The relationship between magical thinking, inferential confusion and obsessive-compulsive symptoms.

Science.gov (United States)

Goods, N A R; Rees, C S; Egan, S J; Kane, R T

2014-01-01

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.

Confusion noise from LISA capture sources

International Nuclear Information System (INIS)

Barack, Leor; Cutler, Curt

2004-01-01

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

Investigating Confusion Between Perceptions of Relationship Education and Couples Therapy

Directory of Open Access Journals (Sweden)

Brandon K. Burr

2017-03-01

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.

Dazzle camouflage, target tracking, and the confusion effect.

Science.gov (United States)

Hogan, Benedict G; Cuthill, Innes C; Scott-Samuel, Nicholas E

2016-01-01

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.

CONFUSION WITH TELEPHONE NUMBERS

CERN Multimedia

Telecom Service

2002-01-01

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

Right word making sense of the words that confuse

CERN Document Server

Morrison, Elizabeth

2012-01-01

'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.

CONFUSION WITH TELEPHONE NUMBERS

CERN Multimedia

Telecom Service

2002-01-01

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  

The use of source memory to identify one's own episodic confusion errors.

Science.gov (United States)

Smith, S M; Tindell, D R; Pierce, B H; Gilliland, T R; Gerkens, D R

2001-03-01

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.

Inside Out: Detecting Learners' Confusion to Improve Interactive Digital Learning Environments

Science.gov (United States)

Arguel, Amaël; Lockyer, Lori; Lipp, Ottmar V.; Lodge, Jason M.; Kennedy, Gregor

2017-01-01

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…

Source Memory in Korsakoff Syndrome: Disentangling the Mechanisms of Temporal Confusion.

Science.gov (United States)

Brion, Mélanie; de Timary, Philippe; Pitel, Anne-Lise; Maurage, Pierre

2017-03-01

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.

Exploring the Effect of Student Confusion in Massive Open Online Courses

Science.gov (United States)

Yang, Diyi; Kraut, Robert E.; Rose, Carolyn P.

2016-01-01

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…

Gravitational-wave confusion background from cosmological compact binaries: Implications for future terrestrial detectors

International Nuclear Information System (INIS)

Regimbau, T.; Hughes, Scott A.

2009-01-01

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.

Terminological confusions and problems at the interface between the crystal field Hamiltonians and the zero-field splitting Hamiltonians—Survey of the CF=ZFS confusion in recent literature

Energy Technology Data Exchange (ETDEWEB)

Rudowicz, Czesław, E-mail: crudowicz@zut.edu.pl [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)

2014-10-15

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

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.

Science.gov (United States)

Flanagan, Nina M; Spencer, Gale

2016-09-01

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

De-confusing the THOG problem: the Pythagorean solution.

Science.gov (United States)

Griggs, R A; Koenig, C S; Alea, N L

2001-08-01

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.

Confusion between Odds and Probability, a Pandemic?

Science.gov (United States)

Fulton, Lawrence V.; Mendez, Francis A.; Bastian, Nathaniel D.; Musal, R. Muzaffer

2012-01-01

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…

Annual modulation of the galactic binary confusion noise background and LISA data analysis

International Nuclear Information System (INIS)

Seto, Naoki

2004-01-01

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

A comparison of the effects of filtering and sensorineural hearing loss on patients of consonant confusions.

Science.gov (United States)

Wang, M D; Reed, C M; Bilger, R C

1978-03-01

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.

Is It Kingdom or Domains? Confusion & Solutions

Science.gov (United States)

Blackwell, Will H.

2004-01-01

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…

A Study on Mode Confusions in Adaptive Cruise Control Systems

Energy Technology Data Exchange (ETDEWEB)

Ahn, Dae Ryong; Yang, Ji Hyun; Lee, Sang Hun [Kookmin University, Seoul (Korea, Republic of)

2015-05-15

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.

A Study on Mode Confusions in Adaptive Cruise Control Systems

International Nuclear Information System (INIS)

Ahn, Dae Ryong; Yang, Ji Hyun; Lee, Sang Hun

2015-01-01

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

Confusion in the Periodic Table of the Elements.

Science.gov (United States)

Fernelius, W. C.; Powell, W. H.

1982-01-01

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)

Characteristics of Patients Who Report Confusion After Reading Their Primary Care Clinic Notes Online.

Science.gov (United States)

Root, Joseph; Oster, Natalia V; Jackson, Sara L; Mejilla, Roanne; Walker, Jan; Elmore, Joann G

2016-01-01

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.

The Legal Dimension of RTI--Confusion Confirmed: A Response to Walker and Daves

Science.gov (United States)

Zirkel, Perry A.

2012-01-01

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…

Annual Percentage Rate and Annual Effective Rate: Resolving Confusion in Intermediate Accounting Textbooks

Science.gov (United States)

Vicknair, David; Wright, Jeffrey

2015-01-01

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…

Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale

Directory of Open Access Journals (Sweden)

Abraham Ivo L

2005-03-01

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.

Confusion in practice: on nuclear safety responsibility subject of our nation

International Nuclear Information System (INIS)

Wang Jia

2014-01-01

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)

Number of generations related to coupling constants by confusion

International Nuclear Information System (INIS)

Bennett, D.L.; Nielsen, H.B.

1987-01-01

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.)

The Lost Lamb: A Literature Review on the Confusion of College Students in China

Science.gov (United States)

Dong, Jianmei; Han, Fubin

2010-01-01

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…

Proper comparison among methods using a confusion matrix

CSIR Research Space (South Africa)

Salmon

2015-07-01

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...

The Role of Response Confusion in Proactive Interference

Science.gov (United States)

Dillon, Richard F.; Thomas, Heather

1975-01-01

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.…

Visualization of Confusion Matrix for Non-Expert Users (Poster)

NARCIS (Netherlands)

E.M.A.L. Beauxis-Aussalet (Emmanuelle); L. Hardman (Lynda)

2014-01-01

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

A NOVEL TECHNIQUE TO IMPROVE PHOTOMETRY IN CONFUSED IMAGES USING GRAPHS AND BAYESIAN PRIORS

International Nuclear Information System (INIS)

Safarzadeh, Mohammadtaher; Ferguson, Henry C.; Lu, Yu; Inami, Hanae; Somerville, Rachel S.

2015-01-01

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

A girl with headache, confusion and green urine.

Science.gov (United States)

Hufschmidt, Andreas; Krisch, Alexandra; Peschen, I

2009-07-01

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.

Productive confusions: learning from simulations of pandemic virus outbreaks in Second Life

Science.gov (United States)

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

2011-03-01

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.

Oromo Oral Pun (Miliqqee): Confusion with Oromo Idiom (Jechama ...

African Journals Online (AJOL)

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 ...

Visual hallucinations in schizophrenia: confusion between imagination and perception.

Science.gov (United States)

Brébion, Gildas; Ohlsen, Ruth I; Pilowsky, Lyn S; David, Anthony S

2008-05-01

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.

Dream-reality confusion in Borderline Personality Disorder: A theoretical analysis

Directory of Open Access Journals (Sweden)

Dagna eSkrzypińska

2015-09-01

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.

Delusional Confusion of Dreaming and Reality in Narcolepsy

Science.gov (United States)

Wamsley, Erin; Donjacour, Claire E.H.M.; Scammell, Thomas E.; Lammers, Gert Jan; Stickgold, Robert

2014-01-01

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

Too Many Choices Confuse Patients With Dementia

Directory of Open Access Journals (Sweden)

R. C. Hamdy MD

2017-07-01

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.

Predator confusion is sufficient to evolve swarming behaviour

OpenAIRE

Olson, Randal S.; Hintze, Arend; Dyer, Fred C.; Knoester, David B.; Adami, Christoph

2013-01-01

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...

Predator confusion is sufficient to evolve swarming behavior

OpenAIRE

Olson, Randal S.; Hintze, Arend; Dyer, Fred C.; Knoester, David B.; Adami, Christoph

2012-01-01

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...

The Theos/ComRes survey into public perception of Darwinism in the UK: a recipe for confusion.

Science.gov (United States)

Baker, Sylvia

2012-04-01

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.

Fuzzy cluster means algorithm for the diagnosis of confusable disease

African Journals Online (AJOL)

... 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 ...

RELATIONAL HEALING OF EARLY AFFECT-CONFUSION - PART 3 OF A CASE STUDY TRILOGY

Directory of Open Access Journals (Sweden)

Richard G. Erskine

2015-06-01

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.

RTI Confusion in the Case Law and the Legal Commentary

Science.gov (United States)

Zirkel, Perry A.

2011-01-01

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…

Evaluation of the confusion matrix method in the validation of an automated system for measuring feeding behaviour of cattle.

Science.gov (United States)

Ruuska, Salla; Hämäläinen, Wilhelmiina; Kajava, Sari; Mughal, Mikaela; Matilainen, Pekka; Mononen, Jaakko

2018-03-01

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.

A Formal Methods Approach to the Analysis of Mode Confusion

Science.gov (United States)

Butler, Ricky W.; Miller, Steven P.; Potts, James N.; Carreno, Victor A.

2004-01-01

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

LOBBYING OPPORTUNITIES, CONFUSIONS AND MISREPRESENTATIONS IN THE EUROPEAN UNION

Directory of Open Access Journals (Sweden)

Andreea Vass

2008-06-01

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.

The Reign of Confusion: ABC and the "Crisis in Iran."

Science.gov (United States)

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…

Vowel identity between note labels confuses pitch identification in non-absolute pitch possessors.

Directory of Open Access Journals (Sweden)

Alfredo Brancucci

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.

Possible confusion between primary hypersomnia and adult attention-deficit/hyperactivity disorder.

NARCIS (Netherlands)

Oosterloo, M.; Lammers, G.; Overeem, S.; Noord, I. de; Kooij, J.J.S.

2006-01-01

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

Conceptions about the mind-body problem and their relations to afterlife beliefs, paranormal beliefs, religiosity, and ontological confusions.

Science.gov (United States)

Riekki, Tapani; Lindeman, Marjaana; Lipsanen, Jari

2013-01-01

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.

Conceptions about the mind-body problem and their relations to afterlife beliefs, paranormal beliefs, religiosity, and ontological confusions

Science.gov (United States)

Riekki, Tapani; Lindeman, Marjaana; Lipsanen, Jari

2013-01-01

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

Brand confusion in South African Rugby – Super 12 brands vs ...

African Journals Online (AJOL)

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.

Derivation of Color Confusion Lines for Pseudo-Dichromat Observers from Color Discrimination Thresholds

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Kahiro Matsudaira

2011-05-01

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.

Identity Confusion and Materialism Mediate the Relationship Between Excessive Social Network Site Usage and Online Compulsive Buying.

Science.gov (United States)

Sharif, Saeed Pahlevan; Khanekharab, Jasmine

2017-08-01

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.

Impact of Economic Hardship and Financial Threat on Suicide Ideation and Confusion.

Science.gov (United States)

Fiksenbaum, Lisa; Marjanovic, Zdravko; Greenglass, Esther; Garcia-Santos, Francisco

2017-07-04

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.

Origins Space Telescope: Breaking the Confusion Limit

Science.gov (United States)

Wright, Edward L.; Origins Space Telescope Science and Technology Definition Team

2018-01-01

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 ost_info@lists.ipac.caltech.edu

Mirror-Image Confusions: Implications for Representation and Processing of Object Orientation

Science.gov (United States)

Gregory, Emma; McCloskey, Michael

2010-01-01

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…

Dyscalculia, Dysgraphia, and Left-Right Confusion from a Left Posterior Peri-Insular Infarct

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S. Bhattacharyya

2014-01-01

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.

Dyscalculia, dysgraphia, and left-right confusion from a left posterior peri-insular infarct.

Science.gov (United States)

Bhattacharyya, S; Cai, X; Klein, J P

2014-01-01

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.

EARNED INCOME CREDIT: Opportunities To Make Recertification Program Less Confusing and More Consistent

National Research Council Canada - National Science Library

2002-01-01

.... 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...

Reduced Discrimination in the Tritanopic Confusion Line for Congenital Color Deficiency Adults.

Science.gov (United States)

Costa, Marcelo F; Goulart, Paulo R K; Barboni, Mirella T S; Ventura, Dora F

2016-01-01

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.

Defensive medicine: No wonder policymakers are confused.

Science.gov (United States)

Kapp, Marshall B

2016-01-01

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.

Confusão de línguas, trauma e hospitalidade em Sándor Ferenczi

Directory of Open Access Journals (Sweden)

Alan Osmo

2012-06-01

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.

The Serbian idea in an era of confused historical consciousness

OpenAIRE

Mitrović Milovan M.

2011-01-01

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...

Does working memory change with age? The interactions of concurrent articulation with the effects of word length and acoustic confusion.

Science.gov (United States)

Bireta, Tamra J; Fine, Hope C; Vanwormer, Lisa A

2013-01-01

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.

IMAGING THE EPOCH OF REIONIZATION: LIMITATIONS FROM FOREGROUND CONFUSION AND IMAGING ALGORITHMS

International Nuclear Information System (INIS)

Vedantham, Harish; Udaya Shankar, N.; Subrahmanyan, Ravi

2012-01-01

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.

Subdural Empyema Presenting with Seizure, Confusion, and Focal Weakness

Directory of Open Access Journals (Sweden)

David I Bruner

2012-12-01

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.

Subdural Empyema Presenting with Seizure, Confusion, and Focal Weakness

Science.gov (United States)

Bruner, David I.; Littlejohn, Lanny; Pritchard, Amy

2012-01-01

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

Perceptual Confusions of the Manual Alphabet by Naive, Trained, and Familiar Users.

Science.gov (United States)

Hawes, M. Dixie; Danhauer, Jeffrey L.

1980-01-01

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…

Econometric models for predicting confusion crop ratios

Science.gov (United States)

Umberger, D. E.; Proctor, M. H.; Clark, J. E.; Eisgruber, L. M.; Braschler, C. B. (Principal Investigator)

1979-01-01

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.

To freeze or not to freeze embryos: clarity, confusion and conflict.

Science.gov (United States)

Goswami, Mohar; Murdoch, Alison P; Haimes, Erica

2015-06-01

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.

Countering Climate Confusion in the Classroom: New Methods and Initiatives

Science.gov (United States)

McCaffrey, M.; Berbeco, M.; Reid, A. H.

2014-12-01

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.

Confusion and Agitation after a Recent Kidney Transplantation

Directory of Open Access Journals (Sweden)

Hussein Magdi

2008-01-01

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.

High levels of confusion for cholesterol awareness campaigns.

Science.gov (United States)

Hall, Danika V

2008-09-15

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.

Reduced Discrimination in the Tritanopic Confusion Line for Congenital Color Deficiency Adults

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Marcelo Fernandes Costa

2016-03-01

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.

The effect of cognitive load on social categorization in the category confusion paradigm

NARCIS (Netherlands)

Spears, R; Haslam, SA; Jansen, R

1999-01-01

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

The separate roles of the reflective mind and involuntary inhibitory control in gatekeeping paranormal beliefs and the underlying intuitive confusions.

Science.gov (United States)

Svedholm, Annika M; Lindeman, Marjaana

2013-08-01

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.

Mental Rotation Does Not Account for Sex Differences in Left-Right Confusion

Science.gov (United States)

Ocklenburg, Sebastian; Hirnstein, Marco; Ohmann, Hanno Andreas; Hausmann, Markus

2011-01-01

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…

Preparation to care for confused older patients in general hospitals: a study of UK health professionals.

Science.gov (United States)

Griffiths, Amanda; Knight, Alec; Harwood, Rowan; Gladman, John R F

2014-07-01

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.

Cellular hemangioma and angioblastoma of the spine, originally classified as hemangioendothelioma. A confusing diagnosis

NARCIS (Netherlands)

Been, H. D.; Fidler, M. W.; Bras, J.

1994-01-01

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

Controllable and reversible inversion of the electronic structure in nickel N-confused porphyrin: a case when MCD matters.

Science.gov (United States)

Sripothongnak, Saovalak; Ziegler, Christopher J; Dahlby, Michael R; Nemykin, Victor N

2011-08-01

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

Linguistic confusion in economics: utility, causality, product differentiation, and the supply of natural resources.

Science.gov (United States)

Simon, J L

1982-01-01

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.

Revealing the consequences and errors of substance arising from the inverse confusion between the crystal (ligand) field quantities and the zero-field splitting ones

Energy Technology Data Exchange (ETDEWEB)

Rudowicz, Czesław, E-mail: crudowicz@zut.edu.pl [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)

2015-01-01

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

EBM, HTA, and CER: clearing the confusion.

Science.gov (United States)

Luce, Bryan R; Drummond, Michael; Jönsson, Bengt; Neumann, Peter J; Schwartz, J Sanford; Siebert, Uwe; Sullivan, Sean D

2010-06-01

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.

Autonomous technology - sources of confusion: a model for explanation and prediction of conceptual shifts.

Science.gov (United States)

Stensson, Patrik; Jansson, Anders

2014-01-01

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.

Review of the Nomenclature of the Retaining Ligaments of the Cheek: Frequently Confused Terminology

Directory of Open Access Journals (Sweden)

Yeui Seok Seo

2017-07-01

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.

Revealing the consequences and errors of substance arising from the inverse confusion between the crystal (ligand) field quantities and the zero-field splitting ones

Science.gov (United States)

Rudowicz, Czesław; Karbowiak, Mirosław

2015-01-01

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

Inclusion of salt form on prescription medication labeling as a source of patient confusion: a pilot study

Directory of Open Access Journals (Sweden)

McDougall DJ

2016-03-01

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.

Attempt at a de-confusion. Units, biological effects of radiation limits and their meaning

Energy Technology Data Exchange (ETDEWEB)

Mueck, K

1986-01-01

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.).

Predicting consonant recognition and confusions in normal-hearing listeners

DEFF Research Database (Denmark)

Zaar, Johannes; Dau, Torsten

2017-01-01

, 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....

Persistent Confusions about Hypothesis Testing in the Social Sciences

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Christopher Thron

2015-05-01

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.

Dazzle camouflage and the confusion effect: the influence of varying speed on target tracking.

Science.gov (United States)

Hogan, Benedict G; Cuthill, Innes C; Scott-Samuel, Nicholas E

2017-01-01

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 Rare Cause of Confusion: Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis

Directory of Open Access Journals (Sweden)

Laura Virginia Gonzalez

2015-02-01

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.

The Treatment of Six Sigma in Introductory Operations Management Textbooks: Clearing Up the Confusion

Science.gov (United States)

Ravinder, Handanhal; Misra, Ram B.

2016-01-01

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…

TREATMENT PLANNING, PACING, AND COUNTERTRANSFERENCE: PERSPECTIVES ON THE PSYCHOTHERAPY OF EARLY AFFECT-CONFUSION

Directory of Open Access Journals (Sweden)

Richard G. Erskine

2012-12-01

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.

Scintillating confusion: Evaluation of a technique for measuring compact structure in weak radio sources

International Nuclear Information System (INIS)

Spangler, S.R.; Cordes, J.M.; Meyers, K.A.

1979-01-01

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

Quantitative histologic study on confusion of the cerebellar cortex architecture in perinatally irradiated mice

International Nuclear Information System (INIS)

Sasaki, S.

1986-01-01

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.)

Categorical Confusion? The Strategic Implications of Recognizing Challenges Either as Irregular or Traditional

Science.gov (United States)

2012-02-01

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

Psychiatric diagnoses are not mental processes: Wittgenstein on conceptual confusion.

Science.gov (United States)

Rosenman, Stephen; Nasti, Julian

2012-11-01

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.

[Iron Man: Between Confusion of Identity and Addiction to Technology].

Science.gov (United States)

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.

[Confusion as a presentation symptom of pseudomigraine with pleocytosis in a paediatric patient].

Science.gov (United States)

Soto-Insuga, V; López-Villanueva, L; Rodrigo, M; Mois Aroyo, I; Losada, R; Soriano-Guillén, L

2014-06-01

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.

Why are some languages confused for others? Investigating data from the Great Language Game.

Directory of Open Access Journals (Sweden)

Hedvig Skirgård

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.

Why are some languages confused for others? Investigating data from the Great Language Game.

Science.gov (United States)

Skirgård, Hedvig; Roberts, Seán G; Yencken, Lars

2017-01-01

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.

