects in C2 were found in 11% of infants and young children with Menkes disease. Discovery of cervical spine defects expands the spectrum of radiologic findings associated with this condition. As with other skeletal abnormalities, this feature simulates nonaccidental trauma. In the context of Menkes disease, suspicions of child abuse should be considered cautiously and tempered by these findings to avoid unwarranted accusations.
Walley, Cynthia; Grothaus, Tim; Craigen, Laurie
With the array of challenges facing today's youth, school counselors are in a unique position to recognize and respond to the diverse mental health needs of students. After a brief examination of the challenges and some promising responses, this article will consider the use of advocacy, collaboration, and professional development to aid school…
Colloff, Melissa F.; Wade, Kimberley A.; Strange, D.
Eyewitness-identification studies have focused on the idea that unfair lineups (i.e., ones in which the police suspect stands out) make witnesses more willing to identify the police suspect. We examined whether unfair lineups also influence subjects’ ability to distinguish between innocent and guilty suspects and their ability to judge the accuracy of their identification. In a single experiment (N = 8,925), we compared three fair-lineup techniques used by the police with unfair lineups in wh...
Colloff, Melissa F; Wade, Kimberley A; Strange, Deryn
Eyewitness-identification studies have focused on the idea that unfair lineups (i.e., ones in which the police suspect stands out) make witnesses more willing to identify the police suspect. We examined whether unfair lineups also influence subjects' ability to distinguish between innocent and guilty suspects and their ability to judge the accuracy of their identification. In a single experiment (N = 8,925), we compared three fair-lineup techniques used by the police with unfair lineups in which we did nothing to prevent distinctive suspects from standing out. Compared with the fair lineups, doing nothing not only increased subjects' willingness to identify the suspect but also markedly impaired subjects' ability to distinguish between innocent and guilty suspects. Accuracy was also reduced at every level of confidence. These results advance theory on witnesses' identification performance and have important practical implications for how police should construct lineups when suspects have distinctive features. © The Author(s) 2016.
Ekholm, Ola; Brønnum-Hansen, Henrik
AIMS: A newly published study showed that the life expectancy for Danes was below the European Union (EU) average. Furthermore, the study showed that healthy life years (HLYs) at 50 years of age were much higher in Denmark than in the other EU countries in 2005. However, the results of this study...
This article presents findings from research exploring the intervention made by the introduction of computer games as an object of study in Media Studies at AS level in England. The outcome is a range of discursive data in the form of teachers and students from two English colleges talking about their experiences of this curriculum encounter. This…
Conn, B.J.; Hadiah, J.T.; Webber, B.L.
As part of the great global movement of plants in the 18th and 19th centuries, many valuable and commercial plants were sent from the Neotropics to Europe as seeds or as live specimens. Cecropia (Urticaceae) was in cultivation in England in 1789, yet species delimitation was not well-understood
Fox-Wolfgramm, Susan J.
This paper presentation will focus on the application of self leadership and strategic management concepts to help make sense of the current global financial crisis and its critical connection with our future business professionals' perceptions of ethical behavior. The author will explore ideas that lead to the strengthening of business students'…
Clouse, R. M.; Blanchard, B. D.; Gibson, R.; Wheeler, W. C.; Janda, Milan
Roč. 23, SEP 01 (2016), s. 139-152 ISSN 1994-4136 R&D Projects: GA ČR GAP505/12/2467 Institutional support: RVO:60077344 Keywords : Camponotus micronesicus sp.n. * Camponotus tol sp.n. * Campotonus kubaryi stat. rev. Subject RIV: EG - Zoology Impact factor: 1.805, year: 2016
Idhrees, A Mohammed; Cherian, Vijay Thomas; Menon, Sabarinath; Mathew, Thomas; Dharan, Baiju S; Jayakumar, Karunakaran
A 14-year-old girl underwent classical Blalock-Taussig shunt at 5 months of age. Computed tomography evaluation showed "Adachi type H" pattern of aortic arch vessels with the right common carotid artery being anastomosed to the right pulmonary artery mistaking it for the right subclavian artery.
Tan, Weichong Joshua
Through oral history, this project studies a church congregation consisting of families from Hong Kong who came to Canada after the 1970s, professing Chinese ethnicity, while laying claims also to Canadian and Christian identities. As congregants made lives and raised children in both Chinese and Canadian cultures, they changed the way they imagined themselves as a community. Their divergent Chinese, Christian, and Canadian self-identifications affected their varied understandings and experie...
M. Elaine Botha
Full Text Available The problems of both classical and modern theory of knowledge, according to Popper, reside in the problem of demarcation: a problem closely re lated to the problem of induction. The paper argues the view that Popper's view of metaphysics is ambiguous, requiring another criterion to distinguish between "good " and "bad " metaphysics. The sources of the problem are pinpointed, and Popper's distinction between three types of theory outlined. The article then explores the distinction between types of theories and the issues of falsification, testability and refutation, before going on to a consideration of the relationship between science and metaphysics, and w eighing up the issue of good ancid metaphysics. From this emerges clearly that the second "criterionot demarcation" is needed to make precisely this distinction; also in view of Popper's u n clear, even ambiguous, view of metaphysics.
Full Text Available Soft Systems Methodology (SSM is a potentially powerful tool for improving the management of the complex social systems aspect of Information Systems. Yet if it is to be employed effectively IS managers need to understand the theory of social systems that makes SSM a meaningful practical approach. However finding out about that social theory is not straightforward. It is 20 years since the first discussions of the social reality implied by Soft Systems Methodology (SSM and the area has been given little attention since. Yet SSM itself has progressed dramatically since those first critiques of its underpinning social theory were first developed. This paper revisits the area in order to provide a contemporary perspective and foundation for future development. It reveals apparent weaknesses in the research debate about SSM and social theory, and shows how the evolution of SSM has apparently been affected by that debate. SSM is introduced and examined according to the primary literature and re-evaluated using Burrell and Morgan's four-paradigm matrix of social theory paradigms in order to understand the social reality implied by SSM. The paper examines criticisms of SSM, the recent evolution of SSM, and suggests future directions for development.
Menassa-Moussa, L.; Kanso, H.; Ghossain, M.; Checrallah, A.; Abboud, J.
We describe the imaging features of a tailgut cyst mistaken for an adnexal mass. A pelvic ultrasound in a 28-year-old woman showed a 10-cm hypoechoic left pelvic mass. Having not seen the left ovary, the radiologist concluded that the mass was an endometrioma. CT disclosed a retrorectal cystic lesion with wall calcifications and internal septa. MR confirmed the extra-ovarian location of the tumor, which was hyperintense on T2-weighted images and had an intermediate signal on T1-weighted images. Surgery revealed a retrorectal cystic hamartoma. Radiological diagnosis of a tailgut cyst requires first correct localization of the tumor and then differentiation from other retrorectal masses. (orig.)
Sharma, Shilpi; Woolfson, Lisa Marks; Hunter, Simon C.
This paper presents a review of past and current research on the diagnosis of Asperger syndrome (AS) in children. It is suggested that the widely used criteria for diagnosing AS in the "Diagnostic and Statistical Manual of Mental Disorders" (DSM)-IV are insufficient and invalid for a reliable diagnosis of AS. In addition, when these diagnostic…
Prevention of WMD Proliferation and Terrorism ( New York : Vintage Books , 2008), https://www.absa.org/leg/WorldAtRisk. pdf. and debating the merits and...the Commission on the Prevention of WMD Proliferation and Terrorism. New York : Vintage Books , 2008. https://www.absa.org/leg/WorldAtRisk.pdf. Guthe...Findings of the Nuclear Posture Review , Department of Defense Press Briefing, January 9, 2002, http://www.fas.org/ sgp/ news /2002/01/npr-briefing.html
Booth, Margaret Zoller; Curran, Erin
This paper investigates the growth of early adolescent self-esteem and self-concept as students progress through the middle level years (sixth through eighth grade). Based on mixed method longitudinal research conducted from 2004 to 2007, the study's findings suggest that this sample of 104 urban students' self-esteem changed most significantly…
Smith, Benjamin E; Moffatt, Fiona; Hendrick, Paul
teaching hospital. PARTICIPANTS: A convenience sample of 10 participants, aged between 18 and 40 years, with a diagnosis of PFP and on a physiotherapy waiting list, prior to starting physiotherapy. RESULTS: Participants offered rich and detailed accounts of the impact and lived experience of PFP, including...
This paper examines one of the chief problems in the ongoing debate about the nature and prevalence of the various memory mechanisms that may operate in determining whether a victim/survivor of childhood sexual abuse (CSA) will have delayed recall of the victimization. One of the key problems in the debate about delayed or suppressed memory of…
Full Text Available This paper synthesizes findings of published research on the impact of food labels on consumers’ willingness to pay and focuses on the consumers’ rationales when deciding to purchase organic food. The first issue refers to one aspect of the proliferation of quality labels in the agro-food sector: the coexistence of two signs on one product and the consequences of this coexistence on the value of each sign. In the context of the competition between national brands and private labels through public quality labels, it has been shown that the willingness to pay for a quality sign decreases when it is combined with another one on the same product. The second concern is a two-fold issue: the characterization of “organics food consumers” in terms of socio-demographics characteristics and consumers’ purchasing motives. The more consistent result is that consumers with higher levels of education are more likely to purchase organic products. The three main reasons for buying organic products are considerations related to health, product quality, and environmental protection. The proliferation of signs about quality is a topical issue related to the emergence of sustainability issues that highlight labels linked to agro-ecological practices. The question of the effectiveness of the informational role of labels remains relevant.
Covvey, Jordan R; Johnston, Blair F; Wood, Fraser; Boyter, Anne C
The British guideline on the management of asthma produced by the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN) describes five steps for the management of chronic asthma. Combination therapy of a long acting β2-agonist (LABA) and an inhaled corticosteroid (ICS) is recommended as first-line therapy at step 3, although the dose of ICS at which to add a LABA is subject to debate. To classify the inhaled therapy prescribed to patients with asthma in NHS Forth Valley according to two interpretations of the BTS/SIGN guideline and to evaluate the use of combination therapy in this population. A retrospective analysis including patients from 46 general practitioner surgeries was conducted. Patients with physician diagnosed asthma were classified according to the BTS/SIGN guideline based on treatment prescribed during 2008. Patient characteristics were evaluated for the overall step classification, and specifically for therapy in step 3. 12,319 patients were included. Guideline interpretation resulted in a shift of 9.2% of patients (receiving medium-dose ICS alone) between steps 2 and 3. The largest proportion of patients (32.3%) was classified at step 4. Age, sex, smoking status, chronic obstructive pulmonary disease co-morbidity, and utilisation of short-acting β2-agonists and oral corticosteroids all correlated with step; however, no differences in these characteristics were evident between low-dose combination therapy and medium-dose ICS alone at step 3. Further studies are needed to evaluate prescribing decisions in asthma. Guideline recommendations regarding the use of ICS dose escalation versus combination therapy need to be clarified relative to the published evidence.