New Structural Interpretation of the Central Confusion Range, Western Utah, Based On Balanced Cross Sections

Science.gov (United States)

Yezerski, D.; Greene, D. C.

2009-12-01

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

Ontological confusions but not mentalizing abilities predict religious belief, paranormal belief, and belief in supernatural purpose.

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Lindeman, Marjaana; Svedholm-Häkkinen, Annika M; Lipsanen, Jari

2015-01-01

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.

Metallic iron for water treatment: leaving the valley of confusion

Science.gov (United States)

Makota, Susanne; Nde-Tchoupe, Arnaud I.; Mwakabona, Hezron T.; Tepong-Tsindé, Raoul; Noubactep, Chicgoua; Nassi, Achille; Njau, Karoli N.

2017-12-01

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.

Delictual Negligence of Educators in Schools: The Confusing Influence of the "in loco parentis" Doctrine

Science.gov (United States)

Potgieter, Johan

2004-01-01

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.…

BALANCING ON THE BORDERLINE OF EARLY AFFECT-CONFUSION - PART 2 OF A CASE STUDY TRILOGY

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Richard G. Erskine

2013-05-01

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.

Confusion deepens over N.S. Mutsu

International Nuclear Information System (INIS)

Anon.

1984-01-01

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.)

Why are some languages confused for others? Investigating data from the Great Language Game

Science.gov (United States)

2017-01-01

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

Diagnostic confusion resulting from CD56 expression by cutaneous myeloid sarcoma

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Sheeja T. Pullarkat

2009-12-01

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.

Uso da técnica de confusão sexual no manejo populacional de Cryptoblabes gnidiella (Lepidoptera: Pyralidae em videira

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José Eudes de Morais Oliveira

2014-11-01

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.

Tradução e adaptação cultural da escala de confusão de NEECHAM Traducción y adaptación cultural de la escala de confusión de NEECHAM Translation and cultural adaption of the NEECHAM confusion scales

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Hugo Neves

2011-03-01

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

A antropologia numa era de confusão

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Maybury-Lewis David

2002-01-01

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.

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

International Nuclear Information System (INIS)

Rudowicz, C.

2008-01-01

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

N-Confused Porphyrin Immobilized on Solid Supports: Synthesis and Metal Ions Sensing Efficacy

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Sara R. D. Gamelas

2018-04-01

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.

Does your organization use gender inclusive forms? Nurses' confusion about trans* terminology.

Science.gov (United States)

Carabez, Rebecca; Pellegrini, Marion; Mankovitz, Andrea; Eliason, Mickey; Scott, Megan

2015-11-01

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.

Triple confusion: An interesting case of proteinuria in pregnancy.

Science.gov (United States)

Guru, Pramod K; Ramaeker, Devon M; Jeybalan, Arundhathi; Shah, Nirav A; Bastacky, Sheldon; Liang, Kelly V

2016-01-01

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.

A Sensory-Driven Trade-Off between Coordinated Motion in Social Prey and a Predator's Visual Confusion.

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Bertrand H Lemasson

2016-02-01

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

Making sense out of confusion: a review of fire-oak papers published in the past 50 years

Science.gov (United States)

Patrick H. Brose; Thomas A. Waldrop

2014-01-01

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...

Two Discrete RuCp* (Cp*=Pentamethylcyclopentadienyl) Binding Modes of N-Confused Porphyrins: Peripheral π Complex and Sitting Atop Ruthenocenophane Complex by Skeletal Transformation.

Science.gov (United States)

Yamamoto, Takaaki; Mitsuno, Koki; Mori, Shigeki; Itoyama, Shuhei; Shiota, Yoshihito; Yoshizawa, Kazunari; Ishida, Masatoshi; Furuta, Hiroyuki

2018-05-07

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 calix[4]phyrin 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.

Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.

Science.gov (United States)

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

2017-05-01

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

RESPONSE TO THE RICHARD ERSKINES ARTICLE RELATIONAL HEALING OF EARLY AFFECT-CONFUSION - PART 3 OF A CASE STUDY TRILOGY

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Maša Žvelc

2013-10-01

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.

Coherence, competence, and confusion in narratives of middle childhood.

Science.gov (United States)

Weinstein, Lissa; Shustorovich, Ellen

2011-01-01

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.

[Asymmetric confusability effect in recognition memory of cats pictures].

Science.gov (United States)

Ando, M; Hakoda, Y

1999-06-01

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.

Contrast, contours and the confusion effect in dazzle camouflage.

Science.gov (United States)

Hogan, Benedict G; Scott-Samuel, Nicholas E; Cuthill, Innes C

2016-07-01

'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.

Investigating source confusion in PMN J1603-4904

Science.gov (United States)

Krauß, F.; Kreter, M.; Müller, C.; Markowitz, A.; Böck, M.; Burnett, T.; Dauser, T.; Kadler, M.; Kreikenbohm, A.; Ojha, R.; Wilms, J.

2018-02-01

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.

[Confused Germanic blasphemy. Jacob Moleschott and materialistic medicine].

Science.gov (United States)

de Liguori, Girolamo

2005-01-01

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.

Evaluating Attributions of Delay and Confusion in Young Bilinguals: Special Insights from Infants Acquiring a Signed and a Spoken Language.

Science.gov (United States)

Petitto, Laura Ann; Holowka, Siobhan

2002-01-01

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…

Fungos filamentosos isolados do solo do Parque Nacional Serra das Confusões, Piauí, Brasil

OpenAIRE

Malaquias de Lima Maciel, Josilene

2008-01-01

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...

Sources of Confusion in the Determination of ASTM Repetitive Member Factors for the Allowable Properties of Wood Products

Science.gov (United States)

S. Verrill; D. Kretschmann

2012-01-01

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...

Brand name confusion: Subjective and objective measures of orthographic similarity.

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Burt, Jennifer S; McFarlane, Kimberley A; Kelly, Sarah J; Humphreys, Michael S; Weatherall, Kimberlee; Burrell, Robert G

2017-09-01

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).

Testing a Poisson Counter Model for Visual Identification of Briefly Presented, Mutually Confusable Single Stimuli in Pure Accuracy Tasks

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Kyllingsbaek, Soren; Markussen, Bo; Bundesen, Claus

2012-01-01

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…

Abused, confused, and misused words a writer's guide to usage, spelling, grammar, and sentence structure

CERN Document Server

Embree, Mary

2012-01-01

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

Barcoding snakeheads (Teleostei, Channidae) revisited: Discovering greater species diversity and resolving perpetuated taxonomic confusions

Science.gov (United States)

Conte-Grand, Cecilia; Britz, Ralf; Dahanukar, Neelesh; Raghavan, Rajeev; Pethiyagoda, Rohan; Tan, Heok Hui; Hadiaty, Renny K.; Yaakob, Norsham S.

2017-01-01

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

Neurofibromatosis type 1 and the "elephant man's" disease: the confusion persists: an ethnographic study.

Science.gov (United States)

Legendre, Claire-Marie; Charpentier-Côté, Catherine; Drouin, Régen; Bouffard, Chantal

2011-02-09

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

Neurofibromatosis type 1 and the "elephant man's" disease: the confusion persists: an ethnographic study.

Directory of Open Access Journals (Sweden)

Claire-Marie Legendre

2011-02-01

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

PRP in OA knee - update, current confusions and future options.

Science.gov (United States)

Dhillon, Mandeep S; Patel, Sandeep; John, Rakesh

2017-01-01

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.

[The Confusion Assessment Method: Transcultural adaptation of a French version].

Science.gov (United States)

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

2018-04-03

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.

New Classification for Heart Failure with Mildly Reduced Ejection Fraction; Greater clarity or more confusion?

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Sunil Nadar

2017-03-01

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.

Constraining Line-of-sight Confusion in the Corona Using Linearly Polarized Observations of the Infrared FeXIII 1075nm and SiX 1430nm Emission Lines

Science.gov (United States)

Dima, G. I.; Kuhn, J. R.; Berdyugina, S.

2017-12-01

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.

EARLY AFFECT-CONFUSION: THE BORDERLINE BETWEEN DESPAIR AND RAGE - PART 1 OF A CASE STUDY TRILOGY

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Richard G. Erskine

2012-12-01

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.

Effect of marketing activities, benefits, risks, confusion due to over-choice, price, quality and consumer trust on online tourism purchasing

OpenAIRE

Pappas, Nikolaos

2015-01-01

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...

Constructing the truth: from 'confusion of tongues' to 'constructions in analysis'.

Science.gov (United States)

Press, Jacques

2006-04-01

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.

Perceptual Confusions Among Consonants, Revisited: Cross-Spectral Integration of Phonetic-Feature Information and Consonant Recognition

DEFF Research Database (Denmark)

Christiansen, Thomas Ulrich; Greenberg, Steven

2012-01-01

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...

The Role of Gay Identity Confusion and Outness in Sex-Seeking on Mobile Dating Apps Among Men Who Have Sex With Men: A Conditional Process Analysis.

Science.gov (United States)

Chan, Lik Sam

2017-01-01

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.

Vignette Research on Messy and Confusing Problems in Primary Mental Healthcare

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E. H. (Dineke Smit

2017-05-01

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.

Cases in which ancestral maximum likelihood will be confusingly misleading.

Science.gov (United States)

Handelman, Tomer; Chor, Benny

2017-05-07

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.

Letters What causes an ice skater to accelerate? Note on the definitions of weight A-level physics is mathematical enough Correction to 'Confusion over the physics of circular motion'

Science.gov (United States)

2011-11-01

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'

Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis Presenting with Fever and Confusion

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Chiranthi Kongala Liyanage

2017-01-01

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.

Cerambycidae (Coleoptera do Parque Nacional da Serra das Confusões, Piauí, Brasil: novas espécies e novos registros

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Maria Helena M. Galileo

2013-12-01

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.

The good, the bad and the confusing: the political economy of social care expansion in South Korea.

Science.gov (United States)

Peng, Ito

2011-01-01

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.

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.

Science.gov (United States)

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

2017-12-04

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

Minimizing malpractice risks by role clarification. The confusing transition from tort to contract.

Science.gov (United States)

Green, J A

1988-08-01

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.

الاسماء المربكة في اللغة الانكليزية: تحليل الاخطاء Confusing Nouns in English: An Error Analysis

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Sabeeha Hamza Dehham Al- Jobouri أ.م. صبيحة حمزة دحام

2016-10-01

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

Denisovans, Melanesians, Europeans, and Neandertals: The Confusion of DNA Assumptions and the Biological Species Concept.

Science.gov (United States)

Caldararo, Niccolo

2016-08-01

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.

Confusing criminal and civil law: when may a hospital refuse to release a dead body?

Science.gov (United States)

Gallagher, Steven B

2014-12-01

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.

Confusion-limited extragalactic source survey at 4.755 GHz. I. Source list and areal distributions

International Nuclear Information System (INIS)

Ledden, J.E.; Broderick, J.J.; Condon, J.J.; Brown, R.L.

1980-01-01

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

From Romanian to “Rumanol”: linguistic confusions in native Romanian spoken by children born in Spain

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Lavinia Seiciuc

2014-06-01

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.

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

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Gabriela Marodin

2009-09-01

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

New record and re-description of a gall-forming aphid (Hemiptera: Aphididae, commonly confused in the north of South America, associated with an ant (Hymenoptera: Formicidae

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Ronald Simbaqueba-Cortés

2015-04-01

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

Babylonian confusion of gudgeons in the west Aegean drainages inferred by the mitochondrial DNA analyses

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Radek Sanda

2015-11-01

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.

NON-INFLAMMATORY BENIGN BREAST DISEASES (NIBBD: CONFUSING SURGICAL DISORDERS OF BREAST CANCER

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Somashekhar V. Hiremath

2016-08-01

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.

Confusion and Chaos at the Top: The Impact of Shirley Porter and the Transgression of the Political and Managerial Boundaries within the London Borough of Westminster

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Andy ASQUITH

2007-10-01

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.

Conflicts and con-fusions confounding compassion in acute care: Creating dialogical moral space.

Science.gov (United States)

Jones, Jenny; Strube, Petra; Mitchell, Marion; Henderson, Amanda

2017-01-01

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.

[Age 89 years, depression, fall with pelvic fracture, severe confusion - serotonin syndrome : Differential diagnosis, importance of CYP450 and economic considerations].

Science.gov (United States)

Weinrebe, W; Moutaouakil, A; Risz, K; Martin, M; Jeckelmann, K; Goetz, S

2017-04-18

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.

Multiple Authorisation: The Legal Complexity of Desentralisasi in Indonesia and the Potential Contribution of IIAs in Reducing Confusion

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Michael Ewing-Chow

2015-12-01

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.

Do the terms 'proximal' and 'distal' cause confusion amongst radiologists and other clinicians?

International Nuclear Information System (INIS)

Skillicorn, C.J.

2009-01-01

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

Do the terms "proximal" and "distal" cause confusion amongst radiologists and other clinicians?

Science.gov (United States)

Skillicorn, C J

2009-04-01

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.

Advice about infant feeding for allergy prevention: A confusing picture for Australian consumers?

Science.gov (United States)

Netting, Merryn J; Allen, Katrina J

2017-09-01

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).

Validity and reliability of the Thai version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU

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Pipanmekaporn T

2014-05-01

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

Taxonomic confusion around the Peach Twig Borer, Anarsia lineatella Zeller, 1839, with description of a new species (Lepidoptera, Gelechiidae)

DEFF Research Database (Denmark)

Gregersen, Keld; Karsholt, Ole

2017-01-01

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...

Testing a Poisson counter model for visual identification of briefly presented, mutually confusable single stimuli in pure accuracy tasks.

Science.gov (United States)

Kyllingsbæk, Søren; Markussen, Bo; Bundesen, Claus

2012-06-01

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.

Revisión de la utilidad y fiabilidad de la Confusion Assessment Method en atención especializada y primaria, 2013

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Carmen Carrera Castro

2015-05-01

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.

Fifty Psychological and Psychiatric Terms to Avoid: A List of Inaccurate, Misleading, Misused, Ambiguous, and Logically Confused Words and Phrases

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Scott O Lilienfeld

2015-08-01

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.

Fifty psychological and psychiatric terms to avoid: a list of inaccurate, misleading, misused, ambiguous, and logically confused words and phrases.

Science.gov (United States)

Lilienfeld, Scott O; Sauvigné, Katheryn C; Lynn, Steven Jay; Cautin, Robin L; Latzman, Robert D; Waldman, Irwin D

2015-01-01

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.

DECISION LEVEL FUSION OF ORTHOPHOTO AND LIDAR DATA USING CONFUSION MATRIX INFORMATION FOR LNAD COVER CLASSIFICATION

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S. Daneshtalab

2017-09-01

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.

Confusing Relative Risk with Absolute Risk Is Associated with More Enthusiastic Beliefs about the Value of Cancer Screening.

Science.gov (United States)

Caverly, Tanner J; Prochazka, Allan V; Binswanger, Ingrid A; Kutner, Jean S; Matlock, Daniel D

2014-07-01

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.

Darwin as a geologist in Africa – dispelling the myths and unravelling a confused knot

Directory of Open Access Journals (Sweden)

Sharad Master

2012-09-01

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.

When to Stop CPR and When to Perform Rhythm Analysis: Potential Confusion Among ACLS Providers.

Science.gov (United States)

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

2016-09-01

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.

Unraveling the confusion behind hyaluronic acid efficacy in the treatment of symptomatic knee osteoarthritis

Directory of Open Access Journals (Sweden)

Miller LE

2016-06-01

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

Developing effective educational approaches for Liaison Old Age Psychiatry teams: a literature review of the learning needs of hospital staff in relation to managing the confused older patient.

Science.gov (United States)

Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta

2010-09-01

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.

Caffeine Confusion

Science.gov (United States)

... 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 ...

Confused thoughts

International Nuclear Information System (INIS)

Tolonen, P.

1999-01-01

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

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

Directory of Open Access Journals (Sweden)

Isabel Cristina Gomes de Oliveira Tostes

2018-01-01

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.

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

Energy Technology Data Exchange (ETDEWEB)

Vester, F

1986-01-01

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.

Corticosteroid treatment and timing of surgery in idiopathic granulomatous mastitis confusing with breast carcinoma.

Science.gov (United States)

Erozgen, Fazilet; Ersoy, Yeliz E; Akaydin, Murat; Memmi, Naim; Celik, Aysun Simsek; Celebi, Fatih; Guzey, Deniz; Kaplan, Rafet

2010-09-01

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

Chaos and confusion in DSM-5 diagnosis of Internet Gaming Disorder: Issues, concerns, and recommendations for clarity in the field.

Science.gov (United States)

Kuss, Daria J; Griffiths, Mark D; Pontes, Halley M

2017-06-01

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.

Plateaus of confusion

DEFF Research Database (Denmark)

Kofoed, Jette

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...

Reducing the confusion

International Nuclear Information System (INIS)

Jones, P.M.S.

1982-01-01

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.)

"Testing a Poisson counter model for visual identification of briefly presented, mutually confusable single stimuli in pure accuracy tasks": Correction to Kyllingsbæk, Markussen, and Bundesen (2012)

DEFF Research Database (Denmark)

Nielsen, Carsten Søren; Kyllingsbæk, Søren; Markussen, Bo

2015-01-01

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...

The inclusion of biodiversity in environmental impact assessment: Policy-related progress limited by gaps and semantic confusion.

Science.gov (United States)

Bigard, Charlotte; Pioch, Sylvain; Thompson, John D

2017-09-15

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

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

Directory of Open Access Journals (Sweden)

Elizabeth Rodrigues Brito

2006-10-01

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

Strange Bedfellows: Meditations on the Indispensable Virtues of Confusion, Mindfulness and Humor in the Neuroscientific and Cognitive Study of Esoteric and Contemplative Traditions1

Directory of Open Access Journals (Sweden)

Jeffrey C. Ruff

2016-09-01

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.

Classification, confusion and misclassification

African Journals Online (AJOL)

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 ...

Phoneme Similarity and Confusability

Science.gov (United States)

Bailey, T.M.; Hahn, U.

2005-01-01

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…

Inclusion's Confusion in Alberta

Science.gov (United States)

Gilham, Chris; Williamson, W. John

2014-01-01

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…

Confirmatory Factor Analysis of the Malay Version of the Confusion, Hubbub and Order Scale (CHAOS-6) among Myocardial Infarction Survivors in a Malaysian Cardiac Healthcare Facility.

Science.gov (United States)

Ganasegeran, Kurubaran; Selvaraj, Kamaraj; Rashid, Abdul

2017-08-01

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.

Validation of the CORB75 (confusion, oxygen saturation, respiratory rate, blood pressure, and age ≥ 75 years) as a simpler pneumonia severity rule.

Science.gov (United States)

Ochoa-Gondar, O; Vila-Corcoles, A; Rodriguez-Blanco, T; Hospital, I; Salsench, E; Ansa, X; Saun, N

2014-04-01

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.

Validation of the Brief Confusion Assessment Method for Screening Delirium in Elderly Medical Patients in a German Emergency Department.

Science.gov (United States)

Baten, Verena; Busch, Hans-Jörg; Busche, Caroline; Schmid, Bonaventura; Heupel-Reuter, Miriam; Perlov, Evgeniy; Brich, Jochen; Klöppel, Stefan

2018-05-08

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.

Confusion over live/dead stainings for the detection of vital microorganisms in oral biofilms--which stain is suitable?

Science.gov (United States)

Netuschil, Lutz; Auschill, Thorsten M; Sculean, Anton; Arweiler, Nicole B

2014-01-11

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

The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU: Translation and cognitive debriefing for the German-speaking area

Directory of Open Access Journals (Sweden)

Clemens de Grahl

2012-04-01

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.

Identification of irradiated insects: changes in the midgut of the confused flour beetle, Tribolium confusum Duv., induced by gamma radiation

International Nuclear Information System (INIS)

Szczepanik, M.

1994-01-01

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

An Analysis of the Max-Min Texture Measure.

Science.gov (United States)

1982-01-01

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

Patients With Very Mild Dementia May Confuse Objective Cognitive Impairments With Subjective Physical Health of Quality of Life: The Tome City Project in Japan

Science.gov (United States)

Kasai, Mari; Meguro, Kenichi

2018-01-01

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

Marine oils: Complex, confusing, confounded?

Directory of Open Access Journals (Sweden)

Benjamin B. Albert

2016-09-01

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.