Derbyshire, Stuart W G; Osborn, Jody; Brown, Steven
Some chronic pain patients and healthy individuals experience pain when observing injury or others in pain. To further understand shared pain, we investigated perspective taking, bodily ownership and tooth pain sensitivity. First, participants who reported shared pain (responders) and those who did not (non-responders) viewed an avatar on a screen. Intermittently, 0-3 circles appeared. Sometimes the participant's and avatar's perspective were consistent, both directly viewed the same circles, and sometimes inconsistent, both directly viewed different circles. Responders were faster than non-responders to identify the number of circles when adopting a consistent perspective. Second, participants sat with their left hand hidden while viewing a rubber hand. All participants reported an illusory sensation of feeling stroking in the rubber hand and a sense of ownership of the rubber hand during synchronous stroking of the rubber and hidden hand. The responders also reported feeling the stroking and a sense of ownership of the rubber hand during asynchronous stroking. For experiment three, participants with either low, moderate, or high tooth sensitivity observed a series of images depicting someone eating an ice-popsicle. Low sensitivity participants never reported pain. In contrast, moderate and high sensitivity participants reported pain in response to an image depicting someone eating an ice popsicle (4 and 19% of the time, respectively) and depicting someone eating an ice-popsicle and expressing pain (23 and 40%, respectively). In summary, responders have reduced ability to distinguish their own and others' visual perspective and enhanced ability to integrate a foreign arm into their bodily representation. The tendency to share pain is also enhanced when an observed pain is commonly experienced by the observer. Shared pain may therefore involve reactivation of pain memories or pain schema that are readily integrated into a self perspective and bodily representation.
Derbyshire, Stuart W. G.; Osborn, Jody; Brown, Steven
Some chronic pain patients and healthy individuals experience pain when observing injury or others in pain. To further understand shared pain, we investigated perspective taking, bodily ownership and tooth pain sensitivity. First, participants who reported shared pain (responders) and those who did not (non-responders) viewed an avatar on a screen. Intermittently, 0-3 circles appeared. Sometimes the participant's and avatar's perspective were consistent, both directly viewed the same ...
Wick, Mark R
Diagnostic problems attending intraosseous and parosteal pseudoneoplastic lesions can be radiographic, or histological, or both. Proliferations in this category may contain cellular fibro-osseous or chondro-osseous tissues that are difficult to separate microscopically from those seen in various true neoplasms of the bones. This review considers the clinicopathologic features of fibrous dysplasia, benign fibro-osseous lesions of the jawbones, osteofibrous dysplasia, metaphyseal fibrous defect, giant-cell reparative granuloma, "brown tumor" of hyperparathyroidism, synovial chondrometaplasia, aneurysmal bone cyst, tumefactive chronic osteomyelitis, proliferative Paget disease, and polyvinylpyrrolidone storage disease of bone.
Hudson, M J; Alexander, T J; Lysons, R J
Spirochaetes, designated PWS, microscopically resembling Treponema hyodysenteriae, were isolated from the colon contents of pigs with post-weaning scours from three herds, which on clinical and epidemiological grounds were thought to be free from swine dysentery. One of the isolates was fed to pigs experimentally but no evidence of disease was noted. Their cultural characteristics differed from those of T hyodysenteriae but they were similar to those of a non-pathogenic spirachaete (4/71) which had been isolated previously from the laboratory's dysentery-free herd. Smears prepared from cultures of the PWS spirochaete, 4/71 and two virulent and one avirulent strain of T hyodysenteriae were all positive to a fluorescent antibody test which was in use as an aid to the diagnosis of swine dysentery in the United Kingdom.
Esene, Ignatius N; Ngu, Julius; El Zoghby, Mohamed; Solaroglu, Ihsan; Sikod, Anna M; Kotb, Ali; Dechambenoit, Gilbert; El Husseiny, Hossam
Case series (CS) are well-known designs in contemporary use in neurosurgery but are sometimes used in contexts that are incompatible with their true meaning as defined by epidemiologists. This inconsistent, inappropriate and incorrect use, and mislabeling impairs the appropriate indexing and sorting of evidence. Using PubMed, we systematically identified published articles that had "case series" in the "title" in 15 top-ranked neurosurgical journals from January 2008 to December 2012. The abstracts and/or full articles were scanned to identify those with descriptions of the principal method as being "case series" and then classified as "true case series" or "non-case series" by two independent investigators with 100 % inter-rater agreement. Sixty-four articles had the label "case series" in their "titles." Based on the definition of "case series" and our appraisal of the articles using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines, 18 articles (28.13 %) were true case series, while 46 (71.87 %) were mislabeled. Thirty-five articles (54.69 %) mistook retrospective (descriptive) cohorts for CS. CS are descriptive with an outcome-based sampling, while "descriptive cohorts" have an exposure-based sampling of patients, followed over time to assess outcome(s). A comparison group is not a defining feature of a cohort study and distinguishes descriptive from analytic cohorts. A distinction between a case report, case series, and descriptive cohorts is absolutely necessary to enable the appropriate indexing, sorting, and application of evidence. Researchers need better training in methods and terminology, and editors and reviewers should scrutinize more carefully manuscripts claiming to be "case series" studies.
Hassan, S.A.; Mohamed, S.A.
The effect of the natural chemical compound food flavoring agent, vanillin on the tribolium confusum was examined. The effect of vanillin on tribolium confusum reared as 18-day old larvae decreased the percent adult emergence, it was 32 % and 51.4 % adults at the treatments 2 % and 4 % respectively. The sex ratio was in favour of female at control group (1:1.2 male:female). This ratio reversed at the treatments 2 %, 4 % vanillin was favour of males. When one day old larvae treated with 2 %, 8 % vanillin, the percent pupation was decrease from control group. It was 31.83, 45.0 %, as compared with 53.33 in control group, respectively. At highest treatment 8 %, sex ratio was in favour of males. The mean number of total progenies decrease significantly from control when larvae 18-day old treated with vanillin and stored for two or four months. While when larvae 1-day old treated with vanillin , the decrease in the number of total progenies was insignificant. When one day old adults irradiated at 20, 50 and 70 Gy and reared for two and four months. The mean number of progenies decrease significantly by increasing the radiation dose, when compared with control group
Hajisoteriou, Christina; Karousiou, Christiana; Angelides, Panayiotis
This research examines children's conceptualisations of cultural diversity. In particular, this project examines the following two research questions: how do children define and understand the concept of cultural diversity; and what do they perceive as the implications of cultural diversity on their daily lives? To this end, interviews were…
Kara Odom Walker
Full Text Available Purpose: Health care reform in the United States has introduced terms such as “the patient-centered medical home” and “integrated care” that are often unclear and unfamiliar to patients. This study explored patient experiences with the functional domains of integrated care. Theory and methods: Patients first wrote their definitions of integrated care and then participated in focus group discussions about their experiences with the health care system. Transcripts were analyzed for thematic content. Results: Forty-four patients participated in one of seven focus groups in San Francisco, CA in English and Spanish. Many patients were not clear about the meaning of the term integrated care. However, patients described experiences largely reflected in an existing conceptual model of integrated care and the importance of coordination within and across teams and with community resources, continuity and sharing of information, and patient engagement. Patients with high medical needs described the ubiquitous challenges they faced in experiencing coordinated care. Conclusions: Patients may not understand the term integrated care but are relatively clear on what the concept of integrated care entails and support its successful implementation. Patients and their families are at the center of integrated care, and health systems need to support and empower them to successfully navigate the medical neighborhood.
Roca, M.; Mota, J.; Guedea, A.
One of the most specific secondary findings, on magnetic resonance imaging, associated with acute rupture of anterior cruciate ligament (ACL) are bone contusions of lateral femoral condyle or tibial plateau.Given the marked specificity of these indirect findings (97% to 100%), their presence corroborates the diagnosis of ACL tears. The unreliability of these signs in adolescents has recently been reported. We present a case of subchondral bone contusion with intact ACL, the knowledge of which may prevent potential misinterpretations and unnecessary arthroscopic examinations. (Author) 9 refs
Sandra C Jones
Full Text Available 'Responsible drinking' campaigns emerged in the early 1970s as a means of addressing hazardous drinking and its related consequences. While these were initially the product of public health agencies and health-related NGOs, they are increasingly being developed and disseminated by the alcohol industry. There is considerable debate as to whether industry-generated campaigns are designed to reduce hazardous drinking and related problems (as argued by their developers or are designed to avoid government regulation or even to increase sales. The aim of the present study was to explore the way that recent industry-developed responsible drinking campaigns are perceived and interpreted by the general public. That is, do they promote low-risk drinking, promote risky drinking, or just muddy the waters. Two sub-studies were conducted. The first, a mall intercept study with 180 adults in two Australian shopping districts, explored participants' understanding of slogans/taglines. The second, an online survey with 480 Australian adults, explored understandings and interpretations of television/online commercials. The results of the two studies revealed diversity in participants' interpretation of the 'responsible drinking' advertisements. Terminology utilised in industry-developed advertisements was found to be ambiguous; for example, what age group was being referred to in the tagline 'Kids and alcohol don't mix', and whether 'Drink Properly' meant not drinking to excess or drinking in a way that made you look more sophisticated. In Study Two, the government-developed campaign ('Know when to say when' was clearly interpreted as warning against risky consumption of alcohol; whereas the industry-developed campaigns ('How to drink properly', 'Kids absorb your drinking', 'Friends are waiting' were interpreted to have a range of different meanings, including some seemingly unrelated to alcohol. These findings are consistent with the literature evaluating anti-smoking campaigns developed by the tobacco industry, and previous research showing that industry communications serve to soften public opinion and create the impression of a 'socially responsible' industry but are likely to be less effective than initiatives focused on the availability and promotion of alcohol.