Sandmining - government rules confuse industry

International Nuclear Information System (INIS)

Grayson, R.

1989-01-01

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

Confusion on tongues

DEFF Research Database (Denmark)

Zeuthen, Katrine Egede; Gammelgård, Judy

2010-01-01

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...

Two decades of nuclear confusion

International Nuclear Information System (INIS)

Hinton, Lord.

1976-01-01

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.)

Polyomino Problems to Confuse Computers

Science.gov (United States)

Coffin, Stewart

2009-01-01

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,…

Confusing deadlines: IDPs in Indonesia

Directory of Open Access Journals (Sweden)

Christopher R Duncan

2003-05-01

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

Less Confusion in Diffusion MRI

NARCIS (Netherlands)

Tax, CMW

2016-01-01

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

Diffusion, confusion and functional MRI

International Nuclear Information System (INIS)

Le Bihan, Denis

2012-01-01

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)

New tariffs confuse Mexican market

International Nuclear Information System (INIS)

Coeyman, M.

1992-01-01

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

"v ne-, pod- nebo nadpřirozených silách": Ustanovení světa hry Toma Stopparda Rosencrantz a Guildenstern jsou mrtvi

OpenAIRE

Krtička, Filip

2010-01-01

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...

It’s Time to End the Decade of Confusion about OBE in South Africa

Directory of Open Access Journals (Sweden)

William Spady

2008-09-01

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

Confusing similar words: ERP correlates of lexical-semantic processing in first language attrition and late second language acquisition.

Science.gov (United States)

Kasparian, Kristina; Steinhauer, Karsten

2016-12-01

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

Poststroke delirium incidence and outcomes: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

Science.gov (United States)

Mitasova, Adela; Kostalova, Milena; Bednarik, Josef; Michalcakova, Radka; Kasparek, Tomas; Balabanova, Petra; Dusek, Ladislav; Vohanka, Stanislav; Ely, E Wesley

2012-02-01

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

Predicting mortality among older adults hospitalized for community-acquired pneumonia: an enhanced confusion, urea, respiratory rate and blood pressure score compared with pneumonia severity index.

Science.gov (United States)

Abisheganaden, John; Ding, Yew Yoong; Chong, Wai-Fung; Heng, Bee-Hoon; Lim, Tow Keang

2012-08-01

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.

Framing Confusion: Dementia, Society, and History.

Science.gov (United States)

Ballenger, Jesse F

2017-07-01

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.

TypeSan : Practical type confusion detection

NARCIS (Netherlands)

Haller, Istvan; Jeon, Yuseok; Peng, Hui; Payer, Mathias; Giuffrida, Cristiano; Bos, Herbert; Van Der Kouwe, Erik

2016-01-01

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

Big Data: Big Confusion? Big Challenges?

Science.gov (United States)

2015-05-01

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

Product Differentiation and Positioning: Confused Concepts

OpenAIRE

Shaheen Borna; Joseph Chapman

1993-01-01

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 ...

Classification, confusion and misclassification | Edridge | South ...

African Journals Online (AJOL)

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.

Confusion in the Garden of Eden

DEFF Research Database (Denmark)

Skyum, Sven

1975-01-01

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...

Botulinum neurotoxin formulations: overcoming the confusion

Directory of Open Access Journals (Sweden)

Samizadeh S

2018-05-01

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

Confusing or Ambiguous Upper Gut Symptoms

Science.gov (United States)

... Publications Library En Español Digestive Health Matters Medical Definitions Links Books of Interest Video Corner Clinical Corner Survey Corner News Medical and Treatment News Events Press Releases Commentary For Media Research Research Awards Research Grants Funding Research Clinical Trials & ...

Moving Canadian gas - options or confusion?

International Nuclear Information System (INIS)

Riha, R.

1997-01-01

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

Fibromialgia, LER, entre outras confusões diagnósticas Fibromyalgia, repetitive strain injury and other diagnostic confusions

Directory of Open Access Journals (Sweden)

Milton Helfenstein Jr.

2006-02-01

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.

Patients With Very Mild Dementia May Confuse Objective Cognitive Impairments With Subjective Physical Health of Quality of Life: The Tome City Project in Japan.

Science.gov (United States)

Kasai, Mari; Meguro, Kenichi

2018-01-01

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.

Patients With Very Mild Dementia May Confuse Objective Cognitive Impairments With Subjective Physical Health of Quality of Life: The Tome City Project in Japan

Directory of Open Access Journals (Sweden)

Mari Kasai

2018-04-01

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.

Relationships among identity, perceived discrimination, and depressive symptoms in eight ethnic-generational groups.

Science.gov (United States)

Donovan, Roxanne A; Huynh, Que-Lam; Park, Irene J K; Kim, Su Yeong; Lee, Richard M; Robertson, Emily

2013-04-01

Examine whether personal identity confusion and ethnic identity, respectively, moderate and/or mediate the relationship between perceived discrimination (PD) and depressive symptoms (DS) in eight ethnic-generational groups. The sample consisted of 9665 students (73% women; mean age 20.31) from 30 colleges and universities from around the United States. Cross-sectional data were gathered through a confidential online survey. Across groups, PD and ethnic identity levels varied, while identity confusion levels were mostly similar. Neither identity confusion nor ethnic identity moderated the PD-DS relationship for any groups. However, identity confusion was a partial mediator for immigrant and nonimmigrant Hispanic/Latino(a) and White/European American participants. Identity confusion also suppressed the PD-DS relationship for Black/African American participants. Results highlight the need for additional research on identity confusion's role in the PD-distress link and the importance of addressing ethnicity and generation status when examining the effects of PD on college students' mental health. © 2012 Wiley Periodicals, Inc.

Postoperative mental confusion--association with postoperative hypoxemia

DEFF Research Database (Denmark)

Rosenberg, J; Kehlet, H

1993-01-01

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...

Inositides—confusion and clarification in Shangri-La

Science.gov (United States)

Irvine, Robin

2013-01-01

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

Designer Drug Confusion: A Focus on MDMA.

Science.gov (United States)

Beck, Jerome; Morgan, Patricia A.

1986-01-01

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.…

Gender Identity and Gender Confusion in Children

Science.gov (United States)

... 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 ...

Distracted and confused?: selective attention under load.

Science.gov (United States)

Lavie, Nilli

2005-02-01

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.

The confusing array of tooth-colored crowns.

Science.gov (United States)

Christensen, Gordon J

2003-09-01

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.

[Computer eyeglasses--aspects of a confusing topic].

Science.gov (United States)

Huber-Spitzy, V; Janeba, E

1997-01-01

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.

Universities in times of confusion and hope

DEFF Research Database (Denmark)

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...

Dilution Confusion: Conventions for Defining a Dilution

Science.gov (United States)

Fishel, Laurence A.

2010-01-01

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…

Eleven Colors That Are Almost Never Confused

Science.gov (United States)

Boynton, Robert M.

1989-08-01

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.

Confusion about entrepreneurship? Formal versus informal small ...

African Journals Online (AJOL)

chestt

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 ...

Cognitive Neuroscience and Education: Unravelling the Confusion

Science.gov (United States)

Purdy, Noel; Morrison, Hugh

2009-01-01

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…

Confusion-limited galaxy fields. II. Classical analyses

International Nuclear Information System (INIS)

Chokshi, A.; Wright, E.L.

1989-01-01

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

Confusion about entrepreneurship? Formal versus informal small ...

African Journals Online (AJOL)

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 ...

Vascular system associated with the sidewall of the braincase and ...

African Journals Online (AJOL)

1991-01-29

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 ...

The validity and reliability of the portuguese versions of three tools used to diagnose delirium in critically ill patients

Directory of Open Access Journals (Sweden)

Dimitri Gusmao-Flores

2011-01-01

Full Text Available OBJECTIVES: The objectives of this study are to compare the sensitivity and specificity of three diagnostic tools for delirium (the Intensive Care Delirium Screening Checklist, the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet in a mixed population of critically ill patients, and to validate the Brazilian Portuguese Confusion Assessment Method for Intensive Care Units. METHODS: The study was conducted in four intensive care units in Brazil. Patients were screened for delirium by a psychiatrist or neurologist using the Diagnostic and Statistical Manual of Mental Disorders. Patients were subsequently screened by an intensivist using Portuguese translations of the three tools. RESULTS: One hundred and nineteen patients were evaluated and 38.6% were diagnosed with delirium by the reference rater. The Confusion Assessment Method for Intensive Care Units had a sensitivity of 72.5% and a specificity of 96.2%; the Confusion Assessment Method for Intensive Care Units Flowsheet had a sensitivity of 72.5% and a specificity of 96.2%; the Intensive Care Delirium Screening Checklist had a sensitivity of 96.0% and a specificity of 72.4%. There was strong agreement between the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet (kappa coefficient = 0.96 CONCLUSION: All three instruments are effective diagnostic tools in critically ill intensive care unit patients. In addition, the Brazilian Portuguese version of the Confusion Assessment Method for Intensive Care Units is a valid and reliable instrument for the assessment of delirium among critically ill patients.

Compulsive buying and hoarding as identity substitutes: The role of materialistic value endorsement and depression.

Science.gov (United States)

Claes, Laurence; Müller, Astrid; Luyckx, Koen

2016-07-01

In the present study, we investigated whether the relationship between identity confusion and compulsive buying (offline/online) and hoarding is mediated by materialistic value endorsement and depression. The community sample consisted of 254 Flemish adults who completed self-report questionnaires to assess identity confusion (Erikson Psychosocial Stage Inventory), compulsive buying tendencies (Compulsive Buying Scale/short-Internet Addiction Scale, adapted for shopping), hoarding tendencies (Saving-Inventory Revised), materialistic value endorsement (Materialistic Value Scale), and depression (Patient Health Questionnaire-9). We found significant positive associations between identity confusion, compulsive buying, and hoarding. The association between identity confusion and compulsive buying was fully mediated by materialistic value endorsement; whereas depression mediated the association between identity confusion and hoarding. The results suggest that the collection or buying of material goods can be considered as identity substitutes. Copyright © 2016 Elsevier Inc. All rights reserved.

[Confusing the confused: thoughts on impact factor, h(irsch) index, Q value, and other cofactors that influence the researcher's happiness].

Science.gov (United States)

Quindós, Guillermo

2009-06-30

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.

Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium.

Science.gov (United States)

Silva, Rosa Carla Gomes da; Silva, Abel Avelino de Paiva E; Marques, Paulo Alexandre Oliveira

2011-01-01

This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham's scale was composed of 111 patients with the diagnosis of acute confusion/delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of under-diagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.

Conditional cooperation and confusion in public-goods experiments.

Science.gov (United States)

Burton-Chellew, Maxwell N; El Mouden, Claire; West, Stuart A

2016-02-02

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.

Efficacité de la confusion sexuelle contre Thaumatotibia ...

African Journals Online (AJOL)

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.

Broken Links and Broken Laws: Copyright Confusion Online.

Science.gov (United States)

Belle, Jeff

2003-01-01

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)

Taxpayer confusion: evidence from the child tax credit

Czech Academy of Sciences Publication Activity Database

Feldman, N. E.; Katuščák, Peter; Kawano, L.

2016-01-01

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

Disorders Related to (And Sometimes Confused with) OCD

Science.gov (United States)

... 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 ...

The Terrorist War against Islam: Clarifying Academic Confusions

Science.gov (United States)

Schwartz, Stephen

2011-01-01

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…

Taxpayer confusion: evidence from the child tax credit

Czech Academy of Sciences Publication Activity Database

Feldman, N. E.; Katuščák, Peter; Kawano, L.

2016-01-01

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

Confusion and abdominal symptoms following a rugby tackle.

Science.gov (United States)

Ioannides, Demetris; Davies, Madeleine; Kluzek, Stefan

2017-09-23

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.

Customer Confusion: Wie Produktvielfalt dem Unternehmen schaden kann

OpenAIRE

Kuester, Sabine; Buys, Sebastian

2009-01-01

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...

An intelligent clustering based methodology for confusable diseases ...

African Journals Online (AJOL)

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 ...

The confused world of sulfate attack on concrete

International Nuclear Information System (INIS)

Neville, Adam

2004-01-01

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

Confusion errors and false manoeuvres at power buses

International Nuclear Information System (INIS)

Cernes, A.

1985-09-01

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

Confusion in the Classroom: Does "Logos" Mean Logic?

Science.gov (United States)

Little, Joseph

1999-01-01

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…

Confusion about Collusion: Working Together and Academic Integrity

Science.gov (United States)

Sutton, Anna; Taylor, David

2011-01-01

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…

Asymmetries in Igbo consonant confusion: A perceptual investigation

African Journals Online (AJOL)

Eme

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…”.

Interventions for confusion and dementia. 5: Changing cultures.

Science.gov (United States)

Woodrow, P

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.

CONFUSION IN SIMPLE STATE / YALIN DURUM KARMAŞASI

Directory of Open Access Journals (Sweden)

Assoc. Prof. Dr. Kerime ÜSTÜNOVA

2007-05-01

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.

L’île de Bilāq dans le Kitāb Nuzhat al-Muštāq d’al-Idrīsī (XIIe siècle The island of Bilāq in al-Idrīsī’s Kitāb Nuzhat al-Muštāq (12th cent.. Genealogy of a confusion

Directory of Open Access Journals (Sweden)

Robin Seignobos

2011-02-01

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

Personal and cultural identity development in recently immigrated Hispanic adolescents: Links with psychosocial functioning.

Science.gov (United States)

Meca, Alan; Sabet, Raha F; Farrelly, Colleen M; Benitez, Cynthia G; Schwartz, Seth J; Gonzales-Backen, Melinda; Lorenzo-Blanco, Elma I; Unger, Jennifer B; Zamboanga, Byron L; Baezconde-Garbanati, Lourdes; Picariello, Simona; Des Rosiers, Sabrina E; Soto, Daniel W; Pattarroyo, Monica; Villamar, Juan A; Lizzi, Karina M

2017-07-01

This study examined directionality between personal (i.e., coherence and confusion) and cultural identity (i.e., ethnic and U.S.) as well as their additive effects on psychosocial functioning in a sample of recently immigrated Hispanic adolescents. The sample consisted of 302 recent (identity coherence and both ethnic and U.S. identity. Ethnic and U.S. affirmation/commitment (A/C) positively and indirectly predicted optimism and negatively predicted rule breaking and aggression through coherence. However, confusion predicted lower self-esteem and optimism and higher depressive symptoms, rule breaking, unprotected sex, and cigarette use. Results further indicated significant site differences. In Los Angeles (but not Miami), ethnic A/C also negatively predicted confusion. Given the direct effects of coherence and confusion on nearly every outcome, it may be beneficial for interventions to target personal identity. However, in contexts such as Los Angeles, which has at least some ambivalence toward recently immigrated Hispanic adolescents, it may be more beneficial for interventions to also target cultural identity to reduce confusion and thus promote positive development. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

網路世界中關鍵字所涉及之商標侵權爭議 ― 以美國法的初始興趣混淆原則與使用為中心 The Disputes of Initial Interest Confusion in the Internet World – From Meta Tags to Keywords

Directory of Open Access Journals (Sweden)

簡維克 Wei-Ke Chien

2009-12-01

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

Rectal Prolapse

Science.gov (United States)

... 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 ...

Gerstmann's Syndrome

Science.gov (United States)

... 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- ...

Duloxetine

Science.gov (United States)

... 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 ...

Image color reduction method for color-defective observers using a color palette composed of 20 particular colors

Science.gov (United States)

Sakamoto, Takashi

2015-01-01

This study describes a color enhancement method that uses a color palette especially designed for protan and deutan defects, commonly known as red-green color blindness. The proposed color reduction method is based on a simple color mapping. Complicated computation and image processing are not required by using the proposed method, and the method can replace protan and deutan confusion (p/d-confusion) colors with protan and deutan safe (p/d-safe) colors. Color palettes for protan and deutan defects proposed by previous studies are composed of few p/d-safe colors. Thus, the colors contained in these palettes are insufficient for replacing colors in photographs. Recently, Ito et al. proposed a p/dsafe color palette composed of 20 particular colors. The author demonstrated that their p/d-safe color palette could be applied to image color reduction in photographs as a means to replace p/d-confusion colors. This study describes the results of the proposed color reduction in photographs that include typical p/d-confusion colors, which can be replaced. After the reduction process is completed, color-defective observers can distinguish these confusion colors.

A history of changes to the criminal personality in the DSM.

Science.gov (United States)

Gurley, Jessica R

2009-11-01

There is much confusion now surrounding the diagnoses of Antisocial Personality Disorder and Psychopathy. Some individuals still refer to the two as the same diagnosis with different names, even though there is a consensus in the psychology field that the two are distinct disorders. Part of this confusion is likely to be the result of the overlap in the diagnostic criteria: both diagnoses are associated with a history of antisocial behavior. However, it is also very possible that this confusion in the literature is a result of consistent name and criteria changes for the "criminal personality" in the Diagnostic and Statistical Manual of Mental Disorders. To make sense of the confusion surrounding the two different diagnoses, the evolution of Antisocial Personality Disorder in the Diagnostic and Statistical Manual of Mental Disorders is examined in this paper.

Competition dynamics of second-language listening

NARCIS (Netherlands)

Broersma, M.; Cutler, A.

2011-01-01

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

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).

Science.gov (United States)

Chanques, Gérald; Garnier, Océane; Carr, Julie; Conseil, Matthieu; de Jong, Audrey; Rowan, Christine M; Ely, E Wesley; Jaber, Samir

2017-10-01

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.

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

Directory of Open Access Journals (Sweden)

Hugo Robotham

2012-03-01

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.

Systematic derivation of an Australian standard for Tall Man lettering to distinguish similar drug names.

Science.gov (United States)

Emmerton, Lynne; Rizk, Mariam F S; Bedford, Graham; Lalor, Daniel

2015-02-01

Confusion between similar drug names can cause harmful medication errors. Similar drug names can be visually differentiated using a typographical technique known as Tall Man lettering. While international conventions exist to derive Tall Man representation for drug names, there has been no national standard developed in Australia. This paper describes the derivation of a risk-based, standardized approach for use of Tall Man lettering in Australia, and known as National Tall Man Lettering. A three-stage approach was applied. An Australian list of similar drug names was systematically compiled from the literature and clinical error reports. Secondly, drug name pairs were prioritized using a risk matrix based on the likelihood of name confusion (a four-component score) vs. consensus ratings of the potential severity of the confusion by 31 expert reviewers. The mid-type Tall Man convention was then applied to derive the typography for the highest priority drug pair names. Of 250 pairs of confusable Australian drug names, comprising 341 discrete names, 35 pairs were identified by the matrix as an 'extreme' risk if confused. The mid-type Tall Man convention was successfully applied to the majority of the prioritized drugs; some adaption of the convention was required. This systematic process for identification of confusable drug names and associated risk, followed by application of a convention for Tall Man lettering, has produced a standard now endorsed for use in clinical settings in Australia. Periodic updating is recommended to accommodate new drug names and error reports. © 2014 John Wiley & Sons, Ltd.

An image encryption scheme based on three-dimensional Brownian motion and chaotic system

International Nuclear Information System (INIS)

Chai Xiu-Li; Yuan Ke; Gan Zhi-Hua; Lu Yang; Chen Yi-Ran

2017-01-01

At present, many chaos-based image encryption algorithms have proved to be unsafe, few encryption schemes permute the plain images as three-dimensional (3D) bit matrices, and thus bits cannot move to any position, the movement range of bits are limited, and based on them, in this paper we present a novel image encryption algorithm based on 3D Brownian motion and chaotic systems. The architecture of confusion and diffusion is adopted. Firstly, the plain image is converted into a 3D bit matrix and split into sub blocks. Secondly, block confusion based on 3D Brownian motion (BCB3DBM) is proposed to permute the position of the bits within the sub blocks, and the direction of particle movement is generated by logistic-tent system (LTS). Furthermore, block confusion based on position sequence group (BCBPSG) is introduced, a four-order memristive chaotic system is utilized to give random chaotic sequences, and the chaotic sequences are sorted and a position sequence group is chosen based on the plain image, then the sub blocks are confused. The proposed confusion strategy can change the positions of the bits and modify their weights, and effectively improve the statistical performance of the algorithm. Finally, a pixel level confusion is employed to enhance the encryption effect. The initial values and parameters of chaotic systems are produced by the SHA 256 hash function of the plain image. Simulation results and security analyses illustrate that our algorithm has excellent encryption performance in terms of security and speed. (paper)

Educational Neuroscience: Its position, aims and expectations

NARCIS (Netherlands)

van der Meulen, A.N.; Krabbendam, L.; de Ruyter, D.J.

2015-01-01

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

Forest regulation methods and silvicultural systems: what are they?

Science.gov (United States)

Ivan L. Sander; Burnell C. Fischer

1989-01-01

"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...

Social Capital, Institutions and Trust

NARCIS (Netherlands)

Nooteboom, B.

2006-01-01

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

Sexual Harassment: Why Men Don't Understand It.

Science.gov (United States)

Landis-Schiff, Tom

1996-01-01

Asserts that men's confusion concerning sexual harassment stems primarily from the difficulty inherent in trying to differentiate between traditional male sexual behavior and sexual harassment. Describes the "5C" model of traditional heterosexual male sexuality (control, conquest, competition, climax, and confusion). Presents approaches for…

The Student's Dilemma, Liver Edition: Incorporating the Sonographer's Language into Clinical Anatomy Education

Science.gov (United States)

Hall, M. Kennedy; Mirjalili, S. Ali; Moore, Christopher L.; Rizzolo, Lawrence J.

2015-01-01

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…

Whitefish wars: Pangasius, politics and consumer confusion in Europe

NARCIS (Netherlands)

Little, D.C.; Bush, S.R.; Belton, B.; Nguyen Thanh Phuong,; Young, J.A.; Murray, F.J.

2012-01-01

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

Freak weather throws Balts into confusion / Talis Saule Archdeacon

Index Scriptorium Estoniae

Archdeacon, Talis Saule

2007-01-01

Erakordselt soe talv Baltimaades võib kahjustada suusakeskuste ja põllumajandusettevõtete majandustulemusi. Baltimaade võimalused EL-i uue kasvuhoonegaaside vähendamist nõudva keskkonnastrateegia täitmiseks

Direct to confusion: lessons learned from marketing BRCA testing.

Science.gov (United States)

Matloff, Ellen; Caplan, Arthur

2008-06-01

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.

[Asymmetric confusability effects in recognition memory of line drawings].

Science.gov (United States)

Uchino, Y; Hakoda, Y; Yamada, N

2000-06-01

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.

The Confusion about CLV in Case-Based Teaching Materials

Science.gov (United States)

Bendle, Neil T.; Bagga, Charan K.

2017-01-01

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…

Confusion in the Study of Immune Reconstitution Inflammatory Syndrome

Directory of Open Access Journals (Sweden)

Claudia Alvarado-de la Barrera

2017-05-01

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.”

Organ Donation: Don't Let These Myths Confuse You

Science.gov (United States)

... 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 ...

Role confusion and self-assessment in interprofessional trauma teams.

Science.gov (United States)

Steinemann, Susan; Kurosawa, Gene; Wei, Alexander; Ho, Nina; Lim, Eunjung; Suares, Gregory; Bhatt, Ajay; Berg, Benjamin

2016-02-01

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.

EXPLOITING PATHOGEN CONFUSION STRATEGY TO ACHIEVE XYLELLA FASTIDIOSA BIOCONTROL

OpenAIRE

G. D'Attoma, A. Giampetruzzi, V.N. Savino, D. Boscia, P. Saldarelli.

2016-01-01

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...

The Innovation Union: a perfect means to confused ends?

International Nuclear Information System (INIS)

Hove, Sybille van den; McGlade, Jacqueline; Mottet, Pierre; Depledge, Michael H.

2012-01-01

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.

Talking past each other: Conceptual confusion in 'culture' and ...

African Journals Online (AJOL)

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 ...

Counting and confusion: Bayesian rate estimation with multiple populations

Science.gov (United States)

Farr, Will M.; Gair, Jonathan R.; Mandel, Ilya; Cutler, Curt

2015-01-01

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.

an embarrassment of riches or a profusion of confusion

African Journals Online (AJOL)

Bradley Smith

2010-08-12

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.

Binge Drinking: A Confused Concept and its Contemporary History

Science.gov (United States)

Berridge, Virginia; Herring, Rachel; Thom, Betsy

2009-01-01

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.

Quorum Quenching Revisited—From Signal Decays to Signalling Confusion

Directory of Open Access Journals (Sweden)

Kok-Gan Chan

2012-04-01

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.

Project Management and Total Quality Management : Complementary or confused?

Directory of Open Access Journals (Sweden)

Selma KATLANE BEN MLOUKA

2009-01-01

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.

Defoliation effects of perennial grasses – continuing confusion | DL ...

African Journals Online (AJOL)

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 ...

Food labels: consumer’s information or consumer’s confusion

Directory of Open Access Journals (Sweden)

Monier-Dilhan Sylvette

2018-03-01

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.

A study on brand confusion in the milk sector

DEFF Research Database (Denmark)

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...

Pop / Koit Raudsepp

Index Scriptorium Estoniae

Raudsepp, Koit

2001-01-01

Heliplaatidest: S. I. Futures "The Mission Statement". Lilac Time "Compendium - The Fontana Trinity". Jeff Buckley "Live A L'Olympia". The Confusion Musical Academy Presents: Irmin Schmidt & Kumo "Masters of Confusion". Kylie "Fever. Jay-Z "The Blueprint". The Crash "Wildlife". Ben Folds "Rockin' The Suburbs". Daft Punk "Alive 1997"

Postmodernism, Therapeutic Common Factors, and Innovation: Contemporary Influences Shaping a More Efficient and Effective Model of School Counseling

Science.gov (United States)

Klein, James F.; Gee, Corrie R.

2006-01-01

School counseling lacks clarity. This confusion is the result of competing models and confusing standards, domains, and competencies. This article offers a simplified model of school counseling entitled the "Six 'C' Model" (i.e., Care, Collaboration, Champion, Challenge, Courage, and Commitment). The interactive model is informed by the…

Historical perspectives on autism: its past record of discovery and its present state of solipsism, skepticism, and sorrowful suspicion.

Science.gov (United States)

Greydanus, Donald E; Toledo-Pereyra, Luis H

2012-02-01

Concepts of autism have evolved over the twentieth century after Bleuler coined the term to refer to symptoms of self-absorption in those with schizophrenia. Autism nosology changed to the current sesquipedalian constellation of autism spectrum disorders with a confusing archipelago of 5 conditions that often serve as islands of confusion to both the general public and professionals. This article reviews historical links that have led to the current confusing and controversial situation that is encouraging some people to return to magic, mysticism, and mantics for health care, despite the amazing accumulation of progress in vaccinology over the past 2 centuries. Copyright © 2012 Elsevier Inc. All rights reserved.

The Prevalence and Quality of Source Attribution in Middle and High School Science Papers

Science.gov (United States)

Vieyra, Michelle; Weaver, Kari

2016-01-01

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…

Educational Neuroscience: Its Position, Aims and Expectations

Science.gov (United States)

van der Meulen, Anna; Krabbendam, Lydia; de Ruyter, Doret

2015-01-01

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…

East Indian Families Raising ABCD Adolescents: Cultural and Generational Challenges

Science.gov (United States)

Poulsen, Shruti S.

2009-01-01

Immigration is a process fraught with both challenges and opportunities for families. In particular, East Indian families with U.S.-born adolescents experience the challenges of bridging cultures across generational divides; they are perceived by others as confused, identity less, and conflicted or as American-Born, Confused Desis (ABCDs). This…

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.

Science.gov (United States)

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

2018-03-01

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.

Clarification of the Blurred Boundaries between Grounded Theory and Ethnography: Differences and Similarities

Science.gov (United States)

Aldiabat, Khaldoun; Le Navenec, Carol-Lynne

2011-01-01

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…

Three Dirty Words Are Killing Education

Science.gov (United States)

Jensen, Deb

2010-01-01

Three words used frequently in debates about education actually cloud the issues. Those words are standardization, rigor, and reform. Standardization is often confused with standards, though they are not the same thing. Similarly, rigor is confused with relevance, and reform with renaissance. Those three words are used because they sound tough and…

A Survey of Distributed Capability File Systems and Their Application to Cloud Environments

Science.gov (United States)

2014-09-01

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

The Asian Financial Crisis, Globalisation and Popular Education.

Science.gov (United States)

Brown, Tony

1998-01-01

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…

Mind Your p's and Alphas.

Science.gov (United States)

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…

A study of heat capacity temperature limit of BWR

International Nuclear Information System (INIS)

Wang, Shih-Jen; Chen, Jyh-Jun; Chien, Chun-Sheng; Teng, Jyh-Tong

2012-01-01

Highlights: ► The purpose of this study is to verify the HCTL. ► MAAP4 was used as code to generate a realistic and convenient HCTL. ► The current HCTL curve causes confusing in reading data. ► The revised HCTL curves developed in this study. ► Users can obtain important parameters from the revised HCTL without confusion and interpolation. - Abstract: Heat capacity temperature limit (HCTL) is an important parameter for operation of BWR. Current version of the HCTL was derived, based on simple model of computation aids (CA) of BWR owners’ group (BWROG). However, some parts of the current HCTL are confusing to the users in reading data. The purpose of this study is to verify the HCTL by applying the MAAP4 code to the field of emergency operating procedure (EOP). The trends of HCTL generated by MAAP4 code are consistent with those obtained from CA. A series of revised HCTL evaluated at various times after scram are provided and the confusing part is eliminated.

A study of heat capacity temperature limit of BWR

Energy Technology Data Exchange (ETDEWEB)

Wang, Shih-Jen, E-mail: sjenwang@iner.gov.tw [Institute of Nuclear Energy Research (INER), 1000, Wunhua Rd., Jiaan Village, Longtan Township, Taoyuan County 32546, Taiwan (China); Chen, Jyh-Jun [Department of Mechanical Engineering, Chung Yuan Christian University, 200, Chung Pei Rd., Chung Li City, Taoyuan County 32023, Taiwan (China); Chien, Chun-Sheng [Institute of Nuclear Energy Research (INER), 1000, Wunhua Rd., Jiaan Village, Longtan Township, Taoyuan County 32546, Taiwan (China); Teng, Jyh-Tong [Department of Mechanical Engineering, Chung Yuan Christian University, 200, Chung Pei Rd., Chung Li City, Taoyuan County 32023, Taiwan (China)

2012-02-15

Highlights: Black-Right-Pointing-Pointer The purpose of this study is to verify the HCTL. Black-Right-Pointing-Pointer MAAP4 was used as code to generate a realistic and convenient HCTL. Black-Right-Pointing-Pointer The current HCTL curve causes confusing in reading data. Black-Right-Pointing-Pointer The revised HCTL curves developed in this study. Black-Right-Pointing-Pointer Users can obtain important parameters from the revised HCTL without confusion and interpolation. - Abstract: Heat capacity temperature limit (HCTL) is an important parameter for operation of BWR. Current version of the HCTL was derived, based on simple model of computation aids (CA) of BWR owners' group (BWROG). However, some parts of the current HCTL are confusing to the users in reading data. The purpose of this study is to verify the HCTL by applying the MAAP4 code to the field of emergency operating procedure (EOP). The trends of HCTL generated by MAAP4 code are consistent with those obtained from CA. A series of revised HCTL evaluated at various times after scram are provided and the confusing part is eliminated.

The Ethics of Being a Theologian

Science.gov (United States)

Noll, K. L.

2009-01-01

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…

Analysis of Regional Effects on Market Segment Production

Science.gov (United States)

2016-06-01

Standard Errors (SE). ................................................................................................23  Table 8.  Confusion Matrix ...decision tree models: the number of trees to grow, the shrinkage or learning rate ( lambda ), and the number of splits for each tree. A large number of...mean accession rate. 26 Table 8. Confusion Matrix for Gradient Boosted Decision Tree Model. The receiver operating characteristics (ROC

Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium Análisis de registros producidos por el equipo de salud y de la percepción de los enfermeros sobre las señales y síntomas de delirio Análise dos registros produzidos pela equipe de saúde e da percepção dos enfermeiros sobre os sinais e sintomas de delirium

Directory of Open Access Journals (Sweden)

Rosa Carla Gomes da Silva

2011-02-01

Full Text Available This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham's scale was composed of 111 patients with the diagnosis of acute confusion/delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of under-diagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.Esta investigación pretendió conocer la dimensión del subdiagnóstico de la confusión aguda/delirio, al analizar los registros producidos por el equipo de salud y percepción de los enfermeros sobre este fenómeno. Fue desarrollado en un hospital universitario central de Portugal. Delineada dentro del paradigma cuantitativo, utilizando la técnica documental y la entrevista. La muestra obtenida, por la aplicación de la Escala de Confusión NeeCham, fue de 111 enfermos con diagnóstico de confusión aguda/delirio, internados en unidades de cuidados agudos médicos y quirúrgicos. Se identificó una tasa de subdiagnóstico del fenómeno de 12,6% en los registros y de 30,6% teniendo en cuenta la percepción de los enfermeros. En 8,1% de los 111 casos, no fue identificado cualquier indicador de confusión aguda/delirio. Solamente, 4,5% de los enfermos tenían el fenómeno diagnosticado. Los resultados apuntan para la dificultad en identificar la

Adapting forest science, practice, and policy to shifting ground: From steady-state assumptions to dynamic change

Science.gov (United States)

Daniel B. Botkin

2014-01-01

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...

Memory of Sponsorship-Linked Marketing Communications

OpenAIRE

T. Bettina Cornwell; Michael S. Humphreys; Emerald A. Quinn; Anna R. McAlister

2012-01-01

Corporate sponsorship value is brought into question when false recognition of foils suggests confusion regarding true sponsors. While an indicator of confusion, recognition false alarms do not tell the entire story regarding memory for sponsor-event relationships. Two free recall experiments show relatively good memory for sponsors and also that under certain conditions, the mention of direct competitors can actually ...

Getting Something for Nothing: Trump, Fraud, and the Tea Party

Science.gov (United States)

Bordelon, David

2017-01-01

David Bordelon identifies himself as one of the majority of Americans who voted to keep Trump out of office. In this article he discusses his confusion by the Tea Party's fixation on welfare fraud, and inability to recognize it in President Trump's behavior. The author says that he can only hope that his confusion will be shared, and progress to…

Defining Probability in Sex Offender Risk Assessment.

Science.gov (United States)

Elwood, Richard W

2016-12-01

There is ongoing debate and confusion over using actuarial scales to predict individuals' risk of sexual recidivism. Much of the debate comes from not distinguishing Frequentist from Bayesian definitions of probability. Much of the confusion comes from applying Frequentist probability to individuals' risk. By definition, only Bayesian probability can be applied to the single case. The Bayesian concept of probability resolves most of the confusion and much of the debate in sex offender risk assessment. Although Bayesian probability is well accepted in risk assessment generally, it has not been widely used to assess the risk of sex offenders. I review the two concepts of probability and show how the Bayesian view alone provides a coherent scheme to conceptualize individuals' risk of sexual recidivism.

Yoga Enhances Positive Psychological States in Young Adult Musicians.

Science.gov (United States)

Butzer, Bethany; Ahmed, Khalique; Khalsa, Sat Bir S

2016-06-01

Although yoga has been shown to be a viable technique for improving the performance of the mind and body, little attention has been directed to studying the relationship between yoga and the psychological states of flow and mindfulness. Musicians enrolled in a 2-month fellowship program in 2005, 2006 and 2007 were invited to participate in a yoga and meditation program. Fellows not participating in the yoga program were recruited separately as controls. All participants completed baseline and end-program questionnaires evaluating dispositional flow, mindfulness, confusion, and music performance anxiety. Compared to controls, yoga participants reported significant decreases in confusion and increases in dispositional flow. Yoga participants in the 2006 sample also reported significant increases in the mindfulness subscale of awareness. Correlational analyses revealed that increases in participants' dispositional flow and mindfulness were associated with decreases in confusion and music performance anxiety. This study demonstrates the commonalities between positive psychology and yoga, both of which are focused on enhancing human performance and promoting beneficial psychological states. The results suggest that yoga and meditation may enhance the states of flow and mindful awareness, and reduce confusion.

Confusing cracks and difficult deformations : Interpreting structural damage in masonry

NARCIS (Netherlands)

De Vent, I.; Rots, J.G.; Van Hees, R.P.J.; Hobbelman, G.J.

2012-01-01

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

An embarrassment of riches or a profusion of confusion? an ...

African Journals Online (AJOL)

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 ...

Confused Professionals? : Capacities to Cope with Pressures in Professional Work

NARCIS (Netherlands)

Schott, Carina; Van Kleef, Daphne; Noordegraaf, Mirko

2016-01-01

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

Racial entanglements and sociological confusions: repudiating the rehabilitation of integration.

Science.gov (United States)

Valluvan, Sivamohan

2018-06-01

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.

Expressions Creating Confusion among Elements of Promotion Mix: Sales Promotion

OpenAIRE

Kelesbayev, Dinmukhamed; Kalykulov, Kuatbek; Yertayev, Yermek; Turlybekova, Altynay; Kamalov, Akhmet

2017-01-01

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...

Seeds of confusion : the impact of policies on seed systems

NARCIS (Netherlands)

Louwaars, N.P.

2007-01-01

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

Sexuality Issues: Confusion and Challenges for Children, Youth, and Professionals.

Science.gov (United States)

Evans, J. Calvin

1998-01-01

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…

Low-level radioactive waste management: federal-state cooperation or confusion

International Nuclear Information System (INIS)

Choi, Y.H.

1984-01-01

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

Seeds of confusion : the impact of policies on seed systems

OpenAIRE

Louwaars, N.P.

2007-01-01

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...

Confusion about nuclear fusion: a false report is laid bare

International Nuclear Information System (INIS)

Hintsches, E.

1983-01-01

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.)

Blending in gravitational microlensing experiments : source confusion and related systematics

NARCIS (Netherlands)

Smith, Martin C.; Wozniak, Przemyslaw; Mao, Shude; Sumi, Takahiro

2007-01-01

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

States of Confusion: Regulation of Surrogacy in the United States

OpenAIRE

Mohapatra, Seema

2017-01-01

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...

Missed paracetamol (acetaminophen) overdose due to confusion regarding drug names.

Science.gov (United States)

Hewett, David G; Shields, Jennifer; Waring, W Stephen

2013-07-01

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.

The Devil Within- A Tale about Computers, Experts and Confusion

Science.gov (United States)

Bittner, Florian; Hanigk, Stefan

2013-09-01

Printed circuit boards [1] 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 [2], [3], [4], [5].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?

Acute confusion and ataxia in the emergency department with an ...

African Journals Online (AJOL)

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.

«Land of Confusion»: Quantum Physic In IR Theory?

Directory of Open Access Journals (Sweden)

Tatiana A. Alekseeva

2016-01-01

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.

'Astronomy' or 'astrology': a brief history of an apparent confusion

Science.gov (United States)

Losev, Alexandre

2012-03-01

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.

A Case of Systemic Lupus Erythematosus Confused with Infective Endocarditis

OpenAIRE

Sibel Serin; Kevser Kutlu Tatar; Tayyibe Saler

2014-01-01

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...

Radiocarbon dating in near-Eastern contexts : Confusion and quality control

NARCIS (Netherlands)

van der Plicht, J; Bruins, HJ; Bruins, Hendrik J.; Boaretto, E.; Carmi, I.

2001-01-01

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

Dilemmas, Confusion, and Misconceptions Related to Small Airways Directed Therapy

DEFF Research Database (Denmark)

Lavorini, Federico; Pedersen, Søren; Usmani, Omar S.

2017-01-01

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...

Falling Behind: International Scrutiny of the Peaceful Atom

Science.gov (United States)

2008-02-01

confused with critical masses .5 Significant quantity values currently in use by the IAEA are given in Table 1. In a previous Natural Resources... actinides and fission products would not add significantly to the plutonium mass , the state could divert the spiked plutonium to a small clandestine...and manufacturing processes and should not be 152 confused with critical masses . Significant quantities are used in establishing the quantity

On the errors in measurements of Ohio 5 radio sources in the light of the GB survey

International Nuclear Information System (INIS)

Machalski, J.