Gelders, Dave; Van Mierlo, Jan
During the last three years, the newly announced drug policy, specifically cannabis, has been the subject of debate between the Government and the opposition parties within the Belgian Federal Government. Public communication by the Federal Government and the competent ministers was incomplete, untimely, inconsistent, tendentious and polemical.…
efforts of everyone involved in the project; and Dr. Nick Patton, for providing assistance with several of the mathematical procedures in the document...processing known as the theory of signal detection (TSD) (Gescheider, 1985; Green & Swets, 1966; Macmillan & Creelman , 1991; Wilson, 1992). A TSD...localizations (Hacker & Ratcliff, 1979; Macmillan & Creelman , 1991). The index of bias in a target localization task provides a measure of the operator’s
Stuart W G Derbyshire
Full Text Available Some chronic pain patients and healthy individuals experience pain when observing injury or others in pain. To further understand shared pain, we investigated perspective taking, bodily ownership and tooth pain sensitivity. First, participants who reported shared pain (responders and those who did not (non-responders viewed an avatar on a screen. Intermittently, 0-3 circles appeared. Sometimes the participant's and avatar's perspective were consistent, both directly viewed the same circles, and sometimes inconsistent, both directly viewed different circles. Responders were faster than non-responders to identify the number of circles when adopting a consistent perspective. Second, participants sat with their left hand hidden while viewing a rubber hand. All participants reported an illusory sensation of feeling stroking in the rubber hand and a sense of ownership of the rubber hand during synchronous stroking of the rubber and hidden hand. The responders also reported feeling the stroking and a sense of ownership of the rubber hand during asynchronous stroking. For experiment three, participants with either low, moderate or high tooth sensitivity observed a series of images depicting someone eating an ice-popsicle. Low sensitivity participants never reported pain. In contrast, moderate and high sensitivity participants reported pain in response to an image depicting someone eating an ice popsicle (4% and 19% of the time, respectively and depicting someone eating an ice-popsicle and expressing pain (23% and 40%, respectively. In summary, responders have reduced ability to distinguish their own and others' visual perspective and enhanced ability to integrate a foreign arm into their bodily representation. The tendency to share pain is also enhanced when an observed pain is commonly experienced by the observer. Shared pain may therefore involve reactivation of pain memories or pain schema that are readily integrated into a self perspective and bodily representation.
Grafton, Ben; MacLeod, Colin; Rudaizky, Daniel; Holmes, Emily A; Salemink, Elske; Fox, Elaine; Notebaert, Lies
If meta-analysis is to provide valuable answers, then it is critical to ensure clarity about the questions being asked. Here, we distinguish two important questions concerning cognitive bias modification research that are not differentiated in the meta-analysis recently published by Cristea et al (2015) in this journal: (1) do the varying procedures that investigators have employed with the intention of modifying cognitive bias, on average, significantly impact emotional vulnerability?; and (2) does the process of successfully modifying cognitive bias, on average, significantly impact emotional vulnerability? We reanalyse the data from Cristea et al to address this latter question. Our new analyses demonstrate that successfully modifying cognitive bias does significantly alter emotional vulnerability. We revisit Cristea et al 's conclusions in light of these findings. © The Royal College of Psychiatrists 2017.
While an emphasis on social justice has emerged as a theme in initial teacher education (ITE) over the past decade, there is much debate about how to engage ITE students in foregrounding issues of equity and social justice in their own teaching. One strategy, the introduction of critical pedagogy in ITE, has been promoted in teacher education…
In a time in which 50% of the world inhabitants live in an urban context, a percentage that will definitely even grow, it is important to ask whether the residential building within daily public and anonymous city life still has the quality of privacy and identity of a ‘home’. The on-going PhD
Shi, Lu-Feng; Morozova, Natalia
Word recognition is a basic component in a comprehensive hearing evaluation, but data are lacking for listeners speaking two languages. This study obtained such data for Russian natives in the US and analysed the data using the perceptual assimilation model (PAM) and speech learning model (SLM). Listeners were randomly presented 200 NU-6 words in quiet. Listeners responded verbally and in writing. Performance was scored on words and phonemes (word-initial consonants, vowels, and word-final consonants). Seven normal-hearing, adult monolingual English natives (NM), 16 English-dominant (ED), and 15 Russian-dominant (RD) Russian natives participated. ED and RD listeners differed significantly in their language background. Consistent with the SLM, NM outperformed ED listeners and ED outperformed RD listeners, whether responses were scored on words or phonemes. NM and ED listeners shared similar phoneme error patterns, whereas RD listeners' errors had unique patterns that could be largely understood via the PAM. RD listeners had particular difficulty differentiating vowel contrasts /i-I/, /æ-ε/, and /ɑ-Λ/, word-initial consonant contrasts /p-h/ and /b-f/, and word-final contrasts /f-v/. Both first-language phonology and second-language learning history affect word and phoneme recognition. Current findings may help clinicians differentiate word recognition errors due to language background from hearing pathologies.
Campo, Shelly; Askelson, Natoshia M.; Spies, Erica L.; Losch, Mary
Web sites about sexual health lack the interactivity, humor, and "viral" nature required to attract young adults. The Midwest Teen Sex Show (www.midwestteensexshow.com) is an interactive, humor-based Web site that provides sexual health information to young adults. One episode from the Web site was shown to six focus groups of young women, ages…
Chaufan, Claudia; Constantino, Sophia; Davis, Meagan
The disproportionate impact of type 2 diabetes (T2DM) on low-income groups and the social and biological processes linking poverty and T2DM inequalities are well-documented. Moreover, millions of dollars are invested annually in programs aimed at reducing T2DM inequalities, yet these remain stubbornly high. Our article explores how public discourses influence T2DM and related health inequalities in a low-income neighborhood in Northern California, through a thematic analysis of interviews and focus groups of staff and clients at a non-governmental organization. We probe participants' beliefs vis-a-vis the causes of, and solutions to, T2DM inequalities and explore whether and how the discourses normalizing them are challenged. We find that staff identify the ultimate source of T2DM inequalities within health sufferers (i.e., their lifestyle choices, psychological makeup, or cultural preferences), even as they acknowledge the widespread poverty, unemployment, and other social determinants that present serious barriers to their health. Notably, we find this normalizing discourse .among clients themselves. While our study is empirical, its goal is primarily conceptual: to add to the evolving understanding of discourse as a social practice that may contribute both to status quo reproduction and to social change and resistance.
Lindow, Steven; Newman, Karyn; Chatterjee, Subhadeep; Baccari, Clelia; Lavarone, Anthony T; Ionescu, Michael
The rpfF gene from Xylella fastidiosa, encoding the synthase for diffusible signal factor (DSF), was expressed in 'Freedom' grape to reduce the pathogen's growth and mobility within the plant. Symptoms in such plants were restricted to near the point of inoculation and incidence of disease was two- to fivefold lower than in the parental line. Both the longitudinal and lateral movement of X. fastidiosa in the xylem was also much lower. DSF was detected in both leaves and xylem sap of RpfF-expressing plants using biological sensors, and both 2-Z-tetradecenoic acid, previously identified as a component of X. fastidiosa DSF, and cis-11-methyl-2-dodecenoic acid were detected in xylem sap using electrospray ionization mass spectrometry. A higher proportion of X. fastidiosa cells adhered to xylem vessels of the RpfF-expressing line than parental 'Freedom' plants, reflecting a higher adhesiveness of the pathogen in the presence of DSF. Disease incidence in RpfF-expressing plants in field trials in which plants were either mechanically inoculated with X. fastidiosa or subjected to natural inoculation by sharpshooter vectors was two- to fourfold lower in than that of the parental line. The number of symptomatic leaves on infected shoots was reduced proportionally more than the incidence of infection, reflecting a decreased ability of X. fastidiosa to move within DSF-producing plants.
Tamborrino, Massimiliano; Ditlevsen, Susanne; Markussen, Bo
counter model proposed by Kyllingsbæk, Markussen, and Bundesen (2012) was carried out, together with model selection among the competing candidates. Both the Wiener and the Ornstein–Uhlenbeck race models provide a close fit to individual data on identification of both digits and Landolt rings...... immediately or that it continues for some time after the stimulus offset. Each type of model was evaluated by Monte Carlo tests of goodness of fit against observed probability distributions of responses in two extensive experiments. A comparison of these continuous models with a simple discrete Poisson...
Mares, Marie-Louise; Sivakumar, Gayathri
Educational television for young children often combines factual content with fantasy. In 2 experiments, we examined 3- to 5-year-olds' reality judgments and the implications for their learning. In the 1st study, 145 children watched 3 clips featuring (respectively) a Hispanic, a Chinese American, and an Anglo character. Responses indicated age differences in character-reality judgments (e.g., "X can hear me"), acceptance of fantasy (e.g., talking backpacks), rejection of factual content (i.e., Spanish and Chinese words are "just pretend") but not perceived learning. Perceived reality of Chinese and Spanish words used by the characters partially mediated age differences in word comprehension, controlling for viewer ethnicity. In the 2nd study, 114 children were randomly assigned to see clips featuring either Hispanic or Chinese traditions and words. Age differences in reality judgments were replicated and were partially mediated by children's use of evidence or arguments to justify reality judgments and (to a lesser extent) by their cognitive flexibility. Further, children's reality judgments partially mediated age differences in learning of the educational content. Results suggest that reality distinctions improve with age, contributing to children's learning. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
Full Text Available This contribution is devoted to the tapestry cycle of the Battle of Pavia conserved at the Museo Capodimonte in Naples. Seven tapestries compose this prestigious tapestry set that commemorates the first military success of Charles V: the battle held in Pavia on 24 February 1525. Up to now the tapestries have been interpreted as independent panels representing different episodes of the battle. In this contribution we will show that the seven panels actually originated in one single design, which we rediscovered by assembling them in a different sequence. In fact, the panels provide a description of the battle in a fabulous and unique panoramic landscape: the most monumental siege city view ever conceived in the sixteenth century. This discovery not only changes our lecture of the tapestries, but also raises numerous questions that should be addressed in future studies.
Murphy, Wendy J
The past 20 years of criminal law and practice have produced much heat but little light on the issue of when, if ever, the accused in a criminal case can legitimately seek disclosure of a victim's privileged files that exist exclusively in the custody of a private third party. In many jurisdictions, forced disclosure is routine, and victims must choose between justice and privacy, resulting in either the dismissal or underprosecution of serious violence or the victim's opting to forego necessary treatment. This dilemma is disproportionately imposed on women and child victims of sexual violence, and it threatens to prevent healing for a significant percentage of victimized persons. This article outlines the legal and policy interests of third parties in this debate and offers a model set of procedures to protect against needless harm to third parties, while respecting the important rights of the criminally accused.
Full Text Available Dialepsis is defined as a predominant alteration of consciousness with preservation of motor tone and the ability to perform movements. While dialepsis is a common feature of both focal and generalized epilepsies, its precise symptomatogenic zone and pathogenesis remain undefined. This case report describes a patient who underwent intracarotid amobarbital procedures before and after dominant hemisphere multiple hippocampal transections. From our observations, we propose a possible pathogenesis for the generation of dialeptic seizures.
Ramires, Joana Miguel
Nos dias que correm o efeito da globalização é cada vez mais forte. Uma das áreas onde esse efeito se faz sentir mais é na área da moda, o que pode ser entendido pela sua rapidez, pela sua constante transformação que de dia para dia leva aos seus consumidores novas imagens, novos sonhos, novas fantasias e desejos. Esta é uma indústria que gera milhões, com uma elevada importância nos mercados mundiais, mas que, também gera interesse cada vez mais a outros níveis. Nesse sentido tem surgido uma...