1975-01-01

Positions and flux densities of 405 OSU 5 radio sources surveyed at 1415 MHz down to 0.18 f.u. (Brundage et al. 1971) have been examined in the light of data from the GB survey made at 1400 MHz (Maslowski 1972). An identification analysis has shown that about 56% of OSU sources reveal themselves as single, 18% - as confused, 20% - as unresolved and 6% - having no counterparts in the GB survey down to 0.09 f.u. - seem to be spurious. The single OSU sources are strongly affected by the underestimation of their flux densities due to base-line procedure in their vicinity. The average value of about 0.03 f.u. has been found for the systematic underestimation. The second systematic error is due to the presence of a significant number of confused sources with strong overestimation of their flux densities. The confusion effect gives a characteristic non-Gaussian tail in the difference distribution between observed and real flux densities. The confusion effect has a strong influence on source counts from the OSU 5 survey. Differential number-counts relatively to that from the GB survey shows that the counts agree between themselves within the statistical uncertainty up to about 0.40 f.u., which is approximately 4 delta (delta - average rms flux density error in the OSU 5 survey). Below 0.40 f.u. the number of sources missing due to the confusion effect is significantly greater than the number-overestimation due to the noise error. Thus, this part of the OSU 5 source counts cannot be treated seriously, even in the statistical sense. An analysis of the approximate reliability and completeness of the OSU 5 survey shows that, although the total reliability estimated by the authors of the survey is good, the completeness is significantly lower due to the underestimation of the confusion effect magnitude. In fact, the OSU 5 completeness is 67% at 0.18 f.u. and 79% at 0.25 f.u. (author)

Forensic pedology, forensic geology, forensic geoscience, geoforensics and soil forensics.

Science.gov (United States)

Ruffell, Alastair

2010-10-10

We now have a confusing set of five commonly used terms for the application of Earth evidence in forensic science. This confusion is resulting in Earth scientists who use these methods mentioning different terms, sometimes for the same type of study. Likewise, forensic scientists, police/law enforcement officers and those employed by courts of law are becoming confused as to what each term means. A nomenclatural framework (based on the first use of each term) is proposed to encourage consistency in the use of terminology. Generally, the number of Earth science applications has grown through time, from soil and sediment analysis to remote sensing and GIS. The issue of where forensic biology and microbiology sits with these uses of Earth evidence is considered. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Virtual Civilian Aeromedical Evacuation Sustainment Training Project (V-CAEST)

Science.gov (United States)

2015-08-01

contraindications for Air Transport Possible Air Transport conflict - Craniotomy Surgery Mental Status Change? No change in mental status Improving...the AVPU scale; if fully awake and talking to you, they are A (alert). If they respond but appear confused, try to establish whether this is a new...or a long-standing problem; causes of recent onset confusion include neurological pathology and hypoxia.  If the patient is not fully awake , check

Spoken Word Recognition Errors in Speech Audiometry: A Measure of Hearing Performance?

Directory of Open Access Journals (Sweden)

Martine Coene

2015-01-01

Full Text Available This report provides a detailed analysis of incorrect responses from an open-set spoken word-repetition task which is part of a Dutch speech audiometric test battery. Single-consonant confusions were analyzed from 230 normal hearing participants in terms of the probability of choice of a particular response on the basis of acoustic-phonetic, lexical, and frequency variables. The results indicate that consonant confusions are better predicted by lexical knowledge than by acoustic properties of the stimulus word. A detailed analysis of the transmission of phonetic features indicates that “voicing” is best preserved whereas “manner of articulation” yields most perception errors. As consonant confusion matrices are often used to determine the degree and type of a patient’s hearing impairment, to predict a patient’s gain in hearing performance with hearing devices and to optimize the device settings in view of maximum output, the observed findings are highly relevant for the audiological practice. Based on our findings, speech audiometric outcomes provide a combined auditory-linguistic profile of the patient. The use of confusion matrices might therefore not be the method best suited to measure hearing performance. Ideally, they should be complemented by other listening task types that are known to have less linguistic bias, such as phonemic discrimination.

Knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS).

Science.gov (United States)

De Morgan, Simone; Redman, Sally; D'Este, Catherine; Rogers, Kris

2011-07-01

To assess knowledge, satisfaction with information, decisional conflict and psychological morbidity amongst women diagnosed with ductal carcinoma in situ (DCIS) and to explore the factors associated with less knowledge and greater confusion about DCIS. A cross-sectional survey of women diagnosed with DCIS in Australia (N=144). This study found misunderstanding and confusion amongst women diagnosed with DCIS and a desire for more information about their breast disease. Approximately half of participants worried about their breast disease metastasizing; approximately half expressed high decisional conflict; 12% were anxious and 2% were depressed. Logistic regression analysis demonstrated that worry about dying from the breast disease was significantly associated with not knowing that DCIS could not metastasize (OR 3.9; 95% CI 1.03-14.25); and confusion about whether DCIS could metastasize was significantly associated with dissatisfaction with information (OR 12.5; 95% CI 3.8-40.2). Good communication about how DCIS differs from invasive breast cancer is essential to alleviating the confusion and worry amongst women with DCIS. Recommendations about how best to communicate a diagnosis of DCIS, including the uncertainties, are needed to guide health professionals to promote better understanding about DCIS and increase the well-being of women with DCIS. Copyright © 2010. Published by Elsevier Ireland Ltd.

What's in a name? Eponyms in head and neck imaging

International Nuclear Information System (INIS)

Hoang, J.K.; Eastwood, J.D.; Glastonbury, C.M.

2010-01-01

Head and neck (H and N) eponyms serve to honour physicians who have made important contributions. Compared with more descriptive diagnostic names, eponyms can sometimes be confusing, especially to the novice. Adding to the confusion, eponyms are sometimes applied incorrectly. Nevertheless, their use remains common in the medical literature and clinical practice. Familiarity with H and N eponyms is important for accurate communication with radiology colleagues and clinicians. Some eponyms describe potentially fatal infections and their urgency should be appreciated. Other eponyms, such as those for inner ear congenital anomalies, are probably best avoided as they can be used imprecisely and cause confusion. This review summarizes the clinical and imaging findings of some common and important H and N eponyms under the following categories of disease: (1) neck infections, (2) diseases in the temporal bone, (3) orbital diseases, and (4) sinus disease.

Organizational Identity, Culture, and Image

OpenAIRE

Ravasi, D.

2016-01-01

The concept of organizational identity is often confused with similar concepts such as organizational culture or organizational image. This confusion depends in part on the inconsistent use that scholars have made of these terms in the past. This chapter reviews the literature that has discussed how these concepts differ and how they are interrelated, and proposes an integrative framework that summarizes the most widely accepted definitions. It focuses in particular on research on dynamic int...

Supercapacitors Performance Evaluation

OpenAIRE

Zhang, S; Pan, N

2015-01-01

The performance of a supercapacitor can be characterized by a series of key parameters, including the cell capacitance, operating voltage, equivalent series resistance, power density, energy density, and time constant. To accurately measure these parameters, a variety of methods have been proposed and are used in academia and industry. As a result, some confusion has been caused due to the inconsistencies between different evaluation methods and practices. Such confusion hinders effective com...

Fire auto alarm system intelligent trend

International Nuclear Information System (INIS)

Du Chengbao

1997-01-01

The author gives the course and trend of the fire alarm system going to more computerized and more intelligent. It is described that only the system applied artificial intelligent and confusion control is the true intelligent fire alarm system. The author gives the detailed analysis on the signal treatment of artificial intelligent applied to analogue fire alarm system as well as the alarm system controlled by confusion technology and artificial nervous net

Neuroreductionism about Sex and Love.

Science.gov (United States)

Savulescu, Julian; Earp, Brian D

2014-01-01

"Neuroreductionism" is the tendency to reduce complex mental phenomena to brain states, confusing correlation for physical causation. In this paper, we illustrate the dangers of this popular neuro-fallacy, by looking at an example drawn from the media: a story about "hypoactive sexual desire disorder" in women. We discuss the role of folk dualism in perpetuating such a confusion, and draw some conclusions about the role of "brain scans" in our understanding of romantic love.

A New Application of Stochastic Transformation

OpenAIRE

Nilar Win Kyaw

2009-01-01

In cryptography, confusion and diffusion are very important to get confidentiality and privacy of message in block ciphers and stream ciphers. There are two types of network to provide confusion and diffusion properties of message in block ciphers. They are Substitution- Permutation network (S-P network), and Feistel network. NLFS (Non-Linear feedback stream cipher) is a fast and secure stream cipher for software application. NLFS have two modes basic mode that is synchro...

ソーシャルワーク・スーパービジョンの定義の混乱の背景にある諸問題

OpenAIRE

石田, 敦; Atsushi, ISHIDA; 吉備国際大学社会福祉学部健康スポーツ福祉学科; Department of Health Welfare and Human Performance, School of Social Welfare, KIBI International University

2006-01-01

It is said that the definition of social work supervision is confused today. This paper points out to the supervision of a social work that there is an administrative function which is not in other professions. As backgrounds of a confusion of the definitions of social work supervision, this paper takes up the problem of the confrontation and conflict between administrative, educational, and supportive functions and presents three approaches of the definition.

Religious teaching in the school context

OpenAIRE

Garutti, Selson; CESUMAR

2007-01-01

On 22nd July 1997, the then president of the Brazilian Republic Fernando Henrique Cardoso signed the law no. 9.475/97, concerning religious teaching in schools. That law caused generalized confusion all round Brazil by making facultative religious teaching in schools, and disorganizing even further the already troubled subject “Religious Teaching”. We cannot lose sight of the disorganization installed in the year of 1996 by the confusion introduced by the new National Education Basis Guidelin...

Spectral and temporal cues for perception of material and action categories in impacted sound sources

DEFF Research Database (Denmark)

Hjortkjær, Jens; McAdams, Stephen

2016-01-01

In two experiments, similarity ratings and categorization performance with recorded impact sounds representing three material categories (wood, metal, glass) being manipulated by three different categories of action (drop, strike, rattle) were examined. Previous research focusing on single impact...... correlated with the pattern of confusion in categorization judgments. Listeners tended to confuse materials with similar spectral centroids, and actions with similar temporal centroids and onset densities. To confirm the influence of these different features, spectral cues were removed by applying...

Neuroreductionism about Sex and Love

OpenAIRE

SAVULESCU, JULIAN; EARP, BRIAN D.

2014-01-01

“Neuroreductionism” is the tendency to reduce complex mental phenomena to brain states, confusing correlation for physical causation. In this paper, we illustrate the dangers of this popular neuro-fallacy, by looking at an example drawn from the media: a story about “hypoactive sexual desire disorder” in women. We discuss the role of folk dualism in perpetuating such a confusion, and draw some conclusions about the role of “brain scans” in our understanding of romantic love.

Illusory conjunctions are alive and well: a reply to Donk (1999).

Science.gov (United States)

Prinzmetal, W; Diedrichsen, J; Ivry, R B

2001-06-01

When presented with a red T and a green O, observers occasionally make conjunction responses and indicate that they saw a green T. These errors have been interpreted as reflecting separable processing stages of feature detection and integration with the illusory conjunctions arising from a failure at the integration stage. Recently, M. Donk (1999) asserted that the phenomenon of illusory conjunctions is an artifact. Conjunction reports are actually the result of confusing a nontarget item (O in the example above) for a target item (the letter T) and (correctly) reporting the color associated with the (incorrectly) selected target. The authors demonstrate that although target-nontarget confusion errors are a potential source of conjunction reports, there is a plethora of findings that cannot be accounted for by this confusion model. A review of the literature indicates that in many studies, illusory conjunctions do result from a failure to properly integrate features.

Patient Safety in Medication Nomenclature: Orthographic and Semantic Properties of International Nonproprietary Names.

Directory of Open Access Journals (Sweden)

Rachel Bryan

Full Text Available Confusion between look-alike and sound-alike (LASA medication names (such as mercaptamine and mercaptopurine accounts for up to one in four medication errors, threatening patient safety. Error reduction strategies include computerized physician order entry interventions, and 'Tall Man' lettering. The purpose of this study is to explore the medication name designation process, to elucidate properties that may prime the risk of confusion.We analysed the formal and semantic properties of 7,987 International Non-proprietary Names (INNs, in relation to naming guidelines of the World Health Organization (WHO INN programme, and have identified potential for errors. We explored: their linguistic properties, the underlying taxonomy of stems to indicate pharmacological interrelationships, and similarities between INNs. We used Microsoft Excel for analysis, including calculation of Levenshtein edit distance (LED. Compliance with WHO naming guidelines was inconsistent. Since the 1970s there has been a trend towards compliance in formal properties, such as word length, but longer names published in the 1950s and 1960s are still in use. The stems used to show pharmacological interrelationships are not spelled consistently and the guidelines do not impose an unequivocal order on them, making the meanings of INNs difficult to understand. Pairs of INNs sharing a stem (appropriately or not often have high levels of similarity (<5 LED, and thus have greater potential for confusion.We have revealed a tension between WHO guidelines stipulating use of stems to denote meaning, and the aim of reducing similarities in nomenclature. To mitigate this tension and reduce the risk of confusion, the stem system should be made clear and well ordered, so as to avoid compounding the risk of confusion at the clinical level. The interplay between the different WHO INN naming principles should be further examined, to better understand their implications for the problem of LASA

Ombuds’ corner: Let's not confuse students and fellows with missing staff

CERN Multimedia

Vincent Vuillemin

2013-01-01

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...

The role of fearless dominance in psychopathy: confusions, controversies, and clarifications.

Science.gov (United States)

Lilienfeld, Scott O; Patrick, Christopher J; Benning, Stephen D; Berg, Joanna; Sellbom, Martin; Edens, John F

2012-07-01

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.

Concept Confusion and Concept Discernment in Basic Magnetism Using Analogical Reasoning

Science.gov (United States)

Lemmer, Miriam; Morabe, Olebogeng Nicodimus

2017-01-01

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…

The New Triad. Diffusion, Illusion, and Confusion in the Nuclear Mission

Science.gov (United States)

2016-09-01

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

The status of Cecropia (Urticaceae) introductions in Malesia: addressing the confusion

NARCIS (Netherlands)

Conn, B.J.; Hadiah, J.T.; Webber, B.L.

2012-01-01

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

Fatal Overdose due to Confusion of an Transdermal Fentanyl Delivery System

Directory of Open Access Journals (Sweden)

Ingo Voigt

2013-01-01

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.

The Evolution of Confusion: soft systems methodology and social theory revisited

Directory of Open Access Journals (Sweden)

L. Houghton

2002-05-01

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.

Fat, Sugar, Whole Grains and Heart Disease: 50 Years of Confusion

Directory of Open Access Journals (Sweden)

Norman J. Temple

2018-01-01

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%.

Dazed and confused: sports medicine, conflicts of interest, and concussion management.

Science.gov (United States)

Partridge, Brad

2014-03-01

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.

Mapping Cultural Diversity through Children's Voices: From Confusion to Clear Understandings

Science.gov (United States)

Hajisoteriou, Christina; Karousiou, Christiana; Angelides, Panayiotis

2017-01-01

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…

What are the differences between long-term, short-term, and working memory?

OpenAIRE

Cowan, Nelson

2008-01-01

In the recent literature there has been considerable confusion about the three types of memory: long-term, short-term, and working memory. This chapter strives to reduce that confusion and makes up-to-date assessments of these types of memory. Long- and short-term memory could differ in two fundamental ways, with only short-term memory demonstrating (1) temporal decay and (2) chunk capacity limits. Both properties of short-term memory are still controversial but the current literature is rath...

Ranking health between countries in international comparisons

DEFF Research Database (Denmark)

Brønnum-Hansen, Henrik

2014-01-01

Cross-national comparisons and ranking of summary measures of population health sometimes give rise to inconsistent and diverging conclusions. In order to minimise confusion, international comparative studies ought to be based on well-harmonised data with common standards of definitions and docum......Cross-national comparisons and ranking of summary measures of population health sometimes give rise to inconsistent and diverging conclusions. In order to minimise confusion, international comparative studies ought to be based on well-harmonised data with common standards of definitions...

2-gram-based Phonetic Feature Generation for Convolutional Neural Network in Assessment of Trademark Similarity

OpenAIRE

Ko, Kyung Pyo; Lee, Kwang Hee; Jang, Mi So; Park, Gun Hong

2018-01-01

A trademark is a mark used to identify various commodities. If same or similar trademark is registered for the same or similar commodity, the purchaser of the goods may be confused. Therefore, in the process of trademark registration examination, the examiner judges whether the trademark is the same or similar to the other applied or registered trademarks. The confusion in trademarks is based on the visual, phonetic or conceptual similarity of the marks. In this paper, we focus specifically o...

Neuroreductionism about Sex and Love

Science.gov (United States)

SAVULESCU, JULIAN; EARP, BRIAN D.

2014-01-01

“Neuroreductionism” is the tendency to reduce complex mental phenomena to brain states, confusing correlation for physical causation. In this paper, we illustrate the dangers of this popular neuro-fallacy, by looking at an example drawn from the media: a story about “hypoactive sexual desire disorder” in women. We discuss the role of folk dualism in perpetuating such a confusion, and draw some conclusions about the role of “brain scans” in our understanding of romantic love. PMID:25309130

[Effects of the recipient's response on the emotions and cognitions of female undergraduates disclosing negative emotional experiences in interpersonal relationships].

Science.gov (United States)

Endo, Hiroko; Yukawa, Shintaro

2013-04-01

The relationship between a recipient's response to a disclosure of negative emotional experiences, and the resulting negative emotions, hesitation in self-disclosure (interpersonal and intra-personal hesitation), and negatively-confused thoughts of the person making the disclosure were investigated. Female undergraduates (N=271) were asked to write about angry or sad events in their interpersonal relationships that they had disclosed to someone. Then they completed a questionnaire assessing the recipient's responses, negative emotions such as anger and depression caused by the recipient's responses, hesitation in self-disclosure about the events, and negatively-confused thoughts about the events. The results of covariance structure analysis indicated that a recipient's rejection in response to the disclosure of negative emotional experiences resulted in negative thoughts caused by an increase of negative emotions and hesitation in self-disclosure. The results also showed that a recipient's acceptance also increased depression in the person making the self-disclosure, which intensified the intra-personal hesitation, and increased negatively-confused thoughts.

A case of chronic Wernicke’s Encephalopathy: a neuropsychological study.

Directory of Open Access Journals (Sweden)

Erik eOudman

2014-05-01

Full Text Available A 54-year old woman was referred to our Korsakoff Center because of extensive cognitive problems following acute Wernicke's Encephalopathy (WE. She had a relatively short history of alcohol abuse and was found lying on the floor in her home by her son. After five days without treatment she was diagnosed with WE in a general hospital. During the course of the disease minimal change to the acute situation occurred, with chronic confusion, attention deficits and incoherent behavior symptoms most notable unlike classical Korsakoff's Syndrome (KS. Neuropsychological assessment after four and sixteen months after admission to the hospital revealed global cognitive decline, with striking impairments in attentional, executive and memory functions. The present case study suggests that the state of confusion and the neuropsychological symptoms in WE can become chronic in case of very late treatment. We therefore recommend that confused alcoholics should receive appropriate parenteral thiamine according to the current clinical standards.

A Case of Chronic Wernicke’s Encephalopathy: A Neuropsychological Study

Science.gov (United States)

Oudman, Erik; Van der Stigchel, Stefan; Postma, Albert; Wijnia, Jan W.; Nijboer, Tanja C. W.

2014-01-01

A 54-year-old woman was referred to our Korsakoff Center because of extensive cognitive problems following acute Wernicke’s encephalopathy (WE). She had a relatively short history of alcohol abuse and was found lying on the floor in her home by her son. After 5 days without treatment, she was diagnosed with WE in a general hospital. During the course of the disease, minimal change to the acute situation occurred, with chronic confusion, attention deficits, and incoherent behavior symptoms most notable unlike classical Korsakoff’s syndrome. Neuropsychological assessment after 4 and 16 months after admission to the hospital revealed global cognitive decline, with striking impairments in attentional, executive, and memory functions. The present case study suggests that the state of confusion and the neuropsychological symptoms in WE can become chronic in case of very late treatment. We therefore recommend that confused alcoholics should receive appropriate parenteral thiamine according to the current clinical standards. PMID:24904442

Kepler-Astronomer in Astrology and Astrologer in Astronomy

Science.gov (United States)

Fempl-Madjarevic, Jasna

The author is discussing a very complicated subject: the astrological aspects in the scientific activity of Johannes Kepler. Sometimes Kepler is considered the last astronomer which confused astrology with astronomy. In fact he composed horoscopes, but he was conscious finally that the astrology was a confusion. The author is discussing also the mistic aspects of the scientifc creation by Kepler. Particularly she emphasized that the "Mysterium Cosmographicum" is one of such works. Meanwhile, that work led to discovery of famous third laws of planets motion.

Dextranomer/hyaluronic acid copolymer (Deflux) implants mimicking distal ureteral calculi on CT

Energy Technology Data Exchange (ETDEWEB)

Nelson, Caleb P. [Children' s Hospital Boston, Department of Urology, Boston, MA (United States); Chow, Jeanne S. [Children' s Hospital Boston, Department of Radiology, Boston, MA (United States)

2008-01-15

Periureteral or subtrigonal injection of dextranomer/hyaluronic acid (Dx/HA) copolymer (Deflux, Q-Med, Uppsala, Sweden) is an increasingly common endoscopic treatment for vesicoureteral reflux. We report a confusing radiographic finding of bilateral calcified Dx/HA injections initially thought to represent bilateral distal ureteral stones in a boy who presented with intermittent periumbilical pain. Urologists, radiologists, and emergency room physicians should be aware of the potential for calcification of ureteral implants of Dx/HA, and of the potentially confusing radiographic images that may result. (orig.)

Dextranomer/hyaluronic acid copolymer (Deflux) implants mimicking distal ureteral calculi on CT

International Nuclear Information System (INIS)

Nelson, Caleb P.; Chow, Jeanne S.

2008-01-01

Periureteral or subtrigonal injection of dextranomer/hyaluronic acid (Dx/HA) copolymer (Deflux, Q-Med, Uppsala, Sweden) is an increasingly common endoscopic treatment for vesicoureteral reflux. We report a confusing radiographic finding of bilateral calcified Dx/HA injections initially thought to represent bilateral distal ureteral stones in a boy who presented with intermittent periumbilical pain. Urologists, radiologists, and emergency room physicians should be aware of the potential for calcification of ureteral implants of Dx/HA, and of the potentially confusing radiographic images that may result. (orig.)

IMPERIALISM LITERATURE IN TURKISH

OpenAIRE

Sunar, Lütfi

2012-01-01

Imperialism implies political, cultural, economical and narrative dominance of one nation over the other(s). It bases on the removal of the rights of economic, political and legal presence of one nation. But, as it is in many other notion there is a broad confusion in the usage of imperialism as a tool of analysis. Since there is not a common shared description of imperialism there is a disruption of the meaning of it. In addition to this general confusion, there are some special problems in ...

Tunnel Vision Prismatic Field Expansion: Challenges and Requirements.

Science.gov (United States)

Apfelbaum, Henry; Peli, Eli

2015-12-01

No prismatic solution for peripheral field loss (PFL) has gained widespread acceptance. Field extended by prisms has a corresponding optical scotoma at the prism apices. True expansion can be achieved when each eye is given a different view (through visual confusion). We analyze the effects of apical scotomas and binocular visual confusion in different designs to identify constraints on any solution that is likely to meet acceptance. Calculated perimetry diagrams were compared to perimetry with PFL patients wearing InWave channel prisms and Trifield spectacles. Percept diagrams illustrate the binocular visual confusion. Channel prisms provide no benefit at primary gaze. Inconsequential extension was provided by InWave prisms, although accessible with moderate gaze shifts. Higher-power prisms provide greater extension, with greater paracentral scotoma loss, but require uncomfortable gaze shifts. Head turns, not eye scans, are needed to see regions lost to the apical scotomas. Trifield prisms provide field expansion at all gaze positions, but acceptance was limited by disturbing effects of central binocular visual confusion. Field expansion when at primary gaze (where most time is spent) is needed while still providing unobstructed central vision. Paracentral multiplexing prisms we are developing that superimpose shifted and see-through views may accomplish that. Use of the analyses and diagramming techniques presented here will be of value when considering prismatic aids for PFL, and could have prevented many unsuccessful designs and the improbable reports we cited from the literature. New designs must likely address the challenges identified here.

Two important general organizational factors: The organizational design of the safety work and the organization autocorrective system. The Italian way to improve them through criteria for the safety organizational rules

International Nuclear Information System (INIS)

Moramarco, C.

1997-01-01

A complex reality, such as a nuclear power plant, requires the maximum order in the methods of operation. A state of ''organizational confusion'' is the frequent root cause of many errors. An initial situation of organizational confusion, about one or more human allocated functions, generates further malfunctions or lacks and, what is worse, tolerates them because it makes them less visible. Order in the operators society can be improved by improving the quality of the safety organizational design and can be maintained with an effective autocorrective system. (author). 16 refs

Cerebralt aspergillom hos patient med immundefekt og follikulært lymfom

DEFF Research Database (Denmark)

Lorentzen, Kristian; Talibi, Monica Nicole; Hansen, Per Boye

2014-01-01

We present a case of central nervous system aspergillosis in an immunocompromised 69-year-old male with a history of chemotherapeutic treatment for follicular lymphoma. The patient presented with aphasia, apraxia and confusion. An MRI of the central nervous system and Aspergillus antigen in the s......We present a case of central nervous system aspergillosis in an immunocompromised 69-year-old male with a history of chemotherapeutic treatment for follicular lymphoma. The patient presented with aphasia, apraxia and confusion. An MRI of the central nervous system and Aspergillus antigen...

Interférences intralinguales lors de l’identification lexicale

Directory of Open Access Journals (Sweden)

Olga Théophanous

2004-12-01

Full Text Available Abstract This paper describes the results of an empirical study about a specific type of error in vocabulary acquisition in French as a second language, that is, intralingual lexical confusion due to formal and/or semantic similarity between target words and other French words known by the learners. Four hundred and eighty English- and Greek-speaking learners (at beginner, intermediate and advanced levels of proficiency in French were given an L2 to L1 translation task of words with various frequencies. A comparison of the two linguistic groups revealed that the Greeks were more prone to commit errors due to intralinguistic lexical confusion regardless of their level of proficiency in French. Interlinguistic distance seems to have had an impact on these a priori intralingual errors and more specifically on the learners’ ability to distinguish between similar lexical forms in French. Lexical confusion will be discussed from the point of view of the mental lexicon and the strategies that the learners use during lexical identification of written words. The paper will conclude with pedagogical suggestions.

Do Convolutional Neural Networks Learn Class Hierarchy?

Science.gov (United States)

Bilal, Alsallakh; Jourabloo, Amin; Ye, Mao; Liu, Xiaoming; Ren, Liu

2018-01-01

Convolutional Neural Networks (CNNs) currently achieve state-of-the-art accuracy in image classification. With a growing number of classes, the accuracy usually drops as the possibilities of confusion increase. Interestingly, the class confusion patterns follow a hierarchical structure over the classes. We present visual-analytics methods to reveal and analyze this hierarchy of similar classes in relation with CNN-internal data. We found that this hierarchy not only dictates the confusion patterns between the classes, it furthermore dictates the learning behavior of CNNs. In particular, the early layers in these networks develop feature detectors that can separate high-level groups of classes quite well, even after a few training epochs. In contrast, the latter layers require substantially more epochs to develop specialized feature detectors that can separate individual classes. We demonstrate how these insights are key to significant improvement in accuracy by designing hierarchy-aware CNNs that accelerate model convergence and alleviate overfitting. We further demonstrate how our methods help in identifying various quality issues in the training data.

Examining the Impact of Question Surface Features on Students’ Answers to Constructed-Response Questions on Photosynthesis

Science.gov (United States)

Weston, Michele; Haudek, Kevin C.; Prevost, Luanna; Urban-Lurain, Mark; Merrill, John

2015-01-01

One challenge in science education assessment is that students often focus on surface features of questions rather than the underlying scientific principles. We investigated how student written responses to constructed-response questions about photosynthesis vary based on two surface features of the question: the species of plant and the order of two question prompts. We asked four versions of the question with different combinations of the two plant species and order of prompts in an introductory cell biology course. We found that there was not a significant difference in the content of student responses to versions of the question stem with different species or order of prompts, using both computerized lexical analysis and expert scoring. We conducted 20 face-to-face interviews with students to further probe the effects of question wording on student responses. During the interviews, we found that students thought that the plant species was neither relevant nor confusing when answering the question. Students identified the prompts as both relevant and confusing. However, this confusion was not specific to a single version. PMID:25999312

Mean centering helps alleviate "micro" but not "macro" multicollinearity.

Science.gov (United States)

Iacobucci, Dawn; Schneider, Matthew J; Popovich, Deidre L; Bakamitsos, Georgios A

2016-12-01

There seems to be confusion among researchers regarding whether it is good practice to center variables at their means prior to calculating a product term to estimate an interaction in a multiple regression model. Many researchers use mean centered variables because they believe it's the thing to do or because reviewers ask them to, without quite understanding why. Adding to the confusion is the fact that there is also a perspective in the literature that mean centering does not reduce multicollinearity. In this article, we clarify the issues and reconcile the discrepancy. We distinguish between "micro" and "macro" definitions of multicollinearity and show how both sides of such a debate can be correct. To do so, we use proofs, an illustrative dataset, and a Monte Carlo simulation to show the precise effects of mean centering on both individual correlation coefficients as well as overall model indices. We hope to contribute to the literature by clarifying the issues, reconciling the two perspectives, and quelling the current confusion regarding whether and how mean centering can be a useful practice.

Mirror-Image Equivalence and Interhemispheric Mirror-Image Reversal.

Science.gov (United States)

Corballis, Michael C

2018-01-01

Mirror-image confusions are common, especially in children and in some cases of neurological impairment. They can be a special impediment in activities such as reading and writing directional scripts, where mirror-image patterns (such as b and d ) must be distinguished. Treating mirror images as equivalent, though, can also be adaptive in the natural world, which carries no systematic left-right bias and where the same object or event can appear in opposite viewpoints. Mirror-image equivalence and confusion are natural consequences of a bilaterally symmetrical brain. In the course of learning, mirror-image equivalence may be established through a process of symmetrization, achieved through homotopic interhemispheric exchange in the formation of memory circuits. Such circuits would not distinguish between mirror images. Learning to discriminate mirror-image discriminations may depend either on existing brain asymmetries, or on extensive learning overriding the symmetrization process. The balance between mirror-image equivalence and mirror-image discrimination may nevertheless be precarious, with spontaneous confusions or reversals, such as mirror writing, sometimes appearing naturally or as a manifestation of conditions like dyslexia.

Mirror-Image Equivalence and Interhemispheric Mirror-Image Reversal

Directory of Open Access Journals (Sweden)

Michael C. Corballis

2018-04-01

Full Text Available Mirror-image confusions are common, especially in children and in some cases of neurological impairment. They can be a special impediment in activities such as reading and writing directional scripts, where mirror-image patterns (such as b and d must be distinguished. Treating mirror images as equivalent, though, can also be adaptive in the natural world, which carries no systematic left-right bias and where the same object or event can appear in opposite viewpoints. Mirror-image equivalence and confusion are natural consequences of a bilaterally symmetrical brain. In the course of learning, mirror-image equivalence may be established through a process of symmetrization, achieved through homotopic interhemispheric exchange in the formation of memory circuits. Such circuits would not distinguish between mirror images. Learning to discriminate mirror-image discriminations may depend either on existing brain asymmetries, or on extensive learning overriding the symmetrization process. The balance between mirror-image equivalence and mirror-image discrimination may nevertheless be precarious, with spontaneous confusions or reversals, such as mirror writing, sometimes appearing naturally or as a manifestation of conditions like dyslexia.

Peripheral Visual Cues: Their Fate in Processing and Effects on Attention and Temporal-Order Perception.

Science.gov (United States)

Tünnermann, Jan; Scharlau, Ingrid

2016-01-01

Peripheral visual cues lead to large shifts in psychometric distributions of temporal-order judgments. In one view, such shifts are attributed to attention speeding up processing of the cued stimulus, so-called prior entry. However, sometimes these shifts are so large that it is unlikely that they are caused by attention alone. Here we tested the prevalent alternative explanation that the cue is sometimes confused with the target on a perceptual level, bolstering the shift of the psychometric function. We applied a novel model of cued temporal-order judgments, derived from Bundesen's Theory of Visual Attention. We found that cue-target confusions indeed contribute to shifting psychometric functions. However, cue-induced changes in the processing rates of the target stimuli play an important role, too. At smaller cueing intervals, the cue increased the processing speed of the target. At larger intervals, inhibition of return was predominant. Earlier studies of cued TOJs were insensitive to these effects because in psychometric distributions they are concealed by the conjoint effects of cue-target confusions and processing rate changes.

Terms standardization between the rules of diagnosis radiation equipment safety management and atomic energy law: problems and suggestions

Energy Technology Data Exchange (ETDEWEB)

Kim, Hwa Gon; Kang, Se Sik; Kim, Chang Soo; Park, Cheol Seo [Catholic University of Pusan, Busan (Korea, Republic of)

2006-03-15

The rules and terms are described different meaning in this results the research is accomplished for preventing practical workers from confusion. Atomic law are kept up modification and development in our situation by the ICRP's recommendation, on the other hand, the rules of diagnosis radiation equipment safety managements are modified partial, then resulted in confusion. The study was comparison between the rules of diagnosis radiation equipment safety management and atomic energy law, and the modification items obtained were as follows. With each other different the terms and units are used. With the exception of special terms for affairs usage, it is needless to say that common term uniformity is standardized. The standardization of rules and guidance have not need to confusion radiological practical workers. The following is omitted. The radiation protection against the patient and the hospital visitor. Radiation dose limit of the woman patient who is in the process of becoming pregnant. Radiation dose limit of the person who is not regarded as medical exposure. The control of the exposure of pregnant of women at work.

Terms standardization between the rules of diagnosis radiation equipment safety management and atomic energy law: problems and suggestions

International Nuclear Information System (INIS)

Kim, Hwa Gon; Kang, Se Sik; Kim, Chang Soo; Park, Cheol Seo

2006-01-01

The rules and terms are described different meaning in this results the research is accomplished for preventing practical workers from confusion. Atomic law are kept up modification and development in our situation by the ICRP's recommendation, on the other hand, the rules of diagnosis radiation equipment safety managements are modified partial, then resulted in confusion. The study was comparison between the rules of diagnosis radiation equipment safety management and atomic energy law, and the modification items obtained were as follows. With each other different the terms and units are used. With the exception of special terms for affairs usage, it is needless to say that common term uniformity is standardized. The standardization of rules and guidance have not need to confusion radiological practical workers. The following is omitted. The radiation protection against the patient and the hospital visitor. Radiation dose limit of the woman patient who is in the process of becoming pregnant. Radiation dose limit of the person who is not regarded as medical exposure. The control of the exposure of pregnant of women at work

October 2013 critical care case of the month: slow to respond

Directory of Open Access Journals (Sweden)

Mohning M

2013-10-01

Full Text Available No abstract available. Article truncated at 150 words. History of Present Illness A 66-year-old woman presents with confusion and lower extremity edema. She was brought to the emergency department by her family after 2-3 days of increasing confusion. She has fatigue and a dry non-productive cough but denies shortness of breath, chest pain, fevers or chills. She had a decrease in oral intake and constipation for several days. PMH, SH, FH Five months ago, she was admitted to a hospital for community acquired pneumonia and hyponatremia. She is a never smoker, and doesn’t use alcohol. There is no significant family history. Medications Omega 3 fatty acids Multivitamins Physical Examination Temperature 36.1° C, blood pressure 106/61 mm Hg, heart rate 72 beats/min, respiratory rate 15 breaths/min, oxygen saturation 90% on room air. She was confused, and oriented to self only. She had facial edema. Cardiac exam was normal. Pulmonary findings include rales at the lung bases. Her abdomen was …

Predictors of posttraumatic stress in parents of children diagnosed with a disorder of sex development.

Science.gov (United States)

Pasterski, Vickie; Mastroyannopoulou, Kiki; Wright, Deborah; Zucker, Kenneth J; Hughes, Ieuan A

2014-02-01

The aims of the current study were twofold: (1) to assess the prevalence/severity of posttraumatic stress symptoms (PTSS) as well as cognitive and emotional responses in parents whose children were diagnosed with a disorder of sex development (DSD); and (2) to assess factors which contributed to PTSS. We hypothesized that parents would show elevated levels of PTSS and that negative cognitive and/or emotional responses would be predictive. Participants were parents of children diagnosed with a DSD. Thirty-six mothers and 11 fathers completed a measure of posttraumatic stress and reported difficulties in the domains of cognition (e.g., confusion) and emotion (e.g., grief). Using multiple regression, we determined factors contributing to parental PTSS. Reported PTSS was high: 31 % of mothers and 18 % of fathers met the threshold for caseness for Posttraumatic Stress Disorder. Regression included: child sex, parent sex, child age at diagnosis, years since diagnosis, genital ambiguity, father occupation, cognitive confusion, and emotional distress. Only cognitive confusion contributed significantly to variance in PTSS. Parents of children with DSD may experience the diagnosis as traumatic, evidenced by high rates of PTSS in the current report. Assessment of reactions to their children's diagnoses revealed that cognitive confusion, and not emotional distress, predicted PTSS. In this case, direct cognitive interventions may be applicable. Though psychological support is widely recommended, no detailed intervention has been offered. Our findings suggest that we may directly apply models successful in other areas of pediatrics, such as pediatric oncology. Future studies may assess the usefulness of such an intervention.

SELF-CONCEPT DIFFERENTIATION AND SELF-CONCEPT CLARITY ACROSS ADULTHOOD: ASSOCIATIONS WITH AGE AND PSYCHOLOGICAL WELL-BEING*

Science.gov (United States)

DIEHL, MANFRED; HAY, ELIZABETH L.

2011-01-01

This study focused on the identification of conceptually meaningful groups of individuals based on their joint self-concept differentiation (SCD) and self-concept clarity (SCC) scores. Notably, we examined whether membership in different SCD-SCC groups differed by age and also was associated with differences in psychological well-being (PWB). Cluster analysis revealed five distinct SCD-SCC groups: a self-assured, unencumbered, fragmented-only, confused-only, and fragmented and confused group. Individuals in the self-assured group had the highest mean scores for positive PWB and the lowest mean scores for negative PWB, whereas individuals in the fragmented and confused group showed the inverse pattern. Findings showed that it was psychologically advantageous to belong to the self-assured group at all ages. As hypothesized, older adults were more likely than young adults to be in the self-assured cluster, whereas young adults were more likely to be in the fragmented and confused cluster. Thus, consistent with extant theorizing, age was positively associated with psychologically adaptive self-concept profiles. This study examined whether conceptually meaningful subgroups of individuals can be identified based on their joint scores on self-concept differentiation (SCD) and self-concept clarity (SCC). Specifically, we considered whether individuals within such subgroups differed systematically from one another on measures of positive and negative psychological well-being (PWB). Of interest to us was also whether there were age differences in the distribution of adults across the SCD-SCC groups and whether age moderated the association between PWB and SCD-SCC grouping. PMID:22010361

Market structure and the role of consumer information in the physician services industry: an empirical test.

Science.gov (United States)

Wong, H S

1996-04-01

This paper applies Panzar and Rosse's (1987) econometric test of market structure to examine two long-debated issues: What is the market structure for physician services? Do more physicians in a market area raise the search cost of obtaining consumer information and increase prices (Satterthwaite, 1979, 1985)? For primary care and general and family practice physicians, the monopolistically competitive model prevailed over the competing hypotheses--monopoly, perfect competition, and monopolistic competition characterized by consumer informational confusion. Although less conclisive, there is some evidence to support the monopolistically competitive model for surgeons and the consumer informational confusion model for internal medicine physicians.

The role of sensitivity analysis in assessing uncertainty

International Nuclear Information System (INIS)

Crick, M.J.; Hill, M.D.

1987-01-01

Outside the specialist world of those carrying out performance assessments considerable confusion has arisen about the meanings of sensitivity analysis and uncertainty analysis. In this paper we attempt to reduce this confusion. We then go on to review approaches to sensitivity analysis within the context of assessing uncertainty, and to outline the types of test available to identify sensitive parameters, together with their advantages and disadvantages. The views expressed in this paper are those of the authors; they have not been formally endorsed by the National Radiological Protection Board and should not be interpreted as Board advice

Magnetic resonance imaging of the shoulder: a review of potential sources of diagnostic errors

International Nuclear Information System (INIS)

Carroll, K.W.; Helms, C.A.