Researches on the mechanisms underlying the therapeutic effects of the disease-syndrome combination approach in integrated traditional Chinese and Western medicine are becoming a hot spot in andrology, but many recent studies of this kind have failed to explain the connotation of integrated traditional Chinese and Western medicine in andrology. Related existing problems include repeated researches into the same indexes of action mechanisms of different therapeutic principles of traditional Chinese medicine (TCM), Chinese herbal compound and special prescriptions, studies focusing on individual diseases but ignoring symptoms, immature syndrome models for studies of mechanisms, and too much attention to uncertain or immature target mechanisms. The stress should be placed on the action mechanisms of Chinese herbal compound and special prescriptions on male diseases and, what is more important, on the clarification of the essential principles of differentiation and treatment of TCM syndromes. In the recent years, proteomics, genomics, transcriptomics and metabolomics have shed some light upon researches into the mechanisms underlying the therapeutic effects of the disease-syndrome combination approach in integrated traditional Chinese and Western medicine in andrology. An insight into the TCM syndrome, a macroscopic inductive analysis, and a comprehension of such microcosmic aspects as the gene, protein, metabolism and metagenome may contribute to some breakthroughs and new ideas in the studies of disease-syndrome combination in integrated traditional Chinese and Western medicine in andrology.
Claesson, Amanda; Jonsson, Albin
Content marketing is a popular marketing strategy, which has increased significantly during the last years. The term content marketing is new but companies have been working with parts of the strategy for decades. The new digital era changed the communication from a one-way to a two-way communica- tion. Customers now have a demand for relevant content that is valuable for them. The purpose of this dissertation is to develop an understanding of this marketing strategy, and clarify the key dime...
Lee, Peter A; Houk, Christopher P
Two histories of physically normal men with persistent gender issues highlight the major impact played by parental input on the sexual and gender development of children. Both men had been subjected to firm, harsh behavior modification by their parents, particularly their mothers, during childhood in response to effeminate behavior. While both men continue to manifest major gender/sexual issues as adults, their outcomes have been dramatically different. The first man takes female hormones and denies any satisfaction from his sexuality. This individual remains convinced that he has female internal sexual organs and monthly internal menstrual bleeding. Although he has a career, he has become alienated from his family and is a social cripple. The second man has a successful career, lives a heterosexual life with his children and wife of 20 years and is involved in his community. He is visually attracted to men and remains obsessed with male pornography. This individual credits his mother with directing him toward a successful heterosexual life, which he feels has prevented the emotional burden of an active homosexual life. These two cases illustrate the tremendous influence played by environment and parental input on the sexual perspectives of developing children.
In recent years the controversy over Drive versus Relational models of the psyche has become entangled in a philosophical controversy over epistemology. Some have argued that the Drive model was a relic of an age of positivistic science, while Relational models are a product of a postmodern condition. This paper argues that the controversy need not be a philosophical one, and that Relational views are not, in fact, a product of postmodernism, nor are they necessarily dependent on a postmodern epistemology. Separating the epistemological from the psychological more carefully may help return the debate to its proper, psychoanalytic domain, and perhaps contribute to a more fruitful dialogue across what, at times, seems like an abyss between Relational views and Drive theory.
This study measured the amounts of different types of metacognitive statements made by students enrolled in Elementary Algebra courses at a community college in California. A total of 17 students were interviewed three times during the course of a semester. All interviews were coded for types of metacognitive statements that fell into one of three…
Full Text Available In recent years there has been a significant growth in voluntary certification schemes field in wine sector, by following a general trend that has characterised agricultural products and foodstuffs. The voluntary certification system is aimed at adding value to products, while differentiating it on the related market. The paper presents the preliminary results of a work-in-progress research on the voluntary certification schemes in the Italian wine sector. Through a case-study analysis, the paper is aimed at highlighting the emerging implementation issues. The scope of the case-studies is limited to three voluntary certification schemes, which underlie similarities with the organic wine farming and operate at business-to-consumer level. The paper is divided in three parts. Part I will examine the relevant legal framework on wine quality standards, by framing the legislation in mandatory, regulatory and voluntary. Part II will consider three case-studies of voluntary certification schemes that are implemented in the Italian wine sector. Part III will analyse the emerging issues that arise from the analysis of the case-studies. In conclusion, the paper highlights the key challenge, which concerns finding a trade-off between consumer protection and the promotion of free trade in an openly competitive market.
Abdou, Ehaab D.
Egyptian history textbooks are examined through the prism of historical thinking dimensions and skills, utilizing a critical discourse analysis. The analysis focuses on how the textbooks portray two historically significant events: the advent of Christianity (ca. 33 CE) and Islam (ca. 641 CE) to Egypt. It reveals that the historical narrative…
The words "knowledge", "skills" and "attitudes" are given different meanings by health personnel when discussing educational issues. Ambiguity is known as a handicap to efficient communication. In the design of a curriculum the quality of the definition of learning objectives plays a fundamental role. If learning objectives lack clarity, learners and teachers will face operational difficulties. As Robert Mager said, "If you are not certain of where you are going you may very well end up somewhere else and not even know it". Knowledge is not only memory of facts but what you do with it. The complexity of human behaviour should not be underestimated. This is why educational objectives need active non-ambiguous verbs in order to achieve better communication between teachers and learners and to assess that complexity. This is why I suggest using the expression intellectual skill (or competence) as meaning "a rational decision or act". Sensomotor skill (or competence) would replace "skills" as presently used and cover only "acts which require a neuromuscular coordination". Interpersonal communication skill (or competence) would replace "attitude(s)" and be limited to "verbal and non-verbal relation between persons". As the level of validity of assessment of learners' competencies is linked to the clarity of learning objectives, it is hoped that the above suggestions will raise the overall level of validity of the evaluation system. This is why it is important that everybody understands, in the same manner, the meaning of a learning objective. It will help learners to focus their learning efforts on the right target. It will help teachers to ensure the relevance to health needs of their teaching and the validity of assessment instruments. In both cases it will be beneficial to the health of the population.
The Chernobyl nuclear accident, which occurred in April 1986, became popular in Sweden after two days, and Sweden was hit by a big mess immediately after that. This paper introduces various actions taken in Sweden at that time. The authors analyzed the situation based on the following materials to tell the situation at that time: (1) materials summarized by researchers upon request of the administrative organs of the country, (2) two diaries that were written by Sven Aner, who was a former reporter of a major daily newspaper published after the accident and an activist of antinuclear groups, and Sven Lofvegerg, who handled the accident as a technical officer at Radiation Protection Agency, and (3) newspaper articles at that time. The situations that was revealed after the accident were summarized from the following viewpoints: (1) governmental remarks toward safety standards and effects on residents, and the anxiety of residents, (2) grazing ban on livestock as an important industry and its lifting, (3) correspondence of antinuclear activists, (4) anxiety against the effects of radiation on humans, and counseling on the safety addressed to the Headquarters for Disaster Control, (5) roles of regional radio stations, (6) defects of bureaucracy, (7) criticism against the actions of the Headquarters for Disaster Control, and (8) influence of extreme experts. (A.O.)
The sensibility of the world economy with respect to petroleum prices remains and will remain high. The supply and demand problems leads to necessarily consider the production capacities, the effective and potential reserves, the level of strategic stockpiles, the general economical perspectives and their implications on the oil and gas demand. The regulating power of the OPEC and its relations with non-OPEC producers (Russia, Mexico, Norway..) will play a more and more significant role in the world petroleum equilibrium. This book analyses 7 topics about petroleum and geopolitics: the petroleum and the international relations since 1945 (H. L'Huillier); the petroleum in the world economy (J.M. Chevalier); the USA and petroleum: from Rockefeller to the Gulf war (P. Noel); petroleum profits, geopolitics and conflicts (P. Copinschi); reasonable supply costs but fluctuating prices (J.P. Favennec, S. Raki-Rechignac); from the Caspian sea to the Arabo-Persian gulf: a new Russia-USA petro-strategy (F. Encel); the international transportation of petroleum and natural gas: a major economical stake (J. Percebois). (J.S.)
D.E. Allen (David); M.J. McAleer (Michael)
markdownabstractA set of 115 tweets on climate change by President Trump, from 2011 to 2015, are analysed by means of the data mining technique, sentiment analysis. The intention is to explore the contents and sentiments of the messages contained, the degree to which they differ, and their
Full Text Available Dans le cadre des travaux de Circeft-Escol sur la littératie scolaire et en particulier sur les supports d'apprentissage actuels, cette analyse envisage l'étude d'un texte « composite » dans une classe de Cours préparatoire de l'école élémentaire en ZEP, en juin 2012. Une si petite graine, d'Eric Carle (2003, Mijade Jeunesse, donne ainsi à lire l'évolution d'une graine, de la germination à la fleur, présentée dans sa nature cyclique liée à la succession des saisons. Sa visée semble donc informative. Cependant, cette visée est contaminée par une pratique narrativisée de l'information qui inscrit aussi l'album dans une démarche esthétique. Nous analysons précisément l'album dans sa tension entre informatif et narratif, en le définissant comme album « mixte », caractérisé par sa visée double, qui se traduit par une structure et une énonciation doubles. La mise en œuvre de l'enseignant dans la classe insiste sur l'aspect informatif. Or les réponses produites par les élèves montrent que ceux qui ont le mieux acquis les connaissances liées au monde du vivant sont ceux qui ont le mieux compris la complexité de l'album et sa partie fictionnelle, soit les élèves appartenant au groupe de niveau des meilleurs.
Pardini, Dustin; White, Helene R; Xiong, Shuangyan; Bechtold, Jordan; Chung, Tammy; Loeber, Rolf; Hipwell, Alison
There is some suggestion that heavy marijuana use during early adolescence (prior to age 17) may cause significant impairments in attention and academic functioning that remain despite sustained periods of abstinence. However, no longitudinal studies have examined whether both male and female adolescents who engage in low (less than once a month) to moderate (at least once a monthly) marijuana use experience increased problems with attention and academic performance, and whether these problems remain following sustained abstinence. The current study used within-individual change models to control for all potential pre-existing and time-stable confounds when examining this potential causal association in two gender-specific longitudinal samples assessed annually from ages 11 to 16 (Pittsburgh Youth Study N = 479; Pittsburgh Girls Study N = 2296). Analyses also controlled for the potential influence of several pertinent time-varying factors (e.g., other substance use, peer delinquency). Prior to controlling for time-varying confounds, analyses indicated that adolescents tended to experience an increase in parent-reported attention and academic problems, relative to their pre-onset levels, during years when they used marijuana. After controlling for several time-varying confounds, only the association between marijuana use and attention problems in the sample of girls remained statistically significant. There was no evidence indicating that adolescents who used marijuana experienced lingering attention and academic problems, relative to their pre-onset levels, after abstaining from use for at least a year. These results suggest that adolescents who engage in low to moderate marijuana use experience an increase in observable attention and academic problems, but these problems appear to be minimal and are eliminated following sustained abstinence.