2002-01-01

Shoulder magnetic resonance (MR) imaging and MR arthrography are frequently utilized in the evaluation of shoulder pain and instability. The clinical scenario and imaging findings may be confusing to clinicians and radiologists and may present diagnostic challenges for those involved in evaluating and treating shoulder pathology. Often rotator cuff and labral abnormalities may be coexistent, clinical manifestations of denervation syndromes may be confusing to clinicians, and normal anatomic variations, imaging pitfalls, and various artifacts may cause dilemmas for the radiologist. This article will review the most frequently encountered mimickers and pitfalls of MR imaging of the shoulder. (orig.)

Comments on the thesis of Schopenhauer's psicology: "The strict distincttion between knowledge and will and the priority of the first one" from Complementos ao mundo como vontade e representação

Directory of Open Access Journals (Sweden)

André Luiz Simões Pedreira

2015-04-01

Full Text Available Our paper aims to review the theories of the psychology of Schopenhauer, namely, "strict distinction between will and knowledge and the primacy of the first", contained in the Book Room ons of The World as Will and Representation, in Chapter 41, entitled "on Death and its relationship with the indestructible character of our being itself." The review aimed to present some of the passages ons that ensure the distinction between Will and Intellect in order to provide data to avoid confusion, that many readers Schopenhauer are affected, the Will to confuse metaphysics with its phenomenon, namely the human will.

Memory of Sponsorship-Linked Marketing Communications

Directory of Open Access Journals (Sweden)

T. Bettina Cornwell

2012-12-01

Full Text Available Corporate sponsorship value is brought into question when false recognition of foils suggests confusion regarding true sponsors. While an indicator of confusion, recognition false alarms do not tell the entire story regarding memory for sponsor-event relationships. Two free recall experiments show relatively good memory for sponsors and also that under certain conditions, the mention of direct competitors can actually facilitate recall of true sponsors and events. The findings point to the importance of understanding the memory-based characteristics of measurement as well as to the memory-supported decision-making tasks that sponsorship information might eventually influence.

Do trust-based beliefs mediate the associations of frequency of private prayer with mental health? A cross-sectional study.

Science.gov (United States)

Pössel, Patrick; Winkeljohn Black, Stephanie; Bjerg, Annie C; Jeppsen, Benjamin D; Wooldridge, Don T

2014-06-01

Significant associations of private prayer with mental health have been found, while mechanisms underlying these associations are largely unknown. This cross-sectional online study (N = 325, age 35.74, SD 18.50, 77.5 % females) used path modeling to test if trust-based beliefs (whether, when, and how prayers are answered) mediated the associations of prayer frequency with the Anxiety, Confusion, and Depression Profile of Mood States-Short Form scales. The association of prayer and depression was fully mediated by trust-based beliefs; associations with anxiety and confusion were partially mediated. Further, the interaction of prayer frequency by stress was associated with anxiety.

Definições formais de mobilidade e acessibilidade apoiadas na teoria de sistemas de Mario Bunge

Directory of Open Access Journals (Sweden)

Marcos Thadeu Queiroz Magalhães

2013-12-01

ABSTRACT On the subject of mobility and accessibility, most researchers have been focused on practical applications, without giving proper attention to the development of the underlying theory, resulting in conceptual inflation caused by confusing and vague definitions.  Among the existing definitions for terms such as Mobility and Accessibility, confusion emerges. This paper aims to formalize such notions and try to remove the ambiguity that is inherited from the natural language. We use the theory of Mario Bunge and the discution on the Nature of Transport to propose general formal definitions for Accessibility and Mobility. Keywords: Systems Theory, Mobility, Accessibility, Concept, Definition, Formalization.

Confusion and Clarification: Albert Einstein and Walther Nernst's Heat Theorem, 1911-1916

NARCIS (Netherlands)

Kox, A.J.

2006-01-01

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

The experience of living with patellofemoral pain-loss, confusion and fear-avoidance

DEFF Research Database (Denmark)

Smith, Benjamin E; Moffatt, Fiona; Hendrick, Paul

2018-01-01

. 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...

"Social Learning" Buzz Masks Deeper Dimensions: Mitigating the Confusion Surrounding "Social Learning"

Science.gov (United States)

Ganis, Frank

2009-01-01

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…

"You Are Confusing!": Tensions between Teacher's and Students' Discourses in the Classroom

Science.gov (United States)

Park, Hyu-Yong

2008-01-01

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".…

Gestational diabetes mellitus: Confusion among medical doctors caused by multiple international criteria.

Science.gov (United States)

Agarwal, Mukesh M; Shah, Syed M; Al Kaabi, Juma; Saquib, Shabnam; Othman, Yusra

2015-06-01

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.

Reframing place promotion, place marketing, and place branding - moving beyond conceptual confusion

NARCIS (Netherlands)

Boisen, Martin; Terlouw, Kees; Groote, Peter; Couwenberg, Oscar

2017-01-01

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

Cross, culture, confusion: conflict and community in a Chinese church in Canada

OpenAIRE

Tan, Weichong Joshua

2010-01-01

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...

Taxonomic updates for some confusing Micronesian species of Camponotus (Hymenoptera: Formicidae: Formicinae)

Czech Academy of Sciences Publication Activity Database

Clouse, R. M.; Blanchard, B. D.; Gibson, R.; Wheeler, W. C.; Janda, Milan

2016-01-01

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

Unfair lineups make witnesses more likely to confuse innocent and guilty suspects

OpenAIRE

Colloff, Melissa F.; Wade, Kimberley A.; Strange, D.

2016-01-01

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...

Unfair Lineups Make Witnesses More Likely to Confuse Innocent and Guilty Suspects.

Science.gov (United States)

Colloff, Melissa F; Wade, Kimberley A; Strange, Deryn

2016-09-01

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.

Post-acquisition Integration as Sensemaking: Glimpses of Ambiguity, Confusion, Hypocrisy, and Politicization

OpenAIRE

Vaara, Eero

2003-01-01

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 ...

Mathematics and the Internet: A Source of Enormous Confusion and Great Potential

Science.gov (United States)

2009-05-01

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. [27]. Relying on available measure- ments and

Confusing placebo effect with natural history in epilepsy: A big data approach.

Science.gov (United States)

Goldenholz, Daniel M; Moss, Robert; Scott, Jonathan; Auh, Sungyoung; Theodore, William H

2015-09-01

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.

Diagnosis of swine dysentery: spirochaetes which may be confused with Treponema hyodysenteriae.

Science.gov (United States)

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.

Drawing Conclusions: Confusion between Data and Theory in the Traumatic Memory Debate

Science.gov (United States)

Silberg, Joyanna

2003-01-01

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…

The experience of living with patellofemoral pain-loss, confusion and fear-avoidance

DEFF Research Database (Denmark)

Smith, Benjamin E; Moffatt, Fiona; Hendrick, Paul

2018-01-01

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...

Effects of TEL Confusers on Operator Target Acquisition Performance with SAR Imagery

Science.gov (United States)

1998-12-01

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

Case series and descriptive cohort studies in neurosurgery: the confusion and solution.

Science.gov (United States)

Esene, Ignatius N; Ngu, Julius; El Zoghby, Mohamed; Solaroglu, Ihsan; Sikod, Anna M; Kotb, Ali; Dechambenoit, Gilbert; El Husseiny, Hossam

2014-08-01

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.

Subclinical encephalopathy in chronic obstructive pulmonary disease Encefalopatia subclínica na doença pulmonar obstrutiva crônica

Directory of Open Access Journals (Sweden)

Olga Maria Pinto de Lima

2007-12-01

Full Text Available BACKGROUND: Clinical and experimental evidence suggests that chronic obstructive pulmonary disease (COPD is associated with a variety of mental symptoms that range from cognitive slowing to mental confusion and dementia. PURPOSE: To test the hypothesis that COPD leads to cognitive impairment in the absence of acute confusion or dementia. METHOD: The global cognitive status of 30 patients with COPD without dementia or acute confusion and 34 controls was assessed with a Brazilian version of the Mini-Mental State Exam (MMSE. RESULTS: The MMSE scores were significantly lower in the patient group and inversely related to the severity of COPD. This finding could not be attributed to age, education, gender, daytime sleepiness, hypoxemia, chronic tobacco use, or associated diseases such as diabetes, depression, high blood pressure or alcoholism. CONCLUSION: These results suggest the existence of a subclinical encephalopathy of COPD characterized by a subtle impairment of global cognitive ability.CONTEXTO: Evidências clínicas e experimentais sugerem que a doença pulmonar obstrutiva crônica (DPOC se associa a sintomas neurocomportamentais que variam da lentidão cognitiva à confusão mental e à demência. PROPÓSITO: Testar a hipótese de que a DPOC pode comprometer a cognição na ausência de estado confusional agudo ou de demência. MÉTODO: O estado cognitivo global de 30 pacientes com DPOC sem demência e sem confusão mental aguda e o de 34 controles foi examinado com a versão brasileira do Mini-Exame do Estado Mental (MEEM. RESULTADOS: As pontuações no meem mostraram-se significativamente mais baixas nos pacientes, e inversamente relacionadas à gravidade da DPOC. Este achado não pôde ser atribuído a diferenças de idade, escolaridade, sonolência diurna, hypoxemia, tabagismo crônico, ou a doenças associadas como diabetes, depressão, hipertensão arterial ou alcoolismo. CONCLUSÃO: Estes resultados sugerem a existência de uma

Sleep Quality, Mood and Performance: A Study of Elite Brazilian Volleyball Athletes

Directory of Open Access Journals (Sweden)

Alexandro Andrade, Guilherme G. Bevilacqua, Danilo R. Coimbra, Fabiano S. Pereira, Ricardo Brandt

2016-12-01

Full Text Available This investigation analyzed the relationships between sleep quality, mood, and game results in the elite athletes participating in Brazilian volleyball competitions. Participants (n = 277 elite Brazilian volleyball athletes, 214 (77.3% men and 63 (22.7% women completed the Brunel Mood Scale (BRUMS and reported their subjective sleep perception. Athletes with poor sleep quality reported higher scores for confusion compared to athletes with good sleep quality (p < 0.01, d = 0.43. In addition, athletes who lost their game at the time of evaluation showed higher tension (p < 0.01, d = 0.49 and confusion (p < 0.01, d = 0.32 levels compared to athletes who won their game. A regression analysis demonstrated that for each point increase in the confusion level, there was a 19.7% reduction in sleep quality. Multivariate analysis of variance indicated that athletes who slept well, and won their games, had lower tension levels. Further, our results indicated that the athletes’ mood associated with their success in the competitions. Therefore, in a competition, it is important that the athletes show good sleep quality, and use techniques and strategies to ease their mood variations.

A Cross-Cultural Perspective on the Relationships between Emotional Separation, Parental Trust, and Identity in Adolescents.

Science.gov (United States)

Sugimura, Kazumi; Crocetti, Elisabetta; Hatano, Kai; Kaniušonytė, Goda; Hihara, Shogo; Žukauskienė, Rita

2018-04-01

Emotional separation and parental trust in parent-adolescent relationships are important factors for adolescent identity formation. However, prior research findings on emotional separation are inconsistent. This study aimed to conduct a more rigorous examination of the associations of emotional separation and parental trust with identity synthesis, confusion, and consolidation by applying a bi-factor model to identity, using adolescent samples from Lithuania (N = 610; 53.9% female; M age  = 14.92), Italy (N = 411; 57.4% female; M age  = 15.03), and Japan (N = 759; 43.7% female; M age  = 14.13). Structural equation modeling revealed that emotional separation and parental trust were consistently associated with identity consolidation across the three countries, rather than associated with identity synthesis and identity confusion. Furthermore, the patterns of associations of emotional separation and parental trust with identity synthesis and identity confusion differed across the three nations. Overall, this study provides a better understanding of the role of emotional separation and parental trust in adolescent identity formation by suggesting the importance of the identity consolidation in the association between parent-child relationships and identity formation across three countries.

Inverse reasoning processes in obsessive-compulsive disorder.

Science.gov (United States)

Wong, Shiu F; Grisham, Jessica R

2017-04-01

The inference-based approach (IBA) is one cognitive model that aims to explain the aetiology and maintenance of obsessive-compulsive disorder (OCD). The model proposes that certain reasoning processes lead an individual with OCD to confuse an imagined possibility with an actual probability, a state termed inferential confusion. One such reasoning process is inverse reasoning, in which hypothetical causes form the basis of conclusions about reality. Although previous research has found associations between a self-report measure of inferential confusion and OCD symptoms, evidence of a specific association between inverse reasoning and OCD symptoms is lacking. In the present study, we developed a task-based measure of inverse reasoning in order to investigate whether performance on this task is associated with OCD symptoms in an online sample. The results provide some evidence for the IBA assertion: greater endorsement of inverse reasoning was significantly associated with OCD symptoms, even when controlling for general distress and OCD-related beliefs. Future research is needed to replicate this result in a clinical sample and to investigate a potential causal role for inverse reasoning in OCD. Copyright © 2016 Elsevier Ltd. All rights reserved.

Theoretical ecology as etiological from the start.

Science.gov (United States)

Donhauser, Justin

2016-12-01

The world's leading environmental advisory institutions look to ecological theory and research as an objective guide for policy and resource management decision-making. In addition to the theoretical and broadly philosophical merits of doing so, it is therefore practically significant to clear up confusions about ecology's conceptual foundations and to clarify the basic workings of inferential methods used in the science. Through discussion of key moments in the genesis of the theoretical branch of ecology, this essay elucidates a general heuristic role of teleological metaphors in ecological research and defuses certain enduring confusions about work in ecology. Copyright © 2016. Published by Elsevier Ltd.

Upaya Mengurangi Skeptisisme Iklan Hijau dalam Meningkatkan Perilaku Pembelian Produk Hijau

Directory of Open Access Journals (Sweden)

Jati Waskito

2016-12-01

Full Text Available The purpose of this study was to analyze the effect of consumer involvement in environmental sustainability, relevance, confusion, and entertainment from an ad impression of green against the skepticism of consumers through an approach of how far the company can deliver their messages more effectively. Survey by the instrument list of questions to get 299 residents of the city of Solo who participated in the study. The results of multiple regression analysis found that consumer involvement and relevance negative effect on consumer apathy towards green advertising. Variable confusion positive effect on consumer apathy towards green advertising. While variable entertain no significant effect on their skepticism

A high-precision instrument for mapping of rotational errors in rotary stages

Energy Technology Data Exchange (ETDEWEB)

Xu, Weihe; Lauer, Kenneth; Chu, Yong; Nazaretski, Evgeny

2014-10-02

A rotational stage is a key component of every X-ray instrument capable of providing tomographic or diffraction measurements. To perform accurate three-dimensional reconstructions, runout errors due to imperfect rotation (e.g.circle of confusion) must be quantified and corrected. A dedicated instrument capable of full characterization and circle of confusion mapping in rotary stages down to the sub-10 nm level has been developed. A high-stability design, with an array of five capacitive sensors, allows simultaneous measurements of wobble, radial and axial displacements. The developed instrument has been used for characterization of two mechanical stages which are part of an X-ray microscope.

Practice of symptomatic treatment in the era of evidence-based medicine: report of 2 cases of diagnosis of Sheehan's syndrome delayed till eighth decade.

Science.gov (United States)

Wani, Abdul Majid; Hussain, Waleed Mohd; Al Mejally, Mousa Ali; Banjar, Abdulhakeem Amroon; Ali, Khaled Shawkat; Khoujah, Amer Mohd; Raja, Sadeya Hanif; Bafaraj, Mazen G; Al Miamini, Wail; Akhtar, Mubeena

2010-05-06

Sheehan's syndrome, first described in 1937, is characterised by postpartum haemorrhage, pituitary necrosis, lactational failure and hypopitutarism. Presentation is variable and late presentations are not unusual due to partial ischaemic injury of the pituitary and gradual loss of endocrine function. A history of postpartum haemorrhage is usual but in some cases it is not elicited. Presentations such as malaise, fatigue, hypoglycaemia, decline in cognition, hyponatraemia, pancytopoenia, osteoporosis, secondary infertility, confusion and coma have all been reported. Two interesting cases of Sheehan's syndrome are presented that were diagnosed in the eighth decade; one due to atypical presentation of recurrent hyponatraemia and confusion, another from hypoglycaemic coma and symptoms of malaise and lethargy.

An investigation into the Swan Island Honduras collecting event of Tiaporus fuliginosus Cope (Reptilia: Teiidae) and its systematic status

Science.gov (United States)

McCranie, James R.; Gotte, Steve W.

2015-01-01

Confusion exists in the literature concerning the collecting event of the teiid lizard Tiaporus fuliginosus. We investigated the literature and documents stored at the Smithsonian Institution Archives involving the collector of those specimens in an effort to resolve that confusion. We conclude that the type series was collected on the Swan Islands of Honduras by Charles H. Townsend during 1887. We also provide a redescription of that nominal form and show that it is a valid species that should be called Ameiva fuliginosa. We also examined the type series of A. panchlora from Old Providence, Colombia and confirm that its 1950 placement as a junior synonym of A. fuliginosa is correct.

Dimenhydrinate

Science.gov (United States)

... sleepiness excitation or hyperactivity hallucinations (seeing things or hearing voices that do not exist) difficulty understanding reality confusion difficulty speaking or swallowing unsteadiness seizures ...

Central pontine myelinolysis

Science.gov (United States)

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 ...

Fortify Your Knowledge about Vitamins

Medline Plus

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 ...

Cases report of ossifying fibroma showing various radiographic appearances in posterior mandible

International Nuclear Information System (INIS)

Lee, Byung Do; Oh, Seung Hwan; Son, Hyun Jin

2010-01-01

Common radiographic appearances of ossifying fibroma (OF) are well demarcated margin, radiolucent or mixed lesion. Lesions for the radiographic differential diagnosis with OF include fibrous dysplasia, focal cemento-osseous dysplasia. Other confusing lesions might be the mixed lesions such as calcifying odontogenic cyst, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor, and benign cementoblastoma. We reported three cases of OF in posterior mandible. These cases showed a little distinguished radiographic features of OF and diagnosed from a combination of clinical, radiographic, and histopathologic information. We need to further refine radiographic and histopathological features of OF and other confusing lesions with literatures review because some cases of these lesions are not easily differentiated radiographically and histopathologically.

Moving Target Photometry Using WISE and NEOWISE

Science.gov (United States)

Wright, Edward L.

2015-01-01

WISE band 1 observations have a significant noise contribution from confusion. The image subtraction done on W0855-0714 by Wright et al. (2014) shows that this noise source can be eliminated for sources that move by much more than the beamsize. This paper describes an analysis that includes a pattern of celestially fixed flux plus a source moving with a known trajectory. This technique allows the confusion noise to be modeled with nuisance parameters and removed even for sources that have not moved by many beamwidths. However, the detector noise is magnified if the motion is too small. Examples of the method applied to fast moving Y dwarfs and slow moving planets will be shown.

The 1960s – long hair, flowers and morality mash: ethical appraisal of the clash that helped shape today’s Western society

Directory of Open Access Journals (Sweden)

H. J.G. Zandman

2009-07-01

  In a world full of confusing and conflicting approaches in terms of how to view man, the Bible has the clear answer: man is created in the image of God, and is, in this capacity, God’s vice- regent and image-bearer. However, the Christian church is by- and-large remarkably indecisive as the social conscience of Western society.   The main thrust of the sixties was anti-status quo, anti-esta- blishment, anti-materialist. In the process of man’s self-deter- mination on either side of the conflict, great erosion of man’s greatest gift occurred: ethical distinction. The spiritual vacuum created by anti-establishment forces led to confusion and self- destruction.