Examines high school students' use of the World Wide Web to complete assignments. Findings showed the students used a good variety of resources, including libraries and the World Wide Web, to find information for assignments. However, students were weak at determining the quality of the information found on web sites. Students did poorly at…
A law enacted on June 20 to establish a new Nuclear Regulatory Authority (NRA) fully separated from the nuclear promotional authorities. It added the provision, which says nuclear safety should be guaranteed not only to defend lives, people's health and the environment but also to 'contribute to Japan's national security', to Article 2 of the Atomic Energy Basic Law. NRA integrated the existing regulatory authorities for safety, security and safeguards, into one. Supporters of an amendment quietly slipped into the law were denying it could provide cover for military use of nuclear technology, but arouse international concern about recycling program of extracting plutonium from spent fuels. Nuclear policy minister said: 'The safeguards are in place to prevent nuclear proliferation. The world 'security' precisely means the prevention of nuclear proliferation.' If not used explicitly about safeguards, they left room for stretched interpretation. The author recommended the world' contribute to Japan's national security' should be deleted instead of explaining appropriately, both at home and abroad, the use of nuclear power in Japan limited to peaceful purposes. (T. Tanaka)
Von Raab-Straube, E.
Full Text Available Five Compositae taxa which are illustrated in floristic publications for Andorra are questionable records which appear to have never been collected there in the wild.
Se comentan cinco taxones de compuestas que aparecen confusamente ilustrados en publicaciones florísticas de Andorra y que nunca se han recolectado en territorio andorrano.
Iltis, Ana S
This essay examines conceptual difficulties with one of the ways in which justice has been understood and applied the ethical and regulatory review of human research. Justice requires the fair distribution of the benefits and burdens of research. Class membership is seen as justifying inclusion in higher hazard-no benefit research from which members of potentially vulnerable classes, such as children, typically would be excluded. I argue that class membership does not do the justificatory work it is thought to do and that the use of class membership to justify inclusion in higher hazard-no benefit research leads to unjustified discrimination of sick children and offers special protections to healthy children. © 2011 American Society of Law, Medicine & Ethics, Inc.
Gabriel Saldanha Lula de Medeiros
Full Text Available Escritor e filósofo com mais de 35 anos de carreira, Olavo de Carvalho dedicou parte da sua obra a esmiuçar o trabalho de grandes filósofos, como é o caso dos livros “A Nova Era e a Revolução Cultural” (1994, onde tece críticas aos escritos de Antônio Gramsci e Fritjof Capra; “Uma Filosofia Aristotélica da Cultura” (1994; “Aristóteles em Nova Perspectiva” (1996; e talvez o mais famoso de seus livros, intitulado “O Jardim das Aflições” (1995, Olavo de Carvalho, em quase 500 páginas, analisa os trabalhos de Epicuro, Marx, Comte, Hegel e outros. Em 2011, escreveu um livro dedicado a análise da obra de Nicolau Maquiavel, com foco em sua obra mais popular, “O Príncipe”, escrita no século XVI, pois, para Carvalho, “dos pensadores modernos mais célebres, Maquiavel é talvez o primeiro a entregar ao público uma doutrina tão desencontrada e confusa” (CARVALHO, 2011, p. 19.
Prof. Dr. Marieke J. Schuurmans; L.A. van Gemert
BACKGROUND: Delirium is a frequent form of psychopathology in elderly hospitalized patients; it is a symptom of acute somatic illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay, and nursing home placement. Early recognition of delirium symptoms
Gemert van, Liesbeth A.; Schuurmans, Marieke J.
BACKGROUND: Delirium is a frequent form of psychopathology in elderly hospitalized patients; it is a symptom of acute somatic illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay, and nursing home placement. Early recognition of delirium symptoms
Chessick, Richard D
This article discusses the current state of psychoanalysis and the challenges to the fundamental premises of Freud's psychoanalysis by those who have shifted to relationship or so-called two-person psychologies in our field. The author begins by briefly describing a parallel to the recent history of psychoanalysis in the sudden rise and fall of scholastic philosophy in the 14th century. He then focuses on contemporary attacks on Freud's psychoanalysis as a science, based on the contention by two-person psychologists that free association by the patient and evenly hovering attention by the analyst are actually impossible. He reviews Freud's idea of psychoanalysis, discusses psychodynamic psychotherapy, both conceived as scientific treatment procedures, and describes the current assault on their metapsychological and epistemological foundations. Returning to the parallel between what happened to medieval scholasticism and what has happened to psychoanalysis, he examines why this happened, and the resulting fragmentation of psychoanalytic practice. The article concludes with suggestions for the integration of various schools of psychoanalysis, reminding us of Benjamin Franklin's warning: "We must, indeed, all hang together or, most assuredly, we shall all hang separately."
To define and assess 'Consumer Health Informatics' and related emergent issues in an era of new media and of personalisation of care, and from this to define what actions need to be taken to optimise benefits and address risks. Definition of key concepts; review of health personalisation, emergent health information and communication technologies and knowledge sources available to citizens and social media; and identification of unresolved issues threatening optimal use of each. A structured review supported by citations and examples. Several new aspects of consumer health informatics are emerging, including new knowledge sources, feedback on treatments and care providers, on-line videos, and a new generation of patient experience sites including those which are for profit and seek to influence treatment paradigms. Not just the information usage, but also the potential social challenges and malicious abuses, are global issues, and also transcend the traditional health community and thus should be addressed in partnership with other global agencies.
Kaplan, Zdeněk; Symoens, J.-J.
Roč. 148, - (2005), s. 329-357 ISSN 0024-4074 R&D Projects: GA ČR(CZ) GA206/02/0773 Institutional research plan: CEZ:AV0Z60050516 Keywords : Potamogeton * taxonomy * Africa Sub ject RIV: EF - Botanics Impact factor: 1.462, year: 2005
Food contamination corresponds to the undesired presence of radioactive products in food, while irradiation is a process to which food can be deliberately submitted to improve its preservation or hygiene. This publication explains this difference. It describes the process, physical effects and health impacts of radioactive contamination of food. It briefly describes irradiation or ionisation processes, their objectives, doses of ionising radiations used on food products, undesired and harmful effects. It also indicates food products concerned by these irradiation processes, and the associated legal framework, evokes the lack of information of consumers regarding such practices, briefly evokes risks associated with irradiation installations, and indicates where these installations are located in France
Cho, Hyun Suk; Woo, Ji Young; Lee, Yul; Yang, Ik; Hwang, Ji-Young; Kim, Han Myun; Kim, Jeong Won
Objective To investigate the significance of intra-appendiceal air at CT for the evaluation of appendicitis. Materials and Methods We retrospectively analyzed 458 patients (216 men, 242 women; age range, 18-91 years) who underwent CT for suspected appendicitis. Two independent readers reviewed the CT. Prevalence, amount, and appearance of intra-appendiceal air were assessed and compared between the patients with and without appendicitis. Performance of CT diagnosis was evaluated in two reading strategies: once ignoring appendiceal air (strategy 1), and the other time considering presence of appendiceal air as indicative of no appendicitis in otherwise indeterminate cases (strategy 2), using receiver operating characteristic (ROC) analysis. Results Of the 458 patients, 102 had confirmed appendicitis. The prevalence of intra-appendiceal air was significantly different between patients with (13.2%) and without (79.8%) appendicitis (p appendicitis as compared with the normal group, for both reader 1 (p = 0.011) and reader 2 (p = 0.002). Stool-like appearance and air-fluid levels were more common in the appendicitis group than in the normal appendix for both readers (p appendicitis, it has a limited incremental value for the diagnosis of acute appendicitis. PMID:26798214
Full Text Available While many experimental studies have been done on siliceous and metamorphic rocks for both use-wear and post depositional surface modification (PDSM events, little is known about such experiments on volcanic materials (other than obsidian, and on basalt in particular. Here we present the preliminary results of several experiments related to: a evidence for basalt use (e.g., butchery and fresh hide scraping and the subsequent characteristic use-wear patterns that can be seen; and b post-depositional surface modifications caused by bear (Ursidae trampling on experimental basalt flakes and subsequent use of these flakes for a tumbling experiment in a special tumbling machine.The results of these experiments were compared to better understand some surface modifications noted on the Middle to Upper Pleistocene lithic assemblages of the Azokh Cave site (Nagorno Karabagh, Lesser Caucasus.Although some aspects of both events (use-wear and PDSM remain to be studied in depth, the experiments have improved our understanding of the effects of use-wear and post-depositional trampling and tumbling on basalt lithic artefacts. In particular, it has allowed us to recognise mechanical alterations (e.g., cracks, striations, fractures, edge damage caused by trampling and tumbling and to note differences between these modifications and those caused by use. In particular, the experiments have shown that macroscopic modifications are rarely diagnostic, especially those observed after use. Microscopic wear features such as edge rounding, polish, abrasion and striations were the most evident types of alteration on basalt flakes, although occurring at different times and from different types of use. Distribution and orientation of alterations may be key in distinguishing use-wear from post-depositional alterations on basalt artefacts.
By means of a small watercolor, painted by a musicologist, the existence of the highschool observatory of Chemnitz was rediscovered. The small observatory was build in 1893 by means of funds and a donation: after WW I it was also used for popular education. During Nazi times, the observatory fell into neglect, and the mechanical damage made it impossible to put it back into operation after WW II The building was torn down in 1964 and forgotten.