Fundus Findings in Wernicke Encephalopathy

Directory of Open Access Journals (Sweden)

Tal Serlin

2017-07-01

Full Text Available Wernicke encephalopathy (WE is an acute neuropsychiatric syndrome resulting from thiamine (vitamin B1 deficiency, classically characterized by the triad of ophthalmoplegia, confusion, and ataxia. While commonly associated with chronic alcoholism, WE may also occur in the setting of poor nutrition or absorption. We present a 37-year-old woman who underwent laparoscopic sleeve gastrectomy and presented with visual disturbance with bilateral horizontal nystagmus, confusion, and postural imbalance. Fundus examination revealed bilateral optic disc edema with a retinal hemorrhage in the left eye. Metabolic workup demonstrated thiamine deficiency. Her symptoms resolved after thiamine treatment. This case raises the awareness of the possibility of posterior segment findings in WE, which are underreported in WE.

Primary intracerebral lymphoma: Case report

Directory of Open Access Journals (Sweden)

Olcay Eser

2012-09-01

Full Text Available We describe a case of primary central nervous lymphoma (PCNSL that may be confused with magnetic resonance imaging (MRI findings of high grade glioma. Primary central nervous lymphoma is a rare tumour and it account for 0.3-3% of intracranial tumours. A 61 year’s old woman was admitted to our clinic with a severe headache, vomiting, left hemiparesia and transient loss of consciousness. Primary central nervous lymphoma may show various biological and radiological characteristics. We herein emphasized being confused with MRI findings of PCNSL and high grade glioma. J Clin Exp Invest 2012; 3 (3: 409-411Key words: Primary central nervous lymphoma, high grade glioma, B-cell, diagnosis

On the definition of neutron lifetimes in multiplying and non-multiplying systems

International Nuclear Information System (INIS)

Spriggs, G.D.; Adams, K.J.; Parsons, D.K.

1997-01-01

Historically, the term neutron lifetime has been used in the literature to describe a wide variety of different time intervals associated with a neutron's trek through a given system. This duplication of usage of the term neutron lifetime has undoubtedly resulted in some confusion concerning its physical meaning. In hopes of reducing some of this confusion, we suggest in this work that the various time intervals characterizing the life of a neutron be divided into three general categories: (1) neutron lifespans, (2) reaction rate lifetimes, and (3) neutron generation times. In this report, we define these three different time intervals and give deterministic and Monte Carlo transport expressions that can be used to calculate them

Practice of symptomatic treatment in the era of evidence-based medicine: report of 2 cases of diagnosis of Sheehan’s syndrome delayed till eighth decade

Science.gov (United States)

Wani, Abdul Majid; Hussain, Waleed Mohd; Mejally, Mousa Ali Al; Banjar, Abdulhakeem Amroon; Ali, Khaled Shawkat; Khoujah, Amer Mohd; Raja, Sadeya Hanif; Bafaraj, Mazen G; Miamini, Wail Al; Akhtar, Mubeena

2010-01-01

Sheehan’s syndrome, first described in 1937, is characterised by postpartum haemorrhage, pituitary necrosis, lactational failure and hypopitutarism. Presentation is variable and late presentations are not unusual due to partial ischaemic injury of the pituitary and gradual loss of endocrine function. A history of postpartum haemorrhage is usual but in some cases it is not elicited. Presentations such as malaise, fatigue, hypoglycaemia, decline in cognition, hyponatraemia, pancytopoenia, osteoporosis, secondary infertility, confusion and coma have all been reported. Two interesting cases of Sheehan’s syndrome are presented that were diagnosed in the eighth decade; one due to atypical presentation of recurrent hyponatraemia and confusion, another from hypoglycaemic coma and symptoms of malaise and lethargy. PMID:22736728

Cases report of ossifying fibroma showing various radiographic appearances in posterior mandible

Energy Technology Data Exchange (ETDEWEB)

Lee, Byung Do; Oh, Seung Hwan [School of Dentistry, Wonkwang University, Seoul (Korea, Republic of); Son, Hyun Jin [Department of Pathology, School of Medicine, Eulji University, Daejeon (Korea, Republic of)

2010-06-15

Common radiographic appearances of ossifying fibroma (OF) are well demarcated margin, radiolucent or mixed lesion. Lesions for the radiographic differential diagnosis with OF include fibrous dysplasia, focal cemento-osseous dysplasia. Other confusing lesions might be the mixed lesions such as calcifying odontogenic cyst, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor, and benign cementoblastoma. We reported three cases of OF in posterior mandible. These cases showed a little distinguished radiographic features of OF and diagnosed from a combination of clinical, radiographic, and histopathologic information. We need to further refine radiographic and histopathological features of OF and other confusing lesions with literatures review because some cases of these lesions are not easily differentiated radiographically and histopathologically.

Influence of certain factors on the manifestations of the adverse effects of metrizamide myelography

Energy Technology Data Exchange (ETDEWEB)

Yu, Y L; Du Boulay, G H; Paul, E

1986-07-01

Although metrizamide is now being superseded by other contrast media, the mechanisms of its side effects may be of fundamental importance. One hundered and four consecutive patients with suspected cervical cord or root lesion were studied prospectively for factors which might influence the side effects of metrizamide myelography. Elderly patients were more prone to develop mental confusion. An earlier onset of dizziness and/or vertigo was associated with the lumbar route of intrathecal injection. Perhaps surprisingly, phenobarbitone prophylaxis shortened the duration of confusion and delayed the onset of headaches. Other factors, viz. sex, excess intracranial flow of metrizamide and myelographic blockage were not shown to have a signifiant influence on the adverse reactions.

Hyperthyroidism

Science.gov (United States)

... 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. ...

Acute tubular necrosis

Science.gov (United States)

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 ...

MR features of physiologic and benign conditions of the ovary

Energy Technology Data Exchange (ETDEWEB)

Tamai, Ken; Saga, Tsuneo; Kido, Aki; Kataoka, Masako; Umeoka, Shigeaki; Togashi, Kaori [Kyoto University, Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto (Japan); Koyama, Takashi [Kyoto University Hospital, Department of Radiology, Kyoto (Japan); Fujii, Shingo [Kyoto University, Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto (Japan)

2006-12-15

In reproductive women, various physiologic conditions can cause morphologic changes of the ovary, resembling pathologic conditions. Benign ovarian diseases can also simulate malignancies. Magnetic resonance imaging (MRI) can play an important role in establishing accurate diagnosis. Functional cysts should not be confused with cystic neoplasms. Corpus luteum cysts typically have a thick wall and are occasionally hemorrhagic. Multicystic lesions that may mimic cystic neoplasms include hyperreactio luteinalis, ovarian hyperstimulation syndrome, and polycystic ovary syndrome. Recognition of clinical settings can help establish diagnosis. In endometrial cysts, MRI usually provides specific diagnosis; however, decidual change during pregnancy should not be confused with secondary neoplasm. Peritoneal inclusion cysts can be distinguished from cystic neoplasms by recognition of their characteristic configurations. Ovarian torsion and massive ovarian edema may mimic solid malignant tumors. Recognition of normal follicles and anatomic structures is useful in diagnosing these conditions. In pelvic inflammatory diseases, transfascial spread of the lesion should not be confused with invasive malignant tumors. Radiologic identification of abscess formation can be a diagnostic clue. Many benign tumors, including teratoma, Brenner tumor, and sex-cord stromal tumor, frequently show characteristic MRI features. Knowledge of MRI features of these conditions is essential in establishing accurate diagnosis and determining appropriate treatment. (orig.)

MR features of physiologic and benign conditions of the ovary

International Nuclear Information System (INIS)

Tamai, Ken; Saga, Tsuneo; Kido, Aki; Kataoka, Masako; Umeoka, Shigeaki; Togashi, Kaori; Koyama, Takashi; Fujii, Shingo

2006-01-01

In reproductive women, various physiologic conditions can cause morphologic changes of the ovary, resembling pathologic conditions. Benign ovarian diseases can also simulate malignancies. Magnetic resonance imaging (MRI) can play an important role in establishing accurate diagnosis. Functional cysts should not be confused with cystic neoplasms. Corpus luteum cysts typically have a thick wall and are occasionally hemorrhagic. Multicystic lesions that may mimic cystic neoplasms include hyperreactio luteinalis, ovarian hyperstimulation syndrome, and polycystic ovary syndrome. Recognition of clinical settings can help establish diagnosis. In endometrial cysts, MRI usually provides specific diagnosis; however, decidual change during pregnancy should not be confused with secondary neoplasm. Peritoneal inclusion cysts can be distinguished from cystic neoplasms by recognition of their characteristic configurations. Ovarian torsion and massive ovarian edema may mimic solid malignant tumors. Recognition of normal follicles and anatomic structures is useful in diagnosing these conditions. In pelvic inflammatory diseases, transfascial spread of the lesion should not be confused with invasive malignant tumors. Radiologic identification of abscess formation can be a diagnostic clue. Many benign tumors, including teratoma, Brenner tumor, and sex-cord stromal tumor, frequently show characteristic MRI features. Knowledge of MRI features of these conditions is essential in establishing accurate diagnosis and determining appropriate treatment. (orig.)

The use of English in South African science

Directory of Open Access Journals (Sweden)

Jude Edmund Cobbing

2011-01-01

Full Text Available Scientific reports, articles, strategies and plans in South Africa (and elsewhere are often written in unnecessarily confusing, complex and obscure language. While this is often unintended, it can be used by some to assert authority and discourage inquiry or dissent. Specialist styles of writing and jargon used by business, management or socio-economic development professionals are often copied or echoed in other contexts where their meaning is less clear. Although there is some very clear scientific writing in South Africa, confusing and obscure writing is common and may even be a growing problem. This style of writing may act as a barrier to entry for speakers of English as a second language (the majority of South Africans, who must devote extra time to mastering the medium rather than the content of science writing. The problem is even found in some school textbooks aimed specifically at speakers of English as a second language. The various uses of poor language in science in South Africa have unwanted and potentially serious implications, including supporting unwanted power and institutional hierarchies, alienating the general public, confusing decision-makers, hampering efforts towards transformation, discouraging debate, and diverting time and energy away from scientific work and cooperation.

The cultural differences in perceived value of disclosure and cognition: Spain and Canada.

Science.gov (United States)

Fainsinger, Robin L; Núñez-Olarte, Juan M; Demoissac, Donna M

2003-01-01

A previous multicentre international study on sedation at the end of life has detected major differences between Canadian and Spanish patients. This was particularly evident in the need to sedate Spanish patients for psychological/existential distress. This study was designed to explore the hypothesis that marked differences in the value patients and families attach to disclosure and cognition were a factor. The study population included patients referred to two palliative care consulting services based in acute care hospitals in Madrid, Spain (M), and in Edmonton, Canada (E). Questions addressed the issue of clear thinking, pain/nausea-medication-induced somnolence/confusion, anxiety/antidepressant-medication-induced somnolence/confusion, details of diagnosis. One hundred patients were evaluated on each site. Patients and families in E placed a higher value on clear thinking, change in medication causing somnolence/confusion, and wanting full disclosure. Patients and families in E agreed almost 100% of the time, while agreement in M varied from 42% to 67%. These results suggest major differences in the perceived value of clear cognition and disclosure of information between patients and families in E and M. The lack of agreement between patients and families in M is a further significant factor that may complicate communication with patients and families, as well as medical management.

The discrimination between star-forming and AGN galaxies in the absence of Hαand [NII]: A machine learning approach

Science.gov (United States)

Teimoorinia, H.; Keown, J.

2018-05-01

In the absence of the two emission lines Hαand [NII] (6584Å) in a BPT diagram, we show that other spectral information is sufficiently informative to distinguish AGN galaxies from star-forming galaxies. We use pattern recognition methods and a sample of galaxy spectra from the Sloan Digital Sky Survey (SDSS) to show that, in this survey, the flux and equivalent width of [OIII] (5007Å) and Hβ, along with the 4000Å break, can be used to classify galaxies in a BPT diagram. This method provides a higher accuracy of predictions than those which use stellar mass and [OIII]/Hβ. First, we use BPT diagrams and various physical parameters to re-classify the galaxies. Next, using confusion matrices, we determine the `correctly' predicted classes as well as confused cases. In this way, we investigate the effect of each parameter in the confusion matrices and rank the physical parameters used in the discrimination of the different classes. We show that in this survey, for example, {g - r} colour can provide the same accuracy as galaxy stellar mass to predict whether or not a galaxy hosts an AGN. Finally, with the same information, we also rank the parameters involved in the discrimination of Seyfert and LINER galaxies.

Neuroticism in Young Women with Fibromyalgia Links to Key Clinical Features

Directory of Open Access Journals (Sweden)

Katrina Malin

2012-01-01

Full Text Available Objective. We examined personality traits in young women with FM, in order to seek associations with key psychological processes and clinical symptoms. Methods. Twenty-seven women with FM and 29 age-matched female healthy controls [HC] completed a series of questionnaires examining FM symptoms, personality and psychological variables. Results. Significant differences between characteristic FM symptoms (sleep, pain, fatigue, and confusion as well as for the psychological variables of depression, anxiety, and stress were found between FM and HC (P<0.001. Neuroticism was the only subscale of the Big Five Inventory that showed a significant difference between the FM group and HC group [P<0.05]. Within the FM group, there was a significant association between the level of the neuroticism and each of pain, sleep, fatigue, and confusion, depression, anxiety, and stress (P<0.05–0.01. The association between the level of neuroticism and the level of stress was the strongest of all variables tested (P<0.001. Conclusion. The personality trait of neuroticism significantly associates with the key FM characteristics of pain, sleep, fatigue and confusion as well as the common co-morbidities of depression, anxiety and stress. Personality appears to be an important modulator of FM clinical symptoms.

Signaling of noncomprehension in communication breakdowns in fragile X syndrome, Down syndrome, and autism spectrum disorder.

Science.gov (United States)

Martin, Gary E; Barstein, Jamie; Hornickel, Jane; Matherly, Sara; Durante, Genna; Losh, Molly

The ability to indicate a failure to understand a message is a critical pragmatic (social) language skill for managing communication breakdowns and supporting successful communicative exchanges. The current study examined the ability to signal noncomprehension across different types of confusing message conditions in children and adolescents with fragile X syndrome (FXS), Down syndrome (DS), autism spectrum disorder (ASD), and typical development (TD). Controlling for nonverbal mental age and receptive vocabulary skills, youth with comorbid FXS and ASD and those with DS were less likely than TD controls to signal noncomprehension of confusing messages. Youth with FXS without ASD and those with idiopathic ASD did not differ from controls. No sex differences were detected in any group. Findings contribute to current knowledge of pragmatic profiles in different forms of genetically-based neurodevelopmental disorders associated with intellectual disability, and the role of sex in the expression of such profiles. Upon completion of this article, readers will have learned about: (1) the social-communicative profiles of youth with FXS, DS, and ASD, (2) the importance of signaling noncomprehension in response to a confusing message, and (3) the similarities and differences in noncomprehension signaling in youth with FXS (with and without ASD), DS, idiopathic ASD, and TD. Copyright © 2017 Elsevier Inc. All rights reserved.

Infusing Adult Education Principles Into a Health Insurance Literacy Program.

Science.gov (United States)

Brown, Virginia

2018-03-01

Health insurance literacy is an emerging concept in the health education and health promotion field. The passage of the Affordable Care Act highlighted the link between health insurance and health outcomes. However, the law does not specifically address how the public should be educated on choosing an appropriate health insurance plan. Research shows adults, regardless of previous health insurance status, are likely confused and uncertain about their selection. The University of Maryland Extension developed and created health insurance Smart Choice Health Insurance™ to reduce confusion and increase confidence and capability to make this decision. Andragogy, an adult learning theory, was used to guide the development of the program and help ensure best practices are used to achieve desired outcomes. Using the six principles of andragogy, the team incorporated reality-based case studies, allowed adults time to practice, and emphasized choice making and many other elements to create an atmosphere conducive to adult learning. Results from Smart Choice indicate the program is successful in reducing confusion and increasing confidence. Furthermore, feedback from participants and trained educators indicates that adults were engaged in the program and found the materials useful. Based on program success, creation of new health insurance literacy programs grounded in adult education principles is under way.

Heating efficiency in magnetic nanoparticle hyperthermia

International Nuclear Information System (INIS)

Deatsch, Alison E.; Evans, Benjamin A.

2014-01-01

Magnetic nanoparticles for hyperthermic treatment of cancers have gained significant attention in recent years. In magnetic hyperthermia, three independent mechanisms result in thermal energy upon stimulation: Néel relaxation, Brownian relaxation, and hysteresis loss. The relative contribution of each is strongly dependent on size, shape, crystalline anisotropy, and degree of aggregation or agglomeration of the nanoparticles. We review the effects of each of these physical mechanisms in light of recent experimental studies and suggest routes for progress in the field. Particular attention is given to the influence of the collective behaviors of nanoparticles in suspension. A number of recent studies have probed the effect of nanoparticle concentration on heating efficiency and have reported superficially contradictory results. We contextualize these studies and show that they consistently indicate a decrease in magnetic relaxation time with increasing nanoparticle concentration, in both Brownian- and Néel-dominated regimes. This leads to a predictable effect on heating efficiency and alleviates a significant source of confusion within the field. - Highlights: • Magnetic nanoparticle hyperthermia. • Heating depends on individual properties and collective properties. • We review recent studies with respect to loss mechanisms. • Collective behavior is a key source of confusion in the field. • We contextualize recent studies to elucidate consistencies and alleviate confusion

Vascular aspects of water uptake mechanisms in the toad skin: perfusion, diffusion, confusion

DEFF Research Database (Denmark)

Willumsen, Niels; Viborg, Arne L; Hillyard, Stanley D

2007-01-01

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...

Mathematical modeling of the socalled Allis test: a field study in orthopedic confusion

Directory of Open Access Journals (Sweden)

Haneline Michael

2007-01-01

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.

Romanian revolution through the eyes of a contemporary. Some reflections on events confusing

Directory of Open Access Journals (Sweden)

Enache Tușa

2014-12-01

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.

Confusion in the Field! Providing Clarity on Constructivism and Constructionism in Religious Education

Science.gov (United States)

Hyde, Brendan

2015-01-01

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…

Two confused Boletes in the Benelux, Boletus impolitus Fries and Boletus depilatus Redeuilh

NARCIS (Netherlands)

Heinemann, P.; Rammeloo, J.

1992-01-01

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

Confused ionic liquid ions--a "liquification" and dosage strategy for pharmaceutically active salts.

Science.gov (United States)

Bica, Katharina; Rogers, Robin D

2010-02-28

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.

Is the BTS/SIGN guideline confusing? A retrospective database analysis of asthma therapy.

Science.gov (United States)

Covvey, Jordan R; Johnston, Blair F; Wood, Fraser; Boyter, Anne C

2013-09-01

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.

Bone contusions in the adolescent knee: confusion with rupture of anterior cruciate ligament

International Nuclear Information System (INIS)

Roca, M.; Mota, J.; Guedea, A.

1998-01-01

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

Patient perceptions of integrated care: confused by the term, clear on the concept

Directory of Open Access Journals (Sweden)

Kara Odom Walker

2013-03-01

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.

Citalopram

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... 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- ...

Brentuximab Vedotin Injection

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... loss of coordination; headache; confusion; difficulty thinking clearly; memory loss; changes in mood or usual behavior; difficulty speaking; or vision problems.Keep all appointments with your doctor and ...

Wilson disease

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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 ...

Metoclopramide

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... 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 ...

Metoclopramide Injection

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... 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 ...

Lewy Body Disease

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... range of symptoms, including Changes in alertness and attention Hallucinations Problems with movement and posture Muscle stiffness Confusion Loss of memory Lewy body disease can be hard to diagnose, ...

Potassium

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... confusion listlessness tingling, prickling, burning, tight, or pulling sensation of arms, hands, legs, or feet heaviness or weakness of legs cold, pale, gray skin stomach pain unusual stomach bulging ...

Quantitative Structure-Use Relationship Model thresholds for Model Validation, Domain of Applicability, and Candidate Alternative Selection

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U.S. Environmental Protection Agency — This file contains value of the model training set confusion matrix, domain of applicability evaluation based on training set to predicted chemicals structural...

Genetics Home Reference: chronic atrial and intestinal dysrhythmia

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... can include dizziness, light-headedness, fainting (syncope), a sensation of fluttering or pounding in the chest (palpitations), and confusion or memory problems. During exercise, many affected individuals experience chest ...

Genetics Home Reference: sick sinus syndrome

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... can include dizziness, light-headedness, fainting (syncope), a sensation of fluttering or pounding in the chest (palpitations), and confusion or memory problems. During exercise, many affected individuals experience chest ...