Polsinelli, Gregory A; Singh, Sanjay K; Mishra, Rajesh K; Suranyi, Robert; Ragsdale, David W; Pang, Yuan-Ping; Brimijoin, Stephen
Insecticides directed against acetylcholinesterase (AChE) are facing increased resistance among target species as well as increasing concerns for human toxicity. The result has been a resurgence of disease vectors, insects destructive to agriculture, and residential pests. We previously reported a free cysteine (Cys) residue at the entrance to the AChE active site in some insects but not higher vertebrates. We also reported Cys-targeting methanethiosulfonate molecules (AMTSn), which, under conditions that spared human AChE, caused total irreversible inhibition of aphid AChE, 95% inhibition of AChE from the malaria vector mosquito (Anopheles gambia), and >80% inhibition of activity from the yellow fever mosquito (Aedes aegypti) and northern house mosquito (Culex pipiens). We now find the same compounds inhibit AChE from cockroaches (Blattella germanica and Periplaneta americana), the flour beetle (Tribolium confusum), the multi-colored Asian ladybird beetle (Harmonia axyridis), the bed bug (Cimex lectularius), and a wasp (Vespula maculifrons), with IC(50) values of approximately 1-11muM. Our results support further study of Cys-targeting inhibitors as conceptually novel insecticides that may be free of resistance in a range of insect pests and disease vectors and, compared with current compounds, should demonstrate much lower toxicity to mammals, birds, and fish. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Bland, Andrew J; Topping, Annie; Tobbell, Jane
High-fidelity patient simulation is a method of education increasingly utilised by educators of nursing to provide authentic learning experiences. Fidelity and authenticity, however, are not conceptually equivalent. Whilst fidelity is important when striving to replicate a life experience such as clinical practice, authenticity can be produced with low fidelity. A challenge for educators of undergraduate nursing is to ensure authentic representation of the clinical situation which is a core component for potential success. What is less clear is the relationship between fidelity and authenticity in the context of simulation based learning. Authenticity does not automatically follow fidelity and as a result, educators of nursing cannot assume that embracing the latest technology-based educational tools will in isolation provide a learning environment perceived authentic by the learner. As nursing education programmes increasingly adopt simulators that offer the possibility of representing authentic real world situations, there is an urgency to better articulate and understand the terms fidelity and authenticity. Without such understanding there is a real danger that simulation as a teaching and learning resource in nurse education will never reach its potential and be misunderstood, creating a potential barrier to learning. This paper examines current literature to promote discussion within nurse education, concluding that authenticity in the context of simulation-based learning is complex, relying on far more than engineered fidelity. Copyright © 2014 Elsevier Ltd. All rights reserved.
Schutte, Paul; Goodrich, Kenneth; Williams, Ralph
This paper presents a new design and function allocation philosophy between pilots and automation that seeks to support the human in mitigating innate weaknesses (e.g., memory, vigilance) while enhancing their strengths (e.g., adaptability, resourcefulness). In this new allocation strategy, called Synergistic Allocation of Flight Expertise in the Flight Deck (SAFEdeck), the automation and the human provide complementary support and backup for each other. Automation is designed to be compliant with the practices of Crew Resource Management. The human takes a more active role in the normal operation of the aircraft without adversely increasing workload over the current automation paradigm. This designed involvement encourages the pilot to be engaged and ready to respond to unexpected situations. As such, the human may be less prone to error than the current automation paradigm.
Austin, Peter C; Manca, Andrea; Zwarenstein, Merrick; Juurlink, David N; Stanbrook, Matthew B
Statisticians have criticized the use of significance testing to compare the distribution of baseline covariates between treatment groups in randomized controlled trials (RCTs). Furthermore, some have advocated for the use of regression adjustment to estimate the effect of treatment after adjusting for potential imbalances in prognostically important baseline covariates between treatment groups. We examined 114 RCTs published in the New England Journal of Medicine, the Journal of the American Medical Association, The Lancet, and the British Medical Journal between January 1, 2007 and June 30, 2007. Significance testing was used to compare baseline characteristics between treatment arms in 38% of the studies. The practice was very rare in British journals and more common in the U.S. journals. In 29% of the studies, the primary outcome was continuous, whereas in 65% of the studies, the primary outcome was either dichotomous or time-to-event in nature. Adjustment for baseline covariates was reported when estimating the treatment effect in 34% of the studies. Our findings suggest the need for greater editorial consistency across journals in the reporting of RCTs. Furthermore, there is a need for greater debate about the relative merits of unadjusted vs. adjusted estimates of treatment effect. Copyright 2010 Elsevier Inc. All rights reserved.
Pavlásková, Kateřina; Strnadová, Marcela; Strohalm, Martin; Havlíček, Vladimír; Šulc, Miroslav; Volný, Michael
Roč. 83, č. 14 (2011), s. 5661-5665 ISSN 0003-2700 R&D Projects: GA ČR GPP206/10/P018; GA MŠk LC545; GA MŠk(CZ) ME10013 Institutional research plan: CEZ:AV0Z50200510 Keywords : DOUBLE-BOND POSITION * UNSATURATED FATTY-ACIDS * ELECTROSPRAY-IONIZATION Subject RIV: CE - Biochemistry Impact factor: 5.856, year: 2011
Kreher, Donna A.; Goff, Donald; Kuperberg, Gina R.
The schizophrenia research literature contains many differing accounts of semantic memory function in schizophrenia as assessed through the semantic priming paradigm. Most recently, Event-Related Potentials (ERPs) have been used to demonstrate both increased and decreased semantic priming at a neural level in schizophrenia patients, relative to healthy controls. The present study used ERPs to investigate the role of behavioral task in determining neural semantic priming effects in schizophren...
Kreher, Donna A; Goff, Donald; Kuperberg, Gina R
The schizophrenia research literature contains many differing accounts of semantic memory function in schizophrenia as assessed through the semantic priming paradigm. Most recently, Event-Related Potentials (ERPs) have been used to demonstrate both increased and decreased semantic priming at a neural level in schizophrenia patients, relative to healthy controls. The present study used ERPs to investigate the role of behavioral task in determining neural semantic priming effects in schizophrenia. The same schizophrenia patients and healthy controls completed two experiments in which word stimuli were identical, and the time between the onset of prime and target remained constant at 350 ms: in the first, participants monitored for words within a particular semantic category that appeared only in filler items (implicit task); in the second, participants explicitly rated the relatedness of word-pairs (explicit task). In the explicit task, schizophrenia patients showed reduced direct and indirect semantic priming in comparison with healthy controls. In contrast, in the implicit task, schizophrenia patients showed normal or, in positively thought-disordered patients, increased direct and indirect N400 priming effects compared with healthy controls. These data confirm that, although schizophrenia patients with positive thought disorder may show an abnormally increased automatic spreading activation, the introduction of semantic decision-making can result in abnormally reduced semantic priming in schizophrenia, even when other experimental conditions bias toward automatic processing.
Stewart, Colin J. R., E-mail: email@example.com; Hillery, Simon [Department of Histopathology, SJOG Hospital, Perth, Western Australia (Australia); Platell, Cameron [Colorectal Surgery Unit, SJOG Hospital, Perth, Western Australia and University of Western (Australia); Puppa, Giacomo [Division of Pathology, ‘G. Fracastoro’ City Hospital, Verona (Italy)
Transmural spread by colorectal carcinoma can result in tumor invasion of the serosal surface and, hence, more likely dissemination within the peritoneal cavity and potentially to additional metastatic sites. The adverse prognostic significance of serosal invasion is widely accepted and its presence may be considered an indication for chemotherapy in patients with node negative disease. However, controversy persists regarding the most appropriate criteria for diagnosis and there are also practical difficulties associated with histological assessment in some cases. Therefore, serosal invasion may be under-diagnosed in a significant proportion of tumors, potentially leading to sub-optimal treatment of high-risk patients. The examination of multiple microscopic sections combined with ancillary studies such as cytology preparations, elastin stains, and immunohistochemistry may prove beneficial in selected problematic cases, but these are not used routinely. The relative prognostic significance of serosal invasion and of direct tumor spread to other organs, both of which are incorporated within the pT4 category of the AJCC/UICC TNM staging system, remains unclear. Further studies are required to demonstrate whether recent adjustments to the TNM staging of pT4 tumors are appropriate.
Michael P Ryan
Full Text Available The Drug Facts Label is designed to guide consumers in comparing nonprescription drugs. Undergraduates studied and recalled drug facts for three analgesic or non-analgesic labels using Drug Facts Label headings as retrieval cues. They then studied and recalled drug facts from an aspirin label. Aspirin recall was greater when the prior labels were analgesics, but prior-label intrusion errors were also greater. These two effects were associated with the number of prior drug labels on which facilitating and interfering drug facts appeared. Using the Drug Facts Label schema to read drug labels can both enhance and degrade the recall of nonprescription drug facts.
Robbins Nathaniel M
Full Text Available Abstract Background Legionella pneumophila is a common cause of community-acquired pneumonia. Central nervous system dysfunction is common, and diagnosis in the absence of pulmonary symptoms can be challenging. Here we describe an atypical clinical presentation of Legionella infection in a patient with HIV who was found to have an unusual neuroradiologic lesion that further served to obscure the diagnosis. This is the first such description in a patient with Legionellosis and HIV coinfection. Case presentation A 43 year-old HIV positive man presented to our hospital with dysarthria, fevers, headache, and altered mental status. Initial work-up revealed pneumonia and a lesion of the splenium of the corpus callosum on magnetic resonance imaging. He was subsequently diagnosed with Legionella pneumonia and treated with complete symptom resolution. Conclusions Neurologic abnormalities are frequent in Legionellosis, but the diagnosis may be difficult in the absence of overt respiratory symptoms and in the presence of HIV coinfection. A high index of suspicion and early initiation of empiric antibiotics is imperative since early treatment may help prevent long-term sequelae. Neuroimaging abnormalities, though rare, can help the physician narrow down the diagnosis and avoid unnecessary invasive testing. Future studies should aim to elucidate the as yet unknown role of neuroimaging in the diagnoses and prognostication of Legionellosis, as well as the interaction between Legionella infection and HIV.
Post, Wendy; Moser, Marvin; Kaplan, Norman
Following a hypertension symposium in Baltimore, MD, on June 1, 2005, Dr. Wendy Post from the Johns Hopkins University School of Medicine, Baltimore, MD, had the opportunity to interview two of the outstanding hypertension experts in the United States on several controversial issues in hypertension management. Dr. Norman Kaplan is Clinical Professor of Medicine at the Southwestern Health Science Center in Dallas, TX, and Dr. Marvin Moser is Clinical Professor of Medicine at the Yale University School of Medicine, New Haven, CT. Both have been leaders in the field of hypertension treatment and education for more than 40 years. Dr. Kaplan's book Clinical Hypertension has been a standard textbook since 1973 and is now in its ninth edition. Dr. Marvin Moser was the Senior Medical Consultant to the National High Blood Pressure Education Program from 1974 to 2002 and was Chairman of the first Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure and a member of the six subsequent committees. His book Clinical Management of Hypertension is in its seventh edition. Drs. Moser and Kaplan were corecipients of the 2004 International Society of Hypertension Award for Outstanding Contributions to Hypertension Treatment and Education and have lectured extensively throughout the United States and overseas.
Full Text Available We investigate a cornucopia of problems associated with the identity of the desert tortoise, Gopherus agassizii Cooper. The date of publication is found to be 1861, rather than 1863. Only one of the three original cotypes exists, and it is designated as the lectotype of the species. Another cotype is found to have been destroyed in the 1906 San Francisco earthquake and subsequent fire. The third is lost. The lectotype is genetically confirmed to be from California, and not Arizona, USA as sometimes reported. Maternally, the holotype of G. lepidocephalus Ottley et Velázques Solis, 1989 from the Cape Region of Baja California Sur, Mexico is also from the Mojavian population of the desert tortoise, and not from Tiburon Island, Sonora, Mexico as previously proposed. A suite of characters serve to diagnose tortoises west and north of the Colorado River, the Mojavian population, from those east and south of the river in Arizona, USA and Sonora and Sinaloa, Mexico, the Sonoran population. Species recognition is warranted and because G. lepidocephalus is from the Mojavian population no names are available for the Sonoran species. Thus, a new species, Gopherus morafkai sp. n., is named and this action reduces the distribution of G. agassizii to only 30% of its former range. This reduction has important implications for the conservation and protection of G. agassizii, which may deserve a higher level of protection.
In 2006, the author had moved to Moscow, Idaho, from New Delhi, after having worked for nearly four years in publishing houses. She had become exhausted by stets, specs, and style sheets. Whiny authors with paper-thin egos bored her, and she was frustrated with lazy designers who tried to pass off every odd cover as avant-garde. She wanted to…
This essay is a close reading of Joan Didion’s memoir Where I Was From (2003), and it is particularly focused on the spatial aspects of Didion’s narrative. I am arguing that the production of autobiographical knowledge in this text is closely linked to the places the narrator is referring to and in which she positions herself. Furthermore, this essay aims at illustrating that Didion’s narrative itself functions as a genre-specific site for the production of autobiographical knowledge.
by error and noise in behavior. Results change when we consider a more general QRE specification with cross-subject heterogeneity in concerns for (group efficiency. In this case, we find that the majority of the subjects make contributions that are compatible with the hypothesis of preference for (group efficiency. A likelihood-ratio test confirms the superiority of the more general specification of the QRE model over alternative specifications.
Summers, Beth A.
This dissertation examines the demarcation line of school authority between off campus conduct and on campus discipline involving student cyber speech. A lack of clear direction from the Supreme court has left school administrators wading through a quagmire of advice and disparate lower court rulings regarding their authority to punish students…
Full Text Available Dans cet article, on analyse les transformations qu'ont subies les concepts de gauche et droite dans le monde après la chute du Mur de Berlin et la désagrégration de l'URSS. On y examine les conséquences au Brésil de ces changements historiques et théoriques en posant l'hypothèse selon laquelle la gauche est historiquement le primum mobile des changements radicaux dans la dynamique des systèmes de partis dans leur ensemble.
Avoiding terminological confusion between the notions of 'biometrics' and 'biometric data' : An investigation into the meanings of the terms from a European data protection and a scientific perspective
This article has been motivated by an observation: the lack of rigor by European bodies when they use scientific terms to address data protection and privacy issues raised by biometric technologies and biometric data. In particular, they improperly use the term ‘biometrics’ to mean at the same time
Ritchie, Scott A; Devine, Gregor J
Dengue control methods are reliant upon control of the vector, primarily Aedes aegypti. Current adulticiding methods in North Queensland include treating premises with residual synthetic pyrethroid insecticides (interior residual spraying; IRS), a laborious, intrusive task. The vapor active synthetic pyrethroid metofluthrin might offer an efficient alternative as some studies indicate that it prevents biting and has strong knockdown effects. However, its expellant and/or irritant effects, longevity, residual activity and the speed with which biting behavior is disrupted have not yet been characterized. We exposed cohorts of Cairns colony (F2-4) Ae. aegypti to rooms (17-24 m3) treated with 5% and 10% AI metofluthrin emanators. Using free-flying and caged populations we measured biting (human landing rate), expulsion through unscreened windows, knockdown and death over periods ranging between a few minutes and 24 hrs. Observations of the behavior of single female Ae. aegypti exposed to metofluthrin were also made. Female Ae. aegypti exposed to 5% or 10% metofluthrin formulations were almost entirely inhibited from biting. This was the result of rapid knockdown and mortality (80-90% in less than one hour) and to the behavioral impacts of exposure that, within minutes, caused female Ae. aegypti to become disoriented, stop landing on hosts, and seek resting sites. Exposed mosquitoes did not exhibit any increased propensity to exit treated rooms and the 10% AI resin remained fully active for at least 20 days. The new, high-dose, resin formulations of metofluthrin act quickly to prevent biting and to knockdown and kill free-flying female Ae. aegypti in our experimental rooms. There was no evidence that metofluthrin induced escape from treated areas. Resin-based metofluthrin emanators show great potential as a replacement for labor intensive IRS for dengue vector control.
Ritchie, Scott A; Devine, Gregor J
Background Dengue control methods are reliant upon control of the vector, primarily Aedes aegypti. Current adulticiding methods in North Queensland include treating premises with residual synthetic pyrethroid insecticides (interior residual spraying; IRS), a laborious, intrusive task. The vapor active synthetic pyrethroid metofluthrin might offer an efficient alternative as some studies indicate that it prevents biting and has strong knockdown effects. However, its expellant and/or irritant e...
Nuclear energy in Europe: union or confusion? (Information report, in the name of the delegation for the European union, on the adequation of the Euratom treaty to the situation and perspectives of nuclear energy in Europe)
Montesquiou, A. de
Following the last expansion of the European Union and the recent nuclear renouncement decision of Germany, the member states frankly favourable to nuclear energy are now a minority among the fifteen states. The French government also has some doubts with respect to this energy source, even if France is the first producer of electric power of nuclear origin. Starting from this statement, the French Senate delegation for the European Union has wondered about the present day situation and the future perspectives of nuclear energy in Europe. This topic is analyzed in its political, diplomatic, economical and legal dimensions threw several questions: what is the situation of this debate in the different member states and in the European public opinion? Are the alternative energy solutions realistic with respect to the European energy needs? What is the competitiveness of nuclear power in the new context of deregulation of the European power market? Is it possible for the European Union to meet its international obligations of CO 2 reduction without the use of nuclear energy? What is the efficiency of the European Community action for the improvement of the safety of nuclear reactors in Eastern Europe? Which importance is given to the nuclear problem in the membership negotiations with central and eastern European countries? Is the legal framework of the Euratom treaty still adapted to the present day situation? (J.S.)
Review of the North American species of Marimatha Walker with descriptions of three new species (Lepidoptera, Noctuidae, Eustrotiinae and the description of Pseudomarimatha flava (Noctuinae, Elaphriini, a new genus and species confused with Marimatha
Full Text Available Seven species of Marimatha Walker are examined, five of which occur in North America. In addition to the existing species M. nigrofimbria (Guenee, M. tripuncta (Moschler is reported from North America for the first time and three new species are described from southwestern North America: M. piscimala, M. squala, and M. quadrata. Marimatha alboflava (Walker, M. botyoides (Guenee, and M. dinumeratalis (Walker are discussed in terms of the generic name Marimatha, and M. aurifera (Walker is discussed in relation to the identity of M. tripuncta. A generic diagnosis, key to species, descriptions, and illustrations of adults and genitalia are included. A new genus and species is proposed for a species currently placed as an undescribed species of Marimatha, but tympanal and genital characters and mtDNA suggest an association with the subfamily Noctuinae, tribe Elaphriini.
Brunner, E.; Janssen, K.H.
Becquerel values in milk and meat are due to rise again during the next few weeks. The Federal Republic of Germany continues to live with the radioactive burden brought by the Chernobyl clouds. It is true that the radiation doses are lower than expected, but low-dose exposure, too, can have evil effects; the cancer risk and genetic hazards still remain incalculable. The article presents a survey of the radiation exposure in the country as a function of geographic data, and a rough assessment of possible consequences emanating from ingestion of contaminated food. (orig./GL) [de
Schepker, K; Topp, S; Fangerau, H
On 5 September 1940, the German Society for Child Psychiatry and Therapeutic Education (DGKH) was founded. In order to secure sustainable impact, the young professional association aimed to: (1) Increase its scientific reputation through the organization of regular conventions and publications, (2) Attain continuity in its leadership (board) and membership growth, and (3) Establish itself in national socialistic politics and society for health care policy matters. Due to the unexpected death of the first chairman, Paul Schröder, only nine months after DGKH's foundation, these objectives were seriously put into question. The search for a new chairman led to a struggle for power and direction involving rival medical and non-medical associations as well as governmental institutions. Rather contrary to current knowledge, newly discovered documents indicate that the DGKH definitely acted out and initially influenced healthcare policy both before and directly after Schroeder's death. To interpret the complexity of the succession decision process - which led to the more radical Hans Heinze being chosen over Werner Villinger - this study employs a qualitative historical network analysis approach. For the broader interpretation of results within the national socialistic healthcare context we refer to Lutz Raphael's concept of radical order theory.
Full Text Available 作为社会学意义的中产阶级是中国的新生事物，也是目前中国主流社会阶层所力争上游的等级。美国图书《格调——社会等级与生活品味》（Class）本来在美国是冒犯大众、剖析并辛辣讽刺美国人数最多的阶层（中产阶级）的一本书，在中国被城市白领奉为圭臬。 作为中国大陆市场经济改革最触目的结果之一，新兴的“中产阶级”完全打乱了已经持续几十年的原有的社会主义阶级结构，也从更深层面动摇中国稳定的农业社会结构。但中国大陆的传统儒道文化基因、后极权统治与新兴资本经济之间错纵复杂及畸形发展的关系，构成奇特怪异的共生链。西方现代文明与中国农业文明之间的矛盾、全球化与地域性的矛盾形成博弈，也造成混乱与冲突。当下中国大陆社会，人口的重新分布与阶层的重新形成（但又尚未实现稳定的阶层），导致传统价值观念的改变、宗教与政治的操控发生动摇。一切都在流动并在嬗变。人们也在这种新旧快速转型中迷失。可以说，正是处于一种精神分裂、道德分裂、审美分裂的状态。 中国中产阶级，来自中国不同的地域、阶层，他们没有经历象西方中产阶级那样的资产阶级阶段，而是由于首先是经济意义上的变化而带来身份的变化。而这种身份，文化背景是复杂的。既有乡土农业文明的痕迹，又有社会主义意识形态的烙印。他们所能凭藉的作为中产阶级的文化资源相当匮乏，或者说他们的文���资源、原有的文化身份正是他们企图蜕变的。所以“趣味”，便成为他们寻找新身份的表达，这是一种附在表层而不是长在身体上的标签。 因为中国中产者迄今为止尚未形成真正的主流意志，而整个中国社会一方面是传统思想体系支离破碎，一方面是新社会意识形态还是混沌不清：集体化衰退，个人性凸现，而精神正处于难以进退的窄门。因此，挖掘民族文化谱系中的核心价值，并与国家、社会的现代化进程相适应，这样的人文建设迫在眉急。
杨小丽; 魏晶; 姚莉华; 马珺; 贺春香; 冯泽永
广东“八胞胎”事件的曝光,再次使我国地下代孕市场浮出水面,并引发了社会各界的广泛热议.剖析代孕的内涵及特征,国外代孕的相关法例与规制主要有私法自治型、政府管制型和完全禁止型.就我国已然客观存在而又难以有效禁止的地下代孕市场,是继续采取“一刀切”式的禁止,还是建立一个有权威的法律制度,进行了深入的法理分析.%Recently,as the exposure of the incident of‘octuplet’in Guangdong province,China's underground surrogate market has once again surfaced and led to a wide range of discussion.In this paper,the connotation and characteristics of surrogacy were analyzed and related laws and regulations of surrogacy in foreign countries were discussed.The main types of surrogacy-related legislation and regulations abroad are autonomy of private law,governmental regulation and complete prohibition.This paper carried out thorough legal analysis on whether to prohibit strictly or establish an authoritative legal system in view of the existing and ineffectively prohibited underground surrogate market in our country.
An Embarrassment of Riches or a Profusion of Confusion? An Evaluation of the Continued Existence of the Civil Union Act of 2006 in the Light of Prospective Domestic Partnerships Legislation in South Africa
Full Text Available As it stands, South African family law currently holds that the Marriage Act 25 of 1961 applies exclusively to the solemnisation of heterosexual civil marriages while same-sex couples have no choice but to formalise their relationships in terms of the Civil Union Act 17 of 2006. In addition, the legal position is complicated by the fact that the latter Act not only allows both heterosexual and homosexual couples to conclude a civil union, but also provides that a civil union may take the form of either a marriage or a civil partnership, both of which enjoy the same legal recognition as, and give rise to the same legal consequences, as a civil marriage under the Marriage Act.In January 2008, a draft Domestic Partnerships Bill saw the light of day, the potential enactment of which casts significant doubt as to whether the prevailing framework should be retained. With this potential development in mind, this paper considers the desirability of maintaining the "separate but equal" status quo by: (a comparing the South African Law Reform Commission's pre-Civil Union Act proposals with the approach eventually adopted by the legislature; (b comparing and contrasting the post-Civil Union Act position in South Africa with that of an established and well-ordered jurisdiction such as the Netherlands and, in the light hereof, considering the cases for and against repealing the Civil Union Act; and (c by considering the desirability and practicality of the civil partnership's potential co-existence with the Domestic Partnerships Bill (as modified in accordance with a recent study. A proposal is made that could provide a less complex and better streamlined family law dispensation in South Africa.
The atmosphere of Stoppard's tour de force is one of confusion from the beginning to end. Guildenstern is confused about the outcome of the coin tossing and, thus, about the ruling principle of the world, Rosencrantz is confused about Guildenstern's role-playing practice of questioning Hamlet, everyone is confused about which one of the pair is Rosencrantz and which one is Guildenstern, and they are in turn confused about everyone else. Determinism is confused with absurdity, fate is confused...
PANC 33 D2 Confusion Matrices for Scene A, IR 34 D3 Confusion Matrices for Scene B, PANC 35 D4 Confusion Matrices for Scene B, IR 36 D5 Confusion...Matrices for Scene C, PANC 37 D6 Confusion Matrices for Scene C, IR 38 D7 Confusion Matrices for Scene E, PANC 39 D8 Confusion Matrices for Scene E, IR 40...D9 Confusion Matrices for Scene H, PANC 41 DIO Confusion Matrices for Scene H, JR 42 3 .D 10CnuinMtie o cn ,IR4 AN ANALYSIS OF THE MAX-MIN TEXTURE
Anatomía de una confusión: error diagnóstico de patología paranoide en víctimas de mobbing Anatomia de uma confusão: erro diagnóstico de patologia paranoide em vítimas de mobbing Anatomy of a misunderstanding: wrong diagnosis of paranoid pathology in victims of mobbing
Ángel Martínez-Hernáez; Leticia Medeiros-Ferreira
CONTEXTO: Diversas investigaciones subrayan el alto riesgo de error diagnóstico de trastorno delirante y trastorno paranoide de la personalidad entre víctimas de mobbing o acoso psicológico en el trabajo (APT). OBJETIVO: Analizar hasta qué punto los síntomas asociados con el mobbing son confundidos con criterios de dos nosologías del espectro paranoide (trastorno delirante y trastorno paranoide de la personalidad). MÉTODOS: Se realiza una revisión bibliográfica desde 1990 hasta Junio de 2009 ...
... left, and an inability to identify fingers (finger agnosia). The disorder should not be confused with Gerstmann- ... left, and an inability to identify fingers (finger agnosia). The disorder should not be confused with Gerstmann- ...
... ball”. Rectal prolapse may be confused with significant hemorrhoid disease and can even be confusing at times ... and treating this problem. A = Rectal Prolapse B = Hemorrhoids Once a prolapse is apparent, fecal incontinence (inability ...
... by increasing the amounts of serotonin and norepinephrine, natural substances in the brain that help maintain mental ... weakness confusion flu-like symptoms fever, sweating, confusion, fast or ... the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting ...
Jan 29, 1991 ... The terminology of the cranial vascular system of cynodonts and early mammals is confusing and this- confusion extends to certain associated features of the bones of the braincase. In the present paper it is attempted to clear up some of this confusion and to demonstrate that previous authors have ...
... sleepiness excitation or hyperactivity hallucinations (seeing things or hearing voices that do not exist) difficulty understanding reality confusion difficulty speaking or swallowing unsteadiness seizures ...
... the body drowsiness fast, irregular, or pounding heartbeat memory loss confusion seizures coma (loss of consciousness) fast breathing bluish color around mouth, fingers, or fingernails muscle pain dark- ...
... calcium supplement. Thyrotoxic crisis. A sudden worsening of hyperthyroidism symptoms that leads to a fever, rapidpulse, and delirium. Signs of delirium include decreased awareness, confusion, and restlessness. ...
... in the jaw or neck speech problems depression thinking about harming or killing yourself fever muscle stiffness confusion fast, slow, or irregular heartbeat sweating restlessness nervousness or jitteriness ...
... in the jaw or neck speech problems depression thinking about harming or killing yourself fever muscle stiffness confusion fast, slow, or irregular heartbeat sweating seizures rash hives swelling ...
Symptoms may include any of the following: Decreased consciousness , coma, delirium or confusion , drowsiness, and lethargy Decreased urine output or no urine output General swelling, fluid retention ...
Symptoms may include any of the following: Confusion , delirium , hallucinations Balance problems, tremor Problem swallowing Reduced alertness , drowsiness or sleepiness , lethargy , poor responses Slurred speech ...
Symptoms may include: Abnormal posture of arms and legs Confusion or delirium Dementia Difficulty moving arms and legs, stiffness Difficulty walking (ataxia) Emotional or behavioral changes Enlargement of ...
Full Text Available ... D (calciferol): Nausea, vomiting, poor appetite, constipation, weakness, weight loss, confusion, heart rhythm problems, deposits of ... Inspections & Compliance Federal, State & Local Officials ...
Globalization is a confused and confusing term being used to explain a wide range of phenomena. It is presented as being outside anyone's control, neutral, and free of class interests. The Asian financial crisis illustrates that human agency still plays a role. Popular educators can help reinforce the idea that collective action does make a…
Daniel B. Botkin
What forestry needs in the Anthropogenic Era is what has been needed for the past 30 years. The proper methods, theory, and goals have been clear and are available; the failure has been, and continues to be, that our laws, policies, and actions are misdirected because we confuse a truly scientific base with nonscientific beliefs. The result is a confusion of folklore...
Vieyra, Michelle; Weaver, Kari
Plagiarism is a commonly cited problem in higher education, especially in scientific writing and assignments for science courses. Students may not intentionally plagiarize, but may instead be confused about what proper source attribution entails. Much of this confusion likely stems from high school, either from lack of or inconsistent instruction…
Stallings, William M.
In the educational research literature alpha, the a priori level of significance, and p, the a posteriori probability of obtaining a test statistic of at least a certain value when the null hypothesis is true, are often confused. Explanations for this confusion are offered. Paradoxically, alpha retains a prominent place in textbook discussions of…
Noll, K. L.
Most people do not understand what religious study really is. Professors of religion are often confused with, or assumed to be allies of, professors of theology. The reason for the confusion is no secret. All too often, even at public universities, the religion department is peopled by theologians, and many of those theologians refuse to make the…
van der Meulen, Anna; Krabbendam, Lydia; de Ruyter, Doret
An important issue in the discussion on educational neuroscience is the transfer of thought and findings between neuroscience and education. In addition to factual confusions in this transfer in the form of neuromyths, logical confusions, or neuro-misconceptions, can be identified. We consider these transfer difficulties in light of the way…
This paper analyzes the relations between social capital, institutions and trust.These concepts are full of ambiguity and confusion.This paper attempts to dissolve some of the confusion, by distinguishing trust and control, and analyzing institutional and relational conditions of trust.It presents a
van der Meulen, A.N.; Krabbendam, L.; de Ruyter, D.J.
An important issue in the discussion on educational neuroscience is the transfer of thought and findings between neuroscience and education. In addition to factual confusions in this transfer in the form of neuromyths, logical confusions, or neuro-misconceptions, can be identified. We consider these
Broersma, M.; Cutler, A.
Spoken-word recognition in a nonnative language is particularly difficult where it depends on discrimination between confusable phonemes. Four experiments here examine whether this difficulty is in part due to phantom competition from onear-wordso in speech. Dutch listeners confuse English /ae/ and
proposition B∧F →Con f [18, figure 15]. 23 ways in which a program may misbehave and attempt to leak information. 3.3.3 Confused Deputy A confused deputy...weaker notion of confinement, due to the fact that its confinement mechanism relies on trusting that subjects will not misbehave . 6.3 Least Privilege Our
Hall, M. Kennedy; Mirjalili, S. Ali; Moore, Christopher L.; Rizzolo, Lawrence J.
Anatomy students are often confused by multiple names ascribed to the same structure by different clinical disciplines. Increasingly, sonography is being incorporated into clinical anatomical education, but ultrasound textbooks often use names unfamiliar to the anatomist. Confusion is worsened when ultrasound names ascribed to the same structure…
Aldiabat, Khaldoun; Le Navenec, Carol-Lynne
There is confusion among graduate students about how to select the qualitative methodology that best fits their research question. Often this confusion arises in regard to making a choice between a grounded theory methodology and an ethnographic methodology. This difficulty may stem from the fact that these students do not have a clear…
Ivan L. Sander; Burnell C. Fischer
"Forest regulation methods" and "silvicultural systems" are important forest resource management concepts but there is much confusion about them. They often mean different things to different individuals. Confusion exists in part because "forest regulation methods" and "silvicultural systems" often use the same terminology. Also